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Home My WebLink About04-3110 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 3110 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: . Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: ---Work Desc: 3110 ELECTRICAL MISC ELECTRICAL MISC RV PARK EAST PASCO ELECTRIC Address: 3528 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: EMERALD POINTE RV RESORT Parcel Number: 5/25/2004 38.50 38.50 5/25/2004 --__---L_ ELECTRIC FOR LANAI Name: Address: Phone: ------.--------..------------ ELECTRICAL FEE ROUGH ELECTRIC FINAL CONSTRUCTION POLE I I I -.---------------------- -------- ---- --------.- - -- ----..-- --.- -- -._--------- -- --.------------ -- ---_____ _n____.__._________ ____ XKLJ.\I::;J:JEC L .LUJ.\I .to'.!:!;.!:!;::; :-when-extra- -r-hSpe<::L"lofi-crJ.:"ps- areneCiessary-dUe-to anyofie-bTThe-- _ _______._ following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same . ~"War:il:1ng--eo-owner:--YOur- -f"aJ.l U:r'Elt;orecoraa':D.ot:iCfe-orcommencemenr:mayresu-re-rn-yo'l.1r.--- paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. I jJli~~N~lL-'O:INSPEC'UON _ 8 HOUR NOTICH I PROTECT CAP~ FROM WEATHER ~ PERMIT OFFI REQUIRED W j'V 01 -.. a 0" w 01 N N i\..) ('l'l N 0' N w 05 'il: ill "I ;'/' II ;;11 ~ :ij! i.ill- .ii! :!I! ",I I!i: ~ ;1.' !Ii II illi i:11 'I' ,I ~.... ili! I'i ill 'ill l 'I~ s -...; --i .''''"', ~ 6'6 5~6 - ""'8 .&.0-.", 2'10 . I u ",,,,,, -",...' ::'J > '- - ;;:: l' - - A ._;'-' '~.,~: /. _ "'"'l'~" /' '8........ ~"' ,':"._...- ::>.!G ,'C. E~-: J...l':':-:'~ ;,:.~ / > Z :J) /"f- == U,-r;z:' _/ .____ ........1".._..~....-:....-~...... .....__..-.d-_~ (li~...~'1"--'....i...- 'RE', ,\ll..w~C CCCES. ;:"LJRlDA 3LlLDU',' CCDE.:-.,J",nCNr.l. .:::.....=:crRlCCO.cEA..1\,j Cf"': CF ZS'h;-X-~l~S CRC1N.:\~"C:::: '~~ 5'9 "".3 o -1 ......... lL ~ 1'5 j\,,) cO -...j ~ ,:.." w ...... ,....... '-' co - ...... .... -.. a w l\.) N ...., .~ '-' APPLICATION FOR PBmaT CI'l'Y or DPRYlUIILLS BUILDura DBPARDdBHT DAft: UCBIVBD PLAHS RBVIBW I'D PASCO PERMIT SERVICE 1- 8'~- ~~~ -7'89~ OWNER'S NAME -.R Ic..~ (~O k JOB ADDRESS 35;28 - TDLlr~(t~ -:Dr. PHONE LEGAL DESCRIPTION: LOT (S) .;;J. 7 0 BLOCK PARCEL ID # ~4--;l(p-;2l-lJmO"'OOoDO -01.70 SUBDIVISION ~ V\.1el"lV~ Po,.::t-C. WORK PROPSED: I2(NEW CONSTRUCTION OSIGN PROPOSED USE: PlsGL F~LY DWELLING o COMMERCIAL (OBTATN FROM PROPERTY TAX NOTICEl o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH OMULTI-F~LY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM! o OTHER DESCRIPTION OF WORK ~eL.-tV'(-c..... I :Lx 3:L D RESTAURANT & HEALTH DEPARTMENT APPROVAL r-o, k~ BUILDING SIZE SQUARE FOOTAGE 3<g'{ HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH ('3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED & (1) SET ENERGY FORMS. FORM~ . tJI. ~.g , S--() o BUILDING $ VALUATION OF TOTAL CONSTRUCTION JXl ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDD COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ~~~ SIGNATURE .' . COMPANY. E: C<-S1- R. sc.o E lec.+rl '-- STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBCBAlUCAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTBBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS O~ PER~I~ A~~~DAVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perml t may b,~ flUb j ec:t -to "deed restrictions" which may be more restrictive than City regulations. The unde.rsigned assumes responsibility for compliance with any applicable deed restric:tions. B. UNLICENSED CONTRACTORS AND CONTRACTOR l~ESPONSIBnITIE::3 If the owne~ h~s hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local re:qulat:ions. If the contractor is not licensed as required by law, both the ownex and cont,,[actc.r may be cited for a misdemeanor violation under state law. If the owner OI' intended c:ont:ractor are uncertain as to what licensing requirements may apply for the intended work, t:hey are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor (s) sign portions of the "Contractor Section::;" of this application for which they will be responsible. If you, as the owner signs alS t:hE! contractor, you are indicating that you, rather than the contractor, are responsible 1:0J( 1:he work. If the contractor wishes you to sign as contractor that may be an indication 1:hat he is not properly licensed and is not entitled to permitting privileges in the City of :~ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION 11'EES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'r1J~rES, AS AMENDED) I certify that I, the applicant, have been provided .",U:h a copy of "Florida's Construction lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone oth,er that the "owner", I cerify that I have obtained a copy of the above described Clocument and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicatio,n is accurate and that all work will be done in compliance with all applicable laws regula,ting construction, zoning, and land development. Application is hereby made to obtain a permit to do ~~Irk and installation as indicated. I certify that no work or installation has commenced 11):10r to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development reguJLcltions in the jurisdiction. I also certify that' I understand that the regulations of 01c:hE~r governmental agencies may apply to the intended work, and that it is my responsibility 11:0 identify what actions I must take to be in compliance. Such agencies include but are no'!: limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland ;!\.['l~as and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *ArmY Corps of Engineers-Seawalls, DockS, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U. S. Environmental Protection Agency-Asbestos abat.ement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compE!l1sating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license t:Q proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildinq Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become iJlvalid unless the work authori:zed by such permit is conmenced within six months of issuance, or if work authorized by th,e permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each si~ month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.E' YOU INTEND TO OBTAIN FINJ\NCING, CoNSUL'I WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "lirOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STA'fE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this -----pay of by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of by (name of person acknowledged) o who is personally known to me, or o who has produced (type and whoOdid Odid not of identification) take an oath. (name of person acknowledged) [lfho is personally known to me, or [] who has produced (type of identificatipn and who Odid [):lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped