HomeMy WebLinkAbout04-3353
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
3353
Permit Number: 3353
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: SINGLE FAMILY RESIDENTIAL
Contractor: PATTI ELEC. & REFRIGERATION
Square Feet:
Est. Value:
Improv.Cost:
Date Issued: 9/09/2004
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 9/09/2004
Work Desc: REPLACE ELEC.
Address: 5900 17TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lotes): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: JAMES & CYNTHIN PRESTININZ
Address: 5900 17th ST
ZEPHYRHILLS, FL. 33542
Phone:
ROUGH ELECTRIC
FINAL
CONSTRUCTION POLE
PRE-METER
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the
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 acc
The payment of inspection fees shall be made before any further permits will be issued to
the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your
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 I Specifications and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
~~~d~
v~/7 /' CONTRACTOR
CALL POR INSPBCTION - 8 BOOR NOTICB
PROTBCT CARD PROM WEATHER
~MP;z
REQUIRED
, , 1;jo1
V
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 DATE RECEIVED 7,-9- cui
PHONE CONTACT FOR PERMITTING ,f"1.3-7c!.,(I-33/<j
OWNER' S NAME Pres f", l'n z.. I ,
JOB ADDRESS 5'9tJO 17~ S+-
-.J trm~.s ~t Cttn.flt Ih
'2-<:fl;,..AI'/& F(
PHONE
7/'f-t, ocr/
33JiP
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID if / / "t'- :z I dtJl() o~tf"fftJ () / t:.u
SUBDIVISION
WORK PROPSED: (JNEW CONSTRUCTION
(]SIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
(]ADDITION
{OBTAIN FROM PROPRRTY TAX NOTI,-El
(JALTERATION ~ REPAIR (J INSTALL
(] DEMOLISH
[J MOVE
[JMULTI-FAMILY
[J INDUSTRIAL
[Jif OF UNITS
(] SWIMMING POOL
[J MOBILE HOME
D OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK l?o/JIf-C.~- tYnk Ct'._ R, }-~ r
Bn -c: 'I ~ :J ~ ~ -1-.> 5 Jzr..-W\..
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
& (1) SET ENERGY FORMS.
FORMS.
,~ '1 "1;
,?/
PERMITS REQUESTED
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
~ Pro?vC'~s €i? ~y..jtf
D
W.R.E.C,
, tV
<&( 17)-
D PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
(] ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
CONTRACTOR.SECTION
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST if
******************************************************************
ELECTRICIAN ~
SIGNATURE ~ A-, W~
COMPANY PI9++, ~ E/~~frl'c
ec- t:JOOI.:<t:.g
STATE CERT OR REGIST if C/~t _ 7I'.:<~/
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
******************************************************************
COMPANY f'A.I"h~ 6e"'c:.~/;
STATE CERT OR REGIST # (me ~ tJ 5.<;.-'17(,
.,aJ./J.3~
MECHANICAL
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whiqh
may be more restrictive than City regulations, The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ~wner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors I he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with 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 other that the "owner", I cerify that I
have obtained a copy of the above described document 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 application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior 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 regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheadsl Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheadsl 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 abatement
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 "compensating 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 to 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 Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the 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 six
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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$~ VA.5:, D:;9;:fTO RECORD AND POST A "NOTICE Of COMMENCE~ENT'~
'#V;? =- ,__.-U;J, J, /././ ~
SIGNATURE, OWNER OR AGENT S~' CONTRACTOR
acknowledged
I 2U--
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ,._ day of
by
acknowledged
I 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid DHd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
P::.~r() (""1n'Ufl....", T..,.,... ",..,11..... .~....~...Y" "T),......,~,- .," ..-..
Page 1 of 2
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OUR GUI.F HARBOn-S OFFfCE.' HAS RELOCATED TO OUR NEW BUILDING AT 4720 US
HWY 19
( OnlECTl Y s"'lOTf:I OF THE OLD LOCATION)
Real Estate Property Search Results
CURRENT AS OF: 09/06/2004 19:08:'10
* * * THE INFORMATION CONTAINED HEREIN DOES NOT
ONSTITUTE A TITLE SEARCH AND SHOULD NOT BE RELIED ON AS
UCH. ADOITIONt\L LIENS AND DELINQUENCIES MAY EXIST THAT
RE NOT INCLUDED BELOW. THE PASCO COUNTY TAX COLLECTOR
CCEPTS NO RESPONSIDIL TV FOR THE ACCURACY OF THE
INFORMATION PROVIDED. All FIGURES ARE SUBJECT TO
HANGE OR CORRECTION. SEE FLORIDA STATUTE 197.122"
Parcel ID 2003 Tax Year
h 1 26 21 0010 04200 0160 ASSESSED VALUE
Jowner of Record HI\1STD EXEMPTION
PRESnNINzr 'AMES Mln-JAI=L OTHER EXEMPTION
1& . ) . ,- ~ 'TAXABLE VALUE
IPRESTININZI CYNTHIA ANNE AREA
,TRUST MILLAGE
IPRESTININZI CYI'-lTHIA ,ANNE GROS.S TAX
InEE (INCLUDING SPECIAL
!PO BOX 1540 DrSTRJCTS)
. ZEPI-JYRHIlLS FL .33539-1540 Special Districts
,
I Legal Description (FIrst 4 SOU D WASTE
lines) PASCO COUNTi
II CITY OF ZEPHYRHILlS PB 1 STREEnJGHT
PC; 54 Current Tax
ILOTS 16-19 INCL BU< 48
Ir)R. 4318 PG 1283
I "'R 4548 Pl~ · ?86
'.,.J. -'.:) J.~ '\
Mail To Information
S,~\r-1E AS ABOVE
Escrow Code
I
INONE
I
I
'NONE
'91,194
,25%000
66,794
30ZH
2_':f,_4570.Q
1.691.601
sa.ool
DATE
RECEIPT
,ii,r--10U NT
PAID
1,691.60
03/31/04 740375
Tax lien (Homestead Denial)
NONE
Unpaid Delinquent Taxes
~.r~...llAnm
ARRrai~~~ ~Jinquent
MaR Mu .~4it
~limJuent.MU
lnfimniltio.n
ApMaiser~~
Info.rmation
http://aSCOllcctor..pascogOv.com/search/prclmain,asP?parceI'-c 112621 0010048000160
9/9:04