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Home My WebLink About05-4140 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 4140 4140 Permit Type: ELECTRICAL MISC Class of Work: ELECTRIC SERVICE REPLACEM Proposed Use: NOT APPLICABLE Contractor: HOMEOWNER Square Feet: Est. Value: Improv. Cost: Date Issued: 4/29/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 4/22/2005 Phone: Work Desc: SERVICE UPGRADE PANEL BOX FROM 100 AMP TO 125 AMP Address: 5050 17TH T ZEPHYRHILLS, FL. NT Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Section: Name: WINCHESTER, MARGARET Address: 5050 17TH ST ZEPHYRHILLS, FL. 33542 ELECTRICAL FEE 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 th person owning same "Warning to owner: Your failure to record a notice of commencement may result in your payin 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. /JiF/ I{fi(!~6- CaNT CTOR CALL FOR ~-~ PERM~ INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF Z.l!i.l:'t1J.~n.J.J..u.../u ... ...----- BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED 1'- ~;L-C)3- PHONE GONTACT FOR PERMITTING OWNER'S NAME (Y\ A R C-1 A K:J ET JOB ADDRESS . 5CJ;;; ) '1 ~ U) J AJeJ-\ wTEf! PHONE r?J ~ -11tJ-.?Jf-<j/ \-~ r 2t:P flYR Ii) L (S / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl PARCEL 10 # o SIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o ADDITION o MOVE ~ALTERATION o DEMOLISH o REPAIR o INSTALL WORK PROPSED: DNEW CONSTRUCTION DMULTI - FAMILY o INDUSTRIAL D. OF UNITS o SWIMMING POOL o MOBILE HO~ o OTHER DESCRIPTION OF WORK c=J RESTAURANT 1) pr;I2A_ be- SC!?v7(!E & HEALTH DEPARTMENT AP~ROVAL PlflJ r: L . . fS-lJ ()CJY from 'oO~-h ,-u; BUILDING SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. SQUARE FOOTAGE HEIGHT PERMITS REQUESTED ~11;~/) -~ o BUILDING f)( ELECTRICAL o PLUMBING o MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION )tJO 70 / d 5""" AMP SERVICE PQ Progress Energy 0 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 COMPANY BUILDER 4. STATE CERT OR REGIST # SIGNATURE ****************************************************************** ()-. COMPANY \L / I< 91? oh SIGNATURE STATE CERT OR REGIST # ELECTRIC I ************************************************************* PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER STGNATURE 1V(j'd COMPANY jUt ~C2 K exiu -{ STATE CERT OR REGIST # A. NOTI~E OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to "deed restrictions" which 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 owner 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, 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, ydu 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~i6n 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. CONSTRUCTOION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye 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. Appli~ation 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 Bayheads, Wetland Areas 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 abatement . I also certify that, .if fill material is to be used in ::lood zone" "A': or "A, etc: ", it i~ understood that a drainage plan addressing a "compensat~ng volume w~ll be sub~tted wh7ch is prepared by a professional engineer registered in the State of Florida prior to perm1t issuance. ' A permit issued shall.be construed to be a license to proc7ed with the work a~d not as authority to violate, cancel, alter, or set aside any prov1sions of the techn~~al 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 c~de. Every permi~ . issued shall become invalid unless the work authorized by such per~1t is commenced w1th1n \ six months of issuance, or if work authorized by the permit is suspended or abandoned, for a eriod of six months after the time.the work is commenced. One 90 day extension of t1me p b llowed for the permit with fee charge of $15.00. The extension shall be requeste~ ~~Ywr~t~ng to'the Building Official. An approved inspection must be logged during each S1X month eriod, or the project will be considered abandoned. . WARNIN~ TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT .MAY RESULT ~~N~OU~ONSULT PAYING TWICE FOR IMPROVEMENTS 'TO. YOUR PROPERTYNG ~;u~O~o~~~:NgFT~O~~~:M~~~~ JOg~ UNDER WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD I "NOTICE OF COMMENCEMENT". $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 20-- 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 , 20_ (name' of person acknowledged) owho is personally known to me, 'or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wliod did Odid not take an oath. o who has produced . . . (type of identificat~on) and who Odid [)iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped