HomeMy WebLinkAbout05-4200
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
4200
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/12/2005
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/12/2005 Phone:
Work Desc: MOVE ELECTRICAL METER SOCKET & REHOOK TO PANEL
4200
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
PATTI ELEC. & REFRIGERATION
Address: 5203 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Section:
P E LES FAMILY ORP
5203 GALL BLVD
ZEPHYRHILLS, FL. 33542
ELECTRICAL FEE
35.00
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.
.~h.~~
~~A/CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
~~
-PERMIT OFFI R
REQUIRED
.r. l. ~ _' __I
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
Bl'ILllII>lG DEPARTMi:N:I' S33~ B"" S;,. Zaphyrhil1.9, Ii'L 3':54:1 ~ S-
813-780-0020 i"AX: B13'-7Bo-oo:n __/.' " . ()
D....TI'1 RECEIVED ~-----
PHONE CONTACT Fell.
F!!;lUoSlttING
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PIlD:E "113. 1f1t1.l 6,n/~ '~
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,JOB Jl.I)Oe.JlSS ~r:.2.~ 3 W./I-BhUI
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Lfi:GAJ.. Oli:,;)CRI PI'llYN: LUT' (s l
f!LoCK SUBDIVISI')!l
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WnHK PROPSF'): C]::JJ.:W CCNS':'RUCTcON
fC:P.1'ATi.,J F~..O..~_..:?B.Q~.B....'.rY TA.~{ NQI'T;'l--:L-._
o ADDITION
[] AL H'FJUD)N
[j RE?lUIl
o !N:lTf,LL
OSHitl
'P M0V2 0
cl',.tLLn:G DMiJL'f.'--nIlHLY
o ItmUS'f?J.AL
DElolOl..ISH
PH.u:':C:SED USE: [J2GL F~.MIL Y
~ COMl.jE:RC IAL
c:J RE:3'~'At;fl.ANT ,'> HEALTH DBPhfl:!'Her,', 1\fi'i\Q\!A,L
DltSCF>:l:PT10N OE' WORK .I11~IIG 1Ht'';'et:..5dr..k~f ~_"~M..~J._h..'J(C-L,::
011 Of' 'Ji.,:ITS
o W)3ILE HO[o1~~
o Ol'HE.R
[1 s"w :::'!'-JNJ l~(; POOL
BUILDING SIZE
SQUARE <'OOTlU3E __.__.__
HEIGHT __._____
8.ESIr:EN:'IA..:,~ A'l":'ACfi (2 j PI40T PLJ-\~-1S (2) 3E'!'S OF Bf)I::,VIN:~ PI~.c.NS
(;OM~.II:RCIA:..I: ~.TTA(H \-J) SETS Cf:t BTJIL:(:NG PL..SNS &; 'i I SET Et~ER'-:'lY
:_ F tJ ::'GN l?!"..a~Yl!'l' ..)N!~':{ ': 2.) SETS (.:.F iNCI~\l"EF.:li:D PLANS REQL'I P.ii:L"' .
PRefLET, SURVEY RE.QOIRSD f:)F. ALL NEI': CONSTrtlJCT:U'i,
(1. i ~;r~~ ENERGY FOPJ.lt:.
F')RHS.
P~RMITS REQUESTED
[] :'lIJE,DING
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BUIL!IEn
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lolECHJl.NICAL
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~3IGN~~.TI)~."E ________.____
S'l'};.'l'L:: CEHT Oi{ REGIST 1f
.'i1f. t! ! 1)'- .::.))~/ ll.! ~ ')4,.. [".'11
ar n! llJ1 J:..L<:> l:5U J LlJ J 1'lU
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A. NOTICE OF PEED RES'i'RIC','IONS
~'!\" "'Od,,nli\ln~d und,,;r;atal'lcl.e th.,t this p..rmit may b.ll "'''!:lj ..et to ..d....d "....tericteicns" which
,nay b.. ".ora r<ilst:C1.ct,iVE> than Ci ty regulations. The '"ndel:",siqned assumes, responsibility tor
,:;amp] lance wi (,h any applicable deed re'5triction3.
8. llN~,rCENSED CONTAACTOHS AND CONTRACTO:!l. RESPONSraILIT1E5
if th.. Q~..r has hired a contractor or cOntractors to undertake wo~~. they may be required
to bE. licensed in accordance with stat.. and local r'eQu:'ations, If ch.. contractor i.. not
lu,..n"ed as required by law, both the owner and cont:ractor ma:; be cit..d fur a !ni.sdemea"or
viol..tion under state laN. 'If the owner or 1nt..nct"ct contractor ..re, '.u-.c,u't.:lin .:15 :0 what
j,,:'_'Jer,si09 requirements "'ilY apply fo:r:' thEt incliind",d work, they a:rli ad.yi$;<:! to oontllot the
City of 2ephyrhill~ Building Department, 813-780-00201
F'..lrt:.t~e:'more, .if the c,"vner ha.s hirftci il ~ont.ractor or cOllt:t:aoto;!'s, he i.9 advise.d to [laVe t.oe
contrac:torl,,) .!Ii..r: po~'tiona ot the "Conr.:rac1:or S..ctioosw of this ilpplioati.on fo::: which th~y
w~ll be responsible. If you, as the owner signs &s the contractor, you are indicat1nQ'that
you, ,..athe~' f:han the contx:actoL, aLe L'I!:.!Iponsible for 'tlu~ wOi.^k. If the contractor wishes
y,~u 1,0 519n as contractor tha1: may be '''' l.ndlcat;lon that he is not: pra"el.-ly l~.cenaed and :9
r.ot: ~<nt!1:J..c! t" perJni_t.l.O'J privileges 1... th.. City of Z..phyrhiUs.
e. ~'RANSE!ORT"T10N IMPACT Fi:ES AND UTILITY CONNEC~'r()N F~ES
o. CONs'tRUCTUIO~ LIEII LAtJ teMPTER '713, r'!.OR:;:CA STNfO'J'!S, AS Atoll!:t'IDl!:D)
1 c"rtity that I, the ilppl1.0ant, hilV.. be.on provict"d with.. copy of "'I'loridil' OS Con5truQtiort
lian Law - Homeowner'. Proteotion Cuida" prep*red by ene Fl~rida Dapartemanr of Agriculture
"net C;OnSUl'Iler Aft'aiL'~. 1,1: the applicant is someone oT;her that the "Olinlir", 1 c..rit'y that I
h~v~ Obtalned a copy of "he above described document and promise in ~cod t'ai1:h ~o deliver
.:..t "t:u the \'Q\.lnerN p:o:ior t::o oommoncement.
;;:, C;ON'l'AACTOH' S/O'ilNE.R' S AFHDAV J:T
i eel. tify that ..11 the information ,,-", thill ap..lication i~ accurate ~nd th..t~ all wo~k will
0.. Clone il' compliance ".ith all <>pplicsble 1",',",s l..'eQul",tinq con=truction, zoning, "rod lano
deve:_opment.
Appl'.cation ia r.<<rebJi !':lade t.o obtain a per"'~t '=0 d::J ,work and in..t"lldl:ion ".. ind~L"'t..d. I
ceLL,fy that no work or iI15tal1;.,t10'O has ::ornrn;;oncecl prior t:> 1$"l.Iano;;o at' .. pelOIf.i t and tho e
",11 "o:ek will be perfol"m"o to meet atandan'ls of all laws r''''9ul"ting cc:,slrucl:ion, C;!.ty
o::Jd.6>J, ~onl"'Q re'Julat!on.., ane land dev..~opm""t: regulations in th.. juri.;ocliction, I ..lioN
cartl.ty tha~ I ~nderstand that the regulations or other gov$rnrn,ant.l _9,anoi$6 may apply ,to
the J.ntended worr.:, and that it 18 my responsil'lll.it,y to l(:i..ntlf~' what .erion" I rnuat take to
b.. in compllanCll. SUCh agencies include but are note, lill'.i t"d to I "uapart:llEnr ot
Envil..'oomental Re<;Jl.llation-Cypre"s bayl1e;OQlI, Wetland Me.s and Ji:n'lirQnJl1.Emtally S"nsitive
Land!., l'illt<lr/Wast"liater Treatment
.Soul:h"....t li'lor1d<. Water Hanagement [;i"trict-\'/ells, Cypr..s~ Bayn,,;eds, W..t18~d Ar.o&8,
Altering W~terccursea
""Ml\.rrny Corps of Engirlf~.;.).'.tJ-S"eL\"Jall:s1' Dock:5, Navit;la.ble W'o.terWl:V:S
"Dep..rtment 0:: Health & R..habilit"tiv& Services, E:nvironr1ec.tal Health Unit-Wells,
W~.:5tfI'W~ter TretA":.rnent, SeptJ.~ Tanks .
*U, s, Envircnruental Protection Agency-Asbadto,", aba t,"n..nt
I al,!jo ...:~Qrtify that, if fill lI~atelrial i~i to DS llSiild in FIt} j Z.on~ "A" or "A, etc.", it i5
'undal.:s,ood thot if" drainage plan a::u:iressi ng a "comp.msatln" volume" ',",ill be "ubmittl!d which
i.. prep;ned by a protes!lional engin...r registered i<1 the" _'It.. oJ: 1i'10r1d.. prl.o:t' to plirmi,:
.issu.ance.
}>, pe,,,,,ite iss\:ed Shall be constr'ued to be a li<ler..s.. to 1"=,' "ed ,...i.'Ch the worK and not as
.."th<ll..'i'oy tc vic.lat.", cancel, alter, Of: "at aside any pre' ,sio,,'I cof tbit t..chnical ccdefl,
nor ,'oElll i83'2"I'.oe of a perl!lic pr&vent the S\.lild.inq Of tic II from thereafter requiring a
Oo~r.,otjon of e~ror6 1n plan~, construction, or violatior of any code. Ever~ perm!t
i:l",,,,,,d ",hll.ll "'..com.. invalid unl""" t.he work aut.horized b ueh permit is C01lUll911ca;:! within
six n,:>otJ~8 of i,.ELlance, or if work authorized by the per, ..L is suepended or' aband.)ned ror a
pa=:-iod c.( $ix montl'ul .aftar the! time thE wC?r~ 1.8 COIlUr...,na50l On. 90 day ext.ension at ~1me
m..y be allowed for the perm!t wit:h t.... cnilrq.. or $15,00. :'he ..xt;ti!~~1on shell be r..qu...t..d
:I." ..",itlr:;I to the Building OrriOiirt.l,i>.n approved :i.nspecl.(Jll must be loq....d during ..aoh 6lilC
'M.HIt" pericd. ,:>r th.. proj"ct ",1.11 b", oOliai<.i.."o:oct ;t.b..ndon.,j.
WARNING '1'0 OWNER, Y'JUR FA.ILUR>: ~'O RECORD A NO'fICa: DB' CC oIHENCi:MEloll' MAY Ri:SU:i.T IN \'OlJ~
l?,...i:!rIG 'fI\"ICE FOR IMI?ROVlilMEN'l'9 TO YOUR PROPERT:i. IF YOU rWTIU;D TO OBTAiN i'IWAHCHIG, CONSUL~'
WIT~ "{OUR LENDER OR AH ATTORNEY BE~RI!: RECORDING ,OUR N(fICi: Qf COHMEWCEMEN'r, JOSS UNOE~
$2,500, III VALUii: (,00 NO'!: NEF;D TO Ji<E:CORD l!.ND POST A "NOT'lel OF COHMENCEt.IENT".
~~~d--_u~ ,,;i;bz::~~
S'I'ATl:: OP E'LORfD_~
COUN'!"!' t:F
'Thes for~goi.n(.:f .:.nstrul{u;~r,;.t ",as ack.!1owledgad
Br.rctQ~~1Ii I1\e this _ day of , 2~
b;, ___,___-.:.__, ~ ,..___
\nauL8 ar p::iCSOtl aCknowle,:igE:di
o whet is ps:t'sl.."'\nally known to D~ei or
S~ATE OF FLOa1DA
CO::Jl~IY 01' ~___..______,..,___.___
Th.. tcre lo1n';/ 1.nstr:um~ot "'"... acJ(no,~1"d9",d
S"for.. Ill. !:his --J1ay oi , 20_
by
: ,am~ or pe~8o~ ElCknowledged;
C1ho O' PQrsonally known to me, or
Cl who ,l"S producild~_______ _____
(type o,t: iaen': iti.eation:
and \ih. DOld Qjjd nOte take an oath
o who has FJ"o,d:l;;Sd
(type
and .,r,::>O ai,::! rJ cti.;; no,;;
of l~entlticatiQli)
take, an oath.
S <9oa'Cure of p"r:>ou ta:,in,,;, ackoowlt.dgement
Siqnllt1.('" c.t pa:.:eon ta.king aCknol..ledgment
N-~_~;.~ypeci.. p~'intec or' ateunped
-------I
Name
,-d. prin.ted or stamp.ed