HomeMy WebLinkAbout05-4324
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
f"9c2 ?
4324
4324
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: NOT APPLICABLE
Contractor: PATTI ELEC. & REFRIGERATION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/02/2005
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 6/02/2005 Phone:
Work Desc: UPGRADE TO SERVICE 200 AMP AND RELOCATE METER SOCKET
Address: ~ 13TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Section:
Name: DANIMARGARET
Address: ~29 13TH ST
ZEPHYRHILLS, FL. 33542
~t ,DP n /
1~35 0 ex ~ b t(fO<;
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.
~A, vJ//Z
CONTRACTOR
CALL
~M!'r
FOR INSPECTION - 8 HOOR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-'_-4 -. L J --~- ~ .............. _~..._. ,......___ 4' 1-_.
CLTY OF ZEPHyaHILLS PERMIT APPLICATION
BVILO!WG DEPAR~NT 5335 8'" S~. Zaphyrhills, FL 3J5a2
813-780-0020 "AX; e:t.3.~780-0021
n."TE 1U:CElVED ______..
PHONE CONTACT FeR PERMITTING
r)tH,EF.' S ~1}il'l~(I/I/ ~---~2/hf("'1- C-
.mB Ji.DDl<ESS s-~.::<. 9 U rt 51-, ZCf/'frh,-/Is Fl.
PHC~,E: [13 - Ill! /5---2.<(__
33 5''1 L .:..> f., rc k ______.__~
LEGAl, DE:SCRI PTlmJ; LUT (S l fiLoG" SUBDlvrSI'JN
----------.-------- ---- -------.---.
C'C'4-C'
rCBTn'Tj,) It...f;.QM..,.~~.B:;'Y T:l~< N[)i'T~l"L_._
P.M,Cli:L !D ... .J-L~..LL.~ 10__ CJ .2./0C'
wnli.l\ l?ROPSf'); C):JJ.:W CCNS':'ROC'EON
o ADDITION
OALU'l'JUD)N
o RE?AIR
l:I INSTALL
OSIGtl
[) }1(1Vi::
o DEL>1011SH.
i'ROl:'C;SED USE; [Jf:GL nu'llr. y L"';~El.I.n;G
OMUL'.L-FlU~ILY
OJ C)E' 'Jl~~ITS
a ~t()3ILE IWM~:
o otHE.R
OCOMl-lERCIAL
o INDus'r.UAL
D"mUJMltlG POOL
(=:J RI::S'~'AVHANT " HEALTH DZE'hR"'NEN',' hP?f\OVAL
DESG:IPTI0N OE' WORK 'I//,,,,"dl" -IP-ZMI1 S-erv,'c.'(' -I-.rr'k-u..:((~_",i((?:!'..c!.f.-I _
BUILDING SIZE
SQUARE FOOTAGE _~____.~_
HEI'3HT
f<E.sH'f:N~IA.l.: A'J::'AC!-! \2) PLOT PLi\~,S ~ (2) Sl!:'rS fjF BUE,lIING PI~"'NS & il: ';~'r E~lERGY FClPJ,!S,
COM~"ER(:IA:,: ATTACH 13) SETS 0,' BUIL:liNG PLMS & (.i,' SET El\Ei'<",:'[ FoJRHS.
_f.f' .s::GN Pl"";R2-11'l' '.)NIJ: ~2) SE'l'S (.:.F ENG!:~~~ERi:D 1?.::.KNS REQCIRED.
P!{CFEE~'Y S[1RIII';Y REQOIRED f81<. ALL NEVi GONS'l'r.:uC-r:OI"
771/1: ~ -Ihft!:' ~ /7l.qf-u:""/ ~t b~.f- 5~/c/ .A/<"+- rC-t--r< .cnHr 6'2.s-dO"~_
PERMITS REQUESTED
[] 31J1 c,DING
-'-.------.---- V~&\LUA.T'ic:tl ~)f' TOT]j..l.. CCl-~STRCr:.'!'I,)N
l1 :~LECT-"lc-.'U,
..-.-~~..~-~ i'<l'1P SEHVYCE
~Pr09I_r::3~'i EneltJY 0
W .l~, 8.C.
Un u;. !E; r Nc;
o f1,3CHl'.NICAI,
o ,-.n
o I'.c.OFItJG
,5----_________ VAl.l"lP..'I'ION OF H.ECIi}i.!l~L~~ IN;:;:'~'J~L__J\.'?:L:-JN
o SPECU,I.~'Y
o OTHER
TYf'E :)F C;)tj3TRl1CTIC'!J: 0 BUcGK
o F'RAJo<IE
o STEEL
o Ol"hER.
F -::'l L~iHEb '?r.Ll.JR~:LE:vp..r.i'r:)lJ3
IS IcROJEC':' n; ?L,l:JD ZGNS AfttAO '[I;S
o NO
SU!LrIER
CCMPAN'i'.---...~__ ____________.___
3!l~N.,TURE
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STA~E :ERT 0~ ~LG1ST #
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------------
ELE:CnUCIAN
~lIGNI,TU"E _~~ ~--r '
uJ~
C.~~11J' AN ~
SThTB CEE':' C'II. P.EGit;'l' 11 EC-t'c>Of.,Ztf.
~a--&lr~ ._~/-ec.jr ~___
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.*~~*j~*A..*..~j*kV~**~.***~***~<<..~*.~**~.~*~~~. t~*~*.~~*.**~~...*.
PLUMEIICR
CC~1PANY
:;.lGNj~,TU:t{E
-----..------------.
STAT!!: CEF.T R Re;G~3')' "
MKGHJ>JUCAL
.**..~**-..*..~~~..~.~~~.ft*~.~..*'~~~*.~.~~~~~ '*~~~w~~~~~*~k.,.*~~~
---------
COllr:iPI'.N1'
;:';lG!.~P..l:UR.~
---- ---- ---------------~------
..*...**..**.R~~*..**~~~-*.~**~N***~~*~.....W~*~~_~~~~_~~~.~**~~*
$Cl'A'l'E: Cf.;H.'l' ~--H.. ?BGIST ~ ___.___._____
---------.------..
O'['lJ),;..,
co,,;. AN 'L--
~..--~~-------,-~----
.'JIGN.ll,Tf)~\E ____
8'l'~'I':C: CEF.T Oi\ nEGI~:;'T' 1f______._________~:~__,_
L.Crn!i1nJl..L.i) DUlWJlI'll.,
r^A ~C, 01J-'O~-VU~!
r, IJV~
A. NCrICE ()jf ClED llES'I'IlIC'Z'IONS
~.!"" ,l!ld"'c..ign~d und,n'~t..,,(:je that thi.. parll,it may b.. .....hj...,t tc ~d..ed c...-rric-ri,..,.." whiQh
lO"y be ."'r'e ",.e",t:Cl.ct,l.Vto than Ci ty regulations. The I.:nder:;iil'ned &8awn6a. -t'esPo!lsibili ty tor
COlflp) lane<< wlr.r. any applicable deed L'e.strictions.
8. UW,ICENSED CONTRhC'l'OIC'l AND CONTRACl'OR RESPONsraILITI&:S
If tt,,. OW~l"r h.." hired a contractor or contract.'jrs 1;0 undertaJ<.e "'<n;k, they may be required
to bE! licens..d in "Ccordance with lItat_ and 10clIl re'Ju:at10n... It che cimtracrcr is not
l~censed ~s required by law, both the owner ano contractor maz ba eit&d for a misdmmeanar
viol.1tiol1 under IItate lal" 'If the owner Or intended contractor ",re. urlCol~.tea.in /11$ ~o what
j,~?6nsin9 requirements may apply for the int&hdllcl Work, thwy are advised to oont.ot the
City or 2ephychille BU11d1n\l D'3partment, 813-.760.-0.020.,
F'lr'Cl".ermore, .if the Clmer hall h.j.r"d iO contractor or OOlltriloto".." he 19 adViseCl to have t.hEl
contra<:tOl:'("J :!Ii..r: POj:'tiona ot the "Conr.:~..<'tor Sa.:::tiOl)~~ of thilJ al?p1ioati.cn fo::- which they
w~ll be r~sponsibl... If you, as the owner SignB &S the contractor, YOy are indicating th4t
you, n.the,. r.han the coni:ractoL, ax.. responsible for the work. It the contra;:,tor \.ishes
.\I':m t.o "'i\lfl as centractor that may be oSn ~ndicat;ion that he ia not; pro..e'~ly l:censad and ts
not ~"1t;i.t1ec! to perro;i.ct..n<} privileges i'n the Cit.y of Z&phyrhills.
c. 1'RAWSPORTl.'l'IOtl IMPACT FEES AND UTILITY CONNIi:C'i'ION FEES
O. CNIB'I'RtJCTOIObl LII!:!J LAN (CIlAi'l'li:fl 713, r:'Ol'lICA STA'l'OTES, As AMI!;NOltD)
I certity that I, the ..ppl~oent, hOlV.. be..n provided w;.th a oopy of "Florida's Con"'truotion
1iG11 Law - HCQQownQr'. Protection G~;.d.." pr"p*rGd by enOl Fl~rida OGparcm..nr of Agrioulture
and 8or".umer ;,rta.it'liI. It the apPlica.nt is someone Other that the ".ONner", I oerity that I
h~ve Obt&lned a. COpy ot the abOve described document and promise in gOOd talth to deliver
i.t tu the "owner'" p4:ior 1:0 oommencament.
i. C;ONTRAcTOR'S!OWNER'S AFFIDAVIT
I celt.it'y that all the information i'l this "Pp1io"'tion i~
n.. 0<""8 .1.11 COIllP11.Eloce ',tith all applicable la."", :l:equl...ting
dev,,:.opment.
A;::pl.~.c::at.ion is herebjo ~ade to Obtain a pe~nlit 'co do .wad" ,md installacion 21'" incti"atOld. I
esxt,.fy that !'lo work or in5tai1e.tion hail "'''mm..ncecl prior to iS$uanc.. at: a parmi:: and thlit;
all >lork will b. pertormect to meet stan<lants of all l"ws ~."9ulatin9 eO~'''l,,'uction, City
o:Jd6", ~oninQ r"\1ulat:iona, ana land deve~oplll.";: ragulations in tho. jur;i..jcliction, I ..:teo
'~",rtj.ty tha1: I ...nderstand that the r..gulations ot: othOlr gov$rnrQ'ilIltil1 ,ag~ncil;o.s may aPPly .to
ttl~ :.ntended work, and tl1&1; !t .18 my reSpOnSll:lil.it.y to l<i.otif~' what llcciollS I mu.t take to
bs in compli~nc~, Such a\lencies i~clude but are not. li~it.d tOI 'uapart~sn~ or
li:nvi:o.'onm"ntal RQ9Ulat~on-Cypre"s Eayh_ads, Wetland Areas and Ji:!l'lirClnmentally Sensitive
Land!I, Iiat"r/Wast<;;liater Treatment
*5/out:hh'aat ~'lorldc. Water Hanagelllent Di"'trict-W"'lls. Cypr..s~ Bayn..eds, Wetlapd Are618,
Altering Waterocuraes
"'Army co~'ps ot: Eng::.n..e.)....-Se"l-Ja~l", Dock..., NavillAbl.. Wat..rwi'y"
"Cepc,rtment o=: lIeotlth Ii< R..habilitlltiva SerVices, E:ovironr.,e:,tal Hbalth Unit-Hells,
W-s"t<tw..ter Troatrr...nt, aepr:io Tanka .
'U.S. Envircnmental Protection Agency-Adhaatos abatement
I ..1"0 ,O.IlL.t.1fy that, if fill a.ateria1 i" to "''' usad 1 n Flo j 4<'1l9 "A" or "A, ..tc. ~, it is
'undeJ:",ood that" drainage plan addre8l5Jn\l .. "cOt:lp"nsat1n\ volUllte" will be SUbmitted whioh
i~ prepared by a prote.ssional engineer registered i~ the "-~te ot Florida prlor to p~rml~
.is.aU.c:Ulce.
A pennl.: i$~l\.;..d Shall be conat~.u"d to be a lioe".... to P:::C "ed "':let! the worK and not as
aiJth<'~'i.t}' to v;\.c.l.at>:l, cancel, alter, Or "et a"lde any pre' '"io,",,, of th.. technical cede",
nor "lla11 ia;iH.l.ance at .. perIni,:: pr"vent the S'-lild!ng Oft Ie .1 froll', the:e'eafter requiring a
o':):l;r..ction o[ errors in plan"" cOnstruction, ar violatior. of any. l~od6. Every permit
i!ls.....d ..hail ;:'''0011I'' invalid unl""e the work authorized b ueh permit is OClI\IlIencej with1n
six r"'ntl~8 of i","ua.nce, O~. if wo~'k authorizeQ by the peri ..t 1.. SUllP9r1ded or a<oandon"d tor"
a",ri"cl c,( $11( 111l1nth.. afbu. 1:h.. time the work is oOlrllNln,,,,, On.. 90 day extension Of ::1me
;;'oily t'e aile-wed for the perllli t with fee <;!l1.rqe ot $15.00. :'11& ",,><t":'810n ..hall be r"que",red
J.;J "..-it1r:;1 to the Building 01'1'ioilll.l. iUl llpprov..d inspeC~()Il must be log-'iled during eaOh $.ix
lOOutr, pericd, ,:>r th.. proj..ct will b.. con8idOJ1'ed ..bilndon.,J.
WARNnJG TO OWNER: "{-:JUR FA1J.,UIU: 1'0 Ri:COJ;(D A NOtICE DB' C( olHENCE.MEI~l' MlO.Y l1.i:Sl.!:>'T IN YO!J"
E'AYIcIG Til"!CE H'DR Il-1PRQVli:I1i:NTS 'ro YOUR P:ROPERT~. rr YOU rt~TIi:I..D TO CST,/UN li'rNAl~CING, CONSOL~'
WITH :tOllP. Li:NDIi:R oa Al~ A'1'~'ORNEY 8EE"ORI;; RJi:CORDING YOUR Ne nCIi: Oi. COHMENCEMEN'l'. JOSS UNOI!:!\
$2,5();).W VAl,Uli; [iO NOT llE~D TO FlECORD tiND POSiT A "NOT1Cf OF COMMENCEr'lENT".
~"--). J /7
. . ~7 ~ ~
SIGNATURj, I Ol-iTAACTOR -
accurate ~n~ thot~all work will
con~~ruction. zoning, sod land
~'1-Ld~~_~_____~
OWNEIl, OR AG~NT
STAT!: OF FLORID;:,
COUN'!~Y C F
'rhe for"'gOi.ng in"'trUll',er,t ~las aC!mawled>Jed
B&t:a:o:e me this _ day of _, 2(:-
by __..___~_. . .~
,nam.. <:.1: P'fiCIiIOJl aCkllOwle':lgedi
o who Ls p&:rsonaJ.l.y kllo1~n to Die, or
&;ho has prCQ:).:;ed.!:f/36'O;('1'~.530&7'1o OJ..
(type of i.<'ler.tl!ieaticn)
and ,,}i:>Odi,j [Jdio: no;: tak.. an oath.
s'rA:!'&: OF FLOIUDA
COUNTY OJ' ~___.~____...._._.__
The ter.. loin] instrUlU~nt was a.OICl'lo;~led<;Jed
S"1'or.. Ill, this ----Aay 0':___, 20_
by
[lam.. or pereo~ aCknOwledged;
C1ho i. PQrSOnally known to me, or
ff:ho . \~& j:orOdUCilO UJ 3o!L~ s 3 ~.f5?_. /),L
(t~'pe o.t: iaell'.:iticllLccu:
ar.d h'h" Odld D;jj d nor tal<e an oath
---
'-
Signatl.t.. cr pereQn tll,kin9 llCknc>\dedgment
S l.gncl't:ure of poracn t.~J'.1.r-.':J aCknOw16dgemeTJt.
~_._--.._._-~
N",m.. typec:i. p"intec! or' at..,n!)ed
--
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N;ame .
,d; print.;;;-o;- stampaad