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Home My WebLink About05-4761 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 4761 Permit Number: 4761 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL M ISC Proposed Use: SINGLE FAMILY RESIDENTIAL Contractor: EAST PASCO ELECTRIC, INC Square Feet: Est. Value: Improv. Cost: Date Issued: 7/27/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 7/27/2005 Work Desc: POWER POLE TO LIFT STATION Address: 4650 EAGLE NCH D ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: RYMAN CO SUCTION 4650 EAGLE RANCH DR ZEPHYRHILLS, FL. 33542 Phone: 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. ~-~ - PER~~ OFFIt); INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OP ZEPBYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 a'll! St, ZephYJ:hills, FI.. 33542 813-780-0020 FAX: 813-780-0021 OATE RECEIVED PHONE CON'l'.AOT FOR PE~ITTING JOC. of FL PHONE ~ID-1.8"Q-01d5, nc..Y) D (<.,1 \I ~ LEGAL DESCRIP'rION: LOT (S) 4. L BLOCK 3~_ SUBDIVISION~~a..n..ch. PARCEL ID # ~ - 2(c-)..\ -0 lOO- O.3'tOO - OO~\ (OBT~IN FROM PR0PERI.Y.....Tl\X NOTICE) WOFl.K PROPSED: ONEW CONSTRUC'I'ION 0 ADDITION OALTERATION 0 REPAIR X INSTALL OSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH OMULTI-'fAMILY o INDUSTRIAL 0* OF UNITS o SWH1MING POOL o MOBILE HOME ~ OTHER DESCRIPTION OF WORK CJ JoO fttn{L-Pole +0 RESTAURANT & HEALTH DEPARTMENT APPROVAL Power LjR- uta-h'of\ BUILDHjG SIZE SQUARE FOOTAGE HEIGHT ____ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ~NERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMI'I' ONLY (2) SETS OF ENGINEERECt PLANS REQUIRED. PROPEFl.TY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING J( ELECTF,ICAL o PI.,UMBING o MECHANICAL $ VALUAT!ON OF TOTAL CONSTRUCTION CoO AMP SERVICE o Progress Energy 0 W.Fl.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: [] BLOCK o FRAME o STEEL o OTHER FINISHED n,OOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES [] NO Bun.oZR COMPANY SIGNATURE STATE CERT OR REGIST # ELECTRICIAN SIGNATURE~ClA-~ ****************************,.~***~******************************** COMPANY~+ P80~ 8fe.ck1c... JI\J~ STA'rE CERT OR REGIST # -.E.R. 00 \IfSq L &., (/-~ **************************************************~*************** PLUMBER COMPANY SIGNNI'URE S'rA1'E CERT OR REGIST jI ******~*********************************************************** MECHANICAL. COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE __ STATE CERT OR REGIST ~ , , Ci fltnQ'ON '::ll'W\.IJLUJ7 H, j I 1'1 11.1\.177'0 .,,'() 7 ,77, IDllI A. NOTICE OF DEED ~ESTRICTrONS 'The undersigned understands that this permit may be subject to "deed restrictions~ which may be mOre restrictive than City regulations. The undG~signed assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONT~~CTOR RESPONSIBILITIES It the owner has hired a contractor or contractors to undertake work, thay may be required to be licensed in accordance with stat& and local regulations. If the contractor is not licensed as required by law, both the owner ~nd contractor may be cited for a misdemeanor violatton 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/5) sign portions 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 i8 not properly licenseQ and is not entitled to permitting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUrON 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 Agricultura and Ccn$umer Atfair8. It the appli.cant is someone other that the "owner", I eerity that I have Obtained a copy of the abo~e described document and promise in good faith to deliver it to the "owner" prior to c()),l'lmencement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT r certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating const.t;;,uction, z,oning, 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 alao certify that ! understand that the regulations of ether governmental agencies ma~f 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 T~eatmant *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.8, Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be USQd in Flood Zone "AU or "A, etc.", 1t is '-1ncierstood that a drainage plan addressing a "compensating volume" will be submitted Hhic!l 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 p&l.:'mit prevent the EUilding Official from thereafter requiring c'! correction of errors in plans, construction, or violations of any code, Every permit ~.ssl.led Shall become irnralid unless the Hork authorized by such permit is commenced wi thin six month~ of issuance, or if work authorized by the permit is Suspended Or abandoned fora 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 axt&nsion Shall be requested in writing to the Building Official. lit: 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 RESOLT 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 COH~1ENCEMENr. JOBS ONDEF, $2,500. IN VALUE DO NOT NEED TO RECORD AND POS'l' A "NOTICE OF COMME.NCEMENT". SIGNA'rURE: OWNER OR AGENT .......;.. SIGNATURE: CONTRACTOR STATE OF' FLORIDA COUNTY OF The foregoing instrument Was Before me this _ d,3Y of by acknOwledged ,20-., STATE OF FLORIDA COON'l'Y OF The foregoing instrument was Before me this __day of by acknowledged , 20_ (na~e of person acknowledged) O\1ho is personally known to me, or OWho has prodUced (type of identification) ~nd wh,)D did Ddid nc.t take an oath, (name of person acknowledged) Chho is personally known to me, Or o who has produced---., _ (type ot identification! and who Odid Qjid not taKe an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 1 L G . d_oV09' orL_ ~lll~~A~~~7 ~n I I " !A/I'I,' 7 . 0 11 (I n 7 . 77 ' I P!M