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Home My WebLink About05-5234 .../ CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 5234 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 5234 ELECTRICAL MISC ELECTRICAL MISC NOT APPLICABLE JAMES 0 MORTON ELECTRIC C Address: 38651 TARR DR LOT 31 ZEPHYRHILLS, FL. Township: Range: Lot(s}: Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12/09/2005 35.00 35.00 12/09/2005 100 AMP SERVICE POLE Name: BRYANT MYRTLE Address: 38651 TARR DR ZEPHYRHILLS, FL. 33542 Phone: \ ,,\0<' \0'\ 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. pC ~t/~ CONTRACTOR CALL POR INSPECTION - 8 HOUR NOTICE PROTECT CARD PROM WEATHER ~M~ REQUIRED CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIrING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 , :.-- I J - ,l DATE RECEIVED ~9 _0'5 PHONE CONTACT FOR PERMITTING OWNER'S NAME m 5& JOB ADDRESs3~, J 1ft t. J){. I3f,YANIJ L()1:t1 3 J PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION[tDti,J(!f ()lItO' PARCEL ID 1t WORK PROPSED: DNEW CONSTRUCTION Os I GN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL (OBTAIN FROM PROPERTY.TAX NOTICEl o ADDITION o MOVE o ALTERATION o DEMOLISH o REPAIR o INSTALL OMULTI-FAMILY o INDUSTRIAL 0* OF UNITS o SWIMMING POOL o MOBILE HOMI o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL /00 JiM! $c4i~ fJp/~ I . I BUILDING SIZE SQUARE FOOTAGE HEIGHT 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING ..- B"'ELECTRICAL o PLUMBING o MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION /c() I AMP SERVICE /~/' [2f Progress Energy 0 W.R.E.C. o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL '0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO [~=~~~I~~~,~-~-~--~~=~==_:~~~-~~-'-,_:_~~--=-'-- ,-----~__~- __-___ :~_~ _~_I~~__:___~_~~~~'---~":' BUILDER COMPANY SIGNATURE STATE CERT OR REGIST * SIGNATURE *****************************************~~j *t'-****~******** fl I 'J.A '" l~tJ;/ t "t C J /1// V I COMPANY I v L- ,W tJ. Lfvl ptfJ/. r; J t()O Z J' STATE CERT OR REGIST * \:. "-- ELECTRICIAN ***********************************************~***************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST 1t ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ********************************************~******************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIC,E OF DEED RESTRICTIONS The 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 contr~Ftors to undertake work, 'they may be requireo to be licensed in accordance with state and iocal regulations. If the contractor is not licensed as required by law, both the owner and contractor may. be cited for a misdemea~or violation under s~ate 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!sl sign portions of the "Go.tractor Sections" of this ~~lication for which the. will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the co~ractor, are responsible for the work. ~f the contractor wishes yOU to sign as contractor that may be an indication 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, haye heen provided wHh a copy of "Florida's GonstrucHon 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 .11 the information in this application.is accurate and that all work will be done in compliance with .all applicable laws regulating construction, zooing, and laod development. Application is hereby made to obtain a permit to do work and installation as indic~ted- I certify that no work or installation has commenced prior to issuance of a permit and that all work wiil 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 ide.tify what actions I must take to be in compliance. Such agencies inolude but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetiand 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.8. Environmental Protection Agency-Asbestos abatement I also certify that, if fili 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 suhmitted which is prepared by a pro<essional engineer registered in the State of Florida prior to permit issuance. A permit issued shall.beconstruedto be a license to proceed with the work and not .s authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issua.ce 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 dharge 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 ~O YOUR PROPERTY. I~ YOu INTEND TO OBTAIN FINANCING, CONSULT WITH YOU~~NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOas UNDER $ 2, 500 1 ALUE DO NOT N~~D TO RECORD AND POST A "NOTICE COMMEN~E,MEN2' . . r. fL/!i/". .. ~~ 1'1 M E: OWNER OR AGENT CONTRACTOR acknowledged , 2 0..:..- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE F FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ (name of person acknowledged) [1ho is personally known to me, or (name' of person acknowledged) Dwho is personally known to me, 'or D who has produced (type and wrioD did D did not of identification) take an oath. D who has produced (type of identification) and who Odid [}:iid not take an oath Signature of person taking acknowledgment Signature of person ta.king acknowledgement " Name typed, printed or stamped Name typed, printed or stamped