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Home My WebLink About06-5396 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 5396 Permit Number: 5396 Permit Type: ELECTRICAL MISC Class of Work: ELECTRIC SERVICE REPLACEM Proposed Use: SINGLE FAMILY RESIDENTIAL Contractor: HOMEOWNER Square Feet: Est. Value: Improv. Cost: 800.00 Date Issued: 2/06/2006 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 2/06/2006 Work Desc: SERVICE UPGRADE Address: 5549 5TH T ZEPHYRHILLS, FL. NT Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-06000-0040 HU D, JOYCE A 5549 5 TH ST ZEPHYRHILLS, FL. 33542 Phone: 813780-1114 , /(\ (}~ _ \~ f OLf yl 011Jt ~ ROUGH ELECTRIC FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: 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 accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. "Warning to owner: Your fai1ure 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~~ OFF'/);- INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CIrry OF ZEPHYRHILLS PERML'.1' A!:'!:'l.I.L~A'J:.LU1'f BUI;LDING DEPARTMENT 5335 8~H st, Zephyrhills, EL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED ~J f.o /() &; . PHONE GONTACT FOR PERMITTING OWNER'S NAME ,-to ~r -~ If #:: If /) JOB ADDRESS t\\ ~tf9. 0 i h 0 r- PHONE fl3 7~o - //1 tJ- I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # \ \-cHo -~\ 00\0. Old::DO - D040 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION [JREPAIR D INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS [J MOBILE HOt-' [J COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER D RESTAURANT & HEALTH DEPARTMENT APrROVAL DESCRIPTION OF WORK ~C~V [CF U )OGIC/I..p e.. BUILDING sIzi?:d f. do, 1 - ~ L"" SQUARE FOOTAGE /c2 0.0 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. D BUILDING ~LECTRICAL o PLUMBING [J MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVTCE )( Progress Energy D 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 [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ~~I-~'-;--""....~~".,....."...r- -~-- --------,..-- -'---~~~ - -:~-~,--_:_------- -~~---~- ]-- -~~-- i -- ----~-.-~-...-----;:~-I-_'7_~~'r,'~~1 ,) J I [' I " , , I I ,'~ -': I 'I ' I,"c T J) ',I'1!' I ," , , " I I r l "I ~ II -~--~-~~"'----"""-___'-.~~_.1....;.~.~____~__~____ _ _ - ------~-~--'-'--'----~- BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATUR ************************************************************** ELECTRICI COMPANY ~m <L~ ATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # *************************************************~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST f A. NOTI~E OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES If the owner has hired a contractor or contrqptors to undertake work, . they may be required to be licensed in accordance with state and focal regulations. If the contractor is not licensed as required by law, botb tbe 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 "Gontractor Sections" of this ~pplication for which they will be responsible. It ydu,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 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. CONSTRUCTUlON LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, hay~ 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. . Appliqation 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 wiil be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developmerit 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 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.S. Environmental Protection Agency-Asbestos abatement I also certity that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a;:'compensa.ting volume" will be submitted which 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued sball become inv.lid unless tbe work authorized by sucb permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for la period of six montbs after tbe time.tbe work is commenced, One 90 day extension of time may be allowed for the permit with fee charge 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 TO YOUR PROPERTY. If yOU INTENO TO.OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORUING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2, .Q.Q~N VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". \ subject to "deed restrictions" which undersigned assumes responsibility for SIGNATURE: CONTRACTOR FLORIDA TE OF FL COUNTY OF The foregoing inst umen Before me this_____ day of by' . u~(name. of person acknowledged} ~hO is personally known to me, 'or o who has produced (type of identification) and whoD did Odid not take an oath. oing instrument was acknowledged this ~day of ., 20_ (name of persor acknowledged) [1ho is personally known to me, or Owho has produced (type of identification) and who 0 did Q:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped - DISCLOSURE STATmmNT FOR OWNER CITY OF ZEPHYRBILLS BUILDING DEPARTMENT have read and fully understand and G~PVl!ltip.a. adding to actually occu;ies~ or rent, 1ease or sa1e: The undersigned states and affirms that he or she is desirous of constructing, or reroofin~ his or her own domicile" that he or she will occupy by said domicile, and same is not for That he or she sha11 comply with the following conditions: 1. That the owner and he or she alone sha11 act as the builder for all phases of construction. 2. That the owner will comp1y with a11 provisions of the City of Zephyrhills ordinances and codes pertinent to'the building. 3. That in the event various phases of construction are subcontracted, he wi11 engage only properly licensed subcontractors and will personally supervise such work.. 4. That in the event the Building Inspector shall require corrections to be madel the owner will assume full responsibi1ity to insure they are made, and upon comp1etion will call for a reinspectionbefore proceeding with the building. 5. That the owner sha11 assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhi11s Building Department. 6. That prior to final inspection any additiona1 fees, inc1uding reinspection fees, must be paid in full. A written request from this office shall constitute an officia~ notice. to pay additional fees. 7. That the owner sha11 comp1y with a11 City, State and Federal laws' in regard to social security, workman's compensation, lien laws, etc., where applicab1e. 8. That the owner sha11 comp1y with all the safety codes issued by the Florida Industria1 Commission. 9. State law requires construction to be done by licensed contractors. You have app1ied for a permit under an exemption to that 1aw. The exemption a110ws you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or impr~e a one-family or two-fami1y residence or a farm outbui1ding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The bui1ding _or residence must be for your own use or occupancy. It may not be built or. substantially improved for sa1e or lease. If you s~l ;or' lease a building you have built or substantia1ly improved yourse1f within 1 year after the construction is complete, the law will presume that you built or Substantially improved if for sa1e or 1ease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibi1ity to make sure that peop1e employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibi1ity for supervising work to a licensed contractor who is not 1icensed to perform the work being done. Any person working on your building who is not 1icensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by 1aw. Your construction must comply with all app1icab1e 1aws, ordinances, building codes, and zoning e 1ations. OWNER'S ADDRESS PHONE DATE c2/t;/ (j b r , / WITNESS PERKIT #