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Home My WebLink About06-5435 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 5435 \. Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: 2/08/2006 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 2/08/2006 Work Desc: 200 AMP SERV CHANGE METER CAN 5435 ELECTRICAL MiSe ; ELECTRIC SERVICE REPlACEM MOBILE HOME PARK POWERHOUSE ELEC.,INC. Address: 5533 U LN ZEPHYRHILLS, FL. NT Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Section: Name: COLYER,DOREEN Address: 5533 OUR LN ZEPHYRHILLS, FL. 33542 Phone: ELECTRICAL FEE 35.00 ~f)lp pn :;___C} l~ 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 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 perfo in accordance with City Codes and Ordinances. ~ ~M~ REQUIRED CONTRACTOR CALL FOR INSPECTION - 8 HOUR NOTICE PROTECT CARD FROM WEATHER 4 CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills I FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED PHONE CONTACT FOR PERMITTING OWNER'S NAME !J6Il1!:l:^, G/y ~tC. JOB ADDRESS ~533 6ott.. W . PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: [JNEW CONSTRUCTION DSIGN (OBTAIN FROM PROPERTY.TAX NOTICE) [JADDITION [JALTERATION ]il..REPAIR o INSTALL o MOVE D DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL DMULTI-FAMILY o INDUSTRIAL [J# OF UNITS o SWIMMING POOL [J MOBILE HO~ o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL DESCRIPTION OF WORK ~'1?4c'f" rY7~ C7I1f\.' . 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 JtJ ELECTRICAL o PLUMBING [J MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION Zoo AMP SERVICE jij Progress Energy 0 W.R.E.C. $ VALUATION OF.MECHANCIAL INSTALLATION [J GAS [J ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO I~"_M,_......,.,.-_~ 11-- ~~~ ~...,- -- - -~ - -_~~_f__, ~ ~~ - - - ~I"r " ;-----~~~---~- -~-~~-~ 1---'- -- -- -~ -- M~ --- -- - ~ I :-~- -------, ~~-"""..,~~, ~ I ,I '1 I I' I I I I ,) ~ I ' .. 'I)' t, ~II '\ J -~~~~_~_~~.J....__.._.......~~__._L....;._.~~_...__~______~~ __ ____~~_~~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRIcJln 1L--- . COMPANY tJ().<Jf)<J.,.,s" Fh-l. SIGNATURE~~ STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST t ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST i A. NOTI~E OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictic~ls" 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 required to be licensed in accordance with state and local regulations. If the contractor is no~ licensed as required by law, both the owner and contractor maybe 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 "Gohtractor 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 oontractor that may be an indication tbat be is not properiyiicensed aod 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 STA~dTES,AS AMENDED) I certify that I, the applicant, haye 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. . Appii,ation is hereby made to obtain a permit to do work and instaiiation 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 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 identify what actions I must take to be in compliance. Such agencies include 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 certify that, if fill material is to be used in Flood Zone "A" or "A,etc."t it is understood that a drainage plan addressing a;:'compensating 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 shaii become invaiid uniess 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 la period of six months after the time. the wnrk is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. Tbe ..tension shail he 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 RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECbRDAND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _____ day of ' 2CL- by (name. of person acknowledged) o who is personally known to me, . or acknowledged '-,20_ (name of perso~ acknowledged) C1ho is personally known to me, or o who has produced ( type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped