HomeMy WebLinkAbout06-5450
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
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:
5450
ELECTRICAL MISC
ELECTRIC SERVICE REPLACEM
SINGLE FAMILY RESIDENTIAL
POWERHOUSE ELEC.,INC.
Address: 39200 6TH AVE
ZEPHYRHILLS, FL.
NT Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0030--00100-021
1,200.00
2/13/2006
35.00
35.00
2/13/2006
100 TO 200 AMP SVC UPGRADE
TAYLOR, MA K
39200 6TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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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
performe ~ accordance with City Codes and Ordinances.
~~ ~M?r
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrry OF :iiJ!j.t'nx~n.....u.u~ ... ......--- - --- ---
BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE GONTACT FOR PERMITTING
OWNER' s NAM~t ::To ~/{br\.
JOB ADDRESS '3Cf2DO r./!:AV{
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID it t Z 2~ 2' ()030 bOIOO 0,/0
IOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
o ADDITION
IlIALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OlSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
O. OF UNITS
D SWIMMING POOL
o MOBILE HO~
DOTHER
D RESTAURANT & HEALTH DEPARTMENT APpROVAl.
DESCRIPTION OF WORK r;fa.!tuL. Sf7lJItt.r J/- iJt.,.J~
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
Qf ELECTRICAL
o PLUMBING
D MECHA~ICAL $
D GAS D ROOFING D SPECIALTY
$ /2co ~
l60 ../0 2 Db
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
VALUATION OF "MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
o STEEL
. D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
lli~~~,~~~=-~-~- ~~~~=~~____~:__ ~~_ _,__~_f-. = - _~-, ~~~-=-- =J. ~~~~~~~===-,~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELJ:CTRICIAN(J fJ J /J fL- t'- COMPAN.&r.J~ ,,". d~' C
SIGNATURE ~ STATE CERT OR REGIST. ?11S-S-
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***********************************.********~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A.' NOTI~E OF DEED RESTRICTIONS
The. undersigned understands that this permit may be subject to "deed restrictions"- which
may be more restiictive,than'City regulations. The undersigned assumes responsibility for
compliance with any' applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If tpe owner, has hired a contractor or cbntr~Ftors to undertake work, . they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor maybe cited for a misdemeaO:or
violation under s~ate law. If the owner or intended contractor ar~ uncertain ~s 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
cdntractor(s) sign po~tions of the "Contractor Sections" of this ~pplication 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'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 CONNECTI.oN FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,' AS AMENDED)
I certify that I, the applicant, haYE\! been provided with a copy 'of "Florida's Construction
lien Daw _ 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
h~ve obtained a copy of the above de.scribed 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
I development. ' '
Appli~ation is hereby made to obtain a permit to do work and instaliation 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
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 ~anks '
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is,to be used in FloC?d Zone "AfT or "A,etc.", .:Lt 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
. ~
lssuance.
A permit issued shall.be ,construed~o be a license to proceed with the work ~nd 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 shall hecome invalid unlesS the work authorized .hy such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for
period of six months after the Hlne.thework 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 inepection must be logged during each siX
month period, or the p~oj~ct 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 INTEND TO.OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.. ICE OF COMMENCEMENT. JOM UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A '\NOT COMMENCEMENT" .
SIGNATURE: OWNER OR AGENT
,
~r
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me, this ~day of ',1 20_
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of persor acknowledged)
C1ho 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.
Dwho has produced
(type of identification)
and who Odid [kiidnot take an oath
Signature of person taking acknowledgment
Signature of person taking a~knowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped