HomeMy WebLinkAbout06-5768
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
5768
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/09/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/09/2006 Phone:
Work Desc: UPGRADE SERVICE/METER RELOCATION
5768
ELECTRICAL MISC
ELECTRIC SERVICE REPLACEM
SINGLE FAMILY RESIDENTIAL
WESLEY CHAPEL ELECTRIC LLC
Address: 4924 5TH ST
ZEPHYRHILLS, FL.
NT Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01000-0110
Section:
Name: VARGHSSE,THOMAS
Address: 4924 5TH ST
ZEPHYRHILLS, FL. 33542
ELECTRICAL FEE
35.00
,--,3- i~ -00
OUGH 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 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 in accordance with City Codes and Ordinances.
//dL-
CONTRACTOR
CALL FOR INSPBCTION - 8 HOUR NOTICB
PROTBCT CARD FROM WEATHBR
~- r:z-
PERMIT OFFI R
RBQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Recelvel!
JOB ADDRESS
Fee Simple TItleholder Address I
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Owner phone Numb~r
Owner phone Numb~r I
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Owner Phone Numb~r I
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Owner's Name
Owner's Address
Fee Simple Titleholder Nam~
,J./1r2r
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LOT t#
SUBDIVISION
5717-~
I PARCELlD#114 - 1..lR -.;2..\ -lao, Cl -0\000 -D\lO
(OST AINED FROM PROPERTY TAX NOTICE)
E3 NEW CONSTR r:=J ADD/ALT D SIGN D I MOVE D
INSTALL D REPAIR
PROPOSED USE D SFR 0 COMM 0 OTHER I
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D r OTHER I
DESCRIPTlONDFWORK I Uf O/Z/lOI~ 5 Qcu,/ /#E7P'L jffZ=~
BUILDING SIZE I I SQFOOTAGE I I I HEIGHT I : ===-: I
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WORK PROPOSED
DEMOLIsH
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D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION .1
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}!Xi ELECTRICAL 1$ I AMP SERVICE 2 to W PROGRESS ENERGY 0 W.R.E.C.
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D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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License # I I
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I t!J N FE CURRENT Y / N I
License # I E/l, c>~g&. cr I
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Y/ N
FEE CURRENT
Y/N
Address
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COMPANY
REGISTERED
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
I
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
OTHER
SIGNATURE
Address
License #
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. .
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)
NOTICE OF .DEED RESTRICTIONS: The undersigned understands that this 'permit may be subject to "deed;' restrictions"
. which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance With any
applicable deed restrictions. . .,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors 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 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 fot the
intended work, they are advised to contact the Pasco County Building Inspection Dlvisioli-Ucenslng section at 7'21-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to havethEi contrador(s) sign
. portions of the .contractor Block" of this l:Jppllcation for which they Will be responsible. If you, as the owner sign as the.
contractor, that may be an indication that he Is not properly licensed and is hot entitled to permlttihg privileges in Pasco
County. . . .... . . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned understahds
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, chahge of
. use in existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hLlmber 89-07 and
.. 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pdor to
. receiving a .certificate of occupancy" or final power release, If the project does hot.lnvolve a certific~te of occLlp~hcY or
final power release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco COl,Jnty Water/SeWer Impact
fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida statu~es, as amended): If valuation of work. is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien law-Homeowner's
Protection Guide" prepared by the Florida Department of AgriCUlture and Consumer Affairs. If the applicant Is someone
other than the .owner", I certify thliit I have obtained a copy of the above described document and promise In good faith to.
. deliver it to the .owner" prior to commencement. .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the. information In this application Is accurate and.that all Work
will be done in compllanc;e with all applicable laws regulating construction, zoning and land development. -Appiicallon 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 p~rformed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regUlations In the jurlsdlctioh. I aiso
. certify that I understand that the regulations of other government 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 hot limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment. .'
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aiteririg
Watercourses. .' .
Army Corps of Engineers-Seawalls, bocks,.Navigable Waterways.
Department of He~lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells, Wastewater Treatment,
Septic Tanks.. .
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the folloWing restrictions apply to the use of fill:
Use o1.fill is not allowed inFlood Zone.V' unless expressly permitted. .
If the fill material Is to be used in Flood Zone .N, it Is understood that a drainage plan addressing a
.compensating volume" will be. submitted at time of permitting which Is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "N In connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the ar~a within the stem wall.
. If fill material is to be used in' any area, I certify that use of such fill will hot adversely affect adjacent
properties. if use of fill is found to adversely affect adjacent properties, the owner may be cited for Violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
.. .. acre which are elevated by fill, an engineered drainage plan Is required. . .' . ,.' .. .
. If I am the AGENT FOR THE OWNER I promise In good faith to Inform the' owner of the permitting conditions set forth In
this affidavit prior to commencing.con~truction. I understand that a separate permit m~y be required for electrical wor~,
. . . plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically Included In the application. A
permit issued shall be construed to be a Iicens.e 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 B~i1ding Official from t~e~eat:t~r
. requiring a correction of errors In plans, construction or violations of any codes. Every permit Issued. shall become. invalid
unless the work authorized by such permit is commenced within six months o,f permit Issuance, or If work authOrized .bY
the permit Is suspended or abandoned for a period ofslx (6) months after the time th~ work Is commenced: . An extension
may be requested, in writing, from the Building Official for a period not to exc::eed ninety ~90,> days. and will. demonstrate
. justifiaple cause for tht:l extension. If work ceases for ninety (90) consecutive days, the job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN~ MAy ~E~UL t IN YOUR
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YPU INTEND TO OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F,S. 117.03)
OWNER OR AGENT .
Subscribed and swom to (or afflnned) before me this.
. by .
Who Islare personally known to me or haslhave produced
as Identification.
CONTRACTOR . . .
Subscribed and swom to (or afflnned) before me this
by
. Who Islare personally known to me or has/have produced .
. asldentiflcaUon.
Notary Public
NotarY Public
Commission No.
Commission No. .
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped