HomeMy WebLinkAbout06-5783
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:
5783
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
COMMERCIAL
REESE ELEC.
Address: 5335 8TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1,400.00
5/12/2006
Name: CITY OF ZEPHYRHILLS
Address: 5335 8TH ST.
ZEPHYRHILLS
Phone:
UNDERGROUND SERVICE / NEW INTERACTIVE WATER PARK
ELECTRICAL FEE
r; NA 1
!V\O'N - l-
I ,..'_
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
performed in accordance with City Codes and Ordinances.
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHBR
~M~
RBQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-81 ;j-7!lU-UU~1
Owner's Address
Fee Simple Titleholder NamJ
Date Received
Owner's Name
Fee Simple Titleholder Address
LOT #
-.GJ-tE12.0-.(,-FvE WAk~ f4eL
I
~ NEW CONSTR [=:l' ADD/ALT D
tj INSTALL CJ REPAIR
PROPOSED USE 0 SFR D COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D
DESCRIPTION OF WORK I ~~\l AJQ.I..()?DO A.. U\AJu,-c;.)v.-1' ~Jl.~.J:C.JI
BUILDING SIZE I I . SQFOOTAGE I. . I HEIGHT I . . I. .
I , I . , , . , , I , , , , , . . , , , , , , , . , . , . , . . , . , , . , , . . , I : . . . . , . , , . , . ~ ' . , . .. . , . . . . . . . . , I . . , . . . . . . . I . , , . . . . I . . I . . . I . , , . . . , , . . . . , . , , . , , . . , , . , , . . , , . . . . . , , , I . . . . , I .
D BUILDING 1$ 1,'100 VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ AMP SERVICE t=J PROGRESS ENERGY
D PLUMBING 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
JOB ADDRESS
SUBDIVISION
PARCEL 10#1
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLIsH
WORK PROPOSED
OTHER I
I
I'
I
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
ROOFING
D
I
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
,.111111111.11111111..1111111111111111111111111111111........111...........11.........'.....11.11..'...111..111111..1111111111111...1111111...1111
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
z;:)~" .\.c.....
FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N
Address
ELECTRICIAN I ~ It.. l\
SIGNATURE .. ,~~~I~
Address I ~O ~,,?- "'"2.-~\\" F-\. ~~S'C;
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE
Address I
OTHER I .1
SIGNATURE .
Address I
COMPANY
REGISTERED
Y/N
I
I
I
I
I
I
I
COMPANY
REGISTERED
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
1111111'11111111111111111111111111111111111111111111111111111111111111'11111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIilllllllllllll
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslle, 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, Sanilary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for ali NEW construction. .
I I.' I I I I II I II . I I I I I I II ~ I I I I I II II I II I I I ~ . ~. . I i II I ~ I I , III1 lOr . ~ I I I I . II I I I I ~ I . I I I I I I . . I I I . i I I Iii i i II . I i J I i I I I I i I i I I I I r. i I i I I I I . I I I i j II I i I Iii ,- i i i i -'I i i Iii i
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Comm~ncement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with nolarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that .this 'permlt may be sllbJect to "deed;' restrictions.
. which may be more restrictive than County regulations. The unde~slgned assumes responsibility for compliance with any
. applicable deed restrictions. .' '. .... .
l)NLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired. a contractor or
contractors to undertake work, they niay be required to be licensed In accOrdance wltli state and local regulations. If the
contractor Is not IIc.ensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanor violation
un~er state. law. If the ~wner or intended contractor a~e uncertain as, to what lI~enslng reqUlrement~ may apply .f~r the .
intended work, th~y are advised .to contact the Pasco County Building Insp~ctlon Dlvlslori-L1censl~g section at 727-847-
8009.. Furthermore, If the oWner has hired a contractor or contractors, he is advised to have the conlraclor(s) sigh
. portions of the .contractor Block. of this EJPpllcatlon for which they will be responsible. If yoti, as the owner sign as the. .
contractor, that;niay be an Indication that he Is not properly licensed and is hot entitled to permitting prlvllege~ In Pasco .
County.. ..' ..' : . . . .' .
TRANSPO~TATION Ir.'!PACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understands
that Transportation Impact F:ees and Recourse Recovery Fees may apply to the construction of neW buildings, change of
. use In. existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hLlinber 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.'1l is further understood. that Transportation Impact Fees and Resource Recovery Fees tnust be paid prior lo
. r~ceiving a .certlficate of occupancy. or final power release. If the project does hO~ Involve a certificate of. occLlpE!hcy or
final power. release, the fees must be paid prior to permit Issuance. Furthermote; if Pasoo CountY, 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 statutes, as amended): 'lfvaluatlon 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-HomeoY/ner's
Protection Guide. prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
other than the .owner., I certify thf!lt 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 donEl In compllan~e with all applicable laws regulating construction, zonlhg and land development. -Application 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 iaws regulating
construction, County. and City codes, zonh1g regulations, and land development regulations In the jurlsdlctloh. I also
,certify that I understand that th~' regulations of other government agencies may apply to the Intended 1N0rk, ahd that It Is .
my responsibility .to identify what actions I must take to be in compliance. Such agenples hlclude but are hot limited lo: .
_ Department of Environmental Protection-Cypress Bayheads, We~land Areas and Environmentally Sensitive .
Lands, Water/Wastewater Treatment. . . ..' .
Southwest. Florida Water Management District-Wells, Cypress Sayheads,' Wetland Areas, Altering.
Watercourses. ' . '. .
Army Corps of Engineers-Seawalls, Docks,.Navlgable Waterways. . ..' .. . .
Departm'ent of He~lth & Rehabilitative SerVices/Environmental HI;laltt1 Unit-Wells, Wastewater Treatment,
SepUcTanks.. . ..: .. .
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the. use of fill:
Use of fill Is not allowed in"Flood Zone aV" unless expressly permitted; . '.. .. .
'If the fill material Is to be .used In Flood Zone aN, it is understood that a dralnag.e plan addr.esslng a
. acompensating 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 aN 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 fin. material is to be used in' any area, I certify that use of such fill will hot adversely affect adjacent
properties. if use of flllls found to adversely affect adjacent properties, .the owner may be cited for v.iolatlng
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 'promlse In good faith to Inform the' owner of the permitting conditions set fo~h In
this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
. . . plumbing, signs, wells, pools, air conditioning, gas,' or other InstallatlonsnQt specffically Included In the application. A
permit Issued shall be construed to be a license. to proceed with the work and not as authority to violate, e.an.cel, alter. or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official ~rom .t~erea~er
requiring a ~orrection of errors In plans,cQnstruction or vlolat!ons.of any code13' Every permit lssu~d shall become Invalid
unless the work authorized by such permit Is commenced Within six months of permit Issua~ce, or if work authorized by
the perrilit is suspeoded or ab.andoned for a period ohlx (6) mon.ths after the time t~~ ~~rk is commehced. . An extension
may be reqtiasled; In wrlllng, ,from the Building OffIclel for ,a period nol to axceed ninety (90) days,and WlII,detnonsbala
jusllflaJ,la cause!or the extension. If W<lI1< caasesfor ninety (90) cons-live days,tha Job Is considered abandoned. ,
WARNING TO OWNER' YOUR FAiLURE To RECORD A NoncE OF COMMENCEMENT MAy REsuLt IN YOUR'
'PAYING lWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I,F YOU INTEND, TOO,BTAIN FINANCING; CONSULT
WIT Y UR LEN E OR AN ATTO NEY BEFORE RECORDING YOUR. 0 ICE OF COM ENCEM T;
. FLORIDA JURAT (F.S. 117.03)
OWNER OR AGEN1' .'
Subscribed and swom to (or amnn~d) before me this.
, '. by . '. .
Who Islare personally known to me or has/have produced
as Identification.
CONTRACTOR " . .
Subscribed and swom to (or afi1nned) before me this
. bY..
Who Islare personally known to me or haslhave produced .
. .. as IdenUflcaUon.
Notary Public
Nola..y Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped