HomeMy WebLinkAbout06-5796
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
5796
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/17/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/17/2006
Work Desc: SERVICE REPAIR-ELECTRICAL
Address: 5203 17TH ST
ELECTRICAL MISC ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
SINGLE FAMILY RESIDENTIAL Lot(s): Block:
POWERHOUSE ELEC.,INC. Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19600-0070
Section:
Name: HALDEMAN, RICHARD
Address: 5203 17TH ST
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, Specificatio and Fee Must Accompany Application. All work shall be
perf d' accordance w' City Codes and Ordinances.
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
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PERMIT OFFI R
REQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-81 :i-I tlu-uu;n
Owner's Name
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Owner's Address I &5 (7-0'3
Fee Simple Titleholder NamJ
Date Rec~lved
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Fee Simple Titleholder Address I
5203
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LOT #
JOB ADDRESS
, PARCEL ID# I
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
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PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I 6 f7C. VI (: ~ IC[:)? h I ~
BUILDING SIZE I I SQFOOTAGE I. ' I HEIGHT I ,I
, , , , .. , , . , , , , , . , , , , . , , , , , . , , , . , , , , . , , .. , .. , : , .. .. .. , .. , .. , .. .. , .. .. . .. , .. . .. .. .. .. , .. .. . , .. .. . .. . .. , . .. , , .. , , , .. , . .. , .. , .. , , .. .. . .. , .. .. .. , , .. .. ..
ADD/ALT
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COMM
FRAME
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLIsH
SUBDIVISION
D
D
OTHER I
STEEL D
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OTHER I
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
~ ELECTRICAL 1$ I AMP SERVICE (p <-> t=J RGY D W.R.E.C.
15"0
D PLUMBING 1$ 1
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
ELECTRICIAN I, /J12L /J /C
SIGNATURE ,~
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I
License #
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FEE CURRENT
Y/N
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COMPANY
REGISTERED
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License #
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N
COMPANY
REGISTERED
Y/N
I
COMPANY
REGISTERED
Y/N
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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, Construcllon Plans, Sanllary Facilities & 1 dumpster
COMMERCIAL Attach (3) sels of Building Plans; (1) !?et of Energy Forms.
Minimum ten (10) working days after submittal dale, ReqUired onslle, Construction Plans, Sanitary Facllilles & 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. (Ale upgrades over $5000)
Agent (for the contraclor) or Power of Attorney (for the owner) would be someone wilh notarized letter from owner author/zing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Foolage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this permit may be subject to "deed" restrictions"
, whlc.h may be more restrictive than County regulations. The undersigned assumes responsibility for 'compliance with any
applicable deed r~strlctlons. " ,', , '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the owner has hired, a contractor or
contractors to undertake work, they may be re,qulred to be licensed In accordance wltli state and local tegulatlot)s, If the
contractor Is not IIc,ensed as required by law, both the owner and contractor may be cited for a inlsdemeanor violation
un~er state, law, If the ,?wner or Intended contractor are uncertain as, to what lI~ensli1g requirements may apply Jot the'
Intended work, th~y are advised ,to contact the Pasco County Building Inspection Division-Licensing section at 727-84"'-
800~. Furthermore, if the owner has hired a cont(actor or contractors, h~ Is advised to havEdhi:! contractor(s) sign '
portions of the .contractor Block" of this ~ppllcatlon for which they will be tesponslble. 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 permitting prlVllegel;l In Pasco
Coun~, , ' '
TRANSPO~TATION IMPACT/UTILITIES IMPACT AND RESO!JROE REOOVERY FEES: The underslgnedUhderstahds'
, that Transportation Impact F:ees ~nd Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
use In,exlsting buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hllinber 89-07 and
.." 90-07, as amended. The undersigne~ also understands; that such fees, as maybe duej will be Identified at the tlille of
permitting, 'It Is further ~nderstood, that Transportation Impact Fees and ResourCe Recovery Fees tnust be paid prior to
, receiving a "certificate of occupancy" or final power release. If the project does hot Involve a certificate of occlipancy or
filial power, release, the fees must be paid prior to permit Issuance, Furthermore; If Pasco County WateriSewer 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 "ownet", 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:lhat all Work
will be don~ In compllanqe with all applicable laws regulatl!1g 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 laws regulating
construction, County' and City codes, zoning 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 Intend~d work, and that It Is , '
my responsibility to identify what actions I mUst take to be In compliance. S,,:,ch agencies Include but are hot limited to: '
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
Lands, Water/Wastewater Treatment. ,.'
Southwest' Florida Water Management District-Wells, cypress' Bayheads,' Wetlahd Areas, Altering,
Watercourses. ' , " , ., ,
Army Corps of Engineers-Seawalls, Docks" Navigable WatelWays. ' .. .' ,
Departm'ent of He~lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells, WasteWater Treatment,
'Septic Tanks, , ' .': .' '
US Environmental Protection Agency-Asbestos abatement. .
Federal Aviation Authorl~-Runways.
I understand that the following restrictions apply to the, use of fill:
Use of fill Is. not allowed in Flood Zone "V" unless expressly permitted.' , " '.
If the 'fill material Is to be used In Flood Zone "A", It Is understood that a drainage p'lan 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 "A" In connection wlth 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 appllcatlc;m, 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 fo~h in
this affidavit prior to commencing. construction. I, understand that a separate permit may be requited for electrical wor~,
. . . plumbing, signs,. wellS, pools, elr conditioning, gas,. or other Installetionsnol specmcally 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, c.ancel, alter. or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from l~erea~er
raqulrlng a ""rrecllon of e,rois In plans, consbucllon or violations of any codeS. Every permlllssuad, shall.become Invalid
unless the work authorized by such permit Is commenced within six months of permit Issuance, or If work authorized by
tha penilll Is susj>atldad or abandoned for a parlod of six (6) monlhs afIer the time the worl< Is commahc8d. . An extension
.may be raqueslad, In writing, from the Building OffIcial fora period nol to axcead nlnaty (gO) days,and will.damonslrale
juslll1atJia causa for the axtenslon. lI_k ceasas.for nlnaty (90) consaculive days, ilia Job Is consIdered abandoned. . .
WARNING TO OWNER: YOUR FAiLURE To RECORD A NOllCE OF COMMENCEMENT MAy RESuLt IN YOUR'
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND. TO OBTAIN FINANCING, CONSULT
WITH Y UR LEN ER OR AN AlTO NEY BEFORERECORDI G yOU "NOTICE OF COMME
, FLORIDA JURAT (F.S. 11?-03)
OWNER OR AGEN1' "
Subscribed and swom to (or amrm~d) before me this,
. '. by , " ,
, Who Is/are personally known to me or haslhave produced
asldenUflcallon.
CONTRACTOR, . '
Subscribed and swom to (or affirmed) before me this
. by' '
Who Is/are personally known to me or haslhave produced ,
. '. as Identlllcatlon.
Notary publlc
NotarY Publlc
Commission No.
Commission No.'
Name of Notary typed. printed or stamped
, , .
Name of Notary typed. printed or staniped