HomeMy WebLinkAbout06-5823
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
5823
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 400.00
Date Issued: 5/23/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/23/2006 Phone:
Work Desc: 60 U.G. SERVICE FOR BRIGHTHOUSE BY LIFT STATION
5823
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
COMMERCIAL
JAMES 0 MORTON ELECTRIC C
Address: 37640 AARAL YN RD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: EILAND PARK TOWNHOMES
Parcel Number:
Section:
ELECTRICAL FEE
(, ~ \CD
""~I t/ w
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.
nWarning 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.
Iv/J )1//
~~
-PER~I~ OFFI/);-
FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
t-aX-tll j-(tlU-UU[1
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder NamJ
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
c:J' ADD/ALT
CJ REPAIR
o COMM
D FRAME
. '(j ,~/t,,; a
DESCRIPTION OF WORK v
BUILDING SIZE I SQ FOOTAGE I ' ' I HEIGHT I . I ~\h~::'~tx--.
, , , , , . . , , , , , , , . , , , , , , , , , , , , , , , , , . , , , , . , , , , , ~ , , . . . , , , . , , ~ ' , . , , . . , , , , , . . . , , . , , , , , , , , , , , , , , , , . , , , , , , . , . , , , . , . , , , , , , , , , . , , , . , , , , , . , , , . , , , :);, , , , , , , . , , ,
NEW CONSTR
INSTALL
SFR
BLOCK
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE D
DEMOLIsH
PROPOSED USE
TYPE OF CONSTRUCTION
::
1$
D MECHANICAL 1$
c=J GAS D
FINISHED FLOOR ELEVATIONS I
D
D
D
40&.0 f)
:
I
I
D
I
AMP bpR'JCY /
t=J
PROGRESS ENERGY
D
W,RE.C,
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
ROOFING
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
.111111111111111111111.11111111111111111'1'11111111111.........'..1111...'."...11.1111"...........111..'"1111111..11111111111111111111111111111
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y IN
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED YI N FEE CURRENT
License #
I COMPANY
REGISTERED YI N FEE CURRENT
License #
I COMPANY
REGISTERED YI N FEE CURRENT
License #
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Y/N
Address
MECHANICAL
SIGNATURE
Y/N
Address
OTHER
SIGNATURE
Y/N
Address
I1111111111111I '1111" 11111111111111111111111111111 , III , 111111111 1 111111111111111111 , 11111111 " I " II 1 " III 1 111111111 i 1111111111111111111111111111
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) sels 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 Qut 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 AlC Driveways Fences (PloUSurvey/Footage)
. '
, NOTICE OF DEED RESTRICTIONS: The underslgn~d understands that this permit may be subJect to "deed- restrictions"
.. which may be more restrictive than County regulations. The undersigned assumes responsibility for 'compllahce with any
, applicable deed r~strlctlons.' ' " ' , ','
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired, a contractor or
c<;>nlt:actors to undertake work, they may be required to be licensed in aCcordance wlttl state and local regulatlohs. If the
contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanor violation
under state, law. If the ~wner or intended contractor are uncertaih as to what "<<?enslhg reqUirements may apply fot the'
Intended work, th~y are advised ,to contact the Pasco County Building Inspection Dlvlsl0li-Ucensh:1Q Sectloh at Tit-84 '1-
8009., Furthermore, If the owner has hired a contractor 01" contractors, he Is advised to havEdhe contraotor(s) sigh .
, ' portions of the .contractor Block" of this application for which they Will be tesponslble. If you, as the owher slgrl as the, , '
contractor, that,may be an Indication that he Is not properly licensed and Is hot entitled to permlttlhg privileges In Pasco
County., ,,' , ' ' ' , '
TRANSPO~TATION I~PACT/UTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned 'Understahds
that Transportation Impact F:ees 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 hllinber 89-07 and
.", 90-07, as amended. The undersigned also understands; that such fees, as may be duej will be Identified at the time of
permitting. "It Is further l!nderstood th'at Transportation Impact Fees and Resource Recovery Fees must be paid prior to
. receiving a .certificate of occupancy" or final power r~lease. If the project does hot Involve a certlfica~a of occllpahcy or
final power, release, the fees must be paid prior to permit Issuance. Furthennotej 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 Staiu.es, as amerlded): '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 thlilt 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,informatlon In this applicatloh Is accurate and,that all Work
will be done in compllanqe with all applicable laws regulating construction, zonltig and land development. -Application Is '
hereby made to obtain' a permit to' do work and Installation as Indleated. I certify that ho work or Installation has
commenced prior to Issuarice' 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 Intended work, ahd that It is ,
my responsibility to identify what actions I mUst take to be In compliance. Such agen~les 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' eayheads,' Wetlahd Areas, Altering,
Watercourses. ' ' ,', ' " '
Army Corps of Engineers-Seawalls, Docks"Navigable Waterways., " " " ,
Department of He~lth & Rehabilitative SerVices/Environmental H~altli Unlt-Wellsl 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 of fill Is not allowed In-Flood ZonEi .V" unless expressly permitted; , ',',', ' ,
'If the flll material Is to be ,used In Flood Zone "N, It Is understood that a dralnag,e 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 .N In connection with a permitted building using stern wall
, construction, I certify that fill will be used only to 'fill the ar~a within the stem wall., . '
, If fill, materllill Is to be used In' any area, I certify that use of such fill will hot, adversely affect ~dJacent
pioperties. W USB of fill Is lound to adVersBIy affecl ad]"""nt properties. thB ownBr may bB cIIed for v.lolaUng
. .' the condlUons of thB building pBrmll issued under \he BlIachBd permnlipplleeliQn, for lots IBSS then onB (1)
, , acre which are elevated by fill, an engineered drainage plan Is required. ' ' ,
II I am thB AGENT' FOR THE OWNER, I promlsB In good IBlth to InforDl thli owner 01 the pelTrillUng condlllons sel forth In
this affldBVII ",lor to Commenclng,construclion. I. understand that a separaIB permllmay be required for eIeclrlcal work,
.,' plumbing, signs, wells, poolS, Blr condlUonlng, ges, or other InsIBllatlons not speclflcally Included In the epplicatlon. A
permit Issued shall be constnJBd to be B license to proceed with the wort< and not as BUthortly to vlolete, cBneel. aller, or
set eside any ",ovlslons 01 the technlcBl codes, nor shall Issuance of B pBrmll prevent the Building OffIcIal fromthereatter
re<iu~lng a correction of errors In plens, constnJcUon or vlolBUons. of any codBS. Every permlllssuad shali become.lnvelld
unless thB Work Buthortzed by such permit Is commenced wUhln six months 01 pennnlssuance, or Ilwork eutho"zed by
the pemiltls susjJBndBd or ebBndimBd for a period of six (6) months attar thB "mB thB wort< 10 commenced. An BxlBnslon
may be requ estBd , In wrtllng, from the Building OffIcial for a period not to BXce,ed ninetY (00) days,Bnd WlUdemonslrele
]usllflablB eeUSB lor the BxtBnslon. W work ceesBS for ninety (90) consecuUVB days, the job Is considered abandoned. .
. WARNING TO OWNER: YOUR FAiLURE TO RECilRD A NOTICE OF COMMENCEMENT MAy RESULt IN..YOUR'
. PAYING TWICE FOR IMPROVEMENTS TO YOUIt PROPERTY. I.F YOU INTEN . TO. O.BTAlN FINANCING, 00 SUL T
WITH OUR LENDER OR AN ATIO NEY BEFORE RECORDING YOU.NOl: E OF CO NCEMENT'
, FLORIDA JURAT (F.S. 11?,-03)
OWNER OR AGENt '
Subscribed and sworn to (or affirmed) before me this,
, ',by , " ,
Who Is/are personally known to me or has/have produced
as Identification.
CONTRACTOR,
Subscribed and swom to
, by
Who Is/are personally WIl to me or has/have prodUced ,
, ' as Identification.
Notary Public
NolarY Public
Commission No.
CommissIon No.'
Name of Notary typed, printed or stamped
Name ~f Notary typed: prlnted or stamped