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Home My WebLink About06-6127 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6127 Permit Number: 6127 Permit Type: ELECTRICAL SERVICE CHANGE Class of Work: ELECTRICAL MISC Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 9/28/2006 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 9/22/2006 Work Desc: ELECTRICAL SERVICE UPGRADE Address: 39044 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0030-00300-0040 KELLI, ARLES 39044 5TH AVE ZEPHYRHILLS, FL. 33542 Phone: / 0~po 4 ~A P y REINSPECTlON 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 inspections 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 paying 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," NO OCCUPANCY BEFORE C.O. ~ ~~ TRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER /NiHHi/ To Reorder: 1-800-225-6380 orwww.nebs.com r-. ;;----. _,r--. .~ /- PRODUCT 211 MARTIN ELECTREt, tNC. 14827 North 10th Street P.O. 60x 437 ....AOf: Ci"'-' - F' ORIOA 335"v 0437 ............. i < ')408 WORK On~R C 15941 > u. .; Y r , ",6- .... '- " CUSTOMERS ORDER NO. DATEg,~EREDI - (352) 521..3319 C{, 1<"/0 <,. f.AX (352) S:Z 1-0291 ORDER TAKEN BY D~Tf PROMISED Jd"A.M. I 1/ z, 'if' 0 P.M B1LLJ"q les ~ It PHONE (~y\,;.r C \( <. \ \ l 1 n..,.l ,;, ~ ADDRE~ ' '$" .f\ f MECHANIC 9 O~1<..J A.Jc..:.... CITY l'~ \ \ <, HELPER ;~ JOB NAME AND LOCATION )!t DAY WORK DESCRI~~ OF WOR~ "' [.l CONTRACT €y.- "', ~, '- <::, . ~I : l.. of" [] EXTRA __ (~ t''''-0 v' \.... ,. } I J, 1\ ~ r ~-:;. ~fe to':.) ,,I....... h- I t":' '-t, -::.<:: r V\ (. e (J- r ()v.," c ~ t '"' '"- \ \ \ , ) '-~I . /' \ -c. \. \ (~ 'c t \.(. ....~ ~.- '\.') (' . ('f" QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT .i /'G- /, ~-- I Cj\-O ...~tU /4-( ( \ (I e '^ '':''''-. '.. -r'- t:t- i 2 )(, - ;) r - (.J'0 ';; 0 (~ 0 ;.;<.:;1 C DO,",,! 0 LID - , (/ J '? / oi/t/ ~. Go '). t:.... t,,\. '. I (Jon ~ PlIyment ...., in full w!t!!'.n \0 days of ~Q!'! dllte ::;'"~.. -,...~, , ~- -'" , .' .,,,/lL .". . ._.. HOURS LABOR - AMOUNT TOTAL I ' MECHANICS @ MATERIALS J ..' \ --,- " HELPERS @ TOTAL _ T, ( LABOR I hereby aCk~~:ge the satislact~ I TOTAL LABOR TAX completiQJJ.Ol it abQve describetr orly SIGNA-ro~~ /ra~A --~ DATE lOMPjETED TOTAL ')'1 Sd IVV r-:::/ .:...e,,-:/' ":",:,,.!V . ,.",,~ ' 813-780-002U '-"'J -. --r-- -..I..' . . Building Department Owner's Name ~e,,;lc~ _I 's Owner's Address ( 310"1:; 5~ Au ~ Fee Simple Titleholder Namel Fee Simple Uieholde' Add,e55 1 . JOB ADDRESS r 3? _ ~7 5+4 I , Owner Phone Number Owner Phone Nu~ber i Owner Phone Nu~ber r Date Received WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK /}vc- 1 B o o J LOT # PARCEL ID#f (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLISH SUBDIVISION ADD/ALT REPAIR COMM FRAME o o o OTHER STEEL I o B PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I ~~v UfjV"Ci~~ , I BUiLDING 51ZE I I 50 FOOTAGE I .! _ HEiGHT _I , """""'''''' "l... , " ' " " " """ " " 11I1 1111111111111 , III I , II II II III . 1111111111111111111111 , 1 , 111111111111111111111111111 1111111111111111 I o BUILDING .1$ I VALUATION OF TOTAL CONSTRUCTION o . ELECTRICAL 1$ I AMP 5ERVlCE :A.o 0 ['2:( . PROGRE55 ENERG:__ 0 __" W_RE_C o PLUMBING 1$ I . /::. -1 .) o MECHANICAL 1$ I VALUATION OF MECHANiCAl INSTALLATION li~ I ~ J o GAS 0 ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111I1111I111111111111I111111111111111111111111111111111111111111I11111111111111111111111111111111111111I111I11I111111I1111I1111111III1111111 BUILDER I I COMPANY I . I SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address I License # I ~~~:~~:Nll---6 ~ ~ - ;:'o~= ~7;;f':..;.!a:~i-P'(YIN I Address _ _ License # I I PLUMBER I COMPANY I SIGNATURE . REGISTERED Y / N FEE CURRENT Y I N I License # I I I I Address I I License # I I 111\111111111111 1 111111111111111111111111111111111111111111111111111111111111111111111111 i III i 1I1111I111111I1 i 111I11I1111I111 j 1111111II1I11I111II1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms . Minimum ten (10) working days after submittal date. Required onsUe. Construction Plans, Sanitary Facilities & 1 dumpster 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. Attach (2) sets of Engineered Plans. "'~PROPERTY SURVEY required for all NEW construction. 11.11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111111111I1111111111I11111111111 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 Attomey (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 OTHER I Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N License # COMPANY REGiSTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW 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 for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign portions of the "contractor Block" of this application 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 not entitled to permitting privileges In Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact' Fees 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 number 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 th~t Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or final power release, the fees must be paid prior to permit Issuance. Furthermore, if Pasco 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}: 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 that 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: '1 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 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 performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also 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 not 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, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health 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 of fill is not allowed In Flood Zone .Y" unless expressly permitted. If the fill material is' to be used In Flood Zone "A", 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 "A" in connection With a permitted building uSing stem wall construction, I certify that fill will be used only to fill the area within the stem ~all. ... If fill material is to be used In any area, I certify that use of such fill Will not adversely. affect adjacent . properties. If use of fill Is found to adversely affect adjacent propertl~s, 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 OWNE~, I promise in good faith to inform the owner ~f the permitting conditions set forth In this affidavit prior to commencing construction. I understand that a separate permit may be required for elect~lca.1 work, lumblng, signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded In the application. A Permit Issued shall be construed to be a license to proceed with the work and not as authOrity to vlolat~, cancel, alter, or ~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OffiCial from the~eaft~r re uirin a correction of errors In plans, construction or violations of any codes. Every permit issued shall become. Invalid un(ess ~e work authorized by such permit Is commenced within six months of permit Issuance, or If work authortzed .by the ermit'is suspended or abandoned for a period of six (6) months after the time the work Is commenced. An ex enslon mal be requested, in writing, from the. Building Official for a period not t~ exceed ninety (90) days an3 ~i11 ~emodstrate . Justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is consldere a an one . . LURE TO RECOftD A NOTICE OF COMMENCEMENT MAY. RESULT INYOUR ~:~~~~~EO:'~:~P~g~::;;TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN. ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and swom to (or affirmed) before me this by Who is/are personally known to me or has/have produced . as idenUfication. OWNER OR AGENT Subscribed and swom to (or affirmed) before me this by Who is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped