HomeMy WebLinkAbout06-6210
.1
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6210
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/02/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 11/02/2006 Phone:
Work Desc: UPGRADING ELECTRICAL SERVICE TO 200 AMP
6210
ELECTRICAL MISC
ELECTRIC SERVICE REPLACEM
NOT APPLICABLE
HOMEOWNER
Address: 521019 H ST
ZEPHYRHILLS, FL.
NT Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19900-0050
Section:
Name: MARQUESS, MICHAEL R
Address: 5210 19TH ST
ZEPHYRHILLS, FL. 33542
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
~M~
FOR INSPBCTION - 8 HOUR NOTICB RBQUIRED
PROTBCT CARD FROM WEATHBR
813-780-0020
City of Zephyrhills Permit Application
Building Department
t-aX-l:l1 ;j-f/jU-UU:'!l
Date Received \ _ ~ - 0
OWner's Name II'! (. A /1 e I '
Owner'sAddress 1,51..'::);0 /'/ -r~ 'sric. r::;-ET \
Fee Simple Titleholder Namel
OWner Phone Number
Owner Phone Number I
OWner phone Number I
JOB ADDRESS
Fee Simple Titleholder Address
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lOT #
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DESCRIPTION OF WORK I ( ) IJC? i21CJvi /l.A27 E'L..e1' I~/L,:} L SP.2v / L of:? 7<0 SJco
BUILDING SIZE I ISQ FOOT AGE I I HEIGHT I I
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~'ELECTRICAL 1$ I AMP SERVICE ~- PROGRESS ENERGY D W.R.E.C,
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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:::1~~RE -Its~ 7 ~~:~':: 11f;;;".: P":e~' Y IN I
Address [ License # I
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PARCEL ID#I
lI-~(o- d-.\ - 60\0- ''1'100 - 0050
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0 DEMOLISH
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
E3
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NEW CONSTR
INSTALL
SFR
BLOCK
ADD/Al T
REPAIR
COMM
FRAME
o
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OTHER I
STEEL D
WORK PROPOSED
OTHER I
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
license #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
I YI N
FEE CURRENT
Y/N
Address
License #
111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permil for new construction,
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111 i 1111111111111111111 i II
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 Ale Fences (Plot/Survey/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 tequiremehts 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 Ordihance humber 89-07 ahd
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 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: I 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 ih 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. SlJCh 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 "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensatlng 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 area 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 properti~s, the,ow,ner may be cited fo~ 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 ~f the permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand that a s,eparate perm~t. may ?e reqUlr~d for elect~lca,1 ~or~,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d. not as authon~y !o vlol~t~, Gancel~ alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dl~g OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve'!' ~ermlt Issued. shall become, Invah~
unless the work authorized by such permit is commenced Within SIX months o.f permltlssu~nce, or If work authOrized .by
the ermit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extensIon
ma: be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
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.
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 Identification.
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identlficatlon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped
D:ISCLOStIRE STATEMENT FOR OWNER
CJ:TY OF ZEPEtYIUt:ILLS BUJ:LDDrG DEPARTMENT
:I, r7 I, G- hA e I '';2, rr> I-11ZC;)ve'F:6 ' have read and fuJ.~y understand and
agree to the previsions of th:i:s instrument.
The undersigned states and affirms that he or she :is desirous of construct:i.ng,
renovating, adding to or reroofing h.:i.s or her own dom:i.cile~, that he or she
actually occupies, or w:i.ll occupy by said dam:i.cile, and same is not for
rent, ~ease or sale. That he or she shall comply with the :following conditions.:
L
That the owner and he or she alone shall act as the bu:i.lder .for all phases of..
construct:i.on.
That the owner will comply with all provisions of the City of Zephyrh:i.lls
ordinances and codes pertinent to -the bu:i.lding.
That in the event various phases of construction are subcontracted, he w:i.ll
engage only properly licensed subcontractors and w:i.ll personally supervise
such work..
That in the event the Bu:i.lding :Inspector shall require corrections to be made,
the owner will assume fullrespons:i.bility to insure they are made, and upon
completion w:i.li call for a re:i.nspection before proceeding w:i.th the build:i.ng.
That the oWner shall assume full respoDS:i.bi~ity for the construction and will
not expect supervision of h:i.s work from the City of Zephyrh:i.lls Bu:i.ld:i.ng
Department.
That prior to final inspection any additional fees, including re:i.nspection
fees, must be paid in full. A written request from this office shall
,constitute. an official notice. to pay additional fees.
That the owner shall comply with all City, State and Federal laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply w:i. th all the safety codes issued by the Florida
:Industrial Commission. .
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide d:i.rect
onsite supervision of the construction yourself. You may bu:i.ld or improve .a
one-family or two-family residence or a far.m outbuild:i.ng. You may also "build
or improve a commercial bu:i.ld:i.ng, provided your costs do not exceed $25,000.
The building or residence. must be for your own use or occupancy. :It may not
be bu:i.lt or sUbstantially improvedf.or sale or lease. :If you s&ll ;or' lease a
bu:i.lding yoti. have buil torsubstantia.J.ly :i.mproved yow:-seif. w:i. thin. 1 year after
the construction is complete, the law will presUme'tha:t you built or
substantially improved if for sale or lease, wh:i.ch is a. violation of this
exemption. You may not h:i.re an unlicensed person to act as your contractor or
to supervise people working on your bu:i.lding. :It is your respons:i.bili ty to
make sure that people employed by you have licenses required by state law and
by county or municipal licens:i.ng ord:i.nances. You may not delegate the
respons:i.bility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, wh:i.ch means that you must deduct F.:I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by iaw.
Your construction must comply with all applicable laws, ordinances, building
:=::::~~~~. .. .u " DATE /!hlo~
ADDRESS -5:1/0 / _ '~/ZEcECT<' l 1
FRONE '? Bc.>- V 617 '3
8/3 >;
WITNESS
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PEIUaT.. #
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6210
Permit Number: 6210
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRIC SERVICE REPLACEM
Proposed Use: NOT APPLICABLE
Contractor: HOMEOWNER
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/02/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 11/02/2006 Phone:
Work Desc: UPGRADING ELECTRICAL SERVICE TO 200 AMP ;.
Address: 5210 19TH ST
ZEPHYRHILLS, FL.
T Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19900-0050
Section:
Name:
. Address:
MARQUESS, MICHAEL R
5210 19TH ST
ZEPHYRHILLS, FL. 33542
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection rips 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.
&~NTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
~M~
REQtrl:RED