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Home My WebLink About06-6236 . CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 6236 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: 6236 ELECTRICAL MISC ELECTRIC SERVICE REPLACEM MOBILE HOME PARK ROGERS ELECTRIC Address: 6004 MI RVA LOT 86 ZEPHYRHILLS, FL. NT Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: PINE CREST M,H,P, Parcel Number: 03-26-21-0210-00000-0860 900,00 11/13/2006 35,00 35,00 11/14/2006 Phone: 150 AMP ELECTRIC SERVICE UPGRADE PINEC S MHP 6037 HARRIET ST ZEPHYRHILLS, FL. 33542 I rY \1/\tlf y\ '0 \\\~"") \~ FINAL 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, pecifications and Fee Must Accompany Application. All work shall be performed' cordance with City Codes and Ordinances, , '.....-"'/~ / CONTRACTOR CALL FOR INSPECTION - 8 HOUR NOTICE PROTECT CARD FROM WEATHER ~M~ REQUIRED 813-780-0020 City of Zephyrhills Permit Application Building Department I I I ~, I LOT' I B& I PARCELID,ICB-;?4:> -.2}-O,;2JO'-OOOOD - (!)!6~O I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D Owner Phone Numbe Owner Pho~e Number I OWner Phone Number I ,. Date Received Owner's Name 4~ Owner's Address I &tJ3 '7 1/ ~127~ ~r= Fee Simple Titleholder Namel Fee Simple Titleholder Address I 10rOo1 r'Yt:"JlJSrzlJ It ~/lJE.fu5T 1YI,f{, ~ D NEW CONSTR CJ ADD/ALT D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 DESCRIPTION OF WORK IISO JtrvfP {;~..;' <5:&e.~ u~mf)r../ BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I , III " I . , ,. I . r I . . , III , , IIII . , . , I , I , I r . , IIII , II . . " I . . , II . WI , III r , . I fl' , III , IIII r , II1I I , I r r II . , I . . II , , II , I . I I r IIII , I r II . r rill' , I WI , III . II . . , r I . I , II D BUILDING 1$ I . VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL ~CO ~ I AMP SERVICE D PROGRESS ENERGY D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111/11111111111111111111111111111 BUILDER I SIGNATURE JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH OTHER I D W,R.E.C, COMPANY REGISTERED Y/ N FEE CURRENT Y/N PLUMBER SIGNATURE T1 COMPANY REGISTERED License # I ~'i'P.913~5 Lf't 00/ 2. ~2.1 FEE CURRENT I Y / N Y/N Address LIcense # MECHANICAL I COMPANY SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I LIcense # OTHER I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address I License # 1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111III111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 onsite, 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, D/~cli~~~':' . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , , . . . . . . . . . . . . . . , . . . . . , . . , . . . . . . . . . . . . . . , . , . . . , . . . . . . . . . . . . . . . . . . . . . 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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF OEED RESTRICTIONS: The undersigned understands that this perm. may b. subject to "deed' restrictions' whicb 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 cont~actors 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 und~r state law, If the owner or intended contractor are uncertain as to what licensing requirements may apply for the inten~ed work. Ihey. 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 partions of the 'contractor Block" of this. application for whicH they will be responsible. If you, as. the owner si~n as the contractor, that may be an indiGation that he is not properly licensed and IS not entitled to permitting pnvlleges In Pasco Cou~ty , TRANSPORTATION IMPACT/UTILlTIESIMPACT 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, Cis 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 thai Transportation Impact Fees and Resource Recovery Fees must be paid prior to recelving 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, COtlSTRUCTION UEN LAW (Chapter 713. Florida Stalut.., 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. COt,lTRACTOR'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 con~truction, 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: Dep!'lrtment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. i 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 "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 wall. 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 properties, the owner may be cited for violating the con~itions 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 ~ elm ~he ~G~NT FOR THE <?WNER, I promise in good faith to inform the owner of the permitting conditions set forth in thiS :a~ldavlt. prior to commencing construction. I understand that a separate permit may be required for electrical work, plum~l~g, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit. Issued shal~ ~e construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set rS1de any prOVISions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid unlElss th,e ,work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit IS suspended or abandoned for a period of six (6) months after the time the work is commenced, An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justi~iable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned. ~ 0 "'" O-~ ~ ' Notary Public I Commission No, I .:~~ Karen L. Miller Nam'e 0 ';'1". . " I ~~,...", expIres October 29, 2010 ~iW,~ ~ Troy Flin ,Insurenel, Inc 8QG.3M-7019 ~~~ &-~ Notary Public Commission No. .:%$-l.~~~ Karen L. Miller Name of Notary type rI be ,,~,....!#i Expires October 29,2010 ,w,r,\ Bonded Troy Flln ,In""'once, In< ~7019 11/14/2008 10:49 FAX 3525871159 PETERSON AGENCV III 00 1 /002 A CORD... CERTIFICATE OF LIABILITY INSURANCE I DATEIUMlDDIVYVY) 11/14/2006 PRODUCER (352) 567-9771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kyle Peterson :Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 37837 HliIriclian Ave. ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Dade Ci t:y FL 33525- INSURERS AFFORDING COVERAGE NAIC. INSURED INSURER ~ OWNERS INSURANCE CO. DOUGloAS ELECTRZC, mc . INSURER B: SOtnHElUiJ OWNERS ms. CO 36425 COV:ING~ON RD. INSUReR c:AVTO OWNERS INS. CO INSURER D: DADE C:ITY I'L 33525- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTIMTHSTANDING ANY REQUIREMENT, TEIW OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIACATE MAY BE ISSUED OR MAY PER1'AIN, THE INSURANCE AFFORDED BY THE POLICIes OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. exCLUSIONS AND CONOITlONS OF SUc.H POLICIES, I AG~TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS, "&~=::~ PODA"'fl(~~OH INIR I L TR INS TYPE OF INSURANCE, POLlc:Y NUMBER llMml A ~l!lW.lIA8IUlY / / / / EACH OCCURRENCE $ 500,000 X COMMERCU\L GENERAL LIABIUTY =frel?e~"",\ $ 50,000 I CLAIM6 toWlE [jJ OCCUR 20543030 02/14/2006 02/14/2007 MED EXP (Any OM pnon) e 5,000 PERSONAL & AOIIINJURY . 500,000 r-- I / / / 500.000 '-- GENERAL AGGREGATE . ~L AGGREGATe L.IMIT nl!S PER, PRODUCTS - COMP/OF' AGG t 500,000 POLICY n rr8r LOC I / / / ~UTOM08lLl! UABlUTY I I I I COM81NED SINGLE LIMIT (Ea acOdenI) t ANY AUTO - I / / / - AU. OWNED AlITOS BODILY INJURY (Per per8On) $ SCHEDULED AUT06 - I I / I 1l1RI!D AUTOS BODILY INJURV I-- (Per llt.dCIBrl) 8 HON-OWNED AUTOS '-- I I / I PROPERTY DAMAGE lPlll'~) . GARAGe lIA8ILnv AUTO ONLY. EA ACCIDENT S R AMY AUTO , I I / / OTHER THAN EA ACC e AUTO ONL Y~ AGG . EXCESS/UlllIReUA lIA8ILnY / / I I EACH OCCURRENCE e ::J OCCuR 0 CL.UIlS MADE AGGREGATE e e ~ DEDUCTIBLE / / I / . , RE1I!NTION $ ~I e WORKERS COMPEN8A11ON AND / I I / IO~ EMPLOYERS' UAelUlY ANY PROPFlIETORIPARTNERlEXECUTIVE E.L EACHACCIDEHT S -- OFFICERlMEMBEFl EXCLUDED? / I / / E,L, DISEASE, EA EMPlOYeE e lIyw.-"-~ I!,L DISEASE - POLICY LIMIT . SPECIAL PROVISIONS beIClw OTHI!R / / / / I / I I / / / / DESCRIPTION OF Ql'ERAl1ONSILOCATlONSlveHIClESIEXCl.U8IONS AIlOI!D BY END0R9EMENTISI'KlAL PROVISIONIS CERTIFICATE HOLDER ( ) (813) 780-0021 CITY OF ZEPHYRH~LLS BUILDING DEPAR~ 5335 E~QH~H ST ZEPHYRHILLS !'L 33542 ACORD 26 (2001/08) ft.- INS02& 101(8)05 CANCEU.ATlON SHOULD AflY OF. mE MOVE DESc:RlIilED POLICIES BE CANCeLlED BEFORI! THE EXJI(RA11OH DATe THEREOF, nil! ISSUING INSURER WILL. ENDl!AWR 10 MAIL ~ DAYS WRITTEN NO,"CI! TO THE CERTlFlCAlE HOLDER NAMI!D TO THE LEFT, BUT FAILURE TO DO 80 SHALL 1M OBUOATlON OR lIABlLnY OF fj.NY KIND uPON THE INSU AGENTS OR Ul'RE9 AU RE \II! o ACORD CORPORA liON 1988 p~ 1 ar2