HomeMy WebLinkAbout06-6237
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6237
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 900,00
Date Issued: 11/13/2006
Total Fees: 35.00
Amount Paid: 35,00
Date Paid: 11/14/2006 Phone:
Work Desc: 150 AMP ELECTRIC SERVICE UPGRADE
6237
ELECTRICAL M ISC
ELECTRIC SERVICE REPLACEM
MOBILE HOME PARK
ROGERS ELECTRIC
Address: 6009 CRESTON S L
ZEPHYRHILLS. FL.
NT Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: PINE CREST M.H,P,
Parcel Number: 03-26-21-0210-00000-0850
Section:
Name: BARNES. MR.
Address: 6009 CRESTON ST
ZEPHYRHILLS, FL. 33542
~ l {1~\D<Rt/
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, S ecifications and Fee Must Accompany Application. All work shall be
performed in ac 0 dance with City Codes and Ordinances.
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
~M?:tr
REQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
#' (p -{aJ/~-780-0021
Date Received
(j~~70AJ
<5r
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address I ({JOf?..9
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I LOT# I 8s-
PARCEL 1D#1t?3-.A~ ~J -02/0 -00000 - oBfJo
(OBTAINED FROM PROPERTY TAX NOnCE)
D SIGN D MOVE D
D
D
~Llae. L}fGtIfIWf-
I HEIGHT I I
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1$ qw~ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo
1111111111111111111111111111111111111111 " 111111111111111111111111111111111111111111111111111111111111111111 " I " I " 1111 " II " 11111111111111111111
BUILDER I
SIGNATURE
10c?61 &6~JtJ 5r:
~~51y;1,U 1~
E3 NEW CONSTR E3
INSTALL
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK I /j;-V fh7i? &ft.It/~
I SQ FOOTAGE I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
DEMOLISH
OTHER I
STEEL D
OTHER I
BUILDING SIZE
D
D
D
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W,R.E.C,
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
I Y / N I FEE CURRENT Y / N I
~~;ti. ~ :
N FEE CURRENT Y / N
License # 19<DO/3. ~3- I
€(l-~UJ C ~~ 1 I
FEE CURRENT Y / N
I
I
I
I
I
Y/N
COMPANY
REGISTERED
ELECTRICIA
SIGNATURE
REGISTERED
PLUMBER
SIGNATURE
COMMERCIAL
Address
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I License #
, II " II " III " 1111111111 " " 111111 " " II " I " I111111 " 11111111 " 11111111111111111111111111111 " 1111 " " 11111111 " " " 1111111 " 1111 " 11111111111111
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 subdivisionsllarge projects
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/ Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction.
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
SIGN PERMIT
111.11...11..11111..11111......111...........11.11.....111111......11...111..1111.11..1111....111....111..........................................
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 AlC 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 corrlplianc~ 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
und~r state law, If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intenped work, they are advised to contact the Pasco County Building Inspectio,n Divi~ion-Licensing Section at 727-8~7-
8009. Furthermore, if the owner has hired a contractor or contractors, he 15 advised to have the contractor(s) Sign
portil'"S 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 indication that he is not properly licensed and IS not entitled to permitting privileges In Pasco
County.
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, 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 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 lare due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CO~STRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I
certiN 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<JTRACTOR'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
conl:1truction, 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~rtment 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 ungerstand 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 "AD, 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 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 ~m the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this :a~davit. prior to commencing construction. I understand that a separate permit may be required for electrical work,
plurr'~I~g, sIgns, wells, pools, air conditioning, gas, or other installations not specifically 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, cancel, alter, or
set aSide 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
unlE1ss 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
justiriable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
I
WA~NING TO OWNER: YOUR FAILURE TO E
PAYING TWICE FO ROVEMENTS TO U
WrrH YOUR LE ERAN ATTO EF
FLORIDA JURAT .S. 117,
~
RD A NOTICE OF COMMENCEMENT MAY RESULT
ROPERTY. IF YOU INTEND TO OBTAIN FINANCIN ,
E RECORDING YO TICE OF COM T.
YOUR
NSUL T
. CONTRACT
~crIbed an
\ .....10(:;) by
Who Is/are personally kno to me or haslhave produced
~\. 5+. L-\ "'P./Y\...~ as Identification.
~
. ,....-rr-.....l Q-^'"'. ~ ~ \l l\.R -:_
Commission No,
Notary Public
Name of Notary typed, . tn. iller
~\. l;E Commission # DD609
";1,w.~:" Expires October 29, 2~
tel Troy Fltn ' Insurlncl, Inc 8O()..:!85-7019