HomeMy WebLinkAbout06-6272
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
6272
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 44.00
Amount Paid: 44.00
Date Paid: 11/28/2006 Phone:
Work Desc: 60 AMP UNDERGROUND SERVICE POWER SUPPLY
6272
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
JAMES 0 MORTON ELECTRIC C
Address: 37906 8TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Section:
450.00
Name: BRIGHTHOUSE
Address: 37906 8TH AVE
ZEPHYRHILLS, FL. 33542
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POWER SOURCE LOCATED ON S OF 8TH ACROSS STREET FROM THE 37906 HOME IN THE GRAVE
YARD.
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 i accordance with City Codes and Ordinances.
~RM~
REQUIRED
CONTRACTOR
CALL FOR INSPBCTION - 8 HOUR NOTICB
PROTBCT CARD FROM WEATHBR
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6272
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid: Phone:
Work Desc: 60 AMP UNDERGROUND SERVICE POWER SUPPLY
6272
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
JAMES 0 MORTON ELECTRIC C
Address: 37906 8TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Section:
450.00
44.00
Name: BRIGHTHOUSE
Address: 37906 8TH AVE
ZEPHYRHILLS, FL. 33542
POWER SOURCE LOCATED ON S OF 8TH ACROSS STREET FROM THE 37906 HOME IN THE GRAVE
YARD.
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 FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
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REQUIRED
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address l_ . L
JOB ADDRESS I S1911 {}
SUBDIVISION
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PARCEL 10#1
LOT#
WORK PROPOSED
NEW CONSTR
INSTALL
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE I
............"."........,....,.........,.......,.............................................,...................,..,............................
ROOFING
:
I
I
D
I
VALUATION OF TOTAL CONSTRUCTI N
AMP SERVICE b()AP# PROGRESS ENERGY
o
W.R.E.C.
::
1$
1$
c=J GAS D
FINISHED FLOOR ELEVATIONS I
c=J . BUILDING
~ ELECTRICAL
1~ .00
c=J
c=J
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
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Address
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y/N
FEE CURRENT
Y/N
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111 111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I111111111111I1111
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 wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 wI Silt 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.
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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 NC
Fences (PloVSurvey/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 humber 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 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 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 "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 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, 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
unless the 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
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 COM ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY. IF YOU INT TO OBTAIN FINA~CING, CONSULT
WITH YOUR LENDER 0 AN ATTORNEY BEF . E RECORDING YOUR ICE OF COMMENC T.
FLORIDA JURAT (F.S. i tiP
OWNER OR AGENT l " j
Subscribed and swom to r affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
CONTRACTOR
Subscribed and swo
by
Who is/are perso lIy 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
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
o.WNER
Jo.B Lo.CATIo.N
PARCEL 1. D .' #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHo.W SIZE &
Fo.UNDATIo.N INFo.R-
MATIo.N.
(No.TE EXAMPLES 1 & 2 ) STREET
1. SETBACKS Fo.R Rl, R2 Zo.NING
60'
10'
P E
R X
0. I
10' P S 10'
a T
S I
E N
D G
20'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
2. SETBACKS Fo.R R3 Zo.NING
60'
1 0' 1 0'
10'
10' EXISTING 10'
PROPo.SED
20'SGL FAM 30'DUPLEX
FRONT PROPERTY LINE
DATE:
;/.1 i&t
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT#:
~1-1jy
No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building
Department. Any application for approval of construction operations on any City owned Rights of Way shall fumish a detailed drawing showing the complete
scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit is to be
kept readily available at the site of the work at all times. -11J I . ~/ ",/ Y
PARCEL 16#: CITY ROAD 0 170 b A III J J-f,:
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Subject to the foil ing conditions:
1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant.
2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official, who
will be notified at least one day prior to commencement of construction.
3. All materials and equipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility
from damage of any nature arising from this permit. SUbject to the same terms and conditions, the permit holder may take such safety measures,
including placing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder. It is the
responsibility of the permittee to ????
5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City Building Official.
6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit. This permit is granted with the understanding that the
applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior
installations as a result of his operations in order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this
permit shall not operate to create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and
appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the
City Building Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or injuries that may occur by reason of the construction,
maintenance, and operation of said facility.
11. The holder shall complete the requested work within _ days or this permit shall become nuli and void. In the event the work requested is
not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of the permit
for all costs incurred in completed said work.
12. The holder shall post a cash or surety bond with the City Manager in the sum of $_ dollars to guarantee performance of the
obligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the
requested installation. In the event a surety bond is posted, the surety bond shall be made payable to the City and shall obligate the surety to
hold the City harmless in the event the holder of this permit should fail to meet any of its obligations hereunder. The bond shall also indemnify
the City for all court costs and reasonable attorneys fees in the event legal action i equired to collect on saidDnd.
/" SUB TTED BY:
(PERMITTEE) .:JJIlt") (). e r;~ f-,'f'rlrl!#,(~;
Signature & Title
Address J 61/i.
Building Official
Utilities Supervisor
APPROVED BY:
CITY OF ZEPHYRHILLS
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Date
Date
Public Works
Date
City Manager
Date