HomeMy WebLinkAbout07-6344
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6344
Address: 5813 CRANBROOK
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: MOBILE HOME PARK Lot(s): Block:
Contractor: REESE ELEC. Book: Page:
Square Feet: Subdivision: TREE LANE VILLAGE
Est. Value: Parcel Number: 10-26-21-0000-00100-0000
Improv. Cost: 2,000.00
Date Issued: 1/03/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/03/2007 Phone:
Work Desc: REPL 4 GANGMETER BANK & PWR POLE 5817 CRANBRK/5810 & 5814 DAYTON
Section:
TEMPLE TERR VILL
10912 56TH ST N
TEMPLE TERRACE,FL
~~~I
l/tJ-D1
R U H ELECTRIC
CONSTRUCTION POLE
PRE-METER
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, Specifications and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
CALL POR INSPECTION - 8 HOUR NOTICB
PROTECT CARD PROM WEATHER
~M~
REQUIRED
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~CaR
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
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(C9l~ Bc~ S+-. N
k pwner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple TItleholder ~amel
Fee Simple Titleholder Address 'I
'1$l~Crc;..nbnc:4<.I''5~ll<:.rc.nb. fUi'l 5~1() '~lCvl. S-~',.4 ~hJ LOT# I
JOB ADDRESS .
t:Ifulo.k-V,1l4'3!}-lcblt.. I PARCELIDIIIID-~- ;)..1-=- oD\cI:l- OOC:C
. . (qBTAlNED FROM PROPERTY TAX NOTICE)
D NEW CONSTR D ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH
D INSTALL OCJ REPAIR
PROPOSED USE 0 SFR D COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D
DESCRIPTION OF WORK R~(.lu. It 9 ~ \'Y\C.:k:.r ho..n ~ t? ~ pete ,
BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I
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SUBDIVISION
WORK PROPOSED
OTHER I
I
I
I
o
BUILDING
VALUATION OF TOTAL CONSTRUCTION
~
ELECTRICAL
rc;ERVICE
00
PROGRESS ENERGY
o
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
Address
I License #
COMPAN;l~~e.-\ec.:tliCAJ i ~c... .
REGISTERED Y I. N I . FEE CURRENT I Y 1 N I
LIcense # 1~;~I3S3
Address
ELECTRICIAN 1
SI~NA TURE
.p.
COMPANY
REGISTERED
PLUMBER
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
yrN
Address
LIcense #
OTHER
SIGNATURE
COMPANY
REGISTERED
I YI N
FEE CURRENT
Y/N
COMMERCIAL
License #
11111 11111 11111 11111 II! 1111111111111111111111111111111111111111 i 11111111111111111111111111111111111111111111111111] I11111111111111
Attach (2) Plot Plans; (2) sl;lts of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsile, 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, Sanilary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
''''PROPERTY SURVEY required for all NEW construction.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111111111
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 a4lhQJizlng
OVER THE COUNTER PERMITTING (Front of Application Only)
. Reroofs Sewers Service Upgrades AlC
Address
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RESIDENTIAL
SIGN PERMIT
Driveways
NOTICE OF DEED RESTRICTIONS: The undersigned understands thaithis permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
. applicable dee<;J 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
understate 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 h~shired 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 hot properly licensed and is not entitled to permitting privileges in Pasco
County,
TRANSPORTATION IMPACT/UTII,.ITIES 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 buildhlgs, as specified In Pasco County Ordinance number 89-07 and
90-07, as amended. The underslgne<;J 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 113, Florida Statutes, 8S 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 fn 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 till 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 materl~1 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 properti~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 OWNER, I promise In good faith to Inform the owner ~f the permlttrn~ conditions s~t forth rn
this affidavit prior to commencing construction, I understand that a separate perm~t may ~e reqUired for eleclnca,l work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCIfically m~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 VIolate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the BUll,drng Official from the~eaft~r
requiring a correction of errors In plans, construction or vlolatio~s of any codes. Every permit Issued shall become Invalid
unless the work authorized by such permit is commenced wlthrn six months o,f permIt Issu~nce, or If work authorized. by
the ermlt 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 to exceed nrn~ty (,90) dars 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)
AGEN ~
m to (or affirm. ) b r
CONTRACTOR
Subscrfbed and swom to (or affirmed) before me this
. by
Who Isfare personally known to me or haslhave produced
as Identification.
~^" ~~ NotaryPubllc
. ~~...~ are" L. Miller
Commission NO'~. :~ . ;~ Co~mission t# De609664
~:i.'"'' ~ Expires October 29, 2010
: Name of Notary typed::ri~ted~~.;{~m"'peif~""'.' 'nc. --.70,.
Notary Public
.....
Commission No.
Name of Notary typed. printed or stamped