HomeMy WebLinkAbout07-6369
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CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
6369
Permit Number: 6369
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: MOBILE HOME SUBDIVISION
Contractor: POWERHOUSE ELEC.,INC.
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 1/16/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/16/2007
Work Desc: RELOCATE ELECTRIC SERVICE
Address: 6031 RIDGEWAY DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: ZEPHYR RIDGE
Parcel Number: 03-26-21-0130-00000-0570
Name: McCONCHIE, MARK
Address: 6031 RIDEWAY DR
ZEPHYRHILLS, FL. 33542
Phone:
ROUGH ELEC
CONSTRUCTION POLE
P~ETER
.fTNAL "', J
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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
per~! in :ccordance with City Codes and Ordinances.
LY~,Y (/ ~.
~~~
-PERMIT OFF I R
REQUIRED
CONTRACTOR
CALL POR INSPECTION - 8 HOUR NOTICE
PROTECT CARD PROM WEATHER
,813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner"s Name
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Owner.sAddress (P6!!' J !(tc4rw4'f d/(
Fee Simple Titleholder Namel
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
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, (OBTAINED FROM PROPERTY TAX NOTICE)
E1 NEW CONSTR D ADD/AL T D SIGN D MOVE ~
INSTALL D REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK I ,(Fk,orIE r--/Fcl/LIC SE"RVtCC
I sa FOOTAGE I
JOB ADDRESS
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LOT #
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Fee Simple Titleholder Address
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER 1
STEEL D
OTHER 1
BUILDING SIZE
HEIGHT I
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1$ I
1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
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wi
ELECTRICAL
AMP SERVICE
/5DA
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
BUILDER
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
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, Ir@ N -I r FEE CURRENT I(') I N
License # I
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
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I
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
License #
I1111I111111111111111111111111111111111111111111111111111111/111111111111111111111111111111111111111111111111111111111I1111111111I
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
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 wI 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.
Di~~~ti~~~': . . . . , , , . . . . . . . , . . . . , , , . , . . . , , , , . , . . . . . , , . . . . . . . , . . , , , . . , , , . . . . . , , , . . . . . , . , . . , . . . , . , , . . . . . . . . . . . . . . . . . . . . . , . . . , . . , , , . , . . , . . , , . , . , , , , . , . .
Fill out application cpropletely.
Owner & Contractor sign back of application, notarized
If over $2500, a, Notice of Commencement is required. (Ale 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 (PloUSurvey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter if on public roadways..needs ROW
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N<l>>TICEOFDEED RESTRICTIONS: The undersigned understands that this permit may b~ subject to "deed" restrictions"
~~~~r~i.~::=we than County regulal.,ns. The unders~ned assumes responsil>lny few compllancoWtth any
, Y~L.lqi5~~~9,C~NTRACTORS AND CONTRACTOR RESPONSIBILITIES: Ifthe owner has. hired ,a contractoror
'~~;~I~~~fJI=~:dW:k;:rre~a~bl~~:;~dl~ ~~:n::J :~t=:~C:~ ~t~:;~!rif~'~~~~~~gr"~i~l~ro~
unJ:J7tsb:~tf! la~, '. ,If the owner or intended contractor are uncertain as to what licensing requitem7nlsll1ay.. applY for the
.intbt1ge9iw~r~lt~e~ are advised to contact the Pasco County Building Inspection Division--Licf!nsihg .Section.. atZ27-847-
8~P~1. FuftKerrtlore, if the owner has hired a contractor or contractors, he is advised to have the cOhtractor(s) sign
~d,Hio~s ?ftll~(:P?ntractor Block" of this application for which they will be responsible. If you, as the owner sign as the
cortractotl th~ttnay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
. " (Jaunty.
T,rfANSfi~~!~TION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
th~t Tran.spo.~~U911Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use, inexisti~~~~i1dings, orexpansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as arTl~hded7 The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It.l.s 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I D TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y U N CE 0 COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) Q (L /
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identification.
Notary Public
,'~~~~f' Karen L. Miller
'o..A.~.<!!. mi' # onanoaAA
::: ":~ Com salon UQ\,Iil"'Protary Public
",.~~;....],i&: Expires October 29, 2010
Commission No. 1,r,R".f~' Bondod fItlY F..n' _"nc". Inc. 11004II-701.
~.,,_ rl~.lLU~_
Name of Notary typed, printed or stamped
Commission No.
Name of Notary typed, printed or stamped