HomeMy WebLinkAbout07-6412
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6412
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 1/30/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/30/2007 Phone:
Work Desc: PANEL CHANGE DUE TO FIRE DAMAGE - EVALUATE EXISTING ELECTRICAL
6412 Address: 37915 EILAND BLVD
ELECTRICAL MISC ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
COMMERCIAL Lot(s): Block:
POWERHOUSE ELEC.,INC. Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-06400-0031
Section:
Name: GOLDEN PANDA
Address: 37915 EILAND BLVD
ZEPHYRHILLS, FL. 33542
. ~1
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ROUGH ELE TRIC
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
pe~,inaccordance Wi~tY Codes and Ordinances.
\ 'Y-~~,,-~
'-.--/ CONTRACTOR
CALL POR INSPBCTION - 8 HOUR NOTICB
PROTBCT CARD FROM WEATHBR
~-~
-PERMIT OFFI R
REQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
I Q^-UI.... ........ ........-.
Date Received
1- 30 ~ D
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
~
Owner's Name GC)llcN Pi'l'~M / !lJr.:~;.htJiD JV1ALI/(
Owner's Address I
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
3,LfJS E,I",,vd 8(1/0
LOT #
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
o
o
PARCELID#163-~<O-OI-()D\O~bIo4'DO -DC6\
IOBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
o
o
o
DEMOLISH
SUBDIVISION
c;3
COMM
FRAME
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I ~ Q.-.\ ~~ o.u.e.- A-o ~ i e.. - fuo_9..,~_:0i::it-R, ~\5t \ n..:;
BUILDING SIZE I sa FOOTAGE I HEIGHT I
TfT'TT111111111111111111111' I , I11I1111 , III , III , III t 1111I1111111 · 111111111111111111 , III ; 11111 · , 11111 . 1111111111 , II . 11111I11111111111111111111111111
OTHER
STEEL
I
o
OTHER I
o BUILDING 1$ I
~ ELECTRICAL 1$156D"~ I
o PLUMBING 1$ I
o MECHANICAL 1$ I
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
::::~~RE I I ;:'o~:;:= I Y I N FEE ""'RENT Y I N I
Address I License # I
ELECTRICIAN I (]Jf .it t ~
SIGNATURE. ~ -
Address I c; 4 lILt (. .', I" A'.( ,( A ,,1.<. . -2 ~ ,-I; ( I s
PLUMBER I
SIGNATURE
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
ZOD
o
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
COMPANY
REGISTERED
Y/N
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 onslle, Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislons/large 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 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.
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMMERCIAL
SIGN PERMIT
11...1.1111111.1.11......11111.1111....1.111..11111111...11..111....111...1111...111.........11......11'....11111....111111111..,111.111111....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 NC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
H p6ft
,~oN~~~
'i:;jij:.:;.OdUn{y..
:'.~'~\t'.~.'.'.;:T.:AA.< . . -ON IMPACT/UTILITIES,' IMPACT AND RESOURCE RECOVERY FEES: The undersigned Uhderstands
ii; .......dh~tT Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, ~hahge of
.., 't.ls~.jn. '.' ...... , ings, or expansion of existing buildings, as specified in Pasco County Ordinance number ~9-07 and
'90:-o7Ia8.",..", ....' The uhderslgned al~~ understands, that such fees, as may be due, will be identified at tfie time of
pe'tmitting:'m;I~:'4i~her understood that 1;ransportatlon Impact Fees and Resource Recovery Fees must be paid prior to
rebei"lrig.a,,~~EiHifjpate of occupancy" or final power.release. If the project does not involve a certificate of occupancy or
finfil power I'el~~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are dUe;J~~y.f1lUst be paid prior to p~rmlt Issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTi~N 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 Guldeir 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 "An, 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 perm~t may be requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically in~luded.ln the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authOrity !o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~i1.dlng OffiCIal from the~eaft~r
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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not to exceed nJn~ty ~90) da~s 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 END TO OBTAIN FINANCING, CQNSULT
WITH YOUR LENDER OR AN ATTORNEY B FORE RECORDING YO TICE OF COMMENCEMENT.
FLORIDA JURAT (ES. 117.03)
"PEEDRESTRICTIONS: The undersigned understands that this permit may be subjedtolid~ed~f~
~'9.re restrictive than County regulations. The undersigned assumes respdn~lblilty fort:()~~1
'estrictions. . ,.>..<<
'(!)NTRACTORS AND CONTRACTOR RESPONSIBILITIES:. If the6Wner/hashlredA
.M~rtake work, they may be required to be licensed In accordanceWit~st~i~,aJ:!~.I()~I~~f'"
i!\~nsed as required bylaw, both the owner and contractor maYb~~I~e~Jqfafljis'
f~Jf;the owner or Intendecl contractor are uncertain as to whCltU~nsln~.,t~~~lf~m~nt~
. 'It are advised to contaqt the Pasco County Building Inspectiqn piYi$lo"*1I6@rsiijg. .. .' .....),//L,
'fe, if the owner has hired a contractor or contractors, he il3ad~ise~, to ha~e ~~E!, .,~I~fl'i"(;
.... 'tractor Block"'of this ~pplicatlon for which they will be responsible; .If you; . as~liebWij~r'~;igfi ~s iHe'" i.'
'~y be an hldlcatlon that he is not properly licensed and is hot entitled to permitting prlyli@~esln,Basco . f
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
Notary Public
~<C~ c-,,~
Notary Public
Commission No.
Commission No.
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_"W... aren L. Mill
Name of Notary typed, ~t r:~ . ssion # 00609664
~1."".~ Expires October 29,2010
,Sf, r,\ Bonded Troy Fa," ' Insurance. Inc 800-385-7019
Name of Notary typed, printed or stamped