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Home My WebLink About07-6544 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6544 Permit Number: 6544 Address: 5730 12TH ST Permit Type: ELECTRICAL SERVICE CHANGE ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-07100-0150 Improv. Cost: 1,700.00 Date Issued: 3/14/2007 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 3/14/2007 Work Desc: UPGRADE 100 TO 150 AMP Name: MICHAELS, SUSAN Address: 5730 12TH ST ZEPHYRHILLS, FL. 33542 Phone: ~c9 /' 0--- 01 Y l (' 2)lP' l~ 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 inspections 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 paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording y notice of commencement. n NO OCCUPANCY BEFORE C.O. .. ~~ CTOR S ATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER 813-780-0020 (;Ity OT Lepnyrmlls t"emlll MJJJJII\jdLlUII Building Department Date Received Owner's Address ~ 7 ~ C> Fee Simple Titleholder Nam~ /2/k 5'17l~ , Owner phone Num er Y Owner phone Number I ~7G 1'., ,.?tJ y' -6~ '1J7 OWner Phone Number I Owner's Name Fee Simple Titleholder Address LOT # JOB ADDRESS PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLISH WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I B' o o ADD/ALT REPAIR COMM FRAME o o o SUBDIVISION ~.. B PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I BU'LDING SIZE 1 ~ ~: I SQ FOOTAGE L _ Z qP... .. .. . ..I.. . ..~~.~':;'. .I.. " .. .. " " " " .. " .. ) , " . " , " .. " " .. " , " , .. . III.. I I. I.. I. II.. "_ _~_.. I--=: II... I. II.. II. I..... II III.... "_- --....... --.... o BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION 1$ o PLUMBING 1$ o MECHANICAL 1$ o GAS 0 FINISHED FLOOR ELEVATIONS I OTHER STEEL I o OTHER I I I I ELECTRICAL AMP SERVICE t! rtJ .~ PROGRESS ENERGY I/fG~er I~(J ~ o W.R.E.C. ~ VALUATION OF MECHANICAL INSTALLATION ROOFING o I SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO I , . , I I . . I I I , , . I I I I I I . . . . . I . I . I . I I ~ I I I I I I I . . . pI. . . . . I I . . I I . I . . . I I . I . I . . I . . . I I I . . . , , I I I . . I I . . I . . I I I . . I . I . . I . I I I . . . I I I I I I . I I . I . . I . I . I . . I I I . I . . I I . . I . I BUILDER SIGNATURE COMPANY REGISTERED Y/N Address Address ELECTRICIAN SIGNATURE License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y IN FEE CURRENT License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED MECHANICAL SIGNATURE Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N Address II" , . IIII , I . I "111"1111'" 1IIII t 11I1I11I1111111111111 , II , I11I , 11I11 ~ 11III1 , I , , , , 111I111I1 , 111111111111111. III , I I , , , 1111 , III r I1I11 , 111111111111 , RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. j 1111111. 111111111111. ~ j 111111 j 111111. I . . ~ j ~ II. j 1111111-1. . 11111 ~ j I1111 ~ . . . I1111111111I111 i 111111. 11111I111 i ~ 1111 i I i I ~ ~ ~ 1111 i 1111I111 i II i i II ~ 1111 i i 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 Driveways Fences (PloUSurvey/Footage) , N~TICE OF DEED RES"!"RICTIONS: The undersigned understands that this 'permit may be subject to "deed;' ~estrictloris" 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 reqUlrement~ may apply,fot the Intended work, they are advised to contact the Pasco County Building Inspection Dlvlsloli-Ucenslng Section at 727-847- 800~. 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 ~ppllcatlon for which they. will be tesponslblEi. If you, as the owher sign as the, contractor, that may be an Indication that he is not properly licensed and Is hot entitled to permittihg privileges In Pasco County. , ,',' ' ' TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understahds that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, chahge 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 tif 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 hot Involve a cenificate of occupahcy or filial power release, the fees must be paid prior to permit issuance. Furthermote; it Pasco COl,Jnty WateriSewer 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 Statu.es, 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 arid land develop'inent. 'Application is hereby made to obtain' a permit to' do work and Installation as indicated. I certify that ho work or Installation has commenced prior to issuance of a permit and that all Work will be p~rformed to meet standards of all laws regulating construction, County and City codes, zoning regulatJons, 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 hot limited to: _ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment. ' . " , .,. Southwest Florida Water Management District-Wells, Cypress Bayheads,' Wetlahd Areas, Altering Watercourses. ' , " " , Army Corps of Engineers-Seawalls, Docks, ,Navigable Waterways. ", " , Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, WasteWBter Treatment, Septic Tanks. " ' . ' , US Environmental Protection ~~gency-Asbestos abatement. Federal Aviation Authority-Runways. , I understand that the following restrictions apply to the, use of fill: ' , _ Use offill Isnot allowed inFlood zone "V" unless expressiy permitted. . If the 'fill material Is to be used In Flood Zone RN, It Is understood that a drainage plan addressing a Rcompensating volumeR will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. ' ' , R " .' . ; , If the fill material is to be used In Flood Zone A in connection With a permitted building using stern wall construction, I certify that fill will be used only to fill the area within the stem ~all.. ' , If fill material is to be used In' any area, I certify that use of such fill WIll hot 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 ~f the permlttln~ condlbonsset forth In this affidavit prior to commencing. construction. I understand that a s.eparate permit may be reqUIred for electrlca,l wor~, , . 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 Iiceins,e to proceed with the work and not as authority !o violate, cancel, alterj or set aside any provisions of the technical codes, n~r shalllss~ance of a permit prevent the B~lIdln9 OfficIal from .the~ea~~r , requiring a correction of errors in plans,constructlon or violations ,of any codes. Every permit lssu~d. shall become. Inda~d unless the work authorized by such permit Is commenced within six months o.f permit Issuance, or If work authOrize y , the ermit is suspended or abandoned for a period of six (6) months after the bme the work Is commehced: An extension p b . , ted 'in writing from the Building OffIcial for a period not to exceed ninety (90) days and wlII,demonstrate ~:Kfia~l~e:~:efo~ the exten'slon. If work ceases ,for ninety (90) consecutive days, the job Is considered abandoned. '. ' '1 URE TO RECORD A NOTICE OF COMMENCEMENT MAy ~E~ULt IN YO~R , '~:~~~~~EO~~EI~P~g~:,:~~s TO YOUR PROPERTY. IF YOU INTEND, TO OBTAIN FINANCING; OONSUL T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT ' Subscribed and swom to (or affirmed) before me this , 'by , " Who Islare personally known to me or has/have produced as IdenUflcaUon, CONTRACTOR' " ' ' Subscribed and swom to (or amnned) before me thIs by Who Islare personally known to me Dr haslhave produced , ' asldenUflcaUon. Notary Public Nolary Public Commission No. Commission No, ' Name of Notary typed, printed or stamped . . Name of Notary typed, printed or stamped ~ larouosal Wesley Challel Electric, LLC 25678 Inkwood Place Wesley Chapel, FL 33544 813-973-1141 or 713-0964 wcelectric@Verizon.net Page # Date 01 Plans pages - ,.~- 0 7Z,7-~(J -6 ~7 uC~~ ,. a,.u-,tt)&2lG::. "'~ ,/<27-' ~ :I9.,,~ _ _~'t21Z=-=:t;.- ~~~~../~/7!l-~~ 1//6 ~rrs. We propose hereby to furnish material and labor - complete in accordance with the above specifications for the sum of: $ :3" <2V eJJ l t8L~ f-k, JVD ~Q c:=JO ~ with payments to be made as follows: ~ Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. ~cctptanct ,of ~ropo~al The above prices, specifications and conditions are satisfactory and are Signature hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature Dollars ? () days. 03/14/2007 10:13 FAX 8139350709 HEIGHBORHOOO-IHS.SVS. 141001/001 A'CORQ.. CERTIFICATE OF LIABILITY INSURANCE llATE IMM/DDiYYYY) 03/14/2007 PROO~C~ft (813)935-1561 FAX (813)93>-0709 TH.I.S.~~ATIFICATE IS ISSUED AS A MATTER 0 Neighborhood Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14949 N. Florida Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33613 INSURERS AFFORDING COVERAGE NAIC #I INSUReD WESLEY CHAPEL ELE.LCTRIC LLC INSURER A; American Strategic Insurance C 2>678 Inkwood Place INSUAEFl B: Wesley Chapel, FL 33544 INSURER c: INSURER D; INSURER E: COVERAGES THE POLlCII:S OF INSURANce LISTEO BELOW HAVE BEEN ISSUED TO THE INSUR.ED NAMED A.IilOVE FO~ THE POLICY PEFlIOD INDICATED, IIl0TWITl-lSTANDING ANY REQIIIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PER" 'AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE rEAMS, EXCLUSIONS AND CONDITIONS OF suet; POl.ICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PArD CLAIMS. LTR NSR TYpE OF INSURANce POLICY NUMBER "'~i+'i'<MMiODr;yr DATe lUMlDD/YYJ LIMITS GENERAL UABILITY FLR342S3 01/05/2007 01/05/2008 EACH OCCURRENCE S 500,00 ~ COMMERCIAL GENERAL LIABILITY PReMISES 'E:> a"".ranoel S 100,00 I CLAIMS MADE 0 OCOUR MED EXP (A"~ one psrsan) $ 5 ,00t A PERSONAL & AD" INJURY 8 500 00 I-- GENERALACJGREGATE S 1 000,00 GEN'L AClClAEGA'r'E LIMIT APPLIES PER: PRODUCTS" COMP/OP AGG S 500,00 Xl POLICY n ~m n I.OC AUTOMOBILE LIABILI'r'Y COMBINED SINGLE LIMIT - S ANI( AUTO lea ~ldenO I-- All OWNED AUTOS I-- BODH. Y INJURY S SCHeDULED AUTOS (Per person) I-- HIRED AUTOS BODILY INJURY I-- $ NON-OWNED AUTOS IPor ac;odenO I-- I-- PROPERTY DAMAGe s (Por accldenl) OARACJE LIABILITY AUTO ONLY' EA ACCIDENT S =i ANY AUTO OTl-liR THAN lOA AOe S AUTO ONLY. AGG S exceSS/UM8RELLA UABILITV EACH OCCURRENCE $ ~ OCCUR D CLAIMS MADE AGGREGATe . S ~ OEDUCTIBLE $ RiTENTION S S WORKeRS COMPENSATION ANO I TOAV LIMIT;T IU~~' EMPLoYERS'UUUWLrrY ANY PROPRIETOR/PARTNEFIIEXeCUTlve e.L EACH ACCIDENT $ OFFICERIMiMBER EXOLUDED? E.L DISEASe. EA EMPLOyel S If res, aeacrllle under 5 eclAL PROVISIONS b='ow e,L, DISEASE" POLICY LIMIT S OTHeR OESCFlIPTION Of OPERATIONS I LOCATIONS/ VEHICLES I exCLUSIONS AllOEO BY ENDORSEMeNT I speCIAL PFlOVlSIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCIlIBED PoUCIES Be CAHCIiiLLEO seFORE THE exPIRATION DATe THEIleOF. THE ISSUINlJ INSURER WILL ENDEAIIDR TO MAIL --11L- DAYS WRITTEN NOTICE TO THE CeRTIFICATE HOLDER NAMeo TO THE LEFT, City of Zephyrhi1ls SUT FAILURE TO MAlL StICH NOTICe SHALl.IMPOISi NO OBLIGATION 01'1 LIABILITY SBS 8th ST OF ANY KIND UPON THE INSUReR, ITS AGlENTS OR REPRESENTATIVES. Z6:phyrhi"s, FL 33542-4312 AUTHO~ g. ~ ACORD 25 (2001/08) FAX: (813) 780-0021 U <ClACORD CORPORATION 1988