HomeMy WebLinkAbout07-6728
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6728
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6728
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
NOT APPLICABLE
REESE ELEC,
Address: 4822 ALL BLVD
ZEPHYRHILLS, FL
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01700-0090
35.00
35.00
5/22/2007
INSTALL 100 AMP SUB PANEL
GONZALE -S H, DIANA & COLLINS
4822 GALL BLVD
ZEPHYRHILLS, FL 33542
Phone: 813 788-9011
ELECTRICAL FEE
~ 1\~ ~Au,ul\
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 FOR INSPBCTION - 8 HOUR NOTICB
PROTBCT CARD FROM WEATHBR
~M~
RBQUIRED
813-~80.ooio
City of Zephyrhills Permit Applic,atlon
Building Department
Fax-813-780-0021
6-22-07
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name l~K. ~e~-CSmI#\ ~ l~d.J:>...cr. ~ll~
Owner'sAddress /p.()~~ ~OOOl.,. :r~,v(\e. fL.~~\A~~
Fee Simple Titleholder ~amel I
JOB ADDRESS
Fee Simple Titleholder Address 'I .
'14~~'~ ~
I
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
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o
2P-p~'-'l (h" \ b ~L LOT t# I
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PARCEL 1Dt# Ilt.\ - ~ ~a...l- CO, 0 - a \ -1 00-- C'lC)9 D
(qsT A1NED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
'&l vd .
SUBDIVISION
WORK PROPOSED
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AD DIAL T
REPAIR
COMM
FRAME
D
D
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DEMOLISH
OTHER I
STEEL D
OTHER I
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lOC Amo
SQ FOOTAGE I
DESCRIPTION OF WORK
l:!UILDlNG SIZE
HEIGHT
I ~ I I. I I I . I I . . . I I I I . I I I I I . I I 1'1 I I ." I I I I I. I I I I . ._ ~ I I I I . I I I .1 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 . . . . .
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
r>
ELECTRICAL
AMP SERVICE \ co
C>ZJ
PROGRESS ENERGY
.D
W.R.E.C
D
PLUMBING
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VALUATION OF MECHANICAL INSTALLATION
Address
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'i~lw
p-p. ~~ ~.k..
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Y/N
FEE CURRENT
Y/N
BUILDER
SIGNATURE
ELECTRIClA
SIGNATURE
<---h--
1~ \.L:> fL ~
I
COMPANY
REGISTERED
r~~
Q)N
License # I
9.~CAJ.
I
License #
-:I:i1 '-.-
FEE CURRENT 1& N I
License # JEc\~\~~/I~Y(t I
I
I
I
I
I
I
FEE CURRENT
Y/N
PLI)MBER
SIGNATURE
~~
COMPANY I
REGISTERED
YI N
Address
ME. CHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I License #
1III111111111I11I11111I11I111I111I II II' 1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi 11111111111111111111111111111111111111111111111111J IIIII11111IIIII
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date, Required onslle, Construction Plans, Sanllary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance,
Allach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction,
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions: ' ' ' '
Fill out appllcallon 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
OVER THE COUNTER PERMITTING (Front of Application Oniy)
Reroofs Sewers Service Upgrades AlC
COMPANY
REGISTERED
Y/N
FEE CURRENT
YIN
License #
COMPANY
REGISTERED
I YI N
FEE CURRENT
YIN
COMMERCIAL
SIGN PERMIT
Driveways
Fences
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "d~ed" re~trictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabledee~ 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~shlred a contractor or contractors, he is advised to have the contractor(s) sign
portions of the .contractor Block" of this application for which they w\1l 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/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 buildings, as specified in Pasco County Ordinance number 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 .certiflcate 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 paldprlor 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
con~tructlon, 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 responslb\1lty 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 Sen~itive
Lands, WaterlWastewater 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 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 ~rea, 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 lam 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 10 exceed nlnely (90) days and wtll demonstrale
Justmable cause for the exlenslon. If work ceases for nlnely (90) consecullve days, the Job Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAVING lWlCE 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)
OWNER OR AGENT~ 1'Y\b-e-t
Su!,scrlbed and sWQI'l) to.(or affirmed) b e
.~, ~'Z-o( by r\ \ n--" U '
Who Islare personally known to me or haslhave produced
3; u",,-SrL as IdenOflcaOon;
CONTRACTOR
Subscribed a,nd sworv ~ (or a.ffirmed) be r I
5-1..2 -0 1 by K. I ~ '
Who Islare personally known to me or haslhave produced
l i u..,. ~ as Identification,
'SIL.
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Comm slon N ....:.' . .' ' . .----2183-'3
"_/{""'(,"" '.',2010
I,Rrll\'\\\'" Bonded -ihru tray fain IrlWfCtllce 800-385-7019
Notary Public
~
Name of Notary typed. printed or stamped
, Name of Notary typed, printed or stamped