HomeMy WebLinkAbout07-6995
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6995
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:
6995
ELECTRICAL M ISC
ELECTRIC SERVICE/NEW
NOT APPLICABLE
PATTIE ELEC. & REFRIGERATIO
Address: 37820 SR 54
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 15-26-21-0030-00200-0010
700.00
35.00
35.00
9/04/2007 Phone:
PER FM-INSTALL EXIT LIGHT, INSTALL TANKLESS WATER HEATER
Name: ILL. LAND TRUST MANDER, ALBERT
Address: 37820 SR 54
ZEPHYRHILLS, FL. 33542
c/ .1\
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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
performed in accordance with City Codes and Ordinances.
~~-aJ~ ~~
~~ CONTRACTOR PERM~
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
, Date Received,
Owner's Address
Fee Simple Titleholder Name
Owner Phone Number
OWner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
37J".2() 5/?rle ~~ 5~
I
D NEW CONSTR Cl ADD/ALTO
D INSTALL D REPAIR
PROPOSED USE 0 SFR D COMM 0 OTHER 1:';:#<,#11/ F)('/'!- 519-" -
TYPE OF CONSTRUCTION 0 BLOCK D FRAME D STEEL D OTHER I ffi..J wA-fc:-y 1;,.",):
DESCRIPTION OF WORK 1.#.1 /t!'r h~-e /)1,;".;1114// -rA.l5-k.J ( E"x;-I ,LtfA 1- "het :Z:Vs-JJ9l/ M/1j/~S5 Wff..:-,,) =,,--I~t'
BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I
111111111'1"1"'111111111111'11"""'111111111111111111111111'1111111111111111111111111111111111111111111111'1111111111111"111111111111111"111
I
1$7tJi~ I
1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111I1II111II111II111II11II1I11111I1I11I1II111I11111I1111111111111I1111111II1111111111111II111111I1111111II1I1111111111II11111111111111111II1I111
PARCEL 10#1
SUBDIVISION
WORK PROPOSED
D
BUILDING
1$
LOT #
I~ -.;2. /p-;2./ -C)030-00;2.()V -dOlO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
DEMOLISH
m-
ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
PLUMBING
D
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
33</:;>tJ
~.~~
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
I
COMPANY
REGISTERED
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
Y / N
Y/N
FEE CURRENT
License #
Ih~;..J;~ E/r:'~h/c
I~I N I FEE CURRENT
License # I tEe.
I Y /N I
-tJo /,;2- tt?
Y/N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
Di~~~ti~~~': ' , , . , , , , . . , , , . . , , , , , , , , , . , , , , , , , , , , , , . , , , . , , , , , , , , , . , , , , . . . , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , , , , , , , . , . , , , , , , , , . , , , , . , , , . , . . . , . . , . . , , . , . .
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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" r~strictions"
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 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 has hired 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 not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 tie 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 WaterlSewer 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. '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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically In~luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y ~o. vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt 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 t~ exceed n1n~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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) \-., ") . ~
OWNERORAGENT~h::z aJ/Y7f CONTRACTOR ~m h:/~ .
S~~1ndb;worn to (or a Irmed) before me this ~~f~e.sj and ~;om to (0 affirmed) before me thiS
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have p~odu~ed
as identification. as identification.
Notary Public
Notary Public
Name of Notary typed. printed or stamped
Pated Information for: 15-26-21-0030-00200-0010 Card: 001
Page 1 of2
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Other Parcel Cards: 1 I 2 I ~ I .4 I ~ I ~ I Z I ~ I ~ I 10 I 11
Other Agency Data: Tax Collector School Board
Super Homestead Estimator
Parcel 10
Classification
II
~
15-26-21-0030-00200-0010 (Card: 001 of 011)
17 - 1 Story Office
Land Detail (Card: 001 of 011)
II I' , I I! !I
Use Descri tion Zonin Units Type Price Cond
1700 1STORY OFF OOC2 1 12,000.00/, SF .. 3.01
1.00
1700 1 STORY OFF ex)"') 117,950.00 I SF 1.82 1.00
'-''''-
Additional Land Information
Tax Area 30ZH Fema Code IT] Comm Code II MS542AV
- Year Built 1951 USE 17 - Offices (One Story) (Card: 001 of 011)
Concrete or Cinder Block Ext Wall 2 Common Brick
Gabie or Hip Roof COy Asphalt or Composition Shingie
Plastered Int Wall 2 Plywood Panel
I Flooring 1 Cork or Vinyl Tile Flooring 2 ,.............--. II
vGU tJel II
Fuel Electric Heat Forced AIr - Ducted 'I
AC Centra! Baths 1.00
Line DescriDtion Sa. Feet Rep!. Cost New
1 AuF 308 $24,640
I Extra Features (Card: 001 of 011) I
IL- I
Line .I Description II Year /I Units II Value II
'I
Ii
I
II
II
'I
II
"
Mailing Address
ILLINOIS LAND TRUST
MANDER ALBERT R III TRUSTEE
14217 THIRD ST
DADE CITY, FL 335233828
Physical Address
37800 STATE ROAD 54
ZEPHYRHILLS, FL 33542-5428
Legal Description (First 4 lines)
ZEPHYRHILLS COLONY COMPANY
I
I
II
II
I
IL-
II Line
'1
LANDS PB 1 PG 55 PB 2 PGS 1-6
\'^J 21 0.00 FT OF E 380.00 FT OF
TRACT 2 EXC S 195.00 FT & EXC
'1
'"
II E.'<t Wall 1
II Roof Str
l',nt Wall 1
I,
IL-
PA V ASP
II 1982 II
-j
Sales History
Previous Owner
Year Month
2003 02
1981 06
II
I
I
I
,I
II
"
I
Assessment (totals)
Ag Land
Land
Building
Extra Features
Total Assessment
Save Our Homes
Taxable Value
-j6,060
$3252
GIBBS A P & SANDRA G
Book / Pa e 1-
5292 1 0593
1-133/1048
il
I
$0
$50,589
"'''''0 9....." I
.:IlL':> , LL
$3.252 "
$284,76: II
$UII
II
$284.763 "
. II
II
II
II
II
II
II
Amount
$275,000
$115,000
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Other Parcel Cards: 1 I 2. I ~ I .4 I ~ I Q I Z I ~ I ~ I 10 I 11
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Q i.1/')(l()7
09/04/2027 09:51
8137884901
PATTIE ELECTRIC
3911 --. .. ..-.:------.---~-_._
1 PIJlTT ........_ .--~
ZEPHYRHIUS IE ROAD - -.... ...........~------ __---.__ _ ___
Phone: (813) n 33540 ~- >;f .
782-3319 ~~ -A~I
Order Dat-e. ,'"'-
Request D . 09/04/07
ate: 09/04/07 Order: 20675
Paqe: 1
~~r~CK UP LIsT ~~arks
OEP TMEN~X~u FROM FIRE
ry~D ex Xy
.. ~~nl--L ti-
1099 .5 -
PAGE 01
-
Time of Order'
Order made by; 5~~ 41 AM
8~h~~p24833607 ~d
-o.u'\l\~Y, JIM ....ry
ACROSS PROM
37820 STATE KAWASAKI .
LITTLE WHITE ~~ID 54 WEST??'>,,>
ZEPHYRHILL LDING "
(813) 782-gs:~ 33541
WORle ORDER
PATTIE ELECTRIC PROPOSES TO
INSTALL CUSTOMER SUPPLIED
EXIT LIGHT
ALSO INSTALL CUSTOMER SUPPLIED
HOT WATER HEATER.
WE WILL PULL NECESSARY PERMIT,
AND REQUEST INSPECTION ON COMPLETION
OF WORI<.
ALL WORK BY PATTIE ELECTRIC WILL BE DONE
IN A WORKMANLIKE MANNER AND MEEET OR
EXCEED LOCAL AND NATIONAL ELECTRICAL
STANDARDS.
COST OF MATElRAL TO HOOK UP
CUSTOMER SUPPLIED EXIT LIGHT
$140.65
COST OF MATERIAL TO HOOK UP
CUSTOMER SUPPLIED HOT WATER HEATER
,$2-51 . ~.~ I ~ 'f-f " ..
..
SER~CE AND. LABOR
PAR'l'S/M1\TERIALS
Permit
300.00
,;lV'Iih )98. M
. · 130. 00
MECH DATE
TIME
Sub-Total
Tax
Total .
J'
W'8"~'sr
.t@ . ~2
a77 7i\
I hereby acknowledqe the satisfactory completion
of the above mentioned work.
Siqnature:
/S- ,2 t pl/. d()3" C)~.2 ()()
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