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Home My WebLink About07-7067 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 7067 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv, Cost: Date Issued: Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 10/01/2007 Phone: Work Desc: REPLACE POWER POLE & REPLACE EXISTING EQUIPMENT Address: 5831 BR ADMORE ST ELECTRICAL MISC ZEPHYRHILLS, FL. ELECTRIC SERVICE REPLACEMENT Township: Range: NOT APPLICABLE Lot(s): Block: REESE ELEC. Book: Page: Subdivision: TREE LANE VILLAGE Parcel Number: 10-26-21-0000-00100-0000 Section: 300.00 Name: TREELANELTD Address: 10912 56TH ST ZEPHYRHILLS, FL. 33542 ,/01 \D/ ROUGH ELECTRIC 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 performed in accordance with City Codes and Ordinances. IN 6 ~S WImo~ ~PR~I~f:::r INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~~i~ CONTRACTOR PERMIT EXPIRES CALL FOR 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name L- --r-D Owner'sAddress 1109 \:L 5lc~ St-. !'1 T~fJ~ I ~.r""-,,-,-, Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I 15'b6) ~d ~QO~ IIr~kn~ MObLL~rco<Ll NEW CONSTR INSTALL SFR BLOCK LOT # PARCELlD#1 \0- J....~. ;;)....\. 00;)0. COlD::). aaa0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D SUBDIVISION WORK PROPOSED B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION DF WORK tk?o.p\CCCL. iAu <r P:>\<:." r~\"r ~., i:\:i"":! BUILDING SIZE I SQ FOOTAGE I . HEIGHT 1111111111'1""'1111111111111111'1111111111111111111111111111111'11"""1111111111111'111111111111111'1"-1"111111'1"1111111111111111111111111 @ D D ADD/All REPAIR COMM FRAME D D D DEMOLISH OTHER I STEEL D OTHER I e..q \..I:j'f)+- V 1$ I cstJ ELECTRICAL 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 11111111111111111111111111111111111111111111'1111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111 D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE rn PROGRESS ENERGY D W.R.E.C, too VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address ELECTRICIA-L-. " - k r I SIGNATURE.n ~~ Address lP'D bD'1- 't:,lp:L ~Y\'f hlG License # I COMPANY 1=R~:<-N . REGISTERED ~ \-1- ?n$'~"l . ~l.- I COMPANY I REGISTERED 8 e: '- '"t'n 'C.!:J I/1L- . I FEE CURRENT IG/ N I License # 18-- 1:)001 ~S-~ PLUMBER SIGNATURE Y/ N FEE CURRENT Y / N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N License # 111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 w/ 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 onsite, Construction Plans, Stormwater Plans w/ 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~~~ii~~~': ' , , , , , , . , , . , , . , , , . , , , , . , , , , , , , , , , , . , . , . , , . , , , . , . , . . , , , , . . . , . , , , , , , , , . , , , , . , , . , , . , , , , , , , , , . . . . , . , , , . , , , . , , , , . . , , . , , . . , , , , , . . . , , . , , , , , . , , Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 A/C Fences (Plot/Survey/Footage) Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT 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"iestrictions" 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 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 "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. 1 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 ~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 1n~luded. In the application. A permit issued shall be construed to be a license to proceed With the work a~d not as authon~ !o. vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dmg OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violations of any codes. Every ~ermlt Issued. shall become. invalid unless the work authorized by such permit is commenced within six months of permit lssu~nce, or If work authorized. by the permit is suspended or abandoned for a period ?~ six (6) mon.ths after the time th~ work IS commenced.. An extension may be requested, in writing, from the Building OffiCial for a penod 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\~ob 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) CONTRAC~~ S)ll.Jsgibed and sw~affirmed) before me this IU r-01 by v\.ot#\4 (i\ ULQ ~ < p Who Is/are personally known to me or haslhave produced as identification. 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 Notary Public Commission No. , \\\~':.A~.'t;:'" Com .s n No. :~~"It~ JACQ~FIINe B06ES ~~:. :~: (;Ommlssion DO 621833 "~4 .~... . "'';f~~.:;~'.,~ .. neceFl'lbe I Name of Notary typed. printecl'or st TroyFa:lnsura~!oo.';l}R Name of Notary typed, printed or stamped