HomeMy WebLinkAbout07-7126
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7126
Permit Number: 7126
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRIC SERVICE REPLACEM
Proposed Use: NOT APPLICABLE
Contractor: EAST PASCO ELECTRIC, INC
Square Feet:
Est. Value:
Improv. Cost: 662.00
Date Issued: 10/22/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 10/22/2007
Work Desc: REPLACE SERVICE POLE
Address: 5248 B UNSWICK ST
ZEPHYRHILLS, FL.
NT Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: ZEPHYRHILLS COLONY
Parcel Number: 10-26-21-0010-09300-0000
Name:
Address:
MADISON, TIM
5248 BRUNSWICK ST
ZEPHYRHILLS, FL. 33542
941 979-7366
Phone:
I~'
ii~~
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~ in ace rdance with City Codes and Ordinances.
&~-~
PERMIT OFFI R
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Parcel Information for: 10-26-21-0010-09300-0000 Card: 001
Page 1 of 1
S~aIG.b.Agajn Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
Other Parcel Cards: 1 I .2 I ~
Other Agency Data: Tax Collector School Board Supervisor of Elections
Parcel 10 II 10-26-21-0010-09300-0000 (Card: 001 of 003)
Classification " 28 - Rental MH/RV Park
Mailing Address Assessment (totals)
GROH MARIA GABRIELA Ag Land $0
PO BOX 1931 Land $607,803
ZEPHYRHILLS, FL 335391931 Building $0
Physical Address Extra Features $0
5232 BRUNSWICK ST
ZEPHYRHILLS, FL 33542-3340 Total Assessment $607,803
legal Description (First 4 Lines) Save Our Homes $0
ZEPHYRHILLS COLONY COMPANY Taxable Value $607,803
LANDS PB 1 PG 55 SOUTH 1/2
TRACTS 93 & 94 LESS RD
OR 3805 PG 695
land Detail (Card: 001 of 003)
ine II ~r Description I Zoning I Units " Type . "M Cond Value II
1 II 0 TRLR PARK 100M2 I 41~ UI 15,127.00 0.98 $607,803
Additional land Information
Acres 5 I Tax Area 30ZHr==T - Res Code IRMHPcL211comm cOdellRMHPcL21
Building Information
Unimproved Parcel 0
Extra Features (Card: 001 of 003)
Line Description I Year II Units " Value
Sales History
Previous Owner GOODMAN AUGUSTE A
Year Month Book 1 Page I Type II Amount I
1997 09 3805 1 0695 WD $0
I 1988 I 07 1726/1865 QC $0
I 1987 I 07 1624/1723 WD $0
S~aIG.b_Agajn Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
Other Parcel Cards: 1 I .2 I ~
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.comlsearchloffline _tca.asp?Sec= 1 0&Twn=26&Rng=21 &Sbb=... 10/2212007
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number ~ I
Owner Phone Number lo/fCl ,- ct77"- ? :5~~ I
.
Owner's Name
JOB ADDRESS
Fee Simple Titleholder Address I
15:2 'Iy ~.JJ:L
15/~M:~~ I PARCELlD#ViJ-fi,-?I-,10/0
. (OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR D ADD/ALT D SIGN D MOVE D
D INSTALL D REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
:::L:~::~;EOF WORK I !7~:::r I ~ HEIGHT I
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I
tJ Y3~ -
LOT #
SUBDIVISION
(}cJ () t:?
WORK PROPOSED
DEMOLISH
OTHER
STEEL
I
D
OTHER I
D BUILDING 1$
~' ELECTRICAL 1$ Lt~ Z_OV
D PLUMBING 1$
D MECHANICAL 1$
D GAS D ROOFING
I
I
1
1
D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111I11111111111111111111111111I11111111111111111111111111111111111111I11111111111111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E,C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
Address
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License # I
~fto~.~~
License # I
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
COMMERCIAL
Address
MECHANICAL I
SIGNATURE ,
Address I
OTHER I
SIGNATURE
Address I License #
1I11I1I1111I1111I1111I1111I111111111111II11111I111111111111II1111I11111111111111111111111111I1111111111111111111I11111111I1111111111111111I11I1111
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 onsite, Construction Plans, Stormwater Plans wI 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 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.
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
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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 A/C 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" restrictions"
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. 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 "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~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. Eve~ permit Issued. shall become. invalid
unless the work authorized by such permit is commen~ed Within SIX months ~f permit Issu~nce, or If work authonzed. 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) days 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 F ROVEMENTS TO YOUR PROPERTY. IF YOU IN D TO OBTAIN FINANCING, CONSULT
WITH YOUR DER A ATTORNEY BEFORE RECORDING Y~ NO ICE OF MMENCEMENT.
FLORIDA JURA (F.S. 11 . 3)
Notary Public
Notary Public
Name of Notary typed. printed or stamped