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Home My WebLink About08-7376 CITY OFZEPHYRHILLS 5335-8th Street (813)780-0020 ELECTRICAL PERMIT 7376 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: 721.44 Date Issued: Name: DICKERSON, ROBERT & SHIRLEY Total Fees: 35.00 Address: 4630 LAFORCE ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/09/2008 Phone: 757642-5206 Work Desc: REPLACE METER SOCKET & 8/16 SERVICE PANEL UNDERNEATH 7376 ELECTRICAL MISC ELECTRIC SERVICE REPLACEM NOT APPLICABLE PATTIE ELEC. & REFRIGERATIO Address: 4630 LA ZEPHYRHILLS, FL. NT Township: Range: Lot(s): Block: Book: Page: Subdivision: EDGEWOOD Parcel Number: 14-26-21-0260-00000-0130 Section: ELECTRICAL FEE 35.00 HI1#.-tuf, fl--oB 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. ~,~ t (/ r~~~ ~~ k. u,/,?--e CONTRACTOR PERMIT OFFI R 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 Phone Number Owner Phone Number I Owner Phone Number I Owner's Name D I <:.. /eel" SO'Y\ I( D b e ('/ G t SA /lei ~ M Owner's Address I.~ 3 <<I € Oc. e"," I4lJe NtH+' II< 1/11 '. ~ .3 SO 3' ~ Cf.J t/ Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I I ~ (,3 /) )..4 I Ed, ~j,Joad WORK PROPOSED E3 D D NEW CONSTR INSTALL SFR BLOCK F()f"'~ S~. 2-e.r~,..hl.lls Fl. 3.35tf() I P ARCELlD# I / &/ e:l t, ;( I (/:1..1, 0 B D D LOT # 1/3 SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION Ot)(}OO "'3D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH DESCRIPTION OF WORK r /.,c;~ /J1C';"r:"S()e..~t:f !' i',/~ S~rl.JI~-e &,1. ~.,.,,-I BUILDING SIZE SQ FOOTAGE I HEIGHT I 11..1111111111'.1..111111111111....11111111.1.111111.'11111'11111111111"1"1111111111"1111'1'11111111"'1111111111111'1111"11111111'11111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL 1$ I 1$72t,<li/ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1I1111111111111111111111111111111111111111I111111111111111111111111111111111111111111I1111111111111111111111111111111111I1111111111111111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D~RESS ENE~D /"t) ~ W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE l1't~. EII!'t!- Ir /c I FEE CURRENT Address 1.uJ~ 2 License # IQ4N I I &c... - CJ0121..~ Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N ~371 I I I I I I PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED YIN Address OTHER SIGNATURE COMPANY REGISTERED YIN Address 111111111111111 RESIDENTIAL COMMERCIAL 1111111I11111111111111111111111111111111111111111111111111111I1111111111111111111111111I11111111111I111111111111111111111II1111111 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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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, SIGN PERMIT i:ii~~~ii~~~': 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 . 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 I~~ - <f;dO Ifwr :;t'~/ j-ll-tJi .f\ r \Jo " tf\, r-1\V'\. J~r;~,,1\..If !f /). . 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 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 proce?d with the work a~d not as authori~ ~o, violat~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding OffiCial from the~eaft?r 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 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. =~:A~~::~.S 117.0 2 J~ co.m'ACTOR ~7. k ~~ Subscribed and sworn to (or a rmed) before me this Subscribed and sworn to ( affirmed) before me this 1-4'- de by ,. '1"() e. by Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced r?t!,n Id tifi ti G>--kJl/~ u~ as identification, r -rS,ry,fLu..y fJ.A.IV'-- as en lea on. ~ , ~~ Commission No. tary Public "'"'1833 Notary Public Name of Notary typed, printed or stamped ">p':f.'::':~:" JACQUELlN~ IjOljl:~ [*( "r;~ Commission DO 621833 Name of Notary typed, TOy Fain lnsu:~e 80'0-385-7019 Pasco County Tax Collector Parcel Search Result Page lof2 Mike Olson]'I\X (~OLl",E(:TOR PASCO COI"XTY FLOHJ HOME Real Estate Search Tangible Search Business Tax Receipt Search Tax Driver Motor license I Vehicle Boat Business Tax Fishing/Hunting Receipt license Real Estate Property Search Results , CURRENT AS OF: 01/07/2008 19:03:27' * * * THE INFORMATION CONTAINED HEREIN DOES NOT ONSTITUTE A TITLE SEARCH AND SHOULD NOT BE RELIED ON A UCH. ADDITIONAL LIENS AND DELINQUENCIES MAY EXIST THAT RE NOT INCLUDED BELOW. THE PASCO COUNTY TAX COLLECTOR CCEPTS NO RESPONSIBIL TY FOR THE ACCURACY OF THE NFORMATION PROVIDED. ALL FIGURES ARE SUBJECT TO HANGE OR CORRECTION. SEE FLORIDA STATUTE 197.122 ParcellD 2007 Tax Year 142621 0260 000000130 ASSESSED VALUE Owner of Record HMSTD EXEMPTION DICKERSON ROBERT G & OTHER EXEMPTION SHIRLEY M TAXABLE VALUE 234 E OCEAN AVE AREA NORFOLK VA 23503-4434 MILLAGE Legal Description (First 4 lines) GROSS TAX EDGEWOOD SUB (INCLUDING SPECIAL PB 9 PG 41 LOT 13 DISTRICTS) OR 7493 PG 646 Special Districts . . SOLID WASTE Mall To Information PASCO COUNTY SAME AS ABOVE STREETLIGHT Escrow Code PASCO COUNTY NONE STORMWATER Current Tax 38,031 38,031 30ZH 18.99819 784.52 62.00 DATE 11/20/07 RECEIPT 553140 AMOUNT PAID 753.14 Tax Lien (Homestead Denial) NONE Unpaid Delinquent Taxes NONE Appraiser's Information Search Again Appraiser's Delinquent Map Map Delinquent Map Information I [mail Us I ~ (~,1 HOME Real Estate Search Tangible Search Business Tax Receipt Search http://www.pascotaxes.comlsearch/prclmain.asp?parcel= 142621 0260000000 130 1/8/2008 01/09/2028 11:41 8137884901 . ---..... PATTIE ELECTRIC PAGE 01 PATTIE ELtCTRIC 39111 PATTIE ROAD ZEPHYRHILLS FLA 33540 Phone: (813) 782'3319 TIME OF ORDER: 11:40 AM ORDER HAOE BY: JW "" - 0026425206 ()ICKERSON, BQlB BOB 4630 LA FORCE STREET ZEPHYRHILLS rL, 33540 USA Fax: (B13) 788-4901 Date: 01/08/0B Req. Date: 01/08/08 No. : 21114 Page: 1 ('~-:'~ t~} D' . . ,,"\ 1 uIf.;~ '"..,.~" .~, ' . REMARK REPLACE HETER SOCKET ANO 8/16 SERVICE PANE~ G..t \. ~---------~------~-~-----------------------------------------------------~-------------------- WORK ORDER ' ------------------------------------------------------------------------------------.--------- - .., ... .., - ,., ,., .., .n ... ..... ". '.. ... .., - ,.. '.. .., .., "' '" .., ... .., .., .., '" ,.. '.. - ... ... .., ,.. ,., '" .., - '.. - "'A' - . ,.. n} '.. '.. ; ,.. '.. .., ,., '" ... ... .. ~ ,. .- .. ... ... ... ... ... ... ". .h '.. ,.. ... ,., .., .., '.. ", _ ,., ... ... ... ... ,.. .., 1/11/108 J . REPLACE METER SOCKET AND 8/16 [XT PANEL ~ PrO;! f.a.r 54j .E Jtk/l9~ Cf ~ I {) ,. ~J <#.131(, ()1I;t<-' ft/ o o o o Sub" Total o. Tax. o. Total 0, Net To Pay 0,