HomeMy WebLinkAbout08-7653
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7653
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 500.00
Date Issued: 3/20/2008
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 3/20/2008 Phone:
Work Desc: NEW INSTALL 200 AMP SERVICE POLE
7653
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
NOT APPLICABLE
JAMES 0 MORTON ELECTRIC C
Address: 38651 TARR D 0
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: COUNTRY OAKS
Parcel Number: 35-25-21-0010-11500-0000
Section:
0J\aJ 3~
~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 PI ns, Specifications and Fee Must Accompany Application. All work shall be
performed &1/aC~~~CitY Codes and Ordinances.
CONTRACTOR ~~~
PERMiT EXPiRES iN 6 MONTHS WiTHOUT APPROVED iNSPECTiON
CALL POR iNSPECTiON - 8 HOUR NOTiCE REQUiRED
PROTECT CARD PROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
kr 1~53 Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
B NEW CONSTR 8 ADD/ALT 0
INSTALL REPAIR
PROPOSED USE 0 SFR 0 'COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0
DESCRIPTION OF WORK I '2-NJ 14v'fJ ~':: t/-Cf tf1 Ie
BU'LDlNG SIZE I J SQ FOOTAGE l , I HEIGHT L I
J' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111
o BUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ --.Jtp . d~ ] AMP SERVICEt~ () ~GRESS ENERGY
o PLUMBING 1$ 1
o MECHANICAL [$ 1
o GAS 0 ROOFING 0
FINISHED FLOOR ELEVATIONS [ 1
SIGN
(OBTAINED FROM PROPERTY TAX NO ICE)
o MOVE 0
DEMOLISH
OTHER I
i
I
o
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
OTHER
;,~~~~~~" r .. " , " , "" . ,. " """ · II . ,. II ",.,,, II " " "." j" " ~~;;' "t"" ~ : ' ~ " " '" :~. ~::~ " " . : "~'; ~ . 'J" " . , " " ' "j
DYES
DNO
Address
License #
ELECTRICIAN
SIGNATURE
Address
License #
Y/N
I
I
I
]
I
PLUMBER
SIGNATURE
COMMERCIAL
Address [
MECHANICAL 1
SIGNATURE _
Address l
OTHER I'
SIGNATURE _
Add",.. !"""" , " " " .. " " " " .. .. J License' f
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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) complete sets of Building Plans plus a Life Safety Page; (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.
COMPANY
REGISTERED
1
Y/N
FEE CURRENT
COMPANY [
REGISTERED
Y IN J
FEE CURRENT
J
COMPANY
REGISTERED
License #
Y/N J
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
t>irectlons:
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
IVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF OEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than Counly regulations. The undersigned assumes responslbllily for compliance wilh 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 stale 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 edvised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, II the owner has hired a contractor or contractors, he Is advised to have the conlractor(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 IMPACTIUTILITIES 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 Counly Ordinance number 89-07 and
90-07, as amended. The undersigned also underslands, 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 ocoupancy" 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, II Pasco Counly Water/Sewer Impacl
fees are due, they must be paid prior to permil issuance in accordance with applicable Pasco County ordinances
CONSTRUCTION LIEN LAW (Chapler 713, Flortda statutes, as amended): If valuation of work is $2,500.00 or more, I
certlly 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
olher than the "owner", I certify that I have oblalned 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 permil to do work and Inslallatlon 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, Counly 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 Ihe intended work, and that il is
my responsibillly to identify what actions I must take to be in compliance. Such agencies Include but are not limited to:
Department of Environmental prolection.cypress Bayheeds, 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 SeNlces/Envlronmental 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 matenal is to be used in Flood Zone "A", iI is underslood that a drainage plan addressing a
"compensaling 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 slem wall
construction. I certify that fill will be used only to fill the area within the stem wall.
If till material is to be used In any area, I certify that use of such till will not adversely affect adjacent
properties. If use of fill Is found 10 adversely affect adjacent properties, the owner may be ciled for violating
the conditions of the building permil 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 lhe 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 speciflC8l1y included in the application. A
permit issued shall be construed to be a license to proce~d with the work and not as authonty 10. violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding OfhClat from thereafter
requiring a correction of errOTS in plans, construction or violations of any codes. Every ~ermit issued. shall become. invalid
unless the wort< authorized by such permit is commenced wlthm SIX months of perm II Issuance, or II work authoozed. by
lhe permit is suspended or abandoned for a period of six (6) months after the time the wort< is commenced.. An extenSion
may be requested, in writing, from the Building Official for a period not 10 exceed ninely (90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for ninely (90) consecutive days, theJob IS conSidered abandoned.
CONTRACTOR
Subscribed. iHld swO
~2i:J _O~ by
o Is/are pe
wn to me or has/have produced
_as identification.
Notary Public
Notary Public
.
800-385-7019