HomeMy WebLinkAbout08-8230
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
8230
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 1,680.00
Date Issued: 8/20/2008 LAVEN, VIC & VIRGINIA
Total Fees: 40.00 10611 TABOO DR
Amount Paid: 40.00 THONOTOSASSA FL 33592
Date Paid: 8/20/2008 Phone: 813986-3658
Work Desc: UPGRADE TO 150 AMP INSTALL GFI & RECEPTACLES
8230
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
NOT APPLICABLE
THOMAS L1SNOCK
Address: 5531 18TH S
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14100-0010
Section:
r;YlJ B-20,0f3
ROUGH EL C IC
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
:~dE.nce Wit'" City Codes and Ordinances. t'~ ~
CONTRACTOR PER~~
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
08/20/2008 11: 08 FAX 8138753220
HAMEROFF INSURANCE
III 002/002
ACORD... CERTIFICATE OF LIABILITY INSURANCE DATECM~
9/20/2008
PRCXMICER (813)870-6284 FAX: (813)875-3220 THIS CERTlFlCA TE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Haaeroff Insurance AgBnc:y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Sox 270127 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
~1UIII:la FL 33689 INSURERS AFFORDING COVERAGE HAIC.
INSURED INSURER II: American States 19704
~BCMAS Q LISNOCK ZU:CmI:CAL CO INSU",B:
22911 SnRLXNC MANOR LOOP INllURER c:
INSIJR!iR D:
L'tnZ I'L 33549 INSURER E:
THE IIOLlC1ES OF INSURANCE USTED BilLOW HAVE BeEN ISSUED TO THE INSURED NAMED ABOVE FOA THE POLICY PERIOD INDICATED. "O'lWlHSTANDING ANY
REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT \MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HER~!.~_1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES.
lTJ:
== lYPi OF IrcsURANCE PCLlCY NUMBER '>>Ir':~ '1ALfl,~N ~tTS
,!!Nl!IW.l.IAII.IlY . 1,000,ODO
X COMMeRCIAl. GENERAL LIA8IlJTY I rWiAr.i! TQ ~ . 200,000
A I ClAIMS MADE [!] OCCUR 01CB90002490 3/9/2008 3/9/2009 Ml!O EXP'_ one_I . 10,000
- ._.-.._~ I. 1,000,000
I-- OI!NEIW.. AGG~GAl1O . 2,000,000
@LA~n~;;AnS PE~ . .- . 2,000,000
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CERTIFICATE HOLDER CAN~LATION
(813)780-0021 SHOULD ANY OF THE AlIOVE DEICAlIIED POuClI!8 IE CANCILLI!D II!FORI! 'TMI
City Of Zepny:hi11a ElCf'8RAllON DA'T1!! THI!Ia!OP, THE IB8UING lN8UIU!R WILL ENDEAVOR TO .....
5335 18th St. ~ DAY8 WRm8I NOllC8 TO 1M1I! CMTlFlCATI! HOLDI!R UAIIeIl m THE LEFT, BUT
Zephyrhi11s, n. 33542-4312 FALU. TO 00 eo SHALL IMPOIE NO ClIlUGtlllON Oil UA8lLlTY OF ANY IlIND UPON 'TNB
_"'R ms AGEHnI DR IlEPRElIENTA11IIES.
AUTHORIZED REPRElENTA1lYE ~e- ~<:.r" e. v?7
Al.Hameroff/DEVIN
ACORD 25 (2001108)
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C ACORD CORPORATION 1981
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08/20/2008 11:08 FAX 8138753220
HAMEROFF INSURANCE
@001/002
(]Jarr-!Hameroff IftSUTtmee.JLaency
au aJo~ 270127
crampa, PL 33688
lPMne: 813-870-6284
P~ 813-875-3220
'W'e6 fltlifress: 'W'W'W. 6arrliameroff. com
tEmaif~tftfress: Iiameft!.(f@tampa6ay.rr.com
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STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' r:OMPENSATION
CONSTRUCTION INIIUSTRY
CERTIFICATE OF ELECTli)N TO BE EXEMPT FROM FLORIDA
j WORKERS' COMPENSATION LAW
; EFFECTIVE, 08/25/>007 EXPIRATION DATE,
PERSON: THOMAS G LISNOCK
FEIN: 651217:156
BUSINESS NAME AND ADDRESS:
THOMAS G L1SNOCK ELECT'IICAL CONTRACTING INC
229 r 7 STERLING MANOR LJO
LUTZ. FL 33549 ~
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08/24/20091
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SCOPE OF BUS/NES:) OR TRADE:
1. CERTIFIED ELECTRICAL CONTRACTO
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Pasco County Parcel: 11-26-21-0010-14100-0010 001
Page 1 of 1
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, August 16, 2008
ParcellD 11-26-21-0010-14100-0010 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
SLAVEN VICTOR L & VIRGINIA K Ag Land $0
10611 TABOO DR land $44,184
THONOTOSASSA,Fl335922229 Building $26,309
Physical Address Extra Features $164
5531 18TH ST
ZEPHYRHIlLS, Fl33542-4518 Market Value $70,657
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
CITY OF ZEPHYRHIllS Taxable Value $70,657
PB 1 PG 54 lOTS 1 & 2
BLOCK 141
OR 3934 PG 293
I Land Detail (Card: 001 of 001)
II "DescriPtionll Zoning , . Type~1
Line Use Units Value*
I 1 II 0100 " SFR II 00R2 8,400.00 SF .26.. I $44,184
I Additional Land Information
Acres " 0.19 II Tax Area II 30ZH II FEMA Code [:~:JIResidential Codell ZHlHlP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1929 Stories 1.0
Exterior Wall 1 Asbestos Shingle Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
I Line , Description Sq. Feet Rep'. Cost New
I 1 I BAS 912 $43,530
I 2 " FSP " 216 I $3,627
I 3 II UDG " 240 I $3,437
Extra Features (Card: 001 of 001)
Line Description Year Units I Value I
1 DCFENCE 1997 220 I $164 I
I Sales History I
Previous Owner I CHANDLER llOYD T & l YNDA M
I Year I Month Book/Page Type Amount
I 1998 , 05 3934 / 0293 WD $25,000
I 1995 I 02 3390 / 1115 WD $27,900
1995 01 3380 / 1780 I WD I $23,000
S.~qr.i=h Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.comlsearch!parce1.aspx?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&b... 8/20/2008
THOMAS LlSNOCK tc 0 t!)D 2-- Cj r; b JOB
Electrical Contractor.
22917 Sterling Manor Loop .
LUTZ, FLORIDA 33549
PHONE
(813) 948-0272
, FAX: (813) 909-9006 . . . ~ .7
V / c rJle 3 UtiJb/L/
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.. .__7EGCf;e$p~X3'fr~: ~.... ...~!-g-;<o~~}
THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED ABOVE.
IT IS BASED ON OUR EVALUATION AND DOES NOT INCLUDE MATERIAL
PRICE INCREASES OR ADDITIONAL LABOR AND MATERiALS WHICH
MAY BE REQUIRED SHOULD UNFORSEEN PROBLEMS OR ADVERSE
WEATHER CONDITIONS ARISE AFTER THE WORK HAS STARTED.
ESTIMATED
JOB COST
ESTIMATED
BY
813-780-0020
City of Zephyrhills Permit Application
Building Department
t 6Z$b Fax-813-780-0021
Date Received
SL
;ft/!;OO
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
JOB ADDRESS 5531 / ~ T/-f ST,
SUBDIVISION 1 PARCEL ID#I
WORK PROPOSED B NEW CONSTR f5i] ADD/AlT D
INSTAll REPAIR
PROPOSED USE ~ SFR D COMM D
TYPE OF CONSTRUCTION BLOCK D FRAME
U G-~frDE ~~~vICe.
BUILDING SIZE SQ FOOTAGE I
LOT #
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
1'....1'1111...11"1'1111.1."1'1111111'...."1...1111.....'.11...',1'..1111"'1.....'...1111..11.11.1....11..,II.............,."........p,.......
D BUILDING 1$ I
f$l- ELECTRICAL 1$ J/ 10155; (JD I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE /.5l)
D
PROGRESS ENERGY
IR1
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
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BUILDER I
SIGNATURE
Address I
ELECTRICIAN I, 1~
SIGNATURE '-
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N
Address
~ I ~~~~:R~~
2.. ztl7 STc~ LINt;- f71/1-,1/t?~ Lf I
I COMPANY
REGISTERED
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Y/N
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
I11I111111I1111 111I111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111I111111111111111111
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL 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 on site, 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
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi
Directions:
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 A1C Fences (Plot/Survey/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 accord~nce 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, nave 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 proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
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 the work is commenced. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~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 N riCE OF COMM N ME T.
FLORIDA JURAT (F.S. 117.03)
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.
CONTRACTOR
~~~~and ~;orn t7!lOm~ese this L / S,A! tiCk
Who is/i-.e personally known to me or has/have produced
I'C~1\..St2 as Identification.
Notary Public
//
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Notary Public
Com
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped