HomeMy WebLinkAbout08-8262
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
8262
Permit Number: 8262
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRIC SERVICEINEW
Proposed Use: NOT APPLICABLE
Contractor: ELECTRICAL CONTRACTING INC
Square Feet:
Est. Value:
Improv. Cost: 950.00
Date Issued: 8/27/2008
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 8/27/2008
Work Desc: NEW POLE WI HOUSE METER
Address: 5543 11TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-10300-0080
Name: SHARMA,DEVANAND
Address: PO BOX 4669
INGLEWOOD CA 903094
Phone:
y1'i\c& b> 216- ~
ROUGH ELE RIC
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.
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CONTRA;~T BXPU"S IN . MONTHS WITHOUT APPROVED INS..':~I~~ OFFI R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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08/27/2008 14:58
8139350709
NEIGHBORHOOD INS
PAGE 01/01
ACQBL>,M CERTIFICATE OF LIABILITY INSURANCE T DATI! (,..M/DD1rYYYI
08/27/2008
PROD~ER .(813)935-1561 FAX (813)935-0709 THIS CERTIFICATE IS ISSUED AS A MAneR OF INFORMATION
Neighborhood Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
14949 N Florida Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,
Taq>>a, Fl 33i13
INSURERS AFFORDING COVERAGE NAIC t#
INSURED James E. Chambers Jr. INSURER A:. American Strategic Insurance C
DBA: Electrical Contrac~ing Inc. INSURER B:
8349 Heather Dr INSURER c:
Zephyrhills, FL 33540-6816 INSURER 0:
INSUREA ~
COVERAGJ;S
THE POLICIES OF INSURANce LISteD BE;I.OW HAVE BEEN ISSUED TO THE INSURE;D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY RE;QUIREMENT, TERM OR CONDITION OF A~ CONTRACT OR OTHER DOCUMENT WITH RESPE;CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURAIIICE AFFORDED BY THE; POLICIES DE;SCRIBED HEREIN IS SU8JE;CT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ ~'al TYPE OF INSURANCE POLICY NUMllliR POLICY EFFl!CTlVli POLICY ~"'RAT1ON
GENERALUABIUTY FlR37085 06/06/2008 06/06/2009 EACHOCCUAAENCE
t-- COMMERClA~ GENERAL LIABILITY DAMAGE TO REiNTED
I CLAIMS MACE [!] OCCUR
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Mea EXP (Anyone ,*Setl)
PERSONAL & Ar:1V INJURY
GENEAALAGGREGATE
PRODUCTS. COMf'1OP AGG
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-
GEN'L AGGREGATE LIMIT APPLIES PER:
I POL.ICY n ~ n LOC
AUTOMOBILE UAII'UTY
-
ANY AUTO
-
ALL OWNED AUTOS
-
SCHEDULED AUTOS
-
HIAEO AUTOS
-
f--- NONoQWNEDAUTOS
COfoolBlNED SINGLE l.IMIT
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8001l Y INJUR.Y
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800ll Y INJURY
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PR.OI'eATY DAMAGE
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~~GI! LIABILITY
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WORK&RS COMPENSATION AND
EMPLOYERII' LIABILITY
Atff PROPRIIiT'OM'ARTNEA/EXECUTlVE
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OTHER
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E~H OCCUAAENCE
AGGREGATE
I WCSTATl). IO~'
E.t.. EACH ACCIDENT $
&,l, DISEASE. Ell. EMPLOYEE $
E.L DISEASE - POLICY LIMIT S
DESCRIPTION OF OPIlAATlONS I LOCATIONS IVllItlCL&S, EXClU$lONS ADDED BY ENDORSEMENT I SPEaAl,. PROVISIONS
LIMITS
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SHOUlD ANY OF THE A80YE DEScRIBED POUClES lIE CAIlCELLED BI!FORE TttE
EXPIRATION DATe TttEREOF, THE I$IU1NG INSUItEft WILL ENDEAVOR TO MAIL
~ ~YS WlUTTEN NonCI! TO THE CERTlFlCA'I15 HOLDER NAMED 'tD THE LEFT,
BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSli NO OBlIGATION OR LIABILITY
OF ANY JOND UPON THE INSURIm.ITS AGENTS OR RePRESENTATIVES.
AUTH~;W (\
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() <5>ACORD CORPORATION 1988
CITY OF ZEPHYRHILLS
5335 - 8th STREET
ZEPHYRHIlLS, FL 33542
ACORD 2S (2001/08) FAX: (813) 780-0021
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
~ 5~~'~'
Date Receive~
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
f-- 5- '13 II '--j-' /1 :Sl LOT #
-'
I PARCEL 10#1
(OBTAINED FROM PROPERTY TAX NOTICE)
B NEW CONSTR ~ ADD/AL T D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
D SFR ~- COMM D OTHER I
D BLOCK D FRAME D STEEL D OTHER I
-0"/ o VJ € / f/
sa FOOTAGE I HEIGHT I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
p"..IIII..'......II...III..II...II....'II.'..II...',1...111..111........1111'...."...'1'...111...................1111..'....111'.1111'.111111..11
ROOFING
I
I
I
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D
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE rn-/ PROGRESS ENERGY
q S-o 0 0
D
W.R.E,C
D BUILDING 1$
rri
ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
// C' C.J
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
~~:;~:~~:N l}--'-'~ [ C)~. (._.r.
License #
Address
CC
FEE CURRENT
MECHANICAL
SIGNATURE
Y / N
FEE CURRENT
I r: CIS c> c / ~ Z LI
I
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I
I
I
I
Y/N
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Address
License #
COMPANY
REGISTERED
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
111111111111111 1I111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111
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 onsite, Construction Plans, Stormwater Plans w/ Sill 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,
111111I1111111I1111111111111111111111I11111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale 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 AlC 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 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, WaterlWastewater 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 Official for a period not to exceed ninety (90) days 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) '"7' '1, ,/.-
L... Lit (/~ ~ 1 /....
CONTRACTOR '""'-'. L' ,
Subscribed and s ~.o (or affi.rmed)befo~e me IS. 1:7 ' /
b t.., 1"-' e \ "Ie. c [.. (vvi "J
Who is/are ~rsonall~own to me or has/have produced
as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No.
Co
Commission DO 621833
cxpht:ll> December 12, 2010
9nnda" T!'lN Tray F~~n Il\WrlflOl ~10'i
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Pasco County Parcel: 11-26-21-0010-10300-0080001
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Data Current as Of:
ParcelID
Classification
Weekly Archive - Saturday, August 23, 2008
11-26-21-0010-10300-0080 (Card: 001 of 001)
01 - Single Family
Mailing Address
SHARMA DEVANAND
PO BOX 4669
INGLEWOOD, CA 903094669
Physical Address - See All 4 addresses (First Shown)
5543 11TH ST
ZEPHYRHILLS, FL 33542-4211
Le9al Description (First 4 Lines)
CITY OF ZEPHYRHILLS
PB 1 PG 54 LOTS 8-10 INCL
BLOCK 103
OR 3264 PG 1340 &
Land Detail (Card: 001 of 001)
Units I Type II
8,400.00 SF
SF
Property Value
Ag Land
Land
Building
Extra Features
$0
$46,914
$94,235
$494
Market Value
Assessed (Save Our Homes)
$141,643
$0
Taxable Value
$141,643
Price
$5.26
$0.65
I Condition
1.00
1.00
$2,730
Additional Land Information
Acres 0.29 I 30ZH II FEMA Code ICD Residential Code ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1930 Stories 2.0
Exterior Wall 1 Aluminum Siding Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plastered Interior Wall 2 None
Flooring J. Hardwood Flooring 2 Parquet
Fuel Gas Heat Convection
A/C Window Unit Baths 3.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,296 $83,462
2 APT 800 $51,520
3 FSA 200 $4,508
4 FUS 720 $41,731
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 CLFENCE 1973 1,400 $494
Previous Owner
;~~; I M~;th
2004 07
2002 01
Sales History
MARTINI ASSOCIATES INC
Book/Page Type
5969 / 0965
5969 / 0964
4843 / 0591 PR
Amount
$0
$0
$0
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