HomeMy WebLinkAbout08-8500 CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020 8
ELECTRICAL PERMIT
Permit Number: 8500 Address: 6151 12TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: CHURCH Lot(s): Block: Section:
Contractor: REESE ELECTRICAL INC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 2,250.00
Date Issued: 11/06/2008 Name: CHURCH OF THE NAZARENE
Total Fees: 45.00 Address: 6151 12TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/06/2008 Phone:
Work Desc: REPAIR EMERGENCY LIGHTS 9 EXIT SIGNS EXTEND RECEPTACLES CIRCUITS
ELECTRICAL FEE 45.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER / f
FINAL I
/.7
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are
necessary due to any one 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.
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 Fax-813-780-0021
Building Department !
Date Received 1
Phone Contact for Permitting I $ -- �q 1
1
Owner's Name
rr -- & e j Owner Phone Number
Owner's Address lD CZ ( k Z h_((1S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (O (cJ I I h Z LOT#
SUBDIVISION PARCEL ID# ( OO2QO^ QOIZ
cI
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN L1J MOVE DEMOLISH
INSTALL LJ REPAIR
PROPOSED USE Q SFR COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK W 7ç1_-_•
,
BUILDING SIZE SQ FOOTAGE H IGr - t- nd T c � Ci�C�+c{5
HEIGHT
0 BUILDING $
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $
LIII MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS [ ] ROOFING SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES =NO
BUILDER fl
SIGNATURE COMPANY
REGISTERED Y IN ] FEE CURRENT Y/N
Address
License#
ELECTRICIAN (K [ COMPANY t— Tr
SIGNATURE ,, '4-k\ REGISTERED Y/ N FEE CURRENT Y/N
Address T'V F
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED LyjN_I Y/ FEE CURRENT Lit±Lj
Address
License#
MECHANICAL
SIGNATURE COMPANY
REGISTERED ['/N] FEE CURRENT Y/N
Address
License#
OTHER
SIGNATURE COMPANY
REGISTERED Y INI FEE CURRENT Y/N
Address
License#
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 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/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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
nderstands that s permit may be NOTICE OF DEED RESTRICTIONS: The undersigned s The undersigned assumes i responsibility for compliance subject
restrictions"
any
which may be more restrictive than County regulation
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR be REliSPONSIBILITIES:
acdanc
PONSIBlcoEe with state and local regulations. Ifr or
the
contractors to undertake work, they may be required
to contractor is not licensed as required by
l ,
both
the
owner
e uncertain contractor
to what nlicensing equi cited
r requirements may apply
misdemeanor
ts violation
the
under state law. lithe owner or intended contractor
47-
intended work, they are advised to contact edea contractor asco County
orBuilding
contractors, he is advised to i have the contractor(s) s sign
8009. Furthermore, if the owner has
portions of the "contractor Block" of this application
forwhichlicensed heywill
be
is not enttled to Ypermitting the
privileges giin Pasco
n as the
contractor, that may be an indication that he not properly
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undew ersigned
change understands
f
that Transportation Impact Fees and Recourse Recovery Fees may applyinance number to the and
use in existing buildings, or expansion of existing buildings,
fees,in asPmay be duet'asco County�Ildbe identified at the�me of
90-07, as amended. The undersigned also understands, that sube aid prior
permitting. It is further understood that Transportation Impact Fees ase. lf the panel Rt esource
notRnvolve acertificate of occ pancy or
o
receiving a "certificate of occupancy" or final power
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, asamended)
'Florida valuation
Construction500.00 or more, I
Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy of the is someone
Protection Guide" prepared by the Florida Department of Agriculture
described document and promP'isieantgood faith to
other than the"owner", I certify that I have obtained a copy of the
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify�eaulatin the
const construction, zoning information
zoning an application
d land development. Appfica all
tsohas
n iS
will be done in compliance with all applicable laws regulating
hereby made to obtain a permit to do and
thatand ialltallation as work will be performed certify
of all installation
commenced prior to issuance of a permit an
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 ake in compliance. ude but are not to:
my responsibility to identify what actions I must t ct onoC be
ess Bayheads SWetland Areas alnd EnvironmentallytSessitive
Department of Environmental Prote YP
Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cypress
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
ispermitted.
u understood that a drainage plan addressing a
If the fill material is to be used in Flood Zone "A', professional engineer
"compensating volume" will be submitted at time of permitting which is prepared by a
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone uA" in connectin
area within the witstem w mitted building using stem wall
construction, I certify that fill will be used only to fill the
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
r the attached permit application, for lots less than one (1)
If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
properties.
the conditions of the building permit drainage plan is required.
acre which are elevated by fill, an engineered
AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting
er iequired for conditions
set forth
work,
If I am the be electrical
application. A
this affidavit prior to commencing construction. Ior understand ther installations not specificallyauthority cludo included
in the tin A
plumbing, signs, wells, pools, air conditioning, g not as
or
permit issued shall be construed to n cal ce a icense to odes, nor shall issuawith
nce of a permit p event theB liss eel shall become iOfficial from af t d
er
set aside any provisions of the tech
requiring a correction of errors in plans, construction or violations of any codes. Every permit or if work
authorized by such permit is commenced within six mto the time theths of tworkan commenced. An extension
by
unless the work month days and will demonstrate
the permit is suspended ti abandoned for B a period c six(6) the job is considered abandoned.
may be requested, in writing, from the Building Official for a perconsecutive days, ninety (90) Y
justifiable cause for the extension. If work ceases for ninety(90) OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OUR NOTICE OF COMMENCEMENT.
PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR FLORIDA JURAT(LENDERoOR AN ATTORNEY BEFORE RECORDING
y�
CONTRACTOR \
OWNER OR AGENTscribed before me this
Subscribed and sworn to(or affirmed)before me this Su and sworn to(or affi
r� r 'Aee by W Who is/are wsoaauy to
Identi me or has/have produced
as identification.
Who i�larg pt to me or has/have produced
as fication.
Notary ublic
Notary Public =�: :._ Commission DD 621833
BODES nk,Ssfon
Com i Tn,y Fan inw���e eooaW7019*� •� Commiselon DD
C ssio ecember 12 2010
Rr.Fk�` Gnu eTRroT<yP.mInwral", Name of Notary typed,Printed or stamped
Name of Notary typed,Printed or stamped
' , NOTIC 11 BUILDING
EPH�t �S DEPARTMENT
ADDITION OR CORR --�---
•. • • - •
n ADDRESS DATE IT,F 2 &- J2 4THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
CD v3cs 5' }eL * 11
- fw &iy2 '-4L 41 US %T\P _ \i )
rJ( LS0 TYY yiD Lt ' l o-C
Wrx 11 ( i - u.
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-00 0 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR v� `