HomeMy WebLinkAbout09-9760 CITY OF ZEPHYRHILLS
5335 -8th Street
(813)780 -0020 9760
ELECTRICAL PERMIT
Permit Number: 9760 Address: 37940 6TH AVE MLK JR AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: WESLEY CHAPEL ELECTRIC LLC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 800.00 ° € > '
Date Issued: 11/16/2009 Name: BOCKHAHN, GERALD
Total Fees: 35.00 Address: 37940 MLK JR AVE
Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/16/2009 Phone:
Work Desc: UPGRADE PANEL /SERVICE TO 150AMP / UPGRADE OUTLETS
ELECTRICAL FEE 35.00
Of\-c4
ROUGH ELECTRIC "t
CONSTRUCTION POLE
PRE -METER
FINAL f!- N-
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 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."
Complete P1 s, Specifications and Fee Must Accompany Application. All work shall be perforne
in accord-roe with City C••' -s and Ordinances.
��
• CON TCTOR PERMIT OFFIIOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• -,- -
LIC ER 13013419
eek • PROPOSAL
Page* / eti-
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77 Wesley Chapel Electric, LLC
N o4106...
P.O. Box 7297
We Chapel,
964
wcelectric@verizon.net
• /
Proposal St To: fe - iz - " -.;) Job N /;0
am .1C k Job # e " i
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Address ......„ .6) r
Job Location
.3.5 V .4 Date / (L„, /) „_ c 7 Date of Plans
...— / / 1/7
Phone # J MNIMAIII Fax * Architect
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We hereby mit specifications araii,e,imates for. /
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We propose hereby to fumish material and labor — complete in accordance with the above spec' ica ions or t e sum of:
$ . C 7el - 11 , Ua ---- .......--.
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with payments to be made as follows' , 57
Any alteration or deviation from above specifications involving extra costs will be Respectfully .. '• ...- - 7 .--
executed only upon written order, and wiR become an extra charge over and ' ' 1<- .
submitt . • ... ' - ---
above the estimate. Alt agreements contingent upon strikes, accidents, or delays /
beyond our controL Note — this proposal rn: . .. withdravm by us il not accepted within days.
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acceptance of Propogal
The above prices, specifications and conditions are satisfactory and are SignatureX
hereby accepted. You are authorized to do the work as specified.
Payments will be made as outlined above.
Date of Acceptance - Signature
813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021
Building Department
Date Received Phone c- Co for Permitting --
Owner's Name '. �'Q / OW ` J 1� ite Ai Owner Phone Number
Owner's Address 7.,97'6r*. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3' 77�� / �� � /' ` ` /' LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN 1 I MOVE I 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 1 SFR COMM I I OTHER 1 I
TYPE OF CONSTRUCTION BLOCK I 1 FRAME I I STEEL 1 1 OTHER I
DESCRIPTION OF WORK
BUILDING SIZE �_ SQ FOOTAGE HEIGHT
TITTTTTTTTTITu _ .
I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ "� AMP SERVICE /5V PROGRESS ENERGY I 1 W.R.E.C.
=��
I 1 PLUMBING $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I 'NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address / License #
// / e�/ � 75 {'f/V or zez - 7 - c c___, S IGNAT RE N COMPANY // (E SIGNATURE ,,./44,111r.
REGISTERED FEE CURRENT / N 1
Address ) 7d /4€t2 7L, 1 , " .. _; 0 "c--- License # �� /� / r
PLUMBER COMPANY - f
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N _1 FEE CURRENT I Y/ N I
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 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/ 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
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
n not d ve r se l cited affect d for adjacent
properties. If. use of fill is found to adversely affect adjacent properties, the
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 construtntinn, lunderstand ooter installations r not specifically ncludedred for a on� A
plumbing, signs, wells, pools, air conditioning, gas,
permit aside a ny p rov is io construed ns of the te c hn ial codes, nor shall issuance of a permit prevent the Building Official from thereafter
set asde any provioci
unless the a cor k authorized of error in such an ermit is commenced within within six a months of permit issuance, ordif shall become invalid
work authorized by
unless m it work p ended or abandoned nc p he wok is commenced. An extension
m a p r is es ted, in d o g, from period
the Build ngOff cial forr a per od not the tme
ed nety days and will demonstrate
rosy be requested, in writing, from
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the \ j ob is considered abandoned.
NIN
G TO OWNER: YO " FAILURE TO RECORD A NOTICE OFICOMM N ME T F AY RES G IN Y ULR
PAYING TWICE FOR IMP' ' EMENTS TO/ E RECORDING YOUR ►y�` IC CO i.:,�i.' EMENT.
WITH YOUR LENDER �,' AN TOE � : - `
FLORIDA JURAT (F.S. 11 . �C / AIr C
OWNER OR AGE �_. Subscribed and'wom o (• - e• before�ne i
Subscribed and sworn , ` me • efore ' e pis by ,e 1
by ' A_ /v/ G ' - � � �riz
VVho is /are Personally known to me or has/hav• produced Who is/are personally known to me or has//haven r i c
as identification.
Notary Public
Notary Public
Commission No. —
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped