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09-9079
CITY OF ZEPHYRHILLS 5335 -8th Street (813)780 -0020 9079 ELECTRICAL PERMIT Permit Number: 9079 Address: 5629 17TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: DOUGLAS ELECTRIC Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 10700 -0100 Improv. Cost: 600.00 , .,. " : oa r.3ar ,£, r; ; Date Issued: 4/29/2009 Name: MURPHY, JOSEPH & DEBORAH Total Fees: 35.00 Address: 5629 17TH ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/29/2009 Phone: (813)788 -2147 Work Desc: UPGRADE ELECTRIC 100AMP TO 200AMP ELECTRICAL FEE 35.00 6[10 .s4 ROUGH ELECTRIC CONSTRUCTION POLE (T T PRE -METER FINAL 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 Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. CONT C OR PERMIT OFFI ' R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 11- 26 -21- 0010 - 10700 -0100 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections I Data Current as Of: Weekly Archive - Saturday, April 25, 2009 Parcel ID I 11- 26 -21- 0010 - 10700 -0100 (Card: 001 of 001) I Classification II 01 - Single Family Mailing Address Property Value MURPHY JOSEPH & DEBORAH Ag Land $0 5629 17TH ST Land $26,060 ZEPHYRHILLS, FL 335424449 Building $31,610 Physical Address Extra Features $742 5629 17TH ST ZEPHYRHILLS, FL 33542 -4406 Market Value $58,412 Assessed (Save Our Homes) $49,731 Homestead 196.031 - $25,000 • Non- School Additional Homestead Exemption - $0 Legal Description (First 4 Lines) CITY OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $24,731 LOTS 10 & 11 BLOCK 107 School District Taxable Value $24,731 OR 1461 PG 935 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use I °Description° Zoning II Units II Type II Price II Condition II Value 1 II 0100 II SFR II 00R2 II 8,400.00 II SF II $3.06 II 1.00 II $25,704 2 0 0100 II SFR II 00R2 0 938.00 II SF II $0.38 II 1.00 II $356 Additional Land Information Acres II 0.21 II Tax Area II 3OZH II FEMA Code Il X IlResidential Codell ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1958 Stories 1.0 Exterior Wall 1 Tile or Wood Frame Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Li I I Desc II Sq. F II Repl. Cost New II $5,548 2 II FEP I I 198 I $5,755 3 I I BAS II 804 I $33,286 II I $248 Extra Features (Card: 001 of 001) Line II Description I Year I Units II Value 1 0 DWSWC I 1958 200 I $75 2 II UDU -M III 1 II $192 3 I CLFENCE I 1992 II 940 II $331 4 II UDU I 1994 II 64 0 $144 Sales History Previous Owner I N/A II 1 II 11 http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 4/29/2009 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received ` 1l Phone Contact for Permitting -- Owner's Name 1NEM f E Owner Phone Number p a ' y i` ' Owner's Address - f - - Y 1 1 1 4 1 )� .: ,( l pc \il .i \ V _ Owner Phone Number f 3) 7) , f 3 1 Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4 6 1k 1 �4 , � -''� ( , LOT # 10" ( C SUBDIVISION M O ( CK t \ Q PARCEL ID #1 1 1 / y' t l° + ^1 0 U; (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR I 1 COMM n OTHER I I TYPE OF CONSTRUCTION I-I BLOCK I FRAME 1 I STEEL I I OTHER I DESCRIPTION OF WORK � P GRAD . E-U.cliZ5K. SRRIA cf.. F(zcvii 1t 14 if To 2-00444 0 BUILDING SIZE SQ FOOTAGE C7 HEIGHT I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ t OO 1)1-2 � AMP SERVICE 2.,00 1,1K1 PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I Address 1 License # ELECTRICIAN `. (_ 1 (' G�^ Q COMPANY OGV 641-5 '€i(4 -Gf L SIGNATURE (Vl(� zj REGISTERED I Y/ N I FEE CURRENT I Y/ N Address U 4 /7-6 — C0V j ry C.J.Jl1.0 OA If << r/ 335 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # I OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT I Y/ N I Address License # I 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 EES I of new de b gne u of that Transportation Impact Fees and Recourse Recovery Fees may apply construction 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 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 job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT WITH YOUR LENDER OR AN ATTORNEY FLORIDA JURAT (F.S. 117.03) Y,/.� (� � �� OWNER OR AGENT CONTRACTOR ` � Subscribed and sworn to (or affirmed) before me this Su sc i ed arid sswo'sn tp,(or affirmeed)b efore tis. by 1(4-41 b y VVho is/are known to me or has have produced Who is /are personally known to me identification. has/have produced !i( as identification. as iUficaUon. '�:; -, ) 1 Notary Public Notary Public �; Y'P„ --,, JACr! LINE BOGES Commission No. Comrydssl. No. 317 fit t_ Cnmmissiort nD 6 w:• � �<. : o Expires December 12, 2010 f ; 6ondad Thru Trov Fain Insurance 800- 385-7019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped !_;:,o , 2 :-_ -1_,"1 '"? E^4 : PETERSON INS PACT 132/c'3 �- A CRD. CERTIFICATE OF LIABILITY INSURANCE DATE (MNIODlYY1 ^f) 04/29/2009 , I'RO ( 352) 567 -9771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cy Pdtergor. Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 4A 37 Meridian Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. D City _ L 34525- INSURERS AFFORDING COVERAGE NAIC # INSURED INSCREft INSURANCE CO. D ELECTRIC, INC . IN SURER ®. SOUTHERN OWNERS _ CO INS . CO _ MR. ROBERT DOUGLAS INSURERC:AUTO OWNERS INS 36425 COVINGTON RD. INSURER D: DADE CITY 33525- INSURER E. COVERAGES -- THE POLICIES OF INSURANCE I.ISTE:D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FUR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BXCLUS:ONS ANO CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS $HUWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN5RI ,ADD . POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM 0OITY) PATE (MMIDOEYI) _ -- A of %ERAL LIABILITY 2D54303D 02/24/2009 02/14/2010 EACH OCCURRENCE s 1,000,000 1'A^'+ — 50,000 i ©CGt-0MEACIAL GENERAL LIABILITY I � PREMISES Ed o a:uhehdC f . ___, , CLAIMS MADE / QGCUR / / / / MED EXP (Any vie peson) S 5,000 J PERSONAL & AP/ INJURY S 1,000,000 / / / / GENERAL AGGREGATE s 2,000,000 TEEN I_APGREC.ATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG 8 2,000,000 X POLICY 3 LOC / / / / AUTOMOBILE LAMM/ 1 / / 4 / / COMBINED SINGLE LIMIT (Ea &CCiaenti & I ANY AUTO — — At. L VANED AUTOS / / / / BODILY INJURY — (Per person) S SCHEDILED ALTOS HIRED AUTOS / / / / BOCILY INJURY S i (Der 9CCiaent) NON -OWN _O AUTOS 'V I _ II / / I / / PRIIPERTf DAMAGE 5 I } — — - --------- tAPAGE LIABILITY (PNr accident) AUTOONLY- EF.ACCIDENT $ 1 —.— ANY AVTO / / / / OTHER THAN _ EA ACC 5 AUTO ONLY: AGG E — —fi EXGEBSrUM$RELLA LIABILITY / / / / I L EACH OCC'UIIRFNCE< 1 1 OCCUR n ;LAIMSMACE . I AGGREGATE CT0UCTl6LE / / / / + ' _ FRETEN'ICN S T sE --..-- B WORK.ERSCOMPENSATIONANO 2C531B49 _ * 02/01/2009 D2/01/2010 TORYLMAtTS ° A CM_ LIABILITY ., 00 0 000 ANY wROaRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCID $ , OFFIC'ERrMEMSER EXCLUDED? / / / 1 E.L. DISEASE - EA EMPLOYEE 3 1,000,000 If yos, describe under I ~— SPEC PROVISIONS Felt* E.L. OISFJA$E - VOL ICY LIMIT $ 1,000,000 IOaR / / / / / / / / — / / ()ESCR OF OPERATIONSl LOCAT1ONSNEHICL E?E &EXCLV$IVNSAODEC BY EN60RFEMENTISPECIAL PROVISIONS �cbert E Douglas, Li Genoa # ECC +)02552 / / 1 CERTIFICATE HOLDER CANCELLATION ( - ( - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORt THE EXPIRATION DATE THERNOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN N0T7CE TO THE CERTIFICATE HOLDER NAM80 TO THE LEFT, BUT CITY OF ZEPHYRMILLS FAILURE TO CO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE BUILD DEP ?RTM E1tiT INSURER ITS AGENTS OR REPRESENTATIVES. 533 EIGHTH 3T AU THORJZEDREPRESENTA ZEPH7'TU - IL LS FL 33542 - v 1 v 1 � � /W ACOR.L) 25 (2001/08) i ACOR0 CORPORATION 1988 INR(".9K :nvw:rs: Page1 C42 1 34. P9/ 2 0.17.1R ry-3 : 134 35256 11 PETP-PSI-N Tt•T IMPORTANT if the certificate holder is an ADDITIONAL iNSUREQ, the poky(res) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) fi SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such erdorsement(s). DISCLAIMER The Certificate of Insuraece on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or prcduter, And the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies fisted thereon L. ACORO 26 (2001108) INSO25 t.(+ic AMS Pa9etof2