HomeMy WebLinkAbout10-10085 CITY OF ZEPHYRHILLS
5335 -8th Street
(813)780 -0020 10085
ELECTRICAL PERMIT
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Permit Number: 10085 Address: 6126 LARK STREET
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: PATTIE ELEC. & REFRIGERATION Book: Page:
Square Feet: Subdivision: OAKSIDE MHP
Est. Value: Parcel Number: 02- 26 -21- 0020 - 00300 -0010
Improv. Cost: 300.00
Date Issued: 2/04/2010 Name: ZACK WILLIAM E TRUS
Total Fees: 35.00 Address: 10063 OAKS LANE
Amount Paid: 35.00 SEMINOLE FL 33772
Date Paid: 2/04/2010 Phone: (813)782 -2018
Work Desc: METER PULLED NEED INSPECTION FOR POWER TO BE REINSTATED
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ELECTRICAL FEE 7' 35.00
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ROUGH ELECTRIC
CONSTRUCTION POLE___
(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 perform
in accordance with City Codes and Ordinances.
2
CONTRACTOR PERMIT OFFI .40R
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 % � t5
Fax -813- 780 -0021
Building Department l
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Date Received Phone Contact for Permitt
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SA ��•� E T�uS� Owner Phone Number A c' )nZ toik Of 0-0 , e ,
Owner's Name ,
Owner's Address 1 /04 3 Decks 2 5 emi# 0 / e, F /•, 13 72Z Owner Phone Number IecoA.1 * GL 5 egl - C•17 3 reslo
Owner Phone Number 1
Fee Simple Titleholder Name'
Fee Simple Titleholder Address I I I
JOB ADDRESS I Le / •14 i Gael 5 ee i 2e f r A- P3 c/' 33Si� Z I L OT # I I
SUBDIVISION I I PARCEL ID #I 001-.24 - CC. C 4''C ,300 •- 00/0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I I N EW CONSTR I I ADD /ALT n SIGN I MOVE I 1 DEMOLISH INSTALL REPAIR
PROPOSED USE
I I S FR I I COMM I I OTHER 1 2 FRAME ' ec - b Fa' /�e e rnifeciF
TYPE OF CONSTRUCTION I I BLOCK 1 1 I I STEEL n OTHER 1 I I
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DESCRIPTION OF WORK I (A for 01 09e-,.. 7 YrnR.(`•tq Z1 rs - - (i4 to e. - '7 Pek')
BUILDING SIZE 1 I SQ FOOTAGE I 1 HEIGHT 1 I
I I BUILDING I$ I VALUATION OF TOTAL CONSTRUCTION
I 3 ,,,,a ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C.
I 1 PLUMBING IS I
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ED NO
BUILDER F EE CURRENT
COMPANY 1
SIGNATURE REGISTERED I Y/ N 1 I Y / N 1
Address 1 License #
ELECTRICIAN � COMPANY I / C � , &le c it l c
SIGNATURE (, -l ol t+ �k1 - l�v? REGISTERED I 6,) N I FEE CURRENT 1 (?)/ N 1
Address
NM (( / i ie lei Z4,1/ s Ft 33S10 License # I e.-- - 000 /24ff 1:137
PLUMBER COMPANY
SIGNATURE
REGISTERED I I Y/ N 1 FEE CURRENT I Y/ N 1
Address 1 License # (-
MECHANICAL COMPANY I
SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N I
Address 1 License # I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address 1 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 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 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 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
OWNER OR AGENT f7r G Z` CONTRACTOR y.t.
Suascrjbe� and sworn to (or afflr ed) before me this Subscribed and swo to (orjtirmed) before me this
LL ``II !(((�) by 2 -if –/ c by
Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced
as identification. as identification.
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Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
,C,ITY OF / 'NOTICE" BUILDINI3
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
DO NOT REMOVE
ADDRESS r t PERMIT f S
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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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 780 -0020 FOR RE- INSPECTION
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR pt 6--(lass