HomeMy WebLinkAbout10-10639 CITY OF ZEPHYRHILLS
5335 -8th Street
(813)780 -0020 10639
ELECTRICAL PERMIT
Permit Number: 10639 Address: 6043 HARRIET ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Contractor: REESE ELECTRICAL INC Book: Page:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number:
Improv. Cost: 8,000.00
Date Issued: 6/23/2010 Name: PINECREST MHP- CLUBHOUSE
Total Fees: 105.00 Address: 6043 HARRIET ST
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/23/2010 Phone: (813)782 -6112
Work Desc: UPGRADE EXIST OVRHD SVC /REWORK COURT LIGHTS 18- 3 GFI W /SWITCHES
ELECTRICAL FEE �. . 105.00 l E
1) 62 - 11 91
7iafilig4jer#A
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE -METER
FINAL
6/(q
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2 '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.
6 e r 4 i!,itr -
CONTRACTOR PERMIT OFFI .40R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - S HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021
Building Department f / 063Y
Date Received / _ 23 " Phone Contact for Permitting --
Owner's Name • Ivt QLkeiV KAI. at ci �&k.% Owner Phone Number 0d• g1� • 7 i- � 2
1
I
Owner's Address 1 4 0 43
t� Owner Phone Number 1 I
�k�r'�e -1 S � •
Fee Simple Titleholder Namel I Owner Phone Number I I
Simple Titleholder Address I I
Fee Sim
P I A I I
JOB ADDRESS I6.01 1 1 - Z- � Q ��+ �) "k 1(010\0 s.Mrla 0.r\ �'Q C. Fide' Ca " LOT #
SUBDIVISION I I PARCEL ID#1 I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED 1 I NEW CONSTR l I I ADD /ALT I I SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR I 1 COMM n OTHER 1
TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL r 1 OTHER I
DESCRIPTION OF WORK Up dc�{,a `41Gt . oveJt%c of 4 • kid /u CO�i� L t 4 ( L Lep . f u 6 F
BUILDING SIZE SQ FOOTAGE HEIGHT I
1 '4 Swr'�C�''
I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 W.R.E.C.
I I PLUMBING $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
F I GAS 1 1 ROOFING 1 I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License # I I
ELECTRICIAN (� COMPANY ( .e !pg. L ('QCi ✓Ccti..l C .
SIGNATURE �L� V`- �^-+�_ REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address PS: 00. 2 -WL, 1 L 3.14-3°1 License # 1 r C 1 13 5'5
PLUMBER COMPANY
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 I 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" restrict ans"
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
ob is considered abandoned. e
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th \ j
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 �/
�` CONTRACTOR C
OWNER OR AGE Subscribed and sworn to (or affirmed) before me this
Subscribed and sworn to (or affirmed) before me this by
b y 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.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
PINECREST MOBILE HOME PARK CO -OP OR 4767 PG 100 &
OR 4£114 PG 662 CLUBHOUSE AND RECREATION AREA
OR '567 .PG 1952
NOTICE OF COMMENCEMENT
State of c \c- �i County of -- PFO
TEE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 60 SZ,
•3 - 03,v)- yeavo - OCA(
(Legal aescription V1 the property an. street a.•ress 1 aval able)
2. General Description of Immprovement --- t y (k r .r; t e
1 11111111111111111111111111111111101 11111 1 1111 11111 1111 1111
2010092159
3. Owner Information: Name �� _p 'C(16 \ e- r u '
Address \ 0L43 \-vi f Siyeet City fh11 State
Interest in Property: Rcpt:1312725 Rec: 10.00
DS: 0.00 IT: 0.00 •
Name of Fee Simple Titleholder: 06/28/10 C. Condry, Doty Clerk
(If other than owner)
Address City State
; VV. . Contractor: Name A t Nov, : 6)-
Address.) 7 Ly SLR City 5erk\S \ �� l Sta f-( - 5153`i
5. Surety: Narne
Address City State
Amount. of Bond: PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
06/28/10 RBK 836 3 PG 14
6. Lender: Name
Address City State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Nnme
Address City State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
v. ;°xpirmi l.,n dnte of Notice of Commencement (the expiration date is 1 year
from the date of recording unless a different date is specified.)
,
*SignatureofOwner: ''�. -' ��.: r 1 _ - -- -�- � .� e , .'- „41f
Sworn to and subscribed before me thi_6 aV >' day of '1/4/04 1-
20 /,'1
Notary Public: ( Gi C6/1 1{,v/
y
My CD;r,r ssion Expires:
NOTARY PUBLIC -STATE OF FLORIDA
Stacie Hartwig
PC93053048/A ' ,; Commission #DD926164
Expires: OCT.16, 2013
BONDED THRU ATLANTIC BONDING CO,, INC.
PINECREST CNOBILE HOME PARK CO -OP OR 4767 PG 10 &
OR 4814 PG 662 CLUBHOUSE AND RECREATION AREA
OR 4567 PG 1952 r_
NOTICE OP COMMENCEMENT ' 0 (o
State of c\ County of Dp f
P118 UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 60 }} •..,,.ck.. n.
*3- 2.b-'),‘ - X 21• - 4 •0ao - OCA
(Legai aescripr.iou w. t e property an• street a..ress 1 aval a•le)
2. General Description of Improvement --b(( j ",_p 01 Ar .e6.e. dt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
2010092159
3. Owner Information: Name _1::::) r1 \P.\".\�`rP L(k
Address toOL\3 I( {,City / /h,j)15 State
Interest in Property: Rept:1312725 Rec: 10.00
DS: 0.00 IT: 0.00
Name of Fee Simple Titleholder: 06/28/10 C. Condry, Doty Clerk
(If other than owner)
Address City State
='" 1. Contractor: Name e \PC� -l1CA\ "SAc. w l c $61.
�►
Address�.� gtL City — (h∎ tt.� Sta 3353
5. Surety: Name
Address City State
Amount of Bond $ PnULA S.O'NEIL,Ph.D.PRSCO CLERK 6 COMPTROLLER
06/28/10 OR BK 8363 PG 1465
6. Lender: Name
Address City State
7. Persons within the State of Florida designated by Owner upon whcm
notices or other documents may be served as provided by Section
713.13)1)(a)(7), Florida Statutes:
N<me
Address City State
8. In addition to himself, Owner designates
Z U X iii
of to receive a copy of the O .. - - v
L ienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. u) Z U F— G O >-
a 6 O Z d N 2
9 . ; 'xpirnt i',n dnte of Notice o£ Commencement (the expiration date is 1 year 0 1: w i— w
from the crate of recording unless a different date is specified.) 0 O CC = Z a. 0
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A w
Z=OO� oo
*5 i9nature of Owner: Ar lb ►„ r a ..m. . dr. •//∎ 11 m s.,rS 8 F- a ; ' ,4
O Q O 0
Sworn to and subscribe me th o2y�/ day of 7 L/Le- ,- J O J < 1
0 >- U Oa o LL
20 (� I" w D Z O J
o �D y • (1^ �„ 4(7-iv U f Q I: v 0
Notary Public: Q -C�� / w O O p Z lib
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My CD:r.n ssion Expires: O Q -
NOTARY PUBLIC.STATE OF FLORIDA U1 (/) < J *' '
Stacie Hartwig Q v) u- Z m
PC93053048/A `� Commission #DD926164 1-- = p_ Z ~ o
'../ Expires: 0CT.16.2013 U) I— I— 0 S d m
BOND TNRD ATLANnC BONDING CO.,INC