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HomeMy WebLinkAbout11-11380 CITY OF ZEPHYRHILLS 5335 -8th Street e (813)780 -0020 11380 ELECTRICAL PERMIT , armit Number: 11380 Address: 38151 6TH AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: POWERHOUSE ELEC.,INC. Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 13100 -0110 Improv. Cost: 1,500.00 Date Issued: 1/06/2011 Name: LUNA, MANUEL Total Fees: 45.00 Address: 5652 19TH ST Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/06/2011 Phone: (813)312 -1753 Work Desc: 200 AMP SVC UPGRADE & INTERNAL REPAIRS ELECTRICAL FEE 45.00 Y O_Si2- Sez, r 1 ' tc k4Ae...iis ROUGH ELECTRIC CONSTRUCTION POLE V PRE -METER FINAL 74 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." Com. -te Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Coo - . ;Ordinances. 41.,.. h cir ."----------- 602.,_ 2, .4 /t , CONTRACTOR PERMIT OFFI 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 a)„ Fax -813- 780 -0021 Building Department t� Date Received Phone Contact for Permittin• — Owner's Name V v � N L 4/ ' Owner Phone Number g 3-31z- ? Owner's Address � / / l. liAd Owner Phone Number I 73 �7O P 3 ( Fee Simple Titleholder Name . ( Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS 3 ' JS / ' // - A v � LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE ' SFR n COMM ( I OTHER TYPE OF CONSTRUCTION [ BLOCK I FRAME I 1 STEEL n ( I DESCRIPTION OF WORK ZOO / A + M > . S L n c - V r c _ E (.3 a- - j € - S -' as-C #Ce L r 1 S BUILDING SIZE SQ FOOTAGE HEIGHT I 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 )C'ELECTRICAL $ `6—� — AMP SERVICE 2cw I .14,_1 PROGRESS ENERGY rn W.R.E.C. I (PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION nGAS n ROOFING r7 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address 1 License # ELECTRICIAN CA COMPANY u J €' &-47-71-0c- "' c . SIGNATURE REGISTERED / N FEE CURREN N J Address 1 110 ( U /4i1 -ALX kV 1 License # 1 /5 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address 1 License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # 1 OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 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 $7500) ** 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`Oniy) Reroofs if shingles Sewers Service Upgrades NC 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 A •_- . Y BEFORE RECORDING YOUR NOTI E OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) � 4 � OWNER OR AGE te �i+��i! CONTRACTOI( Subscribed and swop t• or a • , - me Subscribed and sworn 4o (Dr vfftrmedLef rp me this 6 `i / byd� L/t re t ` • - vN : I — 6 - l I by U (_ V_ s h Who is /are personally known to me or has/have produced Who is /are person known to me or has/have produced as identification. as identification. Notary Public .t _ ' AR 4010 Notary Public ` wJt ry Co F.sion • " • L BOGES Com Fon •, 'r' .� Commission # EE 040520 Commission " rte. '� • I:.:. 12 201.4 - Name of Not- , 'r,, " Name of No tary - Y ; '- a •�� *. Insurance 800-3854019 / z- 7- it a4t,s �` J�CI ,,) ' Atbt. R CC 'c 40o✓E Y rte /7 ea Ac<c •Fe �� � .2 //goo 7 36773 4 - ,¢ 1/16, CITY OF ZEPHYRHILLS 5335 -8th Street (813)780 -0020 11380 ELECTRICAL PERMIT Ott ,4; `' 7 , Ste "r # r .k r , +z ° eti i 4 Permit Number: 11380 Address: 38151 6TH AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: POWERHOUSE ELEC.,INC. Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 13100 -0110 Im rov. Cost: 1,500.00 ` ` " "' " 't Date Issued: 1/06/2011 Name: LUNA, MANUEL Total Fees: 45.00 Address: 5652 19TH ST Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/06/2011 j Phone: (813)312 -1753 Work Desc: 200 AMP SVC UPGRADE & INTERNAL REPAIRS ; `.' U;01 .4 r,k,W,4 g , «.,„1%' , ;4 �,,, , , ;a: a, .. :,. k..,,�a� s ,.,.:42a*�w L .. ta 4 . ns-47, 3. ELECTRICAL FEE 45.00 w,m 1"44 A 'A +W u. r ,i wf :;11.,.r >,rA "ti 11_Ytz..t. ._a 7: , , . , i'" 1. i 4 . ROUGH ELECTRIC CONSTRUCTION POLE PRE -METER FINAL 1 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. I 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 CC a d Ordinances. /(` -------- 6e,g— fOr a 1 1. ,. CONTRACTOR PERMIT OFF! PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~ - ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE(1MMleDfYYYY) 0110912011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Smith > Thomas Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR P.O. Box 3544 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeland FL 33802 INSURERS AFFORDING COVERAGE NAIL 8 INSURED Powerhouse Electric, Inc. , - .,-, A: Bankers Insurance Com..., 6448 Frontler Drive INSURER E: INS . • Zephyrhllls FL 83540.7604 , - 0 : INSURER!: COVERAGES THE POLICIES OF INSURANCE USTED BELOW MAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1WITHSTANDWG ANY REQUIREMENT, TERM OR CONDITION 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 13 SUBJECT TO ALL THE TERMS, !XCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. IMSR'ADD'L I " - T I NZ f�iINl�ii N YM1f LTR ygMtI Twin AN MYMIRiypA Feuer/ NIEEI�1 e� " ...• imp MAL LIABILITY « $ 1100.000 A X COMMERCIALOENEIWOMBIury 090006344085 11/19/2010 11/1012011 PR.. pt $ 100.000 CLAIM, WOE 1.3j OCCUR MD tit „Any ono mem i 6.000 PERIIDNAL a AOV INJURY 1 1.000,000 _ —” GENERALAQQREGATE $ P001000 L A GREGAT um' APPU 8 PERI PRODUCTS • CDM AD PUCP S $ 1.000,000 IPOLCY • LOC TOLE MINIM COMBINED SINGLE LIMB $ ANY Auto (s amItI G • ALL OWNED AUTOS BODILY NJURY S SCHEDULED AUTOS HIRED AUTOS IOOILY E7 URY • NON -OWNED AUTOS (PM ECM) . PROPERTY t) MAO! B (per GARAGE LIABILITY AUTO ONLY • EtitiCIDENT 1 _ -1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO S 1 CLMMS MADE EACH OCCURRENCE 3 OCCUR AGGREGATE 5 $ DEDUCTIME I RETENTION 3 1 WORNSRS COMPENSATION AND 1 •M ve leii) I • EMPLOYER, MINIM EL EACH ACCIDENT I ANY PROPRIETOWPARTNERAIXECuTIVE OPFICERMEMEER EXCWDE07 LL MAIM • EA EMPLOY,, M I • e under ! L DISEASE- POLICY LIMB 1 OTHER DESCRIPTION CO OPERATION, I •ACATIONS 7 WOOL= l EXOW$IONS ADDEO BY INDORINE ENT I' SPECIAL PROVISIONS • • CERTIFICATE HOLDER CANCELLATION EMOULDANYOPTIMABOVE MOM IliD MUCUS IICANCELLEDSEPORETHEEXPIRATION CIty of Zephyrhllls DATE THIRIOR TIE ISSUING INSURER WIN. ENDEAVOR TO NAIL DAYS some Attn: Buliding Dept NOTICE TO TIE OEITMICATE HMO NAMED TO THE LIFT. EMUT PAIWRE TO 00 SO SHALL 9338 Sth Street MOB! NO OBLIGATION OR UAILITY or ANY KIND UPON THI EISUIIER. ITS AGENTS OR Zephyrhille, FL 33542 AUTHORIZED REP ACORD 29 (2001101) O ACO ■• CORPORATION 1593 T • d 6006 LB9 198 33Wd21f1SW I S1 WOH1 1 Hl I WS Wd20 : 4 T T O2 90 uer Pasco County Parcel: 11- 26 -21- 0010 - 13100 -0110 001 Page 1 of 1 Data Current as Of: II Weekly Archive - Saturday, January 01, 2011 I Parcel ID I 11- 26 -21- 0010 - 13100 -0110 (Card: 001 of 001) I Classification II 08 - Multi - Family - Less than 5 units I Mailing Address Property Value LUNA MANUEL H Ag Land $0 5652 19TH ST Land $16,002 ZEPHYRHILLS FL 33542 -4464 Building $49,538 Physical Address Extra Features $214 38151 6TH AVE ZEPHYRHILLS FL 33542 Market Value $65,754 Legal Descriution (First 4 Lines) Assessed (Non - School Amendment 1) $65,754 See Plat for this Subdivision 1- Taxable Value $65,754 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 11 -13 INCL BLOCK 131 OR 5411 PG 1890 Land Detail (Card: 001 of 001) Line II Use IlDescriptionII Zoning II Units II Type II Price II Condition II Value 1 II 0100 11 SFR 0 00R3 II 12,600.00 0 SF I $1.27 11 1.00 11 $16,002 Additional Land Information Acres II 0.29 II Tax Area II 30ZH II FEMA Code II X IIResidential CodeII ZHLHLP1 Building Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 001) Year Built 1955 Stories 1.0 Exterior Wall 1 Concrete Block 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 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line II Description 11 Sq. Feet Repl. Cost New 1 0 BAS 111 1,462 $102,428 2 1111 $5,395 3 II FOP 74 0 $1,051 Extra Features (Card: 001 of 001) Line II Description I Year I Units II Value 1 DWSWA 1 1974 I 178 I I $83 2 II UDU -M I 1988 I 1 II $131 Sales History Previous Owner I D'ALESSIO MICHAEL T Year II Month I Book /Page II Type II Amount 2003 I 06 I 5411 / 1890 II WD 11 $90,000 1997 II 01 I 3695 / 0642 11 WD 1 $75,500 1997 11 01 I 3695 / 0641 II Q II $ http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &bl... 1/6/2011