HomeMy WebLinkAbout11-11487 CITY OF ZEPHYRHILLS
5335-8th Street y.F
� (si3»so-ooao 11487
ELECTRICAL PERMIT
Permit Number: 11487 Address: 5514 ANNETTE ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: HOMEOWNER Book: Page:
Square Feet: Subdivision: SIXTH AVE
Est. Value: Parcel Number:
Improv. Cost: 50.00
Date Issued: 2/07/2011 Name: ST. PIERRE, RD & ONA
Total Fees: 40.00 Address: 5514 ANNETTE ST
Amount Paid: 40.00 ---�- S FL. 33542
Date Paid: 2/07/2011 780-70 ^ ;�
Work Desc: ELECTRICAL INSPECTION REQUEST P GRESS TO REI METER
ELECTRICAL FEE 40.00
� ��
�
ROUGH ELECTRIC ---
CONSTRUCTION POLE
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 ca�led 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.
d �.-� �,.�-�
�
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 ot Lepnyrhllls Nermit Application rax-u,s-�au-uuz,
Building Department
Date Receiv�cl �
� Phone Contact for Permitttn _
�"' Owner's NamE� * Owner Phone Number -� Q
� Owner's Address ' Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
'' JOB ADDRESS LOT # �
SUBDIVISION - PARCEL I�#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN [� [� DEMOLISH
e INSTAIL � REPAIR
PROPOSED USE � SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q - -1
� DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING $ —'
VALUATION OF TOTAL CONSTRUCTION
� �ELECTRICAL $ AMP SERVICE
�j a� 6� 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL �$ VALUATION OF MECHANICAL INSTALLATION
L
QGAS Q ROOFING Q SPECIALTY
C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address �
License #
(-ELECTRICIAN /,� �?7
SIGNATURE �(,(/ COMPANY (
REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense # �—
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �—
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address �
License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon,
Minimum ten (10) working days after submlttal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Sitt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Wor1c Permit for subdivisions/large projects
COMMERCIAL Af�ch (31 rmm�lo►e �e�� ,.s o..����__ ... _
' DISCI,OSURE S'�'a'�'F*�*T'►' .FOR OW1�R
CZTY OF ZEPx��TT?-S BVII.Da7G DEPARTt�NT
_� _ have read arid fu11y tuiderstaad and
agree to the provisions of �this instr�etit•
The usidersigned .states and affirms that he or she is desirous of constructing,
resiovating, adding to or reroofing his or her ov�n domicile, that he or she
actually occupies, or �i11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she shall comply wi the following condi
1. Tlzat the owaer and_he or she aloae sha11 act as the bui.lder for a11 phases of
construction.
2. That tlze owner wi11 comply with a11 provisions of �the City of Zephyrhills
ordinances and codes perti.aent to the building.
3. That in the event various phases of construction are subcontracted, he will
enga.ge only•propErly liceased subcontractors and will pErsonally supervise
such work.
4. That in the event the Hui.ldiag Inspector sha11 require cortections to be made,
the owner will assume fu11 responsiY�ility to iasuse�they are made, and upon
completion wi11 ca13 for a rp� *+-�+�ction before proceeding wa.th the building.
5. That the owner sha11 assume full responsibility for the constructi.on and v�i11
not expect_ supervision of his work from the Ciiy of Zephyrhills Building
Depar'�ent .
6. That prior to final inspection aszy additional fees, i.ncluding reinspection
feas, must be paid in ful1. A written request from this office sha11
constitute an official notice to pay additional fees.
7. That the owner sha11 comply with a11 City, State and Federal laws ia regasd to
social security, workman's compeasatioa, lien laovs, etc., where applicable.
B. That the owner sha11 comply with a11 the safety codes issued by the Florida
Industrial Commission.
9. State 1aw re?+ constsuction to be done by licensed contractors. You have
applied for a�*�+++; t under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must_provide direct
onsite supervision of' the coastx�zetioa yovrself. You may build or improve a
one-family or tmo-family residence or a fasm outbuildiag. You may also build
or improve a commerci.al building, provided your costs do aot exceed $25,000.
The building or residence must be for yovt own use or occupaacy. 2t may not
be built or substaatially improved for sale or lease. If you sell or lease a
build.isig you have built or substaatially ��proved yourse].f within 1 year after
the constraction is complete, the 1aw will pres�e•that you built or
subs imprcved •if for sale or laase, which is a violation of this
exemption. You may aot hire an unliceased person to act as your contsactor or
to supervise people warkiag on your building. It is your responsibility to
make sure that people employed by you ha.ve liceases rec� by state law and
by county or municipal licensing ordi.aances. You may not delegate the
responsit�ility for supervising �vork to a licensed contractar who is not.
licensed to pgrform �the �vork beiag dnne. As�.y p�rson working on your building
who is not licensed must work uader your direct supervision and must be
p�loyed by you, which meaas that you must deduct F.I.C.A. and withholding tax
and provide workers' compp�sation for that amploy�e, all as prescribed by law.
Your coastruction must comply with a11 applicable laws, ordiaances, building
codes, and zon.ing regulatioas.
,,/ �
�`O�WNER' S SIGNATC7R,E �rf� �� /- /���L'� na�r*�
ADDRESS
PHONE � r � �
b
- - - �
WTTNESS PEFtM2T #