HomeMy WebLinkAbout11-11667 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 11667
ELECTRICAL PERMIT
Permit Number: 11667 Address: 38531 LAZY LOOP
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Contractor: PATTIE ELEC. & REFRIGERATIO Book: Page:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 0226-21-0260-00000-1620
Improv. Cost: 750.00
Date Issued: 3/18/2011 Name: WIRTH, BETTY
Total Fees: 40.00 Address: 38531 LAZY LOOP
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/18/2011 Phone:
Work Desc: INSTALL NEW METER CAN
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 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.
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 Lephyrhills Nermit Application rax-t�is-irsu-uu�i
Building Department
Date Received � �' � '
Phone Contact for Permittin
Owner's Name �N 1(L71-� ��"Tj y Owner Phone Number 34fl ' a 8�' '�T �t ��
Owne�'s Address �'� � 4 A LONDA S7 j��E b G VNt , � 48srb pWner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS 3$ S 3 l Lh2 y � P j�P� y Q��.LZ 33 � y� LOT # ���.
SUBDIVISION SLt�� �y �Lp w , PARCEL ID# a�' a� � a� ° 01�a - .(�a0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK N� c�lJ �
BUILDING SIZE SQ FOOTAGE � HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
[ e�ELECTRICAL $ AMP SERVICE � PROGRESS ENERG�F Q W.R.E.C.
QPLUMBING $ f„l
��
MECHANICAL � � �
C� $ VALUATION OF MECHANICAL INSTALLATION �
�
QGAS Q ROOFING Q SPECIALTY 0 OTHER ��-"" ��
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N
Address ' License #
ELECTRICIAN ��'�' � � �� COMPANY � � �T2 c
51GNATURE °�� REGISTERED Y/ N FEE CURRE� Y/ N
Address ���� /��/ ��� i� ���s �/,� � License # G voo r a c� g
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # � —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE 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 submittal date. Required onsite, Constructlon Plans, Stormwater Pians w/ Silt Fence installed,
Sanitary FacillUes & 1 dumpster; Site Woiic Permit for subdivisionsAarge projects
COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcGon.
Minimum ten (10) working days after submittal date. Required onsfte, Construction Pians, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpste�. Site Work Pertnit for all new proJects. All commerciai requirements must meet compiiance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consUucUon.
Directions:
Fill out application completely.
Owner 8 Confractor sign back of applicatlon, notarized
If over s2500, a Notice of Commencement is required. (AIC upgrades over s7500)
"' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER TFIE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles 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 Counry 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 appiication 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
Counry.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REC�VERY 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 finat 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 ail 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-Weils, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, 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 fili 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 flll 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 wiil 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 R ER OR AN ATTORNEY RECORDING YOUR NOTICE OF C TA M F'CEMENT.' CONSULT
WITH YOU �
FLORIDA JURAT (F.S. 117.0 ) �
OWNER OR AGENT D�'" CONTRACTOR
Subscxibed and sw�dTP� (or rmed) before me this Subscribed and swom to ( r affirmed) before me this
by bY
Who is/are personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identiBcatlon.
as identlfica8on.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped