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Home My WebLink About11-12061 CITY OF ZEPHYRHILLS � 5335-8th Street (si3)�so-oo20 12061 ELECTRICAL PERMIT Permit Number: 12061 Address: 5028 AIRPORT RD � Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: PATTIE ELEC. & REFRIGERATIO Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0000-04900-0010 Improv. Cost: 5,765.00 Date Issued: 6/24/2011 � Name: CITY OF ZEPHYRHILLS Total Fees: ,,�'—' Address: 5335 8TH ST Amount Paid: `�� ,{,��'�� ZEPHYRHILLS Date Paid: Phone: Work Desc: REPLACE 200A W/12/208 3 PHASE SV ENTRANCE-FEE WAIVED �� d V V � � �� • �;�� ROUGH ELECTRIC CONSTRUCTION POLE �� PRE-METER �� FINAL –Z5 -' f. � NS ECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to of he following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not mad w pe tion 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 acce sit )TI E: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be fo nd pu lic records of this county, and there may be additional permits required from other governmental entities such as water manag me 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 s�a City ot Lephyrhilis F�ermit Appllcation rax Building Department .r� �..Y Date Received Phona Contact for Parmlttin l 7�L -- 33/4 Owner's Name �/ ` r� i'/�� S Owner Phone Number Owner's Address Owner Phone Number � Fee Simple Titleholder Name � Owner Phone Number � Fee Simple Tltleholder Address JOB ADDRESS .5�l�� ' �'� F� � r� �� s F�• LOT # � SUBDIVISION . PARCEL ID# �� - .2� - D�OD - OyyDO - do/d (OBTAINED FROM PROPER7Y TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH INSTA�L REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �1ca�'aeL . ZOAq /lo ZO� 3�hNsc bu�«� E� � BUILDING SIZE � SQ FOOTAGE � HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ �, AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. S Gs" QPLUMBING $ � � n � � � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � G QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N Address ' License # � ELECTRICIAN � COMPANY r� �'�'iC C��c �'�C SIGNATURE REGISTERED N FEE CURRE� / N Address A��ic �� z � �/I F/ 33Syo License # �' C 000 /LG 8 � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � Address License # MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Add�ess 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, Stortnwater Plans w/ Silt Fence installed, Sanitary FaciBties 8 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Ufe 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, Stonnwater Plans w/ Silt Fence installed, Sanitary Facilitles 8 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 requi�ed for all NEW constructlon. Directlons: Fill out application completely. Owner & Confractor sign back of application, natarized If over;2500, a Notice of Commencement is required. (A/C upgrades over:7500) *' Agent (for the co�tractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ��n �q ` 75�0 - dQ00 - CX�f 3J 00 -�f �Cr Nmc NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed"'i'estri�ions" 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 unce�tain 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 po�tions of the "contractor Block" of this application for which they wiil 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 cert�cate of occupancy or final power release, the fees must be paid prior to permit issuance. Fu�thermore, if Pasco Cot�nty 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: 1 certify that all the information in this apptication is accurate and that all work will be done in compliance with all appticable laws regulating constnaction, 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 instailation has commenced prior to issuance of a permit and that ail 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/Environmentai 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 pian 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 wail 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 cerfify that use of such fill will not adversely affect adjacent properties. If use of �II 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 Iots 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 vivlate, 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 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 A(3ENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and bwom to (or affirmed) before me this by y Who is/are personally knovm to me or haslhave produced Who tsJare personally known to me or haslhave produced as idendficaUon. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, prfnted or stamped Name of Notary typed, printed or stamped �T�TE ��L�ioA, COUN� OF PASCO I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII THIS IS TO CERTIFY THAT ��iE �OR�GOING IS A 2011101603 TRUE AND CORRECT CCjPY flF THE DOCUMENT ON FILE OR OF PUBLJC �tECORD IN 71=fIS OFFICE Rcpt :1376027 Rec: 10.00 WITNESS_MY HANQAND OF�ICIALSEALTHIS DS: 0.00 IT: 0.00 �,D YOF 2 07/01/il K. Gareia, Dpty Clerk PAULA S. ' EIC, CL K& OMPTROL� BY � '�� DEPUTY CLERK ``� � NOTICE OF COMMENCEMENT Permit No. %�,� r PpULA S 0'NEIL�Ph D PASCO CLERK & COMPTROLLER . �' 07 R ��V� 1PG� ��21 Properiy Idenhfication No. /� -,Z� _ 1 � , p� _ 044D0 0 o i a THE LJNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is�rovided in this NOTICE OF COMMENCEMENT. Co..+ .vs sw ca oF s�e�'�.Y. iz+h N 99 D sv. 7 ., 1.Description of property (legal description:) Ai.n y se.. � k BDy T H N�+'7 D� ;g� �� .. s.`�y9 �" foR ro g Ce>?T a) Street Address: So.2r3 �¢,: oo,r �,Qd � �� 2.General description ofimprovements. _,� �� , VeW so�,� � 3fl�as� o��-s.d. srr��'r� �,�,,,,�/ _ 3.Owner Information a) Name and address: i e� Z�✓lu.r�,.`�/ .s�'33s �/'� Sf Z�ok ,�.5�//r F/ 33.s s�2 y;i2 b) Name and address of fee suuple htleholder (if other than owner) c} Interest in property �fv� r,• 4.Contractor Informarion a) Name and address: ,¢�ir EIr� ,Lri � �� aff�'r �Q.� 2 rhi/h /_/ 33� f�d b) Telephone No.: �/,3- ��2._ 319 Fax No. (Opt.) a � S.Surety Information --LL� '�_ a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documeats xnay be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) B.In addition to hi.mself, owner designa.tes the following person to receive a copy of the Lienor's Norice as provided in Secrion 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified)• VVARrTING TO OWNER: ANY pqyl►ZENTS M,�DE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YpUR pAyING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE SEFORE THE FIRST INSPECTION. IF y0U INTEND TO �BTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA � COUNTY OF PASCO i Siga re Owner or Owner's Authorized Officer/Director/Partrier/Manager �i�5 7J J�,2�t�u� Pnnt Name The foregoing instrument was aclaiowledged before me this a `�'�da of �'� y , 20 '� , by J D 1��-c��C rK � C T.� I�v�M � �,� in fact) for _ C��-,,� z ti,� �• �,; s (type of authority. , e.g, officer, trustee, �ttomey --- (name of party on behalf of whom instrument was executed). Personally Known " Produced Identification � Notary Signahue �'►��, , �,� ,.••,�ti� ��;; LINDA D. BOqN ° Type of Identification Produ ' �"' ��'►mission DD 7699g4 ' �' I ame (print) �--1�� Ffi� _ sa,�aeTh,�f'14;sr�Ung-f�' 2012 � '�1' F°�^ h�MMI0P8AF7018 Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofperjury, I declare that I have read the foregoing and that the facts stated in it are �ue to the best of my lrnowledge and belief. �, � 2�.�t,� , � FORMS/NOC ,rvsd2oo� Signature of Natural erson Si¢'ning Above