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Home My WebLink About11-12467 „ CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 12467 ELECTRICAL PERMIT Permit #:12467 Issued: 10/20/2011 Address: 5733 BROADMORE 5734 CRANBROOK ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,200.00 Total Fees: 45.00 Subdivision: TREE LANE VILLAGE Amount Paid: 45.00 Date Paid: 10/20/2011 Parcel Number: 10-2 6-21-0000-00100-0000 Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD Addr: 18302 EASTWYCK DR Address: 10912 56TH ST TAMPA FL 33647 TEMPLE TERRACE FL 33617 Phone: (813)810-4079 Lic: ER13012979 Phone: 8133619128 Work Desc: REPLACEMENT METER CAN AND PANELS RELEASE TO P/ENEGY BOTH ADDRESS) ELECTRICAL FEE 45.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METE�R T � FINAL ��_ "”" � �� I ` REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra ins 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 ro may be found in the public records of this county, and there may be additional permits required from other govern t entities such as water management, state agencies or federal agencies. "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 Com lete Plans S � �0��9 Your notice of commencement." p , pecifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ; _. �... - .,,� , �� , , � _ CONTRACTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � J Building Department )ate Received Phone Contact for Permtttin hvner's Name �I (�c? L' � Q, 1�1 � ( J Owner Phone Number €�� `� " ��' � � `� l �- (T �nrner's Address � � ! � � � G �"�'�� y �� Owner Phone Number � =ee Simple Titleholder Name Li1 � Z '�� 33 (� pymer Phone Number °ee Simple Titleholder Address /Yl O oC� ST � r lOB ADDRESS � 7 �� 4 � i�YVlc. r�' S y" '� 7 j �I Cluw�.�•� o� � s LOT # � �� rL yv(� �oW2 ��5 iUBDIVISION t SP � �(�� c "J � � ( t� '�' PARCEL ID# �� ^ 4 "' � ( -- C'• o � - �. O � v ca - �� c , c� (OBTAINED FROM PROPERTY TAX NOTICE) JVORK PROPOSED e NEW CONSTR ADD/ALT �� SIGN Q O DEMOLISH INSTALL e REPAIR PROPOSED USE Q SFR �'� COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q (— DESCRIPTION OF WORK �� ` �� '-'L C-�' �'�1 S �"'u.�'` �' �'v�n � � S • BUILDING SIZE SQ FOOTAGE � HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ �\ _ AMP SERVICE Q W.R.E.C. r�,_C_,. `� Q PROGRESS ENERGY OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l 2 �" � QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License # L ELECTRICWN ��f �Q�`� � � � K� �0- � COMPANY � IM� S � �'� F w<- �- S� �J z-� 1 � � 51GNATURE ��``� ' REGISTERED Y/ N FEE CURRE� Y/ N Address License # � ,1� � .3 �� /� �j 7 �� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— NECHANICAL COMPANY iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— —� 1THER COMPANY �IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # —� ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minlmum 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 OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit fo� new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Faalities 8� 1 dumpster. Site Work Permit for ali new projects. All commerciai requirements must meet compliance IGN PERMIT Attach (2) sets of Engineered Plans. "'*PROPERTY SURVEY required for all NEW construction. rections: Fill out application completely. Owner & Contractor sign back of application, notarized If over s2500, a Notice of Commencement is required. (A/C upgrades over sT500) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same /ER THE COUNTER PERMITTING (Front of Application Only) �roofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The �e ulat�fons. The undersigned a esp ns bilbty for compl a t w th any which may be more restrictive than County g applicable deed resMctions. UNLICENSED CONTRAC�TORhe ma beN q o be I ensed Bac th s ate a d Iocal egulations c If contractors to undertake w, y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor'��for the under state law. If ta e adv sed to contact the County Bu Iding Divis on r c ction at727-847- intended work, they he is advised to have the contractor(s) sign 8009. Furthermore, if the owner has hired a contractor o� contractors, portions of the "contractor Block" on that he is n properly I censed I and is not e tbtled t permitting pr v legesgn Pasco contractor, that may be an mdicat County. TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOV�ERY�nEES{ � of new ude gsnchange of that Transportation Impact Fees and Recourse Recovery Fees may app y use in existing buildings, or expansion of exi s n i � n e� t and�s9that such fees, l as P may be due, w�'�Il�be d ntified t 90-07, as amended. The undersigned aiso u permitting. It is fu�ther understood that T�a �S ower ele sea the projecRdoes notRrnolve a certifi ate occ pancy o� receiving a"cert�cate of occupancy or fl p if Pasco County WaterlSewer Impact final power release, the fees must be paid prior to permit issuance. Furthermore, fees are due, they must be paid�p„a r ter 713, Stetutes� as am nded) p valua on of work is $2, 00 or more, I CONSTRUCTION LIEN LAW ( P of the "Florida Construction Lien Law—Homeowner's ce�tify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Floade obta ned a copy of the descr bed docum and prompsean fa'th to other than the "owner°, I certify that I h deliver it to the "owner" p�ior to commencement. Iication is accurate and that all work CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app ' Iication is wiil be done in compliance with all ap�pl�i Wo k and r nstall as t dicated on i ng ertify I that no work or instalation has hereby made to obtain a permit to commenced prior to issuance of a permit and e and development egulations an the jur ction g t also construc tion, Co u n ty a n d C i ty c o d e s, z o n i n g 9 I t o t h e i n t e n d e d w o r k, a n d t h a t i t is certify that I understand that the regulations of other government agencies may app y my responsibility to identify what actions I must ect on�C e ess Bayheads SW tland Areas Env ro mentally Sensitive _ Department of Environmental Prot YP Lands, Water/Wastewater Treatment. _ Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altenng 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 Flooat tme of permitting wFiich is P eparedrby a9professionalrengneer "compensating volume will be submitted licensed by the State of Florida. _ If the fill material is to be used in Flood Zone f�A{he area wi h thetstem �y mitted building using stem wal construction, I certify that fill will be used only to If fill material is to be used in any area, I certify that use of such fill will not adversely affect ad�acen P roperties. If use of filf is found to adverselY a der the per�mit applicat on�, foa lots less than ) the conditions of the building permit issue un �an is required. acre which are elevated by fill, an engineered drainage p e AGENT FOR THE OWNER, I promise in good fait � h t h at n a ° s e pa at permit may be r ed for 1 electr cal nork�, If I am th licati this affidavit prior to commencing construction. I understan plumbing, si9ns, wells, p oofs, air conditioning, gas, or other installations not specifically included in the app ued shall be construed to be a license to proceed a�n e a pe mitp event the ding from the inval d permit iss ermit issued shall become set aside any provisions of the technical codes, nor shal issu requiring a correction of errors in plans, const�uction or violations of any codes. Every p uthorized by such permit is commenced within SS a the t m the wo k s co�mmenced An sion unless the work a gp da s and will demonstrate the permit is suspended or abandoned fo� a period of six (6) month the �ob is considered abandoned. ma be requested, in writing, from the Buildlns � (90)rconsecuti days, ninety () Y Y justifiable cause for the extension. If work cea • YOUR FAILURE TO RECORD A NOTICEOU INTEND TO OBTAIN F NANC NG, CONSULT WARNING TO OWNER. PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPERTY. �F NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. WITH YOUR LE \ - � l� �� _ FLORIDA JURAT (F.S. 117.03) CON7'R�►CTOR,� �� pWNER OR A(3ENT Subscaibed and swo to (or afflrmed) b1 P� ►ne �is before me this b Subscrlbed an bsw°m to (or aiflrmed) as Identlflcatfon. y known to me or hasJhave produced VVho � onally known to me or haslhave produce yyh �'�/��e personally as Identlflcatlon. Notary Public Notary Publfc Commission Na. Commissfon No. Name of Notary tYPed. 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