HomeMy WebLinkAbout11-12503 _ CITY OF ZEPHYRHILLS �,,..-�
" 5335-8th Street
(813)780-0020 12503
ELECTRICAL PERMIT
Permit #:12503 Issued: 11/03/2011 Address: 6129 LINNETT ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: page;
Cost: 500.00 Total Fees: 40.00 Subdivision: OAKSIDE MHP
Amount Paid: 40.00 Date Paid: 11/03/2011 Parcel Number: 02-26-21-0020-00300-0010
Name: MISTER SPARKY Name: SNOKE JEAN& DIETERICH PATRICIA
Addr: 400 DOUGLAS AVE STE C Address: 2168 WATERSIDE DR
DUNEDIN FL 34698 CLEARWATER FL 33764
Phone: (727)736-4700 Lic: Phone: 2074609148
Work Desc: INSTALLATION RECEPTACLE CORD FOR MH
ELECTRICAL FEE 40.00
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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 t) plans not at job site g) work not aa;essible.
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.
"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.
�_„ i3 . � ���
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
. Building Department
Date Received / �_ 3—��
Phone Contact for Permittin _
Owner's Name �C �-2.c�iv(„ Owner Phone Number
Owner's Address �l / (p � W F�Y�yL. � � �j� �p�er Phone Number � �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS W f a �. 1 V� ✓� e l' ,�' LOT # ��
SUBDIVISION ��l S i rn I�P PARCEL ID# D�' 3��0 -ac� ��
(OBTAINED FR�OM pROPERTY T ncE) DEMOLISH
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��J�R-�.� ��-2 ' �I- �Y� II2uSi C( �pL�ytG—
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ ���� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ —
QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ELECTRICIAN ` ( COMPANY , � `�T �•C. S
SIGNATURE �` ` � REGISTERED Y/ N FEE CURRE , Y/ N
Address License # �� dp 3�/
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 construction,
Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 (1U) 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 EnQineered Plans.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understanas
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-C�.� 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 Transportatfon Impact Fees and Resvurce Recovery Fees must be paid prior to
receiving a"ce�tificate 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.
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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 applicabte 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 developmenPP y ulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies ma a I 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 ServiceslEnvironmental 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 adve�sely affect adjacent
prope�ties. 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 OWNE � R �truction! S I I understan ' d that parat permit may be requ ed for I electr cal�work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed to be � � des shall issua a pe mitprevent the ding �Officeal from ther
set aside any provisions of the techrnca .
requiring a correction of errors in plans, co{ Ss� o within s z perm t pssua�nce, aif wo�rk auth n ed by
un less t h e w o r k a u t h o r i z e d b y s u c h p e r m
the permit is suspended or abandoned for a period of six (6) months a fter t he tim e t h e w o r k � S da s and will demonstrate
may be requested, in W ��xt nsion. f work I ce l a es (90) ecutive days, the job is�cons'dered abandoned.
just�iable cause for the e
WARNING TO OWNER: YOUR FAILURE TO UR PROP RT1f. YOU INTEND TO BTAIN�F NANC NG, CON ULT
PAYING TWICE FOR IMPROVEMENTS TO YO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) `����� �3 , � ���„_,
CONTRACTOR `�"��
OWNER OR AGENT St�bs bed and swocCto (or afflrmed) efore me this
Subscrlbed and swom to (or afflrmed) before me this �� �> u ; �.� <�e., Sh�^ ��
by Who Islare personally known to me or hasfiave prod ed
Who is p rsonally known to me or haslhave produced as identification.
as identlflcatlon.
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Public
Notary Public , , # EE
°•; x . 14
Commisstorf No. - " �.�o�a
Commissian No. '� e°"°°°�T`°yr���
Name of Notary tyPed� Printed or stamped
Name of Notary typed, Printed or stamped