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Home My WebLink About11-12541 ., • CITY OF ZEPHYRHILLS _ _ 5335-8th Street (813)780-0020 12541 ELECTRICAL PERMIT Permit #:12541 Issued: 11/17/2011 Address: 38040 38044 DAUGHTERY RD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 11/17/2011 Parcel Number: 02-26-21-0010-00800-0012 Name: MARTIN ELECTRIC Name: FRANK LAURE Addr: P.O. BOX 437 Address: 38040 DAUGHTERY RD DADE CITY, FL 33525 ZEPHYRHILLS FL 33540 Phone: (352)521-3319 Lic: Phone: Work Desc: REPAIR SERVICE WIRES ELECTRICAL FEE 40.00 ROUGH ELECTRIC CONST P ETER AL I/�'� / � i � ' � ° �� 1 � ��"" �� 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) wndemned 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 � 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. "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 wmmencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. � CONTRA OR PER OFI .�� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER $13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 . Building Department . • Date Received �`- � phone Contact for Permittin - Owner's Name -t' / �' /1 Owner Phone Number Owner's Address Owner Phone Number � Fee Simple Titleholder Name �— Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS (� K �� LOT # �� SUBDIVISION . PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADDIALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �� l � , � BUILDING SIZE SQ FOOTAGE � HEIGHT �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ ��, AMP SERVICE '�� PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS Q ROOFING Q SPECIALTY 0 OTHER �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address ' License # ELECTRICIAN - COMPANY 9/r/// � C f C� C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address � a S' c 7" 3 3 Z License # �� 3 o a �3 �3 PLUMBER COMPANY SIGNATURE REGISTEREO 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 CURREA Y/ N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Forms; R-O-W Pennit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large 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 constructlon. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instalied, Sanitary Faciiitles 8 1 dumpster. Site Work Permit for atl new projects. All commercial requirements must meet complfance SIGN PERMIT Attach (2) sets of Engineered Plans. "'**PROPERTY SURVEY requlred for all NEW construcUon. Directions: Fill out application completely. Owner 8 Coniractor sign back of application, notarized If over;2500, a Notice of Commencement is required. (A/C upgrades over 57500) *' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades AIC 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 County regulations. The undersigned assumes responsibility for compiiance 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 fo� 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 application for which they will be responsibfe. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitied 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 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. lf 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 accu�ate and that all 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. 1 certiry 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 ce�tify 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 Flo�ida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering 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 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 a�ea 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. tf 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 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 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 will 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 YUUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscrtbed and swom to (or aftirmed) before me thls Subscribed and to (or aifl ore me this by Who is/are personally known to me or has/have produced Who ls/are pe onally known to me or has/have produced as Identlficatlon. as identification. Notary Publlc Notary Public Commissfon No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped