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Home My WebLink About12-12778 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 12778 ELECTRICAL PERMIT Permit#:12778 Issued: 2/07/2012 Address: 38651 TARR DR LT#13 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Seation: Sq. Feet: Est. Value: Book: Page: Cost: 160.00 Total Fees: 40.00 Subdivision: COUNTRY OAKS Amount Paid: 40.00 Date Paid: 2/07/2012 Parcel Number: 35-25-21-0010-11500-0130 Name: HOMEOWNER Name: COUNTRY OAKS Addr: Address: 38651 TARR DR LT 13 ZEPHYRHILLS FL 33542 Phone: Lic: Phone: 813-780-8411 Work Desc: GOING OFF PARK METER TO SEPERATE METER W/PROGRESS ENERGY ELECTRICAL FEE 40.00 1 �� G ROUGH ELECTRIC CONSTRUCTION POLE �' �_, f ' PRE-METER �- ^ � FINAL REINSPECTlON 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 oonstruction c) repairs or con�ections 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 commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. �Ct�,�. CONT CTOR PER OFI 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 .� —�-Q�� Phone Contact for Permittin -- Owner's Name 1 5 1= (-l-i C.'q- Owner Phone Number � 3 � �� y�� Owner's Address �O � � �� ^1` Owner Phone Number � �� a Q J � ! Fee Simple Titleholder Name Owner Phone Number �— Fee Slmpte Titleholder Address JOB ADDRESS l�S I � �'"�'�- '`� LOT# � SUBDIVISION �— PARCEL ID# �-S��'� Z�' �v�� `��' �' j 36 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �W� �'� T V C O 2 S S �n e t� ` BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ / / U. O � AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 !� QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS 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# � ELECTRICIAN P,�ZSZQ�,y`� COMPANY ('"�°^�'t-�� SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL � � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# � OTHER COMPANY 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buifding Plans;(1)set of Energy Forms;R-O-W Permit 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 subdivislonsAarge 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(10)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 Engineered Plans. "'"'PROPERTY SURVEY required for all NEW consUuction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over E2500,a Notice of Commencement Is required. (A!C upgrades over 57500) *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovm�r 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 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictia��s" 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 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 4 portions of the "contractor Block" of this application 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 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 Depa�tment 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate 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. I ce�tify 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-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 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 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 OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit 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 O�cial 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 PATH YO RILENDER OR AN ATTORNE Y EFORE RECORDING YOUR NOTICE O COMMENCEMENT.' CONSULT WI FLORIDA JURAT(F.S. 117.03) �� `''"' CONTRACTOR OWNER OR AGENT —T— Su�bsclib'edyan bswo Ct'o(Qr'a�i D faf�-y}��C� Subscribed and b�om to(or affirmed)before me this ( y S T Who is! rg personally known to me or has/have produced Who is/are personally known to me or has/have produced �,i�2.r��z as identlfication. as identification. .--, � ("jl�ll� Notary Public Notary Public '"�� "' JACQUELINE � GE Commission No. co ��, �� :.: -;; ; ��S DBCember�2 20�4 ed, rinted or stamped Name ��s Name of Notary typ P • DISCZOSL7RE S'�'A'�'�'*�=NT .FOR OWNER C=TY OF ZEPHYRFiII�+S BUII+D2NG DEPARTD�NT _ • have read and fully understand and , - agrae •to the provisions of �this instrumerit• .The undersigned sta.tes and affirms that he or she is desirous of constructing, renovating, adding to or seroofing his or her o�vn domicile, •that he or she actually occupies, or wi11 occupy by said domicile, and same is not for •rent, lease or sale. That he or she shall comply with the fol.lowing conditions: 1. Tha.t the owsier and_he or she alone sha11 act as the builder for a11 phasas of constsnction. 2. That the oamer ovill comply with a11 provisions of �the City of Zephyrhills ordinances and codes perti.neat to the building. 3. That in t�e event various phases of construction are subcontracted, he will angage only •properly licensed subcontractors and will persoz�ally supervise such work. 4. That in the event t�ie Huilding Inspector sha11 reqLS7.re corrections to be made, the owner vPi11 assume full responsibility to insure •tt�ey are made, aad upon co�pletion wi11 call for a reinspection be£ore proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the constr�iction and v,ri11 aot axpect_ supervision of his �vork from the City af Zephyrhills Building Depart�ent. 6. That prior to final iaspection aay adrlitiorial fees, including reiaspection faes, must be paid ia full. A writtea request from this office sha11 constitute an official notice rto pa.y additional fees. 7. That the owner sha11 comply with a11 City, State and Eederal laws in regard to social security, worl�an's c��*+�ation, liea laws, etc. , where applicable. 8. That the owner sha11 comply witli all the safety codes issued by the Floricia Industrial C�+�+�ssioa. 9. State law re��ires coastxzaction to be done by licensed contractors. You have applied for a �rm;t under an exemption to t�at law. The exemption allows you, as the owner of your propErty, to act as your owa contractor Frith ce*�+-=�*+ restrictions even though you do not have a licease. You must provide direct onsite supervision o� the construction yourself'. You may bvild or improve a oae-family or two-f'amily resideace or a farm outbuilding. You may also build ar improve a commercial building, provided your costs do not exceed $25,000. The building or resideace must be for your own use or occupaacy. It may not be built or substaatially improved £or sale or lease. If you sell or lease a b�ilding you have built or suUst-antially i�roved yourself wit�.in 1 year aftE=' the construction is camplete, the law will pres�e •t�at you built or substantially i.mproved •if for sale or lease, which is a violation of this ex�ption. You may not hire aa unliceas�d pErson to act as your contractor or to supervise people working on your building. 2t is your responsibility to make sure that people e�ployed by you have licenses rez,;red by state law and by county os municipal licensi.ng ord�siances. You may not delegate the responsibility for supervising wor3c to a licensed contractor who is not. licensed to perform the work be.ing doaa. Any person working oa your building who is not licensed must work vader your direct supervisioa and must be P�ployed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, a11 as prescribed by law. Your construction must comply with a11 applicable laws, ord�siances, building codes, and zoning regLLlations. OWNER'S SIQiATLTRE �/S.Go ��Q��E'0�� DATE a - ��aQ/ o� ADDRESSe',��S( 7-A'IP L �� / PHONE S� /.'� rI O� R S/ // W2TNESS �'•R►�TT #