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Home My WebLink About12-12831 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 12831 ELECTRICAL PERMIT Permit#:12831 Issued: 2/22/2012 Address: 38651 TARR DR LT#11 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: 400.00 Total Fees: 40.00 Subdivision: COUNTRY OAKS Amount Paid: 40.00 Date Paid: 2/22/2012 Parcel Number: 35-25-21-0010-11500-0100 Name: HOMEOWNER Name: COUNTRY OAKS RV Addr: Address: 38651 TARR DR LT#11 ZEPHYRHILLS FL 33542 Phone: Lic: Phone: 813-788-4542 Work Desc: INSTALL NEW METER FOR PROGRESS ENERGY ELECTRICAL FEE 40.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL � P , 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)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� plans not at job site g)work not aocessible. 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 commenaement 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 reoording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. ' � � �-a�'-G� CONTRA TOR PER OF I PERMIT EXPIRE 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Buiiding Department Date Received Phone Contact for Permittln — n � Owner's Name � � � � Owner Phone Number � `/ Owner's Address � � � 33� 7'D Owner Phone Number r �- Fee Simple Titl�older Name Owner Phone Number Fee Simple Titleholder Address —JOB ADDRESS � y LOT# �� —SUBDIVISION t?t.�,M1V� e� , PARCEL ID# J�^�'"Z�"-U�� '" � ��-S�� O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � DESCRIPTION OF WORK e�LC.Q�CL�Cn,l�ttT �cLC"�L'L,"4'.�tL �"L�'� � �="�� BUILDING SI2E SQ FOOTAGE HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL .�$ �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��3 ( �GAS 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 � � (�( � � ' � �COMPANY— ti � SIGNATURE J.k 'L(,'(� ' C 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/N Address License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Slte Work Pem►it for subdivisions/large 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 constructlon. Directions: Fill out application completely. Owner 8 Contractor 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 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 it 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 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 fo what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building lnspection 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 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 IMPACTIUTILITIES 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, o� 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, wilt 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.certifiicate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasct� Gounty Water/Sewer Impact fees are due, they must be paid prier tg permit issuance in accordance with applicable_Pasco Co�nty ordinances. CONSTRUC`HON LIEN LAVt�(Chapter�713r Florlda Statutes, as atnended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided �witFr � eopy of the�"`�lorida_Constructio[t Lien Law—Homec�wner's Protection Guide" prepared by the Florida Department of Agricutture and Consumer A#fairs. If the applicant is someone other than the "owner", I ce�tify 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'SIOWNER'S AFfiDA►VtT': �i��e�}f,y that all the information in this.application is accurate and that all work will be done in compliance with all applic`abie laws��'�gulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and instaUation 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 development regufations in the jurisdiction. I also certify that 1 understand that the �egutations 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 tv 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 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 p�ovisions 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 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) M �' � � } /7 /y �� OWNER OR AGENT+��-d � -c- � CONTRACTOR 'ti d�Cc±� i%b�""L Subscribed and sw�orf� (or affirme )be fe me this C Subscribed and sworn or affirmed)befo e me this 2�'��"bY ✓��a�� .�C�� lN � z-1?-�2�by:� r �C� ilJ Who is/ r�personally known to me or has/have p� ed Who is/are personally known to me or haslhave prod d �C��IS-E as identlfication. l. i t°fC�S�2. as identification. � ..�. ,.��5�� ry Public .: Notary Public =*� mission#EE 20 4' �v "•�;-, NE BOGES Commiss ' 'res Com ion * ��= �ssion#EE "'„y,,,� e�a,e�m,r�F,�m�.�,soo�-�o,s :;�. tes 12,2014 .:�F;4�•`�` Bo�ded 7Mi Troy Fain Inaxarr.e 80Q38S7019 Name of Notary typed,printed or stamped Name of Notary typ ,p n e ,. • DISCLOSURE S'►'n'►'�•.*�•N'r .FOR OW1�R CI.TY OF ZEPHYRHII�S BVILDING DEPARTMENT _� ' have read and fully understand and agree to the provisions of �this instrument• .The undersigned .states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own doma.cile, �that he or she actually occupies, or wi11 occupy by said domici:le, and same is not for •rent, lease or sa1e. That he or she shall comply with the following conditions: 1. That the owsaer and_he or she alone sha11 act as �-he buil,.der for a11 phases of coast-suction. 2. That the ownBr will comply with a11 provisions of the City of Zephyrhills ordinances and codes �+�;nent to the buildiag. 3. That in the event vasious phases of construction are subcontracted, he wi11 engage only prcperly licensed subcontractors and will pPSSOnally supervise such work. 4, That in the event the Huilding Inspector sha11 rec�,;re corrections to be made, the owner will assume full responsit�ility to insure •they are made, and upon completion will call for a reinspection before proceeding arith the building. 5. That the owner sha11 assume fu11 responsibility for the const-suctioa aad ari11 not expect_ supervision of his avork from the City .of Zephyrhills Building Depart�ertt. 6. That prior to final iaspection aay adtiitional faes, including reinspection fees, must be paid ia full. A writtea raquest from this office sha11 constitute an official aotice -to pay additional fe@s. _ 7. That the oro�ner sha11 comply with a11 City, State and Fedesal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner sha11 comply with a11 the safety codes issued by the Florida Industrial Comm.ission. 9. State 1aw re�,;res constsuction to be done by licensed contractors. You have applied for a permit under an exe�ptioa to that law. The exemption allows you, as the owner of yovr property, to act as your own contractor with certaia restricti.ons even though you do not have a license. You must _provide direct onsite supervision of the coastszictioa yourself. You may build or improve a one-family or two-family residence or a faz� outbuilding. You may also build ar improve a commercial building, provided your costs do not �xceed $25,000. Ttae building or residence must be for your o�a use or occupancy. It may i�iot be bvilt or substantially i.mproved for sale or lease. If you sell or lease a bvilding you have built or substantially improved yourself within 1 year after the constxtictioa is complete, the law will presume •that you built or substantially i.mproved if for sale or lease, which is a violation of this eaempti.on. You may not hire aa unlicensad person to act as your contractor or to supervise people wosking on your building. It is your responsibility to make sure that people employed by you have licenses re?,;red by state law and by county or municipal liceasing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not. liceased to pexform the mork being dnaa. Ariy person working on yovs building who is not licensed must work uatier your direct supesvision and must be P�Ployed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compeasatioa for that employee, a11 as prescribed by law. Your construction must comply with a11 appl.icable 1aws, ordinances, building ccdes, and zoning regulatioas. owr�R�s s2�rra� ^�CI.QeQ. c n� -� � ��1 � ADDRESS PHONE W2TNES5 PERL�T #