HomeMy WebLinkAbout12-12969 CITY OF ZEPHYRHILLS „/
5335-8th Street
� � (813)780-0020 12969
ELECTRICAL PERMIT
Permit#:12969 Issued: 4/10/2012 Address: 7857 MERCHANNILLE CIR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,200.00 Total Fees: 45.00 Subdivision: CRESNIEW HILLS
Amount Paid: 45.00 Date Paid: 4/10/2012 Parcel Number: 35-25-21-0120-00000-0420
Name: HOFFMAN ELECTRICAL LLC Name: AURORA LOAN SERVICES LLC
Addr: 501 FALKENBURG RD STE D8 Address: P.O. BOX 1706
TAMPA FL 33619 SCOTTSBLUFF NE 69363
Phone: (813)298-3278 Lic: Phone: (813)784-8195
Work Desc: WIRE INSIDE HOME REPAIR TO CODE
ELECTRICAL FEE 45.00
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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 neoessary 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 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 wunty, 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 wmmenoement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
�
ONT R PER OF I
PERMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-oozo City of Zephyrhills Permit Application Fax-8'13-780-0021
Bwlding Department
Date Received �� ��—/ �f,� 'Z�� � (
Phone Contact for Pertnitting
i f L 1 1 1 1 7 - 1-r -- - -
Owner's Name A �' �v �vK�,
'w"� OwnerPho�eNumber
Owner's Address �7 ( //( �� �?�� f ��wner Phone Number '^� �� !�
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address �
JOB ADDRESS � �/�.J� 1" l l.�{ V' I� `` r hr 1 I LOT# [�
SUBDIVISION PARCEL ID# �`�—��—� '' O��O— —"""`�'—' ��O
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q 0 DEMOL ISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER —�
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �--,
DESCRIPTION OF WORK (1 'rI ' ` � ) 1 r 1� �
BUILDING SIZE SQ FOOTAGE I HEIGHT �
Trrr
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�LECTRICAL $ '� 00 AMP SERVICE 0 PROGRESS ENERGY Q W R.E.0
�PLUMBING $ ��,// /�
�� ( 1(%/
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING 0 SPECIALTY � OTHER
FINISNED FLOOR ELEVATIONS F�OOD ZONE AREA �YES NO
a i--1�.--���.--.-�.--.-.�-.��C--i i--C �--i—•--r� 4.�1—
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add ress License# �
ELECTRICIAN COMPANY I vl f 1 I`l� I C�►.�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N r
Addres License# ,�e i�ooy�l
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# �
1 I I 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms,R-0-W Permit for new construction,
Mmimum ten(10)working days after submittal date Required onsite,Construchon Plans,Stormwater Plans w/Sdt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms R-O-W Permit for new construdion,
Minimum ten(10)working days after submitlal date. Required onsite,Construchon Plans,Stormwater Plans w/Sdt Fence mstalled,
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 reqwred for all NEW consiruction
�' •--^•-•�-•--.�..�^ .--r.--r�F�' ..-r..-r�
Directions:
Fill out application completely
Owner 8 Contracror sign back of applicahon,notanzed
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authonnng same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways.needs ROW
From 0��05;2012 09 11 #82`.i P 001%001
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 dee�restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISlLITIES: If the owne� has hired a �contractor or
contractors to undertake work,they may be required to be ticensed 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 violatfon
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 Fu�thermore, 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 wilf be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not propetiy I+censed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATfON IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES. The u�dersigned understands
that Transportation Impact Fees a�d Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of exisfing buildings, as spec�ied 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 Transportatfon 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 invoive a.cer��cate 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 acaordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): 1f 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 cert'rfy that 1 have obtained a copy of the above described document and promise in good faith!o
deliver it to the"owner"prior to commencement.
CONTRACTOR'5/OWNER'S AFFIDAVIT I certify that all tne information in this application is accurate and that all work
will be done in compliance with atl applicable laws reguEating construction,zoning and Eand development. Application is
hereby made to obtain a permit to do work and instailafion as indicated. I cerlify that no work or instaHation has
commenced prior to issuance of a permit and that ail work will be performed fo meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cerfrfy that I understand that the regulations of other government agencies may appiy to the intended work,and that it is
my responsibility to identify whak actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmenta( Protection-Cypress Bayheads, Wetland Areas and Environmenfally 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 E� f2ehabifitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmentai Protection Agency-Asbestos abatement.
- Federal Aviation Authority-F2unways.
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
lice�sed by the State of�lorida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem walf
construction,I certify that fill will be used only to fill the area within the stem wali.
- If fill material is to be used in any area, � certify that use of such fill wifl not adversely affect adjacent
properties. If use oi fil! 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 fess than one(1)
acre which are elevated by filf,an engineered drainage ptan is required.
lf 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. 1 understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other insta�lations 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 lechnical codes,nor shall issuance of a permit prevent the Buiiding Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali 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 Buiiding Officiai for a period not to exceed ninety(90)days and wiil demonstrate
justifiabie cause for the extension. If work ceases for ninery(90)consecutive days,the job is considered abandoned.
WARNING TO OWNEft: YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE fOR IMPRdVEMENTS TO YOUR PROPERTY. IF YOIJ INTENb TO OBTAIN FINANCING,CONSULT
WITH YOUR L NDER OR AN ATTORNEY BE�ORE RECOR 1 YOUR OTiCE OF CO � MENT.
FIORIDA JURAT(F S.117.03) ��
O4YNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this S b cri d and Siy m to aft�e be ore me ' � � n��.r�,/�� —
—bY y— ����--f�=
Who is/are perso�ally known to me or has/have produced ar onall own to m r has/have duced
as idendfication. as identificatlon.
_ Notary PubHc
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_ C� � 2�� �•,,,"'•••., LYNNE DUPUIS
Comm3ssion No. Commis ian o.
��j =+°. .`�= Notary Public-State of florida
Name ot Notary typed,printed or stamped Name of Fary typed,print or s mped . •= y Comm.Expires Jul 10,2��S
':,+,F �.A:� Commission#EE 102895
��''°����`���, Bonded ThrougA National Notary Assn
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HOFFMAN ELECTRICAL, LLC.
501 S Falkenburg Road, Suite#D-8.Tampa, FL 33619
License#EC13004496
www.hoffmanelectrical.com
Phflne: 813-298-3278 Fax: 813-864-65=�1 Email: se►•�ice,a;hoffmanelectrical.com
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Date. �
To Whom It May Concern,
This is a letter of authorization to designate the following individual to register the
electrical license and sign for and obtain electrical permits in my behalf.
The person in whom I am authorizing is Michael E. Hoffman.
Driver"s License # H155-545-67-341-0
Tl� nk you, ,�'
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James M. Phillips
Hoffman Electrical LLC
Lic # EC13004496
�"""�� LYNNE DUPUIS
.`i�a�P�s%
::°. `�; Notary Public-State oi Flo�ida
' . E My Comm.Expires Jul 10,2015
=:� o'' Commission#�EE 102895
���0�����`` B ded Through National tary Assn.
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