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Home My WebLink About12-13055 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 13055 ELECTRICAL PERMIT Permit#:13055 Issued: 5/08/2012 Address: 38505 6TH AVE 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: 1,800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 5/08/2012 Parcel Number: 11-26-21-0010-13500-0100 Name: EAST PASCO ELECTRIC, INC Name: PANZER, JOHN Addr: 10411 CONNERLY RD Address: 38716 2ND AVE DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542 Phone: (813)782-8622 Lic: Phone: Work Desc: REPAIR ELECTRIC &ADD WASHER & DRYER CIRCUIT ELECTRICAL FEE 40.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL S�']-('�-- °,�, r � � 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) oondemned 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 properly. If you intend to obtain financing,consult with your lender or an attomey before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. Ali work shall be pertormed in accordance with City Codes and Ordinances. r ,� C N T PER OF I ERMIT E IRES 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-873-780-0021 Building Department Date Received Phone Contact for PermitUn _ Owner's Name /� Owner Phone Number �(;7 '- ��"��/ �- Owner's Address �/��F' �� Owner Phone Number r Fee Simple Titleholder Name Owner Phone Number � Fee Simple Tftleholder Address JOB ADDRESS �G� � ��L`�Zc..� LOT# � SUBDIVISION �- PARCELID# �l��'Z�`�L•�U '- �SC� ^" d/Q� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH B INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��f/L � � `�L �'�� c�y�c�- - c..-L BUILDING SIZE 3Q FOOTAGE C� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ �jC��> AMP SERVICE��2�-�- [�i''� PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS 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 �GQ `� r.L,� SIGNATURE REGISTERED Y/ FEE CURRE� Y/N Address � (( � License# -� �Z' �� 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 1 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans pius 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 construction. 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:7500) *` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owne�authorizing same OVER THE COUNTER PERMITTING (Front of ApplicaUon Oniy) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on pubiic 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 contracto� 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 po�tions 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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 aiso 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 Affai�s. 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'SIOWNER'S AFFIDAVIT: I certify that ail 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 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 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 A�eas, Altering Watercourses. Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. - Department vf Health 8� Rehabilitative Services/Environmental Health Unit-Welis, 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�II: Use of fill is not ailowed 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 witM 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 condit ontinn, gasn oer ther installat nsr not sp cifically ncludedren the appl cat on�rA plumbing, signs, wells, pools, a 9 permit issued shall be construed chn cal codesenor shall ssualncehof a pe mitprevent thehBu ding Officeal from therteafter set aside any provisions of the te requiring a correction of errors �� Ph n ermit isrcotmmencedl within si amonths of perm t p sua'nce,UO aif wolrk autho zed by unless the work authorized by suc p the permit is suspended or ab from the Build nglOffi ial fosa pe iohd not toh xc'eedtn netyr(90) days and will demonstrate may be requested, in writing, justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the\job is considered abandone . WARNING TO OWNER: YOUR FAILU TO YOUR PROPERT1l.TIF YOU INTM� TO OBTN N F NANC NG, CONSULT PAYING TWICE F OVEMENTS WITH YOUR LE ER O AN ORNEY BEFORE RECORDING YOU OT E OF C MENCEMENT. FLORIDA JURAT(F.S. �7. � �? � � `> �----- c CONTRACTOR OWNER 012 AGENT.I g�� ed and swom to or atflRn ) e� Subscrfbed and sworn to r afflrmed �e - `��by � uced ,�- � -i 6�• bY � � " Who is/are p onally kno o m c1 a ve p Who is/are�personally known e ,,basm produced � as identlfication. as dentlficaUon. -, � , �_ . C � , r , y ��. �-~��> �� t� � � � ��}i-��i�� Notary Public 1,.� �„ �/� r, i "l�II�[IIry'rubliC :rl-�-�-_ . ....+�+.�••�»�•-�w��=-° Commission No. Co rr�o. , =-'g ''z B08f3lE S.SWE i�AND ;;'�;r�;�� Commission#EE 140709 =". �" � `� ,.r�t Name of Notary ty ��bruary 22,2016 Na @• V ��'►""�t. `.� 8 ��!Troy Fan Ir.surarx.:&C:;3.5-7019 �r.�+a�v�r�+a7c��.