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Home My WebLink About12-13297 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 13297 ELECTRICAL PERMIT Permit#:13297 Issued: 7/31/2012 Address: 6041 16TH ST 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: 400.00 Total Fees: 40.00 Subdivision: PARK HILL Amount Paid: 40.00 Date Paid: 7/31/2012 Parcel Number: 02-26-21-0180-00000-0040 Name: FIRST CLASS ELECTRIC INC Name: KOPPELBERGER CAROLYN & MYRON Addr: 7141 BERRY RD. Address: 6041 16TH ST ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542 Phone: (813 782-7861 Lic: Phone: Work Desc: INSTALL NEW METER BASE & PANEL 200AMP ELECTRICAL FEE 40.00 \�� ROUGH ELECTRIC CONSTRUCTION POLE PRE-MET � FINAL � 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 comections not made when inspection called d)work not ready for inspection when called e) permit not posted on job site f) plans not at job site g)work not acxessible. 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 reaord 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 attorney before reaording your notiae of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. CONT PER OF I PERMIT IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL R INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact fo�Permittin . Owner's Name i( � ( ' Owner Phone Number Owner's Address C`� � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS C� I � 1 VI � LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM [—� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK � � '�'(� � �j(,�,�¢ BUILDING SIZE SQ FOOTAGE C� HEIGHT QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ �-� AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � "�...� G—J� 7 OGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUtLDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � ELECTRICIAN COMPANY � �S-5 �C� /'C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ,,^ � l (l License# �C"�� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N Address license# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, Sanitary FadBtles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attac�(3)complete sets of Bufldi�g Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Perm(t 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. Directtons: Fill out applicatlon completely. Owner&Contractor sign back of applicadon,notarized If over i2S00,a Notice of Commencement is required. (A/C upgrades over s7500) " 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 if on pnblic 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 Iicensed 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 Buiiding 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 wili be responsible. If you, as the owner sign as th� 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 understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buiidings, 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, wiil 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 retease. 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 pe�mit 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. 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work wili 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 appiy to the intended work, and that it is my responsibility to identify what actions I must take to be in compllance. 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-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis, Docks, Navigable Watervvays. - Department of Health 8 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 Fiood 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 flll 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 fili 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 flll, 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 spec�cally 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y INTEND TO OBTA1 F NCI T , ONSULT WITH YOUR LENDER UR AN ATTOR EY B FO E R CORDING Y U OTI FLORIDA JURAT(F.S.117.03) - OWNER OR AGENT CUNTRACTOR Subscribed and swom to(or aNirmed)before me this Subs3 bed and swo (or aiflrmed)before s by (' 2� by Who is/are personally known to me or has/have produced o i�g�ersonally knovm to me or has/hav produ ed as identlficatlon. as i entificatlon. � � ' � Notary Public Notary PubNc ` ' � Commission No. Commission '• • K� ,� ' #EE 040520 JF BWqWiMuTmyFainkuirnnce800�3A6�7018 Name of Notary typed,printed or stamped Name of Notary yped,printed or stamped Pasco County Parcel: 02-26-21-0180-00000-0040 001 Page 1 of 2 uata Current as Of: Weekly Archive - Saturday, July 28, 2012 Parcel ID 02-26-21-0180-00000-0040 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value KOPPELBERGER CAROLYN &MYRON G Ag Land $0 + 6041 16TH ST Land $16,984 ZEPHYRHILLS FL 33542-2601 Physical Address Building $52,440 Extra Features $7,559 6041 16TH ST ZEPHYRHILLS FL 33542-2601 lust Value �76,983 Le9al D@SCI'iDt1017 (First 4 Lines) ASSe55ed (Non-School Amendment 1) $76,983 See Plat for this Subdivision Taxable Value ;76,983 PARK HILL SUB UNIT i PB 14 PG 70 LOT 4 OR 3267 PG 671 OR 8641 PG 3435 Land Detail (Card: 001 of 001) Line Use Description 2oning Units Type Price Condition Value 1 0100 SFR OOR2 8,285.00 � $2.05 1.00 $16,984 Additional Land Information Acres 0.19 Tax Area ZH FEMA Code X Residential Code PAHILPl Buildinc Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1978 Stories 1.0 Exterior Wall i Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Irrterior Wall 2 None Flooring i Carpet Flooring 2 None Fuel Eledric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl.Cost New 1 FEA 576 $16,402 2 B� 1,008 $41,026 3 FQ 24 $244 4 � 450 $7,326 5 F A 288 $2,930 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1978 444 $433 2 LFC ENCE 1986 600 $212 3 H D 1989 1 $655 4 UDU-M 1989 1 $459 5 P L-6 1984 360 $4,320 6 �J CUZZI� 1984 1 � $600 �— 7 UDU-M 2004 1 $880 Sales History Previous Owner BURGETT ROBERT F&VELVA Month/Year Book/Page TyPe C de Condition Amount Warranty �� http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0180&b... 7/31/2012 From:Lee Reed Insurance 07I31/2012 07:41 #030 P.001/001 i4CO� CERTIFICATE OF LIABILITY INSURANCE ��3iizoiz��' THIS CERTIFICAIE 18 188UED AS A MATTER OF INFORMATIpN ONLY AND COMFERS NO RIfiHTB UPON THE CERTlFICATE HOLDER.TH1S CERTfFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEp BY THE POLICIES BELOW. THIS CERT�ICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETYYEEN T}iE 183UING INSURER(S� AUTNORIZED REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HpLDER. MAPORTANT: M tFw esAlRcate AoMer is an ADDITIONAL INSURED,ths poNey(ies)must be endased. If SUBROOATqN IS WAIVED,subJsct to the te►ms and conditlo�u of the poilcy,csrfaln poitcfes may raquire an andonemsnt A staMmsnt on this cerGflcate does not co�ar riphts to the certNfeats hold�r M Ilou W such sndon s). Paoouc,at LEE REED INSURANCE r�: And Miller PO Box 908 .(813)782-5502 N,�813)788-1996 Zephyrhills,FL 33539-09Q8 ,wor�ss;andy�leereedins.com �s�KFOROrro � wues ��R A;Owners insurance Company 32700 ��R� Ffrst Class Eledric i��B Auto-Owners Insurance Company lg9gg David Hayford Electric,Inc.dba INSURER C: 7141 Berry Road INSURER D: 2ephyrhills,FL 33540-4003 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REViSION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN 1SSUED TO THE INSURED NAMED ABpVE FOR THE POI,ICY PERiOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTH£R DOCUMENT Wf('►{REgPECT FO WHICH THIS CERI7FICATE MAY 8E ISSUED �R MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION5 AND CONDffIONS OF SUCH POUGES.LIMffS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. � TYPE OF INSURIWCE ppL�Cy NUMBER GENERAL LU481LRY LIMtTS EnCH OCCURRENCE S 1,OOQ,O00 x COMMERCULL GENERAL LUIBILITY PR�NISES Ee occunence S 50,OQI1 CLAIMS-MADE a OCCUR MED EXP(M ons psraon S 5,000 A 884612-20679941 2/24/12 2/24/2013 P�tsow��nav MuuRV S 1,000,000 GENERAL AGGRE(iATE :1,000,000 GEN'L AGGREpATE UMIT APPUES PER: PRODUCTS-ppA,p/pP AGG s 1,�,� POl1CY X P�- LOC s AUTOMOBILE LIABILITY �iCddeM 1r0�,�� ANYAUTO BODKV IPUURY(?ar penon) S ALL OWNED SCHEDULED _ B �uros X �uros 80DILY INJURY(Per�eciOeM) S X H1RED AUTOS X A��wNED 96-183-263-00 02�20�2012 �2��zO12 : Per acddant a u�� B ��R EACH OCCURRENCE S EXCESS LIAB CLAIMS�MDE AGGREQATE a DE� RETENTION S = WORKERS COMPENSATION AND EMPIOYERS LIABIIiTY r�� R ANY PROVR1ETOR�PARI►JBR�E�cvrME OFfICERMEMBER E7CCLUDED7 ❑ NIA EL.EACHACCIDENT S (MraraY r�wi) E.1.DISEASE-EA EMPLOYE S Ifyss dsicAbs under DESG�WPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMR = 'DESCRIPTION pF OPERATIOWS/LOCAT�ONS/VEHICLES (Attaeh ACOR�'104,Add6onal Ramerka Schedub,if more spsoe Is required) David Hayford,License#EC000257Q CERTIFICATE HOLDER CANCELLATION City of Zephyrhflis 5335 8th Street SHOULD ANY OF TME ABOVE DESCRtBHD POLICIES BE CANCELLED BEFORE THE EXPIRATfON DATE THEREOF, NOTICE WlLL BE DELNERED IN Zephyrhills,FL 33542 ACCORDANCE WITH THE POLiCY pROVISIONS. 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