HomeMy WebLinkAbout12-13369 CITY OF ZEPHYRHILLS
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BUILDING PERMIT `�`�"
Permit Number: 13369 Address: 39450 SOUTH AVE HANGER 14-9
Permit Type: ELECTRICAL SERVICE CHANGE ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 150.00
Date Issued: 8/21/2012 Name: CITY OF ZEPHYRHILLS
Total Fees: 40.00 Address: 5335 8TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/21/2012 Phone: (813)752-4188
Work Desc: SERVICE UPGRADE TO 125 AMP
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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 foliowing reasons: a)wrong address b)condemned work resulting
from faulty aonstruction c) repairs or corrections not made when inspections called d)work not ready for
inspection when calied e) permit not posted on job site� 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 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 Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o is-iou-wtu c;ity ot�ephyrhills Permit Application Fax-813-760-0021
� Building Department
Date Received � 'J
` �''` ` Phone Contact for Permittin
Owner's Name /j ' �iss� ,�7 -' j��( �� -- �p/�
ner hone Number -�3"�tJ V " �C,
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Owner'sAddress c,�J�� �'r'phone Number ��� ��— Z�Q
Fee Simple Titleholder Name �. Owner Phone Number
Fee Simple Titleholder Addreas
JOB ADDRESS '1j�� vL � ��
LOT�
SUBDIVISION PARCEL ID#
(OBTAINED FROM pROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT [—� SIGN Q O DEMOLISH
iNSTALL REPAIR
PROPOSED USE Q SFR [� COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK �] FRAME [—� STEEL [� ----�
DESCRIPTION OF WORK i/ � �� � �rj'!�' ,� �7��--
BUILDIN(3 SIZE SQ F�OTAGE� HEI(3HT C—_�
QBUILDING a
, VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ y �,�?o �:_ AMP SERVICE � PROGRESS ENERGY [� W.R.E.0
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QPLUMBING a � /� �,�����
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OMECHANICAL � VALUATION OF MECHANICAL INSTA,j.b4Tl N C� j � ,,�.��/y'�—
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OGAS Q ROOFING Q SPECIALTY � OT ER ��� � ��� �,
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FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA S O i
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BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �—�
ELECTRICIAN �'� � /� COMPANY �VCA ��r_�c'T��C �L�'
SIGNATURE <.v l '� REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
MIECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REC,ISTERED Y/ N FEE CURRE� Y/N
Addross License#
RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new conshuction,
Minimum ten(10)working days aRer submittal date. Required onsite,Co�sUuction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary FadBtles d�1 dumpster;Site Work Permit 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 Perm(t for new construction.
Minimum ten(10)working days after submittal date. Requtred onsite,Conshucrion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FadliUes 8 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requlred for all NEW construcdon.
Directiona:
Fill out appUcatlon completely.
Owner 8 Contractor sign back of applicadon,notarized
I(over i2300,a NoNce oi Commencement is roquired. (AIC upgradas over=7500)
" Agent(for the contractor)or Power of Attomey(for the owner)w�ould be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppllcaUon Only)
Reroois if shingles Sewers Servfce Upgr�des•�A/C •.°f'e�ces(PlodSurvey/Footage) • ., _ ,
Driveways-Not over Counter if on public roadways..needs�W� . `
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NOTICE OF DEED RESTRI'CTtiON County r gulat9ons. The undersigned a'ssumest resp nsibilbty for compl ance twith ny
which may be more restri
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or
contractors to undertake work, they may be required to be Iicensed in accordance with state and local regulatfons. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vif�lat{he
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply
intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hi�ed 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 oV 1e�e39n Pasco
contractor, that may be an indication that he is not properly licensed and is not entiNed to permitting p 9
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that T�ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansio� 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 'ce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
� ff Pasco County WaterlSewe� Impact
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be pafd prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapte�713, Florlda 8tatutes� 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 "Flo�ida 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"ow�er"prior to commencement.
CONTRACTOR'SIOWNER'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 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. 1 also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that ik 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-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental 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 Till 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 unde�stand 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 pe�mit 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 wilt demonstrate
the ob is conside�ed abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER DING YOUR'NOTICE OF BTAIN FINENCINT, CONSULT
WITH YOUR LE DER R AN N F
FLORIDA JURAT(F.S. 117. ��,."�~�.�_! � �`'��/�U /'� �/,,,�a�/
NTRACTOR ��° � ����
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Who is-�SO�r'��iY Known to me or� have produced Who Isla�rs-personal� , wn to me or haslhave produced
�',L� as Id�afitlficatlon. �"` '�- % /� as identlficatlon.
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Commissl r� � � BOBBIE S.SWETLAND ' Commission � ���#EE 140709
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