HomeMy WebLinkAbout12-13372 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 13372
ELECTRICAL PERMIT
Permit#:13372 Issued: 8/22/2012 Address: 5247 3RD ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 900.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/22/2012 Parcel Number: 11-26-21-0010-12600-0040
Name: MARTIN ELECTRIC Name: WHITE, PATRICK 8� JOAN KAY
Addr: P.O. BOX 437 Address: 5247 3RD ST
DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: 352)521-3319 Lic: Phone: (813)514-7512
Work Desc: MOVE SERVICE UPGRADE 200AMPS
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER �
FINAL " �
I
REINSPECTION FEES: Reinspection fees will com 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 f� 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
^
CONTRAC OR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o�3-.ou-w�u c;ity ot Lephyrhills Permit Application Fax-813-780-0021
Building Department
Da.*-'Re�ived
Phone Contact for Permittin
` --
Owner's Name
Owner Phone Number
Owner's Addresa ,5 ? / Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRE33 ��
LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL [�
DESCRIPTION OF WORK � � �j�
• /'7
BUILDIN(3 SIZE 3Q FOOTAGE HEI(iHT
QBUILDING a
VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL s � J AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
QPLUMBING s
MECHANICAL � r� ��2
0 $ 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
Addreas License!�
ELECTRICIAN COMPANY �i /�� � ` L,
SIGNATURE � , �—
REGISTERED Y/ N FEE CURRE� Y/N
Address � a 9 License#
PLUMBER COMPANY
31GNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE RECsISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreaa License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)worlcing days after submittal date. Required onsite,Consfruction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Fadlitles d�1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Required onsRe,Conshuctfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facifltles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet�mpliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"•PROPERTY SURVEY required tor all NEW consUuctlon.
Directions:
Fill out applicatlon completely.
Owner&Contractor sign back of applicatlon,notarized
If over S2S00,a Notice of Commencement is required. (AIC upgradea over:T500)
'• Agent(for fhe conVactor)or Power of Attomey(for tl�e owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppNcaUon Only)
Reroofs it shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage)
Driveways-Not over Counter if 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 �estrictive than County regulations. The undersigned assumes respvnsibllity for compliance with any
appiicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or
contractors to undertake work, they may be required to be 1(censed in acco�dance 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 Ifcensing requirements may apply for the
intended work, they are advised to contact the Pasco County B�llding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a conVactor or contractors, he is advlsed 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that T�ansportation Impact Fees and Recourse Recovery Fees may apply to the constructron of new buildings, 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 also understands, that such fees, as may be due, wiil be identified at the time of
permitting. It is further understood that Transpo�tation 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 WaterlSewer 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 amendedj: 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 Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'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 com{�liance with all applicable (aws 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
ce�tify that t understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to idenCify what actions I must take to be in compliance. Such agencles 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 Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:
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
"compe�sating 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 walt.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. 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 fnstallations 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 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, CONSUL7
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF����ENCEMENT.
FLORIDA JURAT(F.S. 117.03) _---------
OWNER OR AGENT CONTRACTa
Subscribed and swom to(or affirmed)before me thls Subscribed and to(or affltm me this
by y
Who islare personally known to me or has/have produced Who Is/are personally knovm to me or haslhave produced
as Idendfication. as identlficatlon.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary lyped,prfnted or stamped Name of Notary typed,printed or stamped