HomeMy WebLinkAbout12-13434 CITY OF ZEPHYRHILLS
� 5335-8th Street
(813)780-0020 13434
ELECTRICAL PERMIT
Permit#:13434 Issued: 9/11/2012 Address: 197 1ST ST US#25
Permit Type: ELECTRICAL MISC ZEPHYRH�LLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 221.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number:
Name: CARLYLE ELECTRIC Name: CITY OF ZEPHYRHILLS
Addr: P.O. BOX 251 Address: 5335 8TH ST
CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: RETROFIT METER CAN REPAIR- STONES AUTO----WAIVED FEE
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTIq�lC7JON f�pE6-___
.BRE-METER /,,� � �.-j,/�J�;( ,
' FINAL ✓ ' ://Iti��� ��� /�
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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 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 t) plans not at job site g)work not aocessible.
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 re�cord a notice of commencement may resuit in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Compiete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in acmrdance with City
Codes and Ordinances.
CONTRACTOR PER OF i
PERMIT EXPIRES IN 6 MONTNS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department � r ^ � - — ---
Qate�Recei�gd
Phone Contact for Perm(tttn
Owner's Name �
Owner Phone Number gl.� Q_ �
O�xner's Address ��
� -'3-�-5 Owner Phone Number
Fee Simple Titlehotder Name
Owner Phone Number
Fee 5imple Titleholder Address
JOB ADDRESS ,�� _��,. �� ,
� � LOT# �
SUBDIVISION
PARCEL ID#
MlORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE)
B N TALLSTR 8 REPAIR � SIGN �
[� DEMOLISH
PROP03ED US E � S F R a COMM
7'1'PE OF CONSTRUCTION Q BLOCK � OTHER
Q FRAME �� STEEL �
�ESCRIPTION OF WORK
. �
BUILDING SIZE SQ FOOTAGE��
HEIGHT
QBUILDING $
� VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $
/ pd AMP SERVICE C] PROGRESS ENERGY [� W.R.E.C.
/.
OPLUMBING $
QMECHANICAL $ _ VALUATION OF MECHAM � ��I��
CAL INSTALLATION �
QGAS Q ROOFING Q SPECtALTY � OTHER
FINISHED FLOOR ELEVATIONS
_. FLOOD ZONE AREA [�YES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License#
ELECTRICIAN
SIGIVATURE COMPANY �
REGISTERED Y N FEE CURRE� Y/N
Address
License# � �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �
M�CHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �—
OTHER
SIGNATURE COMPANY
REGISTERED Y/ 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 consUuction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilittes 81 dumpster,Stte Work Permit for subdivisionsAarge projects
COAAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit 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 requtred for all NEW constructlon.
Directions:
Fill out application completely.
Owner 8 Contractor sfgn back of appl(cation,notarized
If over=2500,a Notice of Commencement(s 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 Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fer�ces(Plot/Survey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The und ulatgons. The undersigned a's umes e p nsib Ibty for c mpl ance tw th nY
which may be more restrictive than County reg
applicable deed restrictions.
UNLICENSED CONTRAC70RS �`ma beN q�ed o be E ensedsi Bac'coEdance th s ate and locale egulations c Ifrthe
contractors to undertake work, they y
contractor is not licensed as required by � contactorhare unceta n asnto what�l cens ngte qu�emenits may apply'foatthe
under state law. If the owner or intended
intended work, they are advised to contac�e�ea contractor orBcolntrac torsP he'is advised o'have he contractor(s) sign
8009. Furthermore, if the owner has h
portions of the "contractor Block" of this �he�is n'ot rope ly I censed'Iand is not enfitled t permittingepr v leges9n Pasco
contractor, that may be an indication tha P
County.
TRMNSPORTATION IMPACTIUTILITIESoMPe Reco ery Fee�may appECOV�ERY�nEES�'�T of neweb 9de gsnchange of
that Transportation Impact Fees and Rec
use in existing buildings, or expansion of existing standsgthat such fees,'asPmay be dueyw I tlbe d ntified afi he tmenof
90-07, as amended. The undersigned also under ,
permitting. It is further understood that�nalS�wer r leaseaClf the p oject�do s`notRnvolve a certificate of occ pancy o�
receiving a 'certificate of occupancy or p
final power release,
the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County or mances.
CONSTRUCTION LI�N LAW(Chapter�7��ovided wSh a tcopy of he aF orida Construct on L en LawooHomeowner's
certify that I, the applicant, have bee p
P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner"M 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.
CONTRaCYOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wilt 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. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- 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 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 2one "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 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 AGEN7 FOR THE OVi1NER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing constructinn. �as�oe�ther installat nsr not specifi ally ncluded n he alpplicat onork�,
plumbing, signs, wells, pools, air conditioni g, g �
permit issued shall be construed to be acoaesenor shall ss alncehof a pe mitpr vent thehBu ding Officeal from therteafter
set aside any provisions of the techrncal ,
requiring a correction of errors in plans, conssrcommen eId within s zamonths of perm t P s a1nce uor�if wo'rk authorized by
unless the work authorized by such permit
the permit is suspended or abandonhe Build ner'Off c al fosa per ohd not to excleedtn netyr(90) days and will demonstrate
may be requested, in writi�g, from t 9
justifiable cause for the extension. I�work ceases for ninety(90)consecutive days, the job is considered abandone .
WARNING TO OWNER: YOUR FAILURE T OUR PROP RTl(.TIF YOU INTENDETO OBTAIN FI�NANC NG C'ONSI��.�
PAYING TV1fICE FOR IMPROVEMENTS TO Y
WI7H YOUR LENDER OR p►N ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT.
FLORIDA JURAT(F.S. 117.03) /�1�B/�/ � .4L�.C/ /J,/l��
� CONTRACTOR e�is
OWNER OR AGENT � Subscribed and sworn to�f r affirmed)be�
Subscribed and sworn to(or med)before �s ���_ f v by
bY Who islare personally known to me or has/have produced
W h o i s lare personally known to me or has/have produced �_,_.� a5ldentifiCdtion.
as Identlfication.
Notary Public
Notary Public
�
Co ssio •�•"•"�
Commisslon No. =*r �:.� Comrr�ission#E�ES
Name of Nota . 12��0�4
Name of Notary typed,printed or stamped ' �^, . t T""'T'°�' 'm'i",�,,,���1e