HomeMy WebLinkAbout12-13506 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 13506
ELECTRICAL PERMIT
Permit#:13506 Issued: 10/03/2012 Address: 5514 5TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHiLLS, FL.
Class of Work: ELECTRICAL MISC Townshi
Proposed Use: SINGLE FAMILY RESIDENTIAL p' Range:
Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 10/03/2012 Parcel Number:
Name: PATTIE ELEC. & REFRIGERATiON Name: RICK, RICHARD
Addr: 39111 PATTI RD Address: 5514 5TH ST
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813 782-3319 Lic: Phone:
Work Desc: REPAIR SERVICE TO POWER POLE (REPLACE RISER WIRE)
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL_��--[.�� y - � .�
,�r 1�
r
REINSPECTION FEES: Reins
pection 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 construction c) repairs or corrections not made when ins
inspection when called e Pection called d)work not ready for
) 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 ro
may be found in the public records of this county, and there may be additional P Pe�Y that
entities such as water management, state agencies or federal agen'ci�esf rom other governmental
"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 attorney
Com lete Plans S �fO��°0���9 Your notice of commencement."
P , pecifications and Fee Must Acrnmpany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
G��I�i�
CONTRACTOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - g HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
n,.r�ou-uu�u C:iry ot Lephyrhills Permit A lication
PP Fax-813-780-0021
� Building Department
Date Received � �
Phone Contact for Permittin f � _�?>�
Owners Name � �
Owner Phone Number
Ovnner's Address 5 � "f�
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS tt, ��
LOT�
SUBDIVISION PARCEL ID* f�Z ��,f—d0 I D—
�� ot�-a/ 90
WORK PROP03ED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR ADD/ALT C� SIGN [� [� DEMOLISH
INSTALI REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME C� STEEL �
DESCRIPTION OF WORK , � ,
i c- c,�i'c e
BUILDING SIZE SQ FOOTAGE
NEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
C�/ LECTRICAL $ OD� AMP SERVICE /1S �pROGRESS ENERGY
0 W.R.E.0
QPLUMBING a ����
/
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -i ' I
[�]GAS 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 C�'� COMPANY Y�tL
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address � ��ODb/�-----�
License# a
d�--
PLUMBER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURREP Y/N
Address License# —�
Al1ECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/large projects
COMMERCIAL Attach(3)complete sets of 8uflding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permtt for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fil�out application completely.
Owner 8 Contractor sign back of appNcadon,notarized
.• If over 52500,a Notice of Commencement is requfred. (AIC upgrades over 57500)
Agent(tor 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 AppUcaHon Only)
Reroots if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unders�9ons. The undersigned aissumest resp nsib Ibty for compl ance tw'i h ny
which may be more res t r i c t i v e t h a n C o u n t y r e g u l a t i
applicable deed restrictions.
UNLICENSED CONTRACT O R S A N D C O NTRAe�T�o e E ensedsiBaLccoEdance th state an d loca l e g u l a t i o nsc If the
contractors io undertake work, they may be req I for 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 o to con a�ct h nPasc�o County BuiAlding Inspectioni D v sifon—Licens ngtSection at727-847-
intended work, they are advised
8009. Furthermore, if the owner has hiredlication for which they wi I�be respons blie.e Iftyoueas the owneasign as the
portions of the "contractor Block of this app Iicensed and is not entiNed to permitting privileges in Pasco
contractor, that may be an indication that he is not properly
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERY�ns ES{'o of newebu9de gsncha ge of
that T�ansportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existing buildiS9�hat such ees,fas may be due, will�be d nt�d at he�tmenof
90-07, as amended. The undersigned also understand ,
permitting. It is further understood that TranspoWe`�eleaseaClf the p oject�does o R olve a cert�catetof occ pancy o�
receiving a "certificate of occupancy or fina) po
ff Pasco County Water/Sewer Impac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be paid ha f ter 713,iFlorfda Stat tes,ras amenided)Plf valu ton of workt s$2,500 00 or more, I
CONSTRUCTION LIEN LAW(C P of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provlded with a copy
Protection Guide" prepared by thet I�have obta ned a copy of the above desc ibed document and prompse ntgood fa th to
other than the"owner", I certify tha
deliver it to the"owner" prior to commencement.
CONTRIICTOR'SIOWNER'S AFFIDAVicable law's regu altingeconst uction!zoning andcland developmentn Appl caltion is
will be done in compliance with all app
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 ge Z�n'n�d ehulaCions�andl�land development reg lationsan thef jurlisd ction 9 Ilaalso
construction, County and City code , 9 9
certify that I understand that the regulatio�ust take to be n compl a�nce.' Such agencies include buteare n t�limited fo:�t is
my responsibility to identify what actions I
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health S 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 expressty permitted.
- If the fill material is to be us submitted at?me ofpermitting whch�s p eparedrby agpr oessionalreng neer
"compensating volume" wilt be
licensed by the State of Florida.
If 1he fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wa
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 Ve sel affect adjacent propertiesf the''owner mayrbe'cited for v�olat ng
prope�ties. If use of fill is found to ad y
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 promis��understan,d that a�sepahat permit tmay be requ�ir d for'electr cal work�,
this affidavit prior to commencing construction.
plumbing, signs, wells, pools, air conditi license bsp oceed with the work and no ais author t�y to violatee anc'elaalter, or
permit issued shall be construed to be a
set aside any provisions of the technical codes, no n oa�violations of any codesprEvery perm t issued shall become invalid
requiring a correction of errors in plans, constructio
unless the work authorized by such permit is �od of s x 6) mhonths after the t mpe thetworkes commenced. Anhextension
the permit is suspended or abandoned for a pen �
may be requested, in writing, from the Building ����niner (90)rconsecu ve days the job is�consldeaed baI do edstrate
justifiable cause for the extension. If work cease tY .
WARNING TO OWNER: YOUR FAILURE TO RE PROPERT1f.TIF YOU INTE D TO OBTAIN F NANCING CONSULR
PAYING TWICE FOR IMPROVEMENTS TO YOUR u�uFNC�MENT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO
FLORIDA JURAT(F S. 117 03
CONTRACTOR
OWNER OR AGENT Subscribed and swom to afflrmed)before me this
Subscrfbed and sworn to(o fflrmed)before me this by
by yVho fslare personally known to me or haslhave produced
Who islare personally known to me or haslhave produced as Identlficadon.
as Identlficadon.
Notary Public
Notary Public
Commfssion No.
Commisslon No.
Name of Notary typed,printed or stamped
Name of Notary tYPed,printed or stamped