HomeMy WebLinkAbout12-13667 CITY OF ZEPHYRHILLS
' 5335-8th Street
(813)780-0020 13667
ELECTRICAL PERMIT
Permit#:13667 Issued: 12/05/2012 Address: 4TH ST
Permit Type: ELECTRICAL MISC ZE YRHILLS, FL.
Class of Work: ELECTRICAL MISC Township�"'I/� Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 650.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS rt-26-zr-oc,c -ct�i
Amount Paid: 40.00 Date Paid: 12/05/2012 Parcel Number: ��69-9afl83fl@=0655 - '��tG'
Name: ROGERS ELECTRIC Name: QUILLEN SHAWN &APRYL
Addr: 33184 PORTAGE PATH Address: 27016 FIELDS FARM LN
DADE CITY, FL 33533 DADE CITY FL 33525
Phone: (352)583-5611 Lic: ER0012229 Phone: 813-997-1614
Work Desc: CHECK REWIRE PREVIOUS DONE BY OWNER PARTIAL REWIRE
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER 1 _��/�
FINAL r- ��- �r� �
i !
I'/
REINSPEC7ION 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)wndemned 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� 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.
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Z–,S-'�Z
Phone Contact for Permittin –
Owner's Name �G r1�N �U 1 L�E N Owner Phone Number g�� � � �7 � l� �y
Owner's Address .��d l� ���LQ s' ��2� 1.� Owner Phone Number �
Fee Simple Titleholder Name � � Owner Phone Number � —�
Fee Simple Tftleholder Address
JOB ADDRESS �7 � L y J�i �r 2 f'�`l� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ���'� � U�'�"� '2C 7�m'� �
BUILDING SIZE � SQ FOOTAGE �G d HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
OELECTRICAL $ �S-.Q o,� AMP SERVICE Z�U � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ,2 / � `�
f J {p �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � , /
2 �.�,
QGAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
ELECTRICIAN , v - COMPANY ��'E2S �-1 F C 1"✓l� �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 3 3 � �� �'��"rl E 1�T� —�
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
MECHANICAL 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)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fo�new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Wark Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construcUon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is requlred. (A!C upgrades over 57500)
" 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 public 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 licensed 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 Building 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 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 understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction 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, will be identified at the time of
pe�mitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�t�cate 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 Water/Sewe� Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda 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'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 develvpment. 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
construciion, 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.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-SeawaNs, 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 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 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 tess 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 installations not specffically 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 DER OR AN ATTORNEY BEFORE RECORDING YOUR NOT D TO COMMENCEMENT.� CONSULT
WITH YOUR LEN
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swo or afft ed)b me this
Subscrlbed and swom to(or afflrmed)before me this by � �f ��5�i�
by Who islare personally known o me or hasltiave produced
Who islare personally knovm to me or has/have produced as identl8cation.
as identlficadon.
��� �
; ztiQ�f/�-� � Notary Public
Notary Public
�
Com ���
Commtsslon No. :;,; #6C1GES
�; Comm�aslon
Name of Notary typed,printed or stamped Name of �r �� 2,2(114
'�' �`�"�c+eoD3es.fota
Pasco County Parcel: 11-26-21-0010-08300-0070 001 Page 1 of 1
i
Data Current as Of: Weekly Archive - Saturday, December 01, 2012
Parcel ID 11-26-21-0010-08300-0070 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
QUILLEN SHAWN & Ag Land $0
QUILLEN APRYL Land $15,120
27016 FIELDS FARM LN
DADE CITY FL 33525-7924 Building $15,420
Physical Address Extra Features $965
5715 14TH ST lust Value �31,505
ZEPHYRHILLS FL 33542 Assessed (Non-School Amendment 1) $31 505
,
Legal Descriation (First a�ines)
See Plat for this Subdivision Taxable Value �31,505
CITY OF ZEPHYRHILLS
PB1PG54
LOTS 7, 8 BLOCK 83
OR 8741 PG 2436
's
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA Code �Residential Code ZHLHLP2
Buildinq Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1961 Stories 1.0
Exterior Wall i Concrete or Cinder Block E�cterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Asphalt Tile Flooring 2 Carpet
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 BAS 676 $22,308
2 � FOA 24 $198
3 � FSA 240 $2,772
Extra Features (Card: 001 of 001)
Line Description Year Units � Value
1 DWSWC 1973 89 $70
2 UDU-M 2005 �— 1 $895
Sales History
Previous Owner SCAPLEN DOUGLAS &TAMMY
Month/Year Book/Page Type C de Condition Amount
08/2012 8741 / 2436 Tax Deed 1� Improved $0
11/2002 5168 / 0913 Warranty � Improved $34,600
Deed
10/2000 4491 / 0903 Quit Claim� Improved $0
Deed
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 12/5/2012