HomeMy WebLinkAbout13-14066 � CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14066
ELECTRICAL PERMIT
Permit#:14066 Issued: 4/09/2013 Address: 5202 17TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 400.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 4/09/2013 Parcel Number: 11-26-21-0010-19700-0140
Name: EAST PASCO ELECTRIC, INC Name: WORK FORCE HOUSING VENTURES IN
Addr: 10411 CONNERLY RD Address: P.O. BOX 948
DADE CITY, FL 33525 DADE CITY, FL 33526-0948
Phone: (813)782-8622 Lic: Phone:
Work Desc: REPLACED BENT RISER y;� p�,y,�,-
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER ` *
FINAL
'�' '� --f/YI � -aC�G �J
�
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� 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.
V r � w
C TRAC R PER OF I
ERMI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002Q City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin
Owner's Name ' ^� • �,L
`� Owner Phone Number ' � •— CJ � l
Owner's Address Owner Phone Number �
�—
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O 1 � 4 LOT# ��
SUBDIVISION PARCEL I #[l'GY� ��l r�DIU� /��1�� ����
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSTALLSTR 8 REPAIR � SIGN [� O DEMOLISH
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK �
BUILDING SIZE SQ FOOTAGE�� HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
�tECTRICAL $ - AMP SERVICE
� • c�Z) � �PROGRESS ENERGY [� W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS 0 ROOFING Q SPECIALTY
� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
�
ELECTRICI COMPANY � -
SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N 4
Address d �1 License# �����1�Q��
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 CURREA 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 construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)compiete sets of Buiiding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)woNcing days after submitta�date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�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 required for all NEW construction.
„��„���.,,����„������.,��
w.0�� IJ
Directions.
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is 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 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 RESTRICTION Count r gulatgons. The undersigned alssumest resp nsib Ity for c mpl a„nce tw'th any
which may be more restrictive tha Y
applicable deed restrictions.
UNLICENSED CONTRACTORheAma beN q�edOo be E en�edsiBac'coEdance with s ate and local egulationrs.c Ifrthe
contractors to undertake work, y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorl��for the
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
intended work, they are advised to has h'redea contractor torBcolntraetors, hel�s ad sed to'have he contractor(s)s�gn
8009. Furthermo�e, if the owner
portions of the "contractor Block"t on that he�is nlot properly I censed'Iand is not entbtled toypermittingepr v legesgn Pasco
contractor, that may be an �ndica
County
TRANSPORTATION IMPACTIUTI�L�ITReS�IMse Reco ery FeesOmay aP ECOV�ERY�nEES�ion of neweb gde gsnc�hange of
that Transportation Impact Fees a
use in existing buildings, or expansion ��so un'derstalnd'sgthat such fe'es,IasPmay be duey 011�be dent f ed at the Omenof
90-07, as amended. The undersigned a
permitting. It is further understand thor final powerf eleaseaclf the p ojecRdoesrnotRnvolv a ce tificatetof occ pancy o�
receiving a "certificate of occup y
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterJSewer Impact
fees are due, they must be �xaid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida 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 Agricu�ture 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 devetopment. Application is
hereby made to vbtain 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 Environtmental Protection�Cypress Bayheads,SW tla9d A eas and Enviro m nttla IytSensitive
- Department o
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Sou t hwes t 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 ofessionalrengi eer
"compensating volume" will be submitted at time of permitting which is prepared by a p
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 f�the'lowner mayrbe�cit d for v�olating
prope�ties. If use of fill is found to adversely affect adjacent properties,
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. �as�oe�other i st Ilat onsr not sp cifi ally bncludedren he applicat on�r A
plumbing, signs, wells, pools, air conditioning, g ,
permit issued shall be construed to be a li�e5enor shall ssuatnce of a pe mitprevent thehBu ding Off ceal from thereafter
set aside any provisions of the technical co ,
requiring a correction of errors in plans, constructi menced�within s zamonths of perm P sua'n eS o aif wolrk authorized by
unless t he wor k au t h o r i z e d b y s u c h p e r m i t i s c o m
the permit is suspended or abandoned Buildl�erioOd�c al fosa per ohd notttohexc'eed tn netyr(90) days and will demonstrate
may be requested, in writing, from the 9
the ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR FAILURE TO UR PROPERTI(.TIF YOU INT�END TO OBTAIN F NANCSNG C'ONSULR
PAYING TWI MPROVEMENTS TO YO
WITH YOUR NDER R AN TTORNEY BEFORE RECORDING Y TICE COMMENCEMENT.
FLORIDA JURAT( 5. 117. 3) �—�.�
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or a med)befo e this
Subscribed and sworn t or a�rmed before this by
bY Who is— �are personally known me or has/have produced
Who isja�e personally known to me r has/have produced as identification.
as identificaUon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary lyped,printed or stamped
Name of Notary typed,printed or stamped