HomeMy WebLinkAbout13-14091 . - CITY OF ZEPHYRHILLS �,,,.--'
5335-8th Street "
(813)780-0020 14091
ELECTRICAL PERMIT
Permit#:14091 Issued: 4/16/2013 Address: 5119 5TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 4/16/2013 Parcel Number: 11-26-21-0010-16400-0120
Name: JAMES O MORTON ELECTRIC CO.,INC. Name: SPEAR, RICHARD E& O'CONNOR, JUDI
Addr: P.O. BOX 1537 1055 GEIGER RD. Address: 5119 5TH ST
ZEPHYRHILLS, FL 33539-1537 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Work Desc: INSTALL 30 AMP FOR POOL HEATER
ELECTRICAL FEE 40.00
,
� ^
� !
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 foilowing 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.
� �i�/
�
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL POR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �
Pho e Contact for Permittfn __
Owner's Name ; ! �i Owner Phone Number
i �Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS ' LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED F�pROPERTY T�ncE)DEMOLISH
VYORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOC Q FRAME STEEL Q
v
DESCRIPTION OF WORK ,`
BUILDING SIZE �— SQ FOOTAGE�� HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRiCAL $ AMP SERVICE Q PROGRESS ENERGY
Q W.R.E.C.
OPLUMBING $ � � j�C�/
� T
[�MECHANICAL $ 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
Address Licens
ELECTRICIAN ' , COMPANY � � � �� ' `�
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address
License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREP Y J N
Address Lfcense#
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 Pem►it for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGBties 8 1 dumpster;Site Work Permit for subdivisions/large 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 Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2j sets of Engineered Plans. �
'""'PROPERTY SURVEY required for all NEW constructton.
Directtons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (AIC 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 PERMI7TING (Front of Application Only)
Reroofs if 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 mo�e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the Qwner 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 Iicensing 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 IMPACT/UTILITIES 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
permitting. It is fu�ther understood that Transportation 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 ce�tificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer 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$tatutes� 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 Constr�ction 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 ce�tify 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 lar�d development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify tH�at 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 atso
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 A�eas 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 Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
1 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 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 installations not spec�cally 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 ptans, 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 pe�mit 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, f�om 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 COMME CEMENT MAY RESULT IN YOUR
PAYING TWICE F ER OR AN ATTORNE YBEFORE RECORDING YOU �NTE CE OF BTAIN FINANCING CONSUL7
WITH YOUR LEND
FLORIDA JURAT(F.S. 117.03) � �
OWNER OR AGENT CONTRACTOR
Subscrlbed and swom to(or affirmed)before me this S scrib and swo to(or afflrmed)before me this
by �-/!e�3 bY
Who islare erso to me or haslhave produced
Who islare personally known to me or has/have produced p as identlficaGon.
as idendficaHon.
C',L ' Notary Public
Notary Public �,,�,,,,„� �A�� BQ�ES
Commisslon No. Commfs i No. - .
� ; Expires December 12,2014
ppded TNu Ttoy Faln kre�oance SDO-3Bb7019
Name of Notary typed,printed or stamped Name of Notary typ ,