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Home My WebLink About13-14180 CITY OF ZEPHYRHILLS 5335-8th Street . . (813)780-0020 14'l� . ELECTRICAL PERMIT Permit#:14180 Issued: 5/20/2013 Address: 39450 SOUTH AVE HANGAR 2 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Biock: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,490.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 5/20/2013 Parcel Number: Name: CARLYLE ELECTRIC Name: CITY OF ZEPHYRHILLS Addr: P.O. BOX 251 Address: 39450 SOUTH AVE SHADEHANGAR 2 CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS FL 33542 Phone: Lic: Phone: 8137800030 Work Desc: INSTALLATION 6-FLOOD LIGHTS & 12 FLOOD LAMPS ELECTRICAL FEE 45.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL ��i �� -Z � , �d�d � � b �Ls� ��+ h� �� w a R INS ECTION FEES. ei pection fees wil comp 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 aoaessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 oommencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. �� C N CTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�a-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin __ Owner's Name ^i� d� Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number �— � Fee Simple Titleholder Address JOB ADDRESS � � V� ��,� LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B N TALLSTR 8 REPAIR u SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK � � � � � C Z '�j� „f ' / r ve � BUILDING 31ZE SQ FOOTAGE�� HEIGHT QBUILDING a VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ �/ /,� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �� V QPLUMBING $ QMECHANICAL $ 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 License# ELECTRICIAN COMPANY SIGNATURE / REGISTERED Y FEE CURRE� Y/N Address 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 CURREA Y I 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 Fadlities 8 1 dumpster;Site Work Permit for subdivisionsliarge projects COMMERCIAL Attach(3)compiete sets of Bufiding Ptans 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 instailed, 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 consVucUon. T 111�11��111f1117l111�11�1�■ Directions. ' Fill out application compietely. Ovmer 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requlred. (AIC 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(PlotlSurvey/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 complianc�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�vifOat�he 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 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 contraclor, 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 understan s 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 further understood that Transportation Impact Fees and Resou�ce Recovery Fees must be paid prior to receiving a "certificate of occupancy" or flnal 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 WaterlSewer Impact fees a�e due, they must be paid 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 Depa�tment 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 certffy 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 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 �egulations 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-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 reslrictions 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 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th 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 specifically 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 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR �MP AN ATTORNE YBEFORE RECORDING YOUR NOTI E OF COMMENNEMENT.� CONSULT WITH YOUR LEN�ER�R FLORIDA JURAT(F.S. 117 03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or afflrmed)before me this Subscribed and swom to(or affirmed)before me this b bY y Who islare personally known to me or has/have produced Who isfare personally known to mas id ndficatlonroduced as identification. Notary Public Notary Public Commissfon No. Commission No. ed, rinted or stamped Name of Notary ryped.P�nted or stamped Name of Notary typ P A�r. 23. 2013 2: 14PM ��^ _ �^ i,��L�,�� No. 1024 P, 1� �x_ �� L Y�� AT�'.�aChan G`R[1SC 1R�1�{l'IfRnAYlr�la��rl'A�,�„�lV'�CFS LICENSED BY CARLYLE R HC1FiFMAN �. ress 39b46�ie�treet _�.Q.H�x 1299 .�.—...� 1 S " FI.33524 phone#81317'14-d469 �ax#813)788-9114 E Ms11 at chuffman�dtcrasscnv com Gbstomer C�tv of7.eoh'ur�t�tls pe�n,.r� Nen� �'ob# Addresa 5335 S�'ati+oet Job nao�e 7thilJs/�g Fort_____�peu�_�y�rep�� Zenhvrinils Stgte Floztda Zao33542-431Z JobAddress �hona# Fa�# P O !L °. �$L)780.4030 (813)7$0 0032 P 't I��uirod �.�.,No� We agee ta prov�dc materiat snd labor necessery#o install the Elecvical ins�alia�iau at ti�c above 1oc$i�on Contact;I�ethan Problem:Lighting ft�t�u+�s bad also draws�piders and'msocls,insu�"icient iighti�g Msterial:City of Zephyrhills will furnish:6�flood light fixtur+es with boxs 12-100 watt floal�amps I,abor,aPPro�ate man haurs I6 We�ree to provide material end labor neoessary to install ihe Eloctrlcal inet�slla#io�a at t�e�bovo tocatlan This price inciudcs; The ebove groposal is b�sed on carnent cost and is affecdive thmugh 06 20.13 , Work performe�ai�er plS- 0- 3 shall be subjed tao priao escalat;pn,y�d on soXo�y on�bor and material �I1T1s�fi��`P_4, T�Fo�Y Pdie reqused-(NO) undengraund ( ) o�erhead ( } Dowi�pe�y�mont / p'rognessiYO�_.__,�� Base Cantract Price $ Completlon Total Z i49p•UQ Aee�ptanee:17�for�goiag proposal is heraby accepbed nud ihe worlc ot+dered to be dono and�ts subjeet t�o tciwfs of pu�nnent az�d canditions st�t�cd above. P.toase 5igr► Pu�cl�aser riaro j� i �t� Carlyle Yt.�Tuffi�n 04-23-13 � f Representative or� G��r�'�' 7 a `��U� �,.��,,.--- �//3�/3 �