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Home My WebLink About13-14284 CITY OF ZEPHYRHILLS , . , 5335-8th Street (813)780-0020 1�4 ELECTRICAL PERMIT J� Permit#:14284 Issued: 6/13/2013 Address: 39336 CHANCEY RD 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: 750.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 6/13/2013 Parcel Number: 24-26-21-0000-00100-0060 Name: KENNETH A PERRY ELECTRIC INC Name: TIBBETTS PROPERTIES LLC Addr: 3121 LOWN STREET NORTH Address: 695 31ST ST ST PETERSBURG, FL 33713 ST PETERSBURG FL 33712 Phone: (727)321-8550 Lic: Phone: Work Desc: INSTALL TEMPORARY POWER POLE (SEE PICTURE ATTACH) ELECTRICAL FEE 40.00 C ' �� ROUGH ELECTRIC CONSTRUCTION POLE' -2- 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 following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corr�ections not made when inspection called d)work not ready for inspection when called e) permit not posted on job site fl 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 pertormed in accordance with City Codes and Ordinances. ; � � � � ' , CONT CT PER OFFI PER EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e�a-�eo-oo2o City of Zephyrhills Permit Application Fax-813-760-0021 Building Department Da4e Receiyed Phone Contact for Permittin __ r • Owner's Name � (�p �3�� Owner Phone Number Owner's Address (:� /5 � � �f�� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number � � Fee Simple Titleholder Address JOB ADDRESS � ��C� C� � � � l o S LOT# � SUBDIVI310N PARCEL ID# (OBTAINED FR�OM pROPERTY T�nce)DEMOLISH WORK PROPOSED (� NEW CONSTR ADD/ALT � SIGN �7�� INSTALL 8 REPAIR PROPOSED USE Q SFR � COMM � OTHER [-- TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK _�� "e�'�� )�7�� `� I BUILDING SIZE SQ FOOTAGE�� HEIGHT �—� QBUILDING � VALUATION OF TOTAL CONSTRUCTION [�ELECTRICAL $ ��/'� �u AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. (./ QPLUMBING $ l�� z�� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � �v BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRiC1AN 1 COMPANY h/ , :�o�f CC-1I�lL SIGNATURE �� ^ REGISTERED Y/ N FEE CURRE� Y/N Address License# �(� f �Q d_'�g�9 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C —� MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTNER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciliUes 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 constructfon. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Perm(t for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. """PROPERTY SURVEY required for all NEW constructlon. „��,��.�„��.��.,.�� Directlons. ' 'i"J Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Appiication Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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" restrictibns" which may be more �estrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIB�LITIES: If the owner has hired a contrac or 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�vif�lat�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. Fu�thermore, 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 IMPACTlUTILITIES 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 spec�ed 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 Transpo�tation 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 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: 1 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 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 regulations in the jurisdiction. I also ce�tify 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 & 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 less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,t�ction!S I lu derstan�d thatna�s parat permit may be requ d for lelectr cal work, this affidavit prior to commencing c plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued shall be construed thn cal codesenor shall ssualncehof a pe mitp event thehBu ding O�cial from therteafter set aside any provisions of the tec requiring a correction of errors in plan e,r�'{Ssrcotmmen e�dl within si amonths of perm t P s a'nce uo aif wo�rk authorized by unless the work authorized by such p the permit is suspended or abandoned for a period of six(6) months after the time the wor 90 da s and will demonstrate may be requested, in writing, from the Building Official for a period not to exceed ninety ( ) Y the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j WARNING TO OWNER: YOUR FAILURO YOUR PROPERT1f.TIF YOU INTOE DETO BTAIN F NANCSNG C'ONSULR PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G YOUR O IC OF C EMENT. FLORIDA JURAT(F.S. 117.03) .- - CONTRACTOR OWNER OR AGHNT S scribed and to � G�ec�b fon� � � Subscrlbed and sworn to(or affirmed)before me thls �_�3 J3 by � by yyh"—o a�e e opally knovm to me or has/have produce Who islare personally known to me or has/have produced �, �r��j„�A as idenUfication. as identlficatlon. '�' ,�,,,, ��i'''t JACQU pG Notary Public Notary Public .��12 �' Commis o '�" Commission No. s-�nis Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped ��^ �'a' � ' �� 1sa-': �, ��. , 1 ; . �. ,��;.:.4��: ,� ,� �;�` ` �, '»�� . `.� �» � � �: � , , � .. k;�'' s � �., � ,,' ¢; '�, �; ,�► i> !�s 1;� � . �, t x. �,y;{ :� � / =� J(j �;.i��:.,, ,!' F��r.� ±�. 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Inc. 3121 Lown St. North Tel: 727-321-8550 St. Petersburg FL 33713 Cell: 727_224_2996 License No. EC 13003839 This letter is to authorize the following Charles Perry, Kenneth Perry, and Stephen Perry as representatives of Kenneth A Perry Electric. The above named can pu11 permits, register permits whatever is needed Damon L. Perry i— ,f ��Cy�9 �. � . , ___/� State ot '7'►Or'�c�. , �ounry of �%�� ,�S' Damon L Perry � Vice President Sworn to and subscribed before me this License Hoider , / -��J.�day of 20 13 " Print,type or stamp name of notary a � ��—Notary Signature �GI3/a My Commission expires �rsonally known to me, or �� Q Produced identification,type ;:��'= �AURiE ANN LEOI�tE '': MY C4MMISSION#EE135346 �' . EXPIRES October 03,2015 (407}3��.p153 Flori dar�ota Service.com