HomeMy WebLinkAbout13-14452 •--.
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14452
ELECTRICAL PERMIT
Permit#:14452 Issued: 8/16/2013 Ad ess: a5fi3'& 5519 THOMAS DR
Permit Type: ELECTRICAL MISC �S`?-� ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC 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: 8/16/2013 Parcel Number: 10-2621-0010-06400-0060
Name: FIRST CLASS ELECTRIC INC Name: PAYSON, DAVID & SANVILLE, SUZANN
Addr: 7141 BERRY RD. Address: 315 MORNINGSIDE LOOP
ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7861 Lic: Phone:
Work Desc: REPLACE METER CAN & SUBFEED
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METE� ,�-
FINAL L` j, \, �
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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 canstruction c) repairs or corrections 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 owrner: 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.
CON PER OFI
PERM E P ES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
� CA FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
tl13-/tlU-UU1U City of Zephyrhills Permit Appiication Fax-813-780-0021
� , Building Department
Date Received Phone Contact for Permfttin --
Owner's Name �e Owner Phone Number
Owner's Address Owner Phone Number �
Fee Simple Titleholder Name Ovmer Phone Number �
Fee Simpte Titlehoider Address
JOB ADDRESS � � � -?O-'v�c'c S �JC'� LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
IMORK PROPOSED e NEW CONSTR e ADD/ALT �_] SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTiON OF WOftK � �4 C� ��l(� ' C�Gty� ,SL(Y���
BUILDING SIZE SQ FOOTAGE C� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ Q� �� AMP SERVICE /'D� " PR SS ENERGY Q �V,R.E.C.
�.,�—� /
OPLUMBING $ ��/1��
7
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r—
ELECTRICIAN COMPANY �c/`'� 4 .�/�C �< C-
SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N
Address 5 License# �� � �vv� �C�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE GURREP Y/N
Address License# �— �
RESIDENTIAL ANach(2)Piot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Mfnimum ten(10)virorking days after submfttal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Fadlities 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 conshuction.
Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sa�itary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineerad Plans.
�w�wPROPERTY SURVEY requfred for all NEW consVucdon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice ot 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 ApplicaUon Only)
Reroofs if shingies 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 more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabte 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 ifcensing requirements may apply for the
intended work, they are advised to contact the Pasco County Buiiding 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 wiil 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 const�uction 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 Resource Recovery Fees must be paid prior to
receiving a "certificate 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, ff Pasco County Water/Sewer Impact
fees are due, ihey must be paid prior to permit issuance in accordance with applfcable 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 "Fiorida Const�uction 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'S/OWNER'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 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
const�uction, 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 1 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 Watervvays.
- 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 materiat 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 prope�ties, the owner may be cited fo� violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll, 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 a�davit 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 the�eafter
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
justifiabte 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 IMPROVEMENTS TO Y PERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL7
WITN YOUR LENDER R AN OR E FO E ORDI G Y O
FLORIDA JURAT(F.S. 11 3) %
OWNER OR AGENT � CONTRACTOR �
Subscrlbed and swom to(or afflrmed)before me Subscrlbed and swom o(or aiflrmed) s
by � bY
Who is/are personally known to me or has/hav produced Who Islare personally known to me or ha� ve duced
as idendficadon. a idenBflcation.
Notary Public Notary Public
Commissfon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
, Pasco County Property Appraiser- Physical Address List for: 10-26-21-0010-06400-0060 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 10-26-21-0010-06400-0060
Displaying 4 records View in groups of: 10 25 50 100 500
Street Number Street Name �r Unit
5515 THOMAS DR
551 THOMAS DR
`�5 THOMAS DR
THOMAS DR
Pasco County Property Appraiser
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