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Home My WebLink About13-14503 -- � CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 14503 ELECTRICAL PERMIT Permit#:14503 Issued: 9/03/2013 Address: 5939 17TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,000.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/03/2013 Parcel Number: Name: JAMES O MORTON ELECTRIC CO.,INC. Name: GALSTEN RICK Addr: P.O. BOX 1537 1055 GEIGER RD. Address: 5939 17TH ST ZEPHYRHILLS, FL 33539-1537 ZEPHYRHILLS, FL. 33542 Phone: (813)782-7237 Lic: ER 0002443 Phone: Work Desc: ELECTRICAL SERVICE UPGRADE SERVICE CHARGE 40.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-M R� � FINAL�7�� ] 1 ' i REINSPECTION PEES: 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 pertormed in accordance with City Codes and Ordinances. �./ �'`l� r � �� d � CONTRACTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER °'3-.°"-""`u C:ity ot Zephyrhills Permit Appiication Fax-813-780-0021 ' Building Department Date Received -� Pho e Contact for Permittin Owner's Name ' J�l � L� Owner Phone Number Owner's Address � Owner Phone Number -� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Addresa JOB ADDRESS � �� LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) HVORK PROP03ED e NEw CONSTR 8 ADD/ALT C� SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM C� OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL � DESCRIPTION OF WORK v ` � ,O ` �r� BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING a VALUATION OF TOTAL CONSTRUCTION QELECTRICAL a AMP SERVICE�oQ �/ y��T��S ENERGY Q W.R.E.0 v OPLUMBING a QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION [�GAS 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 ELECTRiC1AN �/,,L-r�iD, � COMPANY � �'L / SIGNATURE `'" REGISTERED Y/ N 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 CURREP Y/N Address License# -� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Butlding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)woiicing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, SanRary FadBdes&1 dumpster,Site Work Permit for subdivislonsflarge 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 instalied, Sanitary Facilities 8 1 dumpster.Site Work Permft for ail new pro)ects.All commercial requirements must meet compliance SIGN PERMIT AttaCh(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consUuctlon. I • , TT�I��i�l��llf71�lf1��f1��11� Directions. ` ' Fill out application completely. Owner 8 Contractor sign back of application,notarized If over S2S00,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 Applicatlon Only) Reroofs if shingles 5ewers Servfce Upgrades A/C Fences(PIoUSurvey/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 responsibfliry for compliance with any applicable deed rest�ictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a con rac or or contractors to undertake work, they may be required to be Iicensed 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 apply 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 responslble. 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 IMPACY 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 Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not invo�ve a certificate 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 Pascv County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Flortda 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 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'SlOWNER'S AFFIDAVIT: I certify that atl 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 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 restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V" unless expressly permitted. If the fill mate�ial 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�II 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 Iots less than one (1) acre which are elevated by�II, 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�ae�other i stallat onsr not sp cifi ally ncludedr in t e alppl c t pnork�, plumbing, signs, wells, pools, air conditioning, g 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 fo�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 OWNE : YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU� PAYING TWICE FO PROVEMENTS T YOUR PROPERTY. IF YOU INTEN TO OBTAIN FINA CINT, CONSULT WITH YOUR LE R AN ATT R EFORE RECORDING Y UR F FLORIDA JURAT(F.S. 1 �,0,�3�)/ � � '� T " � CONTRACTOR OWNER OR AGENT g�bed and sv�ror r affirmed) fo - Subscribed and sworn o(or affirmed)before me thfs r by l — by �Who I are personally n wn to me or h s/ ave produced Who is/are personally known to me or has/have produced ��fip�ion. e as Identlficadon. � ;� Public Notary Public � Commission •"�:�''''• commtsston No. =.; ';*: Commission#EE 140709 ;s; ;<� Name of Notary typed,printed or stamped Name of No ri�ban'sls�rp�d�800'3°s�°'9