HomeMy WebLinkAbout13-14687 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1 687
ELECTRICAL PERMIT
Permit#:14687 Issued: 10/31/2013 Address: 4719 LARCH DR
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: Total Fees: Subdivision: WHISPERING OAKS
Amount Paid: l�.�l1��� Date Paid: t 0�-31-�3 Parcel Number:
Name: OWNER Name: CITY OF ZEPHYRHILLS WASTE WATER
Addr: Address: 5335 8TH ST
ZEPHYRHILLS FL 33542
Phone: Lic: Phone:
Work Desc: PANEL BOX CHANGE OUT LS#14- NO CHARGE
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL »
� � ,2o- i
�
,
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 corrections not made when inspection called d)work not ready for
inspection when called e) permit not posted on job site� plans not at 'ob 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 re�cord 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 Ciry
Codes and Ordinances.
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- '" "` �°`" ..��y vi �Cpnyrnms rermit Hppncation Fax-813-780-0021
Buiiding Department
Date Receiveo�
Phone Contact for Permittin
owners Name G�`� v � -� /�.LG s
Owner Phone Number
Owner's Address / p- /ZG_�{ ��2 S /�p�ef phone Number
/
Fee Simple Titlehotder Name �
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �
LOT#
SUBDIMISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
lIVORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM U OTHER
TVPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
pESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE
Q PROGRESS ENERGY [� W.R.E.C.
[�PLUMBING $
OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE�
Y!N
Address Ltcense# -�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# -1
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �- -�
RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Bufiding Plans;(1)set of Energy Fortns;R-O-W Pertnit 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 subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)Nrorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERIIAIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY required for all NEW consVuction.
„��e����i��„�.��.�,,,....
Directions. " �
Fill out application complete�y.
Owner&Contractor sign back of applicaHon,notarized
If over s2500,a Notice of Commencement ia required. (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 Application Only) �
Reroofs if shfngies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
OTICE OF DEED RESTRICTIONS: The understg�nns. The undersigned alssumes resp nsib Ibty for compl a^nce tw th any
�hich may be more reslrictive than County regula
pplicable deed restrictions.
IhILICENSED CONTRACTORS AND CONeR/�►Qa�R be E ensedSiBaLccoEdancef th s ate a d local egulationsc Ifrthe
ontractors to undertake work, they may be q I for the
ontractor is not licensed as required by law, bactor are unce ta n as to whatnl censing r quirem n'ts may aPP Y'olat47
nder state law. If the owner or intended cont
itended work, they are advised to contact thea contractor orB o n acto sP he'�s advi ed to I have he contractor(s) sign
�009. Furthermore, if the owner has hired
�ortions of the "contractor Block" of this applicanot ro e ly I censediland is not enttled t yper�mitting pri ileges9n Pasco
ontractor, that may be an indication that he is p P
;ounty.
'RANSPORTATION 11111PIn►CTlU71LITIES IMPaCT AND RE50URCE R�COVh R�nst ustion of n web gde gsnchange o�f
hat Transportation Impact Fees and Recourse Recovery Fees may app y
�se in existing buildings, or expansio� of existingrstand1s9that such fees,IasPmay be d etywOill�be dentif ed at he_tme of
�0-07, as amended. The undersigned also unde
�ermitting. It is further understood that Transporte�ioe easeaClf the p ojecRdoes notRnvolve a certificatetof occ pancy or
eceiving a "certificate of occupancy or final pow
inal power release, the fees must be paid P t.°s uance n accordance�with applicable Pasco County ordinanceser Impac
ees are due, they must be paid prior to perm
500.00 or more, I
,;ONSTRUC710N LIEN LAW(Chapter 713, Florida Statutes, � f he aF orida Clonstruct on L en Law—Homeowner's
;ertify that r, the applican t, have been provided with a copy
�rotection Guide" prepared by the Floride obta ned ancopy of Ithetabove d scr bed document and prompseantgood fa th to
�ther than the"owner", I certify that I hav
�eliver it to the"owner"prior to commencement.
CONTRAC70R'5►OWNER'S qFFIDAVicable lawf s regu altingeconst uction!zoning an�d lalnd developmentn Application is
will be done in compliance with all app
hereby made to obtain a permit to e°nW and that'alltwork will be perfoemed to m ettstandards of all lawsllaegulating
com m e n c e d p r i o r t o i s s u a n c e o f a p
construction, County and City codes, ?°ns ofrotheat'overnment agenc es may pply to athe ntended�work! and thatatSis
certify that I understand that the regulatio 9
my responsibility to identify what actions I I Protec on Cyp ess Bayheads SW tland A eas and Enviro mentlally�t Sensitive
- Department of Environmenta
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Heatth 8� 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 ofessionalreng neer
"compensating volume" will be submitted at time of permitting which is prepared by a p
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 wal
construction, I ce�tify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used �� to adve sely affect adjacent propert es�'the'Iowner mayrbel cit d for v�olat ng
properties. If use of fill is found
the conditions of the building permit issued under the attached permit application, for lots less than one (1
acre which are elevated by filt, an engineered drainage plan is required.
If I am the AGENT FOR 7HE OV1fNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing constr oninn Iasn oerother inst Ilationsr not sp c'ifically nctudedr in the al pl cati n�rA
plumbing, signs, wells, pools, air condit g, 9
permit issued shall be construed to be a codesenor shall ssua'ncehof a pe mitprevent thehBu Iding Officeal from thereafter
set aside any provisions of the technical ,
requiring a correction of errors in plans, con s�cotmmen e'dlwithin si amonths of perm P sua'nce uoaif wo'rk authorized by
unless the work authorized by such permit
the permit is suspended or abando t e Build ner'Offic al fosa per od nottohexaeedtn'n tyr(90) days and will demo strate
may be requested, in v+rriting, from 9
th ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, �j
WARNING TO OWNER: YOUR FAILURE YOUR PROPERTY TIF YOU INTEND TO OBTA N F�INANCSNGTCONSULR
PAYING TWICE FOR IINPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S 117 03)
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or atflrmed)before me this
Subscrfbed and sworn to(or affirmed)before me this —_by
bY Who islare ersonally known to me or has/have produced
Who islare personally known to me or has/have produced P as identlflcatlon.
as Identlfication.
Notary Public
Notary Public
Commission No. —
Commissfon No.
Name of Notary tyPed,printed or stamped
Name of Notary typed,printed or stamped