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Home My WebLink About13-14761 CITY OF ZEPHYRHILLS 5335-8th Street � (813)780-0020 761 ELECTRICAL PERMIT Permit#:14761 Issued: 11/26/2013 Address: 6015 11 TH ST Permit Type: ELECTRICAL MiSC ZEPHYRHILLS, F�. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 850.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 11/26/2013 Parcel Number: 02-26-21-0080-00100-0140 Name: MARTIN ELECTRIC Name: HUSAR, KATHY Addr: P.O. BOX 437 Address: 6015 11TH ST DADE CITY, FL 33525 ZEPHYRHILLS, IFL. 33542 Phone: (352)521-3319 Lic: Phone: Work Desc: PANEL CHANGE OUT (OUTSIDE DISCONNECT NO POWER NEED TO RELEASE) ELECTRICAL FEE 40.00 ROUGH ELECTRIC CONSTRUCTION POLE 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 corrections not made when inspection called d)work not ready for inspection when called e) permit not posted on job site f) 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 atborney 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. CONT CTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�saaa-ao2a City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Receiwad • Phone Contact for Permittin __ Owner's Name � t,� �C y'� Owner Phone Number Owner's Address C�� J ( '��1 s� Owner Phone Number C Fee Simple Titleholder Name Owner Phone Number C Fee Simple Titleholder Address JOB ADDRESS �J �"( T LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FR�OM pROPERTY TAX NoricE)DEMOLISH WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN �J INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI Q � DESCRIPTION OF WORK pq n� f ��,�C� BUILDING SIZE �--� gQ FOO AGE�� HEIGHT ] QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ � �� AMP SERVICE Q PROGRESS ENERGY [_] W.R.E.0 . QPLUMBING $ .�(�- 1� r OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY 0 OTHER � FINISHED FLOOR ELEVATIONS ( �� FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C ELECTRICIAN COMPANY `YI'ti�'�� n��G�f"/�C..c�"'�1 L SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address � D �� 3 3r License# �—�3 D Q� �'� 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# C OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc.tion, Minimum ten(10)working days after submittal date. Requtred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facflfties&1 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pemiit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements musC meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '""'PROPERTY SURVEY required for all NEW construcUon. Directions: Fill out application completely. Owner 8 Contractor sign back of appiicaHon,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 notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadvways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed w restric�ions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance 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 misdemyan�opyiolation under state law If the owner or intended contractor are uncertain as to what Iicensing requirements ma a ( for the 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 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 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 involve 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 Pasco Coun t y or dinan c es. 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 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'SIOWNER'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 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 Watetways. - 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 fol�owing 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 materiat 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 Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER�tructionise iu derstan'd thatna�s parat permit may be requ9ed for'electr cal work, this affidavit prior to commencing plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to bcal codesenor shall essua'ncehof a pe mitp event thehBu ding Officeal from thereafter set aside any provisions of the techn requiring a correction of errors in plans,r�it srcommencedl within s xamonths of perm p s afnce uo aif wolrk authorized by unless the work authorized by such pe the permit is suspended or abanom the Build ng10ff c al fosa per'tod not toh xc1 edtn netyr(90) days and will demonstrate may be requested, in writing, fr the ob is considered abandone . justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j WARNING TO OWNER: YOUR FAILUREO O R PROPERT1f.TIF YOU INTEND TO BTAINfFI ANC NG CONSULT PAYING TWICE FOR IMPROVEMENTS T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. FLORIDA JURAT(F S. 117 03) CONTRACTOR OWNER OR AGENT Subsc�lbed and s to(or afflrmed)before me this Subscribed and sworn to(or affirmed)before me this bY bY Who fs/are personally known to me or haslhave produced Who is/are personally known to me or hasJhave produced as idenGfication. as IdenUficatlon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary tyPed,printed or stamped