HomeMy WebLinkAbout13-14856 ' • CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14856
ELECTRICAL PERMIT
Permit#:14856 Issued: � o � Address: 5854 7TH ST
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: Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 12/30/2013 Parcel Number: 11-26-21-0010-00800-0130
Name: Name: PAY DEIGH INC
Addr: Address: 5904 7TH ST
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: _._.__.--. .___�._
Work Desc: ELECTRIC FOR CABLE TV POWER SUPPLY HOOK-UP
ELECTRICAL FEE 40.00
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ROUGH ELECTRIC
CONSTRUCTION POLE �
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PRE-METER _ �
FINAL - �9 ;
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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 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 wmmencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of wmmencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
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CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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TRI-AREA ELECTRICAL CONSTR UCTION INC.
909 SE 47`h Terrace Suite 203-1 Cape Coral,Florida 33904*239-573-7235 FAX 239-573-3274
POWER OF AUTHORITY
AUTHORIZATION LETTER
I hereby name and appoint: Rick Leone
Of: Tri-Area Electrical Construction Incorporated
I William T. Leone hereby authorize the following individuals to act in all areas of the
Permitting and Licensing procedures for the City of Zphyrhills, Florida.
William T. Leone—Qualifier- License number: EC13003588
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LRick Leone William T. Leone
Date: December 23,2013 Tri-Area Electrical Construction,Inc.
909 SE 47`h Terrace Suite 203-1
Cape Coral,FL 33904
State O
County f
T ego instru was acknowle by me thi�day of p��
BY� ' /are personally know me or who has/have produced:
� As identification an did/ ► oath.
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�,p MY COMMISSION#DD982626
�4'i+� �;,�i�s:r��a,zoia ' Notary Publi
a" FI.Nora� Disc«mt Assx.co.�
� .. 1•AIM1�3.NOTe,RY Y T
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Name
My commission expires:��rn� �u �6�� Seal:��_��� (� �.(�
Fee Simple Titleholder Name � �-�i�� � , Owner Phone Number
. �_�`�
Fee Simple Titleholder Address
JOB ADDRESS - 7` � �' _ �/ ��
LOT#
SUBDIVISION � PARCEL ID# - 6 �- / .-po a .-p o p� '-�?f3 a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �c:J �,t,�,s i��� S'�{ � � � ,�� - -� ������,�y��S C�4P�c � ✓
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $
VALUATION OF TOTAL CONSTRUCTION
�,_- ___,_,,._�,..__..._....._,
" ELECTRICAL $ AMP SERVICE PROGR ENERGY
�j60 ._. 0 Q W.R.E.C.
�n
QPLUMBING $
.��8.
QMECHANICAL $ VALUATION OF MECHANICAL INST LLATION �
QGAS � ROOFING � SPECIALTY
Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE�
Y/N
Address License# �
ELECTRICIAN �'', / � COMPANY
SIGNATURE l�A' ,� � T�� �/�'�7?rcd4� Lo Gr�o.�
"�-`�-�` REGISTERED Y/ N FEE CURRE� Y/N
Address G� ' 7 G.jr��� S'��� 2p�_j License#
�C -� oa � ._
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 CURRE� Y/N
Address
License# �—
IIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (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 installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians 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 installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'"PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
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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
portiais 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
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 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 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 a�l 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 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, 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 thereafter
requiring a correction of errors in plans, construction or viofations 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
justifiable 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCENG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR !y�i�c c�r�t:1� � n ,��
Subscribed and sworn to(or a�rmed)before me this Sub r and sworn to(or affirmed)befofe me this
bY b '�o�-o�l�,on c'l '2 � �(.�
Who is/are personally known to me or has/ha I'°'NN e onall known to me or has/have produced
as identifica Nnr Con�ss�o �� �& �_Y__
� EXPiRES:Juna-14rZ as identification.
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