HomeMy WebLinkAbout14-14981 CITY OF ZEPHYRHILLS
` 5335-8th Street
(813)780-0020 14981
ELECTRICAL PERMIT
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Permit#:14981 Issued: 2/18/2014 Address: 39431 TABETHA DR
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: 900.00 Total Fees: 40 00 Subdivision: SIXTH AVE
Amount Paid: 40.00 Date Paid: 2/18/2014 Parcel Number: 12-26-21-0026-00500-0000
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Name: PATTIE ELEC. & REFRIGERATION Name: SIXTH AVE LLC
Addr: 39111 PATTI RD Address: 39353 TABETHA DR
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc REPLACE 125 AMP DOUBLE METER CAN (SVC�39431 &�39427)
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ELECTRICAL FEE r., ,��; � ,_� ; ,��;�`�,�.f.,�� n;�� � ' ���,� �^,,�x
�40.00
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ROUGH ELECTRIC � "�.� �,f. _��3�,'
CONSTRUCTION POLE
PRE-�ETER
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c) when extra ins
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work res It g
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 fl 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 record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain fnancing,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.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
• Building Department
Date Received
Phone Contact for Permittin �3 2 -- �J
Owner's Name �{ �, C/ a �'(��, ( L7a � �
Owner Phone Number
Owner's Address � �
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �y aJ� �}� 3a�!�� �Q� a �
LOT� ��
SUBDIVISION PARCEL ID# /.�—.2�p"1 I '��3-(�O S����d ��'a r+f,j�!J t-°aZ�
WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR 8 ADD/ALT (�� SIGN
INSTALL REPAIR 0 0 DEMOLISH
PROPOSED USE � SFR Q COMM
TYPE OF CONSTRUCTION Q BLOCK �� OTHER
Q FRAME � STEEL �
DESCRIPTION OF WORK �
BUILDING SIZE SQ FOOTAGE�
HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ ,�--- AMP SERVICE �, rj ����
�Q� I C� �R�GRESS ENERGY � W.R.E.C.
QPLUMBING g ,�'
[�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I
GAS � �
0 Q ROOFING Q SPECIALTY pT �
C� HER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
�]YES p
BUILDER
SIGNATURE COMPANY
REG�STERED Y/ N FEE CURRE� Y/N
Address �
License#
ELECTRICIAN COMPANY
SIGNATURE G� � � 1" � V/ Ytti- �J(�
REGISTERED Y/ N FEE CURRE� /N
Address �� �,�� J
� License# r L 0�� ��
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License#
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURREA Y/N
Address
license#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding 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 Fadlities&1 dumpster,Site Work Permit for subdivisfons/large projects
COMMERCIAL Attach(3)complete sets of Buliding 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 installed,
Sanitary Facilities 8 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 consVuction.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Nottce of Commencement is required. (A!C upgrades over:7500)
'" 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 AppHcation Onlyj
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
DNveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unde lations. The undersigned a'ssumes resp ns b I ty for compl ance tw th any
which may be more �estrictive than County regu
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONgRAea�R be E ensedSiBac°oEdance th s ate and localeegulationsc Ifrthe
cont�actors to undertake work, they may be q � for the
contractor is not licensed as required by law, bactorhare unce ta n asnto what I censengt equiremenits may app y�olation
under state law. If the owner or intended contr
intended work, they are advised to contact the Pcontractor�orB ont actorsp hei is advised to'have he cotntractor(s) sign
8009. Furthermore, if the owner has hired a rivile es in Pasco
portions of the "contractor Block" of this applicatio�� �o erl1C I censed''and is not enttled t ypermittingep Wneg sign as t e
contractor, that may be an indication that he is n p P Y
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC cA�ND R eBsmay appECOVh RconstEation of neweb 9de gsnchangand
that Transportation Impact Fees and Recourse Re rY
use in existing buildings, or expansion of existingrsta'nd's9that such fees,'asPmay be a�tyw i abe d ntif ed at he tme ��f
90-07, as amended. The undersigned also unde �
permitting. tt is fu�ther understood that TransPOWer�ele seaClf the p oject�do srnotRnvolve a certificatet f occ pancy or
receiving a "ce�tificate of occupancy or final p Water/Sewer Impact
finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County
fees are due, they must be paid prior to 713�Florida Stat tes,as amen'ded)Pllf valua on of workt s$2,'500 00 or more, I
CONSTRUCTION LIEN LAW(Chapter � of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Fiorida D�a ned ancopy of'thetabove descr bed document nd promPseantgood fa'i h to
other than the"owner", i certify that I have ob
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: �e law�reaulatingeconst uction!zoning anld la'nd developme tn Appl altion is
wili be done in compliance with all applicabl 9
hereby made to obtain a permit to do !^�and that1alitwork wili be perfoemed to meettstandards of all laws'laegulating
commenced prior to issuance of a permit
construction, County and City codes, zoning regulations, and land development ri9to the ntended�work! and thatat is
ce�tify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions I must t c�on C e ress Bayh ads SW tland Areasnand Envi o mentla lyt Sensitive
Depa r t m e n t o f E n v i r o n m e n t a l P r o t e Y P
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Sou t hwes t F l o r i d a W a t e r M a n a gement District-Wells, Cyp Y
Watercourses.
_ Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment 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: ermitted.
Use of fill is not allowed in Flood Zone"V"unless expressly p
- t time of permitting which is prepared by a professional engineer
If the fill material is to be used in Fed a Zone "A", it is understood that a drainage plan addressing a
"compensating volume will be submitt
licensed by the State of Florida.
_ If ihe fill material is to be used in Flood Zone °A{�e a ea w thin thetstem W mitted building using stem wal
construction, I ce rti f y t h a t f i l l w i l l b e u s e d o n l y t o f i l l
If fill material is to be used in any area, I certify that use of such f i l l wi l l no t a d v e r s e l y a ff e c t a d�a c e n
roperties. If use o f fi l l is fo u n d t o a d v e r sel y ader the�attached per�mit application, fo r l o t s l e s s t h a n oneti(j
p ermit issued un
the conditions o f t he b u i l d i n g p Ian is require d.
acre which are elevated by fill, an engineered drainage p be require d for e le c t r i c a l work,
the AGENT FOR THE OWNER, I promise in g o o d f ait�htha{na�separat permit may ermitting conditions set fonh iA
If I am licatio
this affidavit prior to commencing construction. I understan
p�umbing, signs,
wells, pools, air conditioning, gas, or other installations not specifically included in the app
' issued shall be construed to be a license to proceed a�ncehof a pe mitprevent thehBu dirig fOfficeal from thereaal d
permit
set aside any provisions of the technical codes, nor shall issu ermit issued shall become inv
requiring a correction of errors in plans, construction or violations of any codes. Every p
ork authorized by such permit is commenced withinths after the ti Pe thetwork is commenced Anhextension
unless the w da s and will demonstrate
the pe�mit is suspended or abandoned for a period of six(6) mo
k ceases for ninety(90)consecutive days,the job is considered abandoned.
may be requested, in writing, f�om the Building Official for a period not to exceed ninety (90 Y
justifiable cause for the extension. tf wor
WARNING T
O OWNER: YOUR FAILURE TO RECORD A NOTi�YOU NTOENDETO OBTAIN F�INANCSNG, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER .
W
ITH YOUR IENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C EN EM T.
FLORIDA JURAT(F.S.117.03)
CONTRACTOR before me this
OWNER OR AGENT Subscribed and sworn to(or afflrmed)
Subscribed and swom to(or affirmed)before me this y roduced
by Who�slare personally known to me or hasa eaefP�fi��on.
Who isja�e personally known�o mas idendficati nroduced
Notary Public
Notary Public
Commission No.
Commissfon Na.
Name of Notary tyPed,P�Inted or stamped
Name of Notary tyPed.P�inted or stamped
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