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Home My WebLink About14-14988 � CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 14988 ELECTRICAL PERMIT � f �. t`'�,�<.;��• �., �� : ;'t �` � �,::��`_�� ,ti ��' Permit#:14988 Issued: 2/19/2014 � Address:Y 6328 20TH ST f � 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: 2,200.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 2/19/2014 Parcel Number: 01-26-21-0010-08800-0180 �� ;�, �� w ;, , ; � . ; ,. �, , . Name: DAVID HARVEY ELECTRIC CO INC Name: DENNIS, NANCY JANE Addr: 17410 HWY 41 Address: 6328 20TH ST LUTZ, FL 33549 ZEPHYRHILLS, FL 33542-27778 Phone: (813 949-3713 Lic: Phone: _ Work Desc: ELECTRICAL FOR NEW A/C - . � ' , � > , - , �� , . , , � _ . _ ', � � �.��, � . wv � �, :�� .,,�os ' :� �,-�_.� �� . _�� „� ��',. � ELECTRICAL FEE �� 40.00 �� /�, � � � � �: '; � �/2d�� J f )y��. � ,��1 / .f �� '��;�. .� `�£ ;�. ��: ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL � �' S � J r� � r, � � 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 counry, 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 performed in accordance with City Codes and Ordinances. 1/ ' CONTRA OR PER OF I PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER si3-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ° Building Department Date Received _ �— Phone Contact for Permittin __ Owner's Name /v� �C 1 O e y` � y Owner Phone Number �� p y p � Owner's Address �p 3 2 � ��7� 5� Owner Phone Number � Fee Simple Titleholder Name —� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS CD Z S� ZO T� S� LOT# �� SUBDIVISION PARCEL ID# �OBTAINED FROM PROPERTY TAX NOTICE) VMORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH INSTALL REPAIR IPROPOSED USE O SFR � COMM � OTHER TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL O DESCRIPTION OF WORK G' � � /4 �G l'�E O O jC BUILDING SIZE �— � SQ FOOTAGE�� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION L[��LECTRICAL $ 2�fy�,,�`/ AMP SERVICE / rU (� PROG "�� -VK.�R,E.C. Gc�� PLUMBING $ ' /'� `,� OMECHANICAL $ VALUATION OF MECHANICAL I TALLATION �/' � � ,�( � �� ✓ ( QGAS Q ROOFING Q SPECIALTY 0 O HER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y I N FEE CUR ___..,,..._... Address License# �— EI.ECTRICIAN n COMPANY �4�l/ �� V� �' � SIGNATURE �'�� _ REGISTERED Y/ N FEE CURRE� Y/N Address 1� 0 D � � 1 �.�2 r 3��y� License# �L DOG 2. y rf� 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# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities 8 1 dumpster;Site Wo�lc Permit for subdivislonsAarge 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 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 construction. Directlons: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over t2500,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 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 responsibility for compNance with any applicabie deed�.restrictions. • UNLICE�ISED 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 r�gu.lations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply 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 wilt 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 understands that Transpo�tation 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,�hat 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, �s•aSnended):. If valu�tion.of wbrk 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 Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", 1 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 applicabte laws regulating construction, zoning and land development. Application is hereby made to bbtain a permit to do work arid 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 Environmentalty Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays. - Depa�tment of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 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 sabmi�ted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If ihe fill material is to be used in Flood Zone "A" in connection with,a perrr�itted 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�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. 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 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 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 �AILURE 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. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACT Subscribed and swom to(or affirmed)before me this Sub�cribed a swom t' (or afflr d) e me ' by - - Who islare personally known to me or has/have produced ho is are personally known to me o as Idend tion. as IdenUfication. �� 't � . � � �. � Notary Public u 'c Commission No. Commisslon No. •�"�►�;••.,, BOBBIE S.SWETLAND Name of Notary typed,printed or stamped Name of Notary ty `,i t;r Xp �ary 22,2016 ��R. , '' 9onaed inru hw Fan Insixance soa38S7ots � i-�aAVEV�s ELECTAIC Commercial-Industrial / Contractors & Services � C O.� i N C. Ecooa2a�o 17410 Highway 41 N., Lutz, FL 33549 • Phone (813) 949-3713 • Fax (813) 949-3272 PROPOSAL CUST w _ ___�___ BILI TO: SHIP TO: TICKET +Y ,_ DATE: ��-� - � FREIGHT Biil • Aliowed N� j�. G t, � Z°vl y11 5 __7�� s��----- Ci1ST. 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