HomeMy WebLinkAbout14-15671 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1567�1
ELECTRICAL PERMIT f
Permit#:15671 Issued: 9/22/2014 Address: 6040 6038 12TH 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: OAK PARK
Amount Paid: 40.00 Date Paid: 9/22/2014 Parcel Number: 02-26-21-0050-00000-0080
Name: LOUIS SMITH ELECTRIC INC Name: FEDERAL NATIONAL MORTGAGE
Addr: P.O. BOX 7181 Address: 3415 VISION DR
WESLEY CHAPEL, FL 33544-0102 COLUMBUS OH 43219-6009
Phone: (813)991-7073 Lic: Phone:
Work Desc: SAFETY INSPECTION
ELECTRICAL FEE 40.00
ROUGH ELECTRIC 1
CONSTRUCTION POLE
PRE-MET� _ � �
FINAL '� � ��
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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 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.
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ONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF / / � � BUILDINGI
2EQHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRESS D TE PERMIT,��
'Co�? � � ��`� $ 2� 2�y. �r
THIS JOB HAS NOT BEEN COMPLETED. The following odditions or corrections shall be mode before the job
will be accepted.
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�t is un�aw�ul for any Carpenter,Contractw,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR�_�`-�,r�T1?�S5
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
[fate Received
Phone Contact for Permittin __
Owner's Name Owner Phone Number
Owvner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
JOB ADDRESS V� D LOT p ��
SUBDIVISION PARCEL ID#
(OBTAINED FR�OM PROPERTY T�rice)DEMOLISH
NVORK PROPOSED NEW CONS7R ADD/ALT C� SIGN
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE �— � gp FOOTAGE� HEIGHT
OBUILDING a
�,Cll� VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ r-^ +
� v dt
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��
OGAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIA COMPANY �dGt($ � �
SIGNATURE C �-
REGISTERED Y/ N FEE CURRE� Y/N
Addre License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense#
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 Forms;R-O-W Pennit for new construction,
Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGflties&1 dumpster;Site Work Permit for subdivlsionsAarge projects
COMIIAERCIAL Attach(3)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construcdon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets oi Engineered Plans.
•""PROPERTY SURVEY required for all NEW constructlon.
Directtons:
Fitl out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
.. . —...._.
Agent(for the contractor)or Power of qttqmey(for the pwner)would be someone with notarized letter from owner au�ti;bnzing same;'"° �
OVER THE COUNTER PERMITTING (FronF of AppNcation Only) '
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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" restrictiuns"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS �►ND CONTRACTOR FtESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take 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 licensing requirements ma a I 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 o v le res9n Pasco
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p 9
County.
7RANSPORTATION IMPACTJUTILITIES IMPAC7�1ND 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 County ordinances.
CONSTRUC710N 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", 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.
COIVTRACTOR'SIOWNER'S AFFIDAVtT: 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 instatlation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work rrvill 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 thai 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 Environmentai 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 fil� 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/�GENT 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: Y R RE TO 12ECORD a NOTICE OF COMMENC ENT IYI/�Y RESULT IN YOUR
PAYING T1IVICE FOR IMP OV ER7Y. IF YOU INTEND N FINANCING, CONSUL7
Wl7H YQUR R ORN BEFORE RECORDING YOU NOTI O M NCEMENT.
FLORIDA JURA (F.S. 11
OWNER OR A ENT � CONTRACTOR
Subscrtbed and wom (or a r ed efore me this Subscribed and wo to(o ed)befo�me this
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Who islare person known o me or has/have produced Who Is/ ersonally known to me or hasas dentificati n.
_�_____as identification.
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