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Home My WebLink About14-15390 / CITY OF ZEPHYRHILLS ; v 5335-8th Street , . � � (813)780-0020 5390 ELECTRICAL PERMIT � '�,��°E PERMIT�`INFORIVIATION�` ` ,.��`:��,'��:. �-` "�`��L�OCATION��INFORMATI'ON:��`��°.��::,�. Permit#:15390 Issued: 6/16/2014 Address: 5531 ANNETTE ST LOT 41 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T 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: 6/16/2014 Parcel Number: 12-26-21-002B-00500-0000 4"¢ r� ^n, :�,s,�. -�".S` A...�' �,� 7�,�z'.'"—+'r�_Y'_"— P ��`,`��'�CONTRAC�T.OR�FO:RMA�TIbN'�'':`�°�$LL'�'��e��M� "� ' "'"��..�OWNE.R�.INF�ORMATIO:N ��`' ...f .:$'•_ ' '�s�t:ti:,d � ,."J� i Name: MARTIN ELECTRIC Name: SIXTH AVENUE LLC C/O MHC LTD Addr: P.O. BOX 437 Address: 2 N RIVERSIDE PLZ STE 800 DADE CITY, FL 33525 CHICAGO IL 60606-2682 Phone: (352)521-3319 Lic: Phone: Work Desc: REPLACEMENT POLE & EQUIPMENT ��;Y>.��.��__: --:��;;��°` . . . ; ,APPLICi4TION FEES„ . .��,• . , _`j�_ `�-� , �.�.,.,��. ,....... , . . ,.: - .. . :�_ ELECTRICAL FEE 40.00 � ,y�-s = `;„„�� i°`— —.,___. _ ; ' - '" _. , 'y�.. �.��:.o. _ :; ,,.��.: .�" INSPECTIONS.REQ E 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 properly 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 prop.erty. 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. CO TRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�aaso-aazo � City of Zephyrhills Permit Applicatian , ,� FaX-a�a-7ao-ooz� ' ` eutlding Department - - Date Recei�red " Phone Contact far Permittfing ' – � �� ' _ , Owner's Name �t, �if2!�1lJlQ��--�--C-- Owner Phone Number � Owner's Addres's � `'� � °l��-�5� ��Z �1 Q, �� Owner Phone NumbeF� , � . �� '-�} ' Fee Simple Tltleholder Name t Owr►er Phane Nurriber� � � '• Fee Simpte Titiehoider Address • JOB ADDRESS v��.t , S'1't1R_�e �l. - � � LOT# � � ' , , SUBDIVISIQN. ' - , �y� ►"Cwc� '�1�.01D��I')1i1,�� PARCEL ID# 1Z''Z(o�* 2`.�'CUC�Z.,�j– 00�4 O.' C90�c,�, � . , (OBTAINED FROM PROPERIY TAX NOTiCE) ' , . WORK PRQPOSED NEW CONSTR ADDIALT Q SIGN [� MOVE Q DEMQLISN P e INSTALL e REPAIR ' PROPOSED USE Q SFR Q• COMM Q OTHER _ • TYPE QF CONSTRUGTION Q BLOCK 0 FRAME ` [� STEEL Q OTHER UESCRIPTION OF WORK 1.C��CA... 0� $� r ry�Q,,,Y� _ — • .., , , : BUILDING S1ZE _,_._. SQ F007AGE HEIGHT , F � BUILDING ' �� VALUATION OF TOTAL CONSTRUC710N � , . , ,� ELECTRICAL $ t`. �� psp � AMP SERVICE � PROGRESS ENERGY � Q IN.R.E.C. "1 � � PLUMBING ($ � � , .� - ' , I �1��v � _ 0 MECNANICAL � , � VAl.UATlC1N OF NiEGHANtGAL INSTALLATlON ; � Q GAS Q ROC}F(NG [� SPEGIAL'tY Q QTHER P1NISHED FLOOR ElEVAT'tONS � � FLOOD ZONE AF2EA QYES . QNO ' , BUiLDER � COMPANY " ' SI�NATURE #�EGlSTERED Y!'N FEE CURRENT Y(N Address License# � �—� ELEC7'RtCIAN COMPANY �-a'�"t"i r C�,..�c�Te t:., �it�C.: � , , , S{GNATURE REGIS7ERED Y/ N FEE CURRENT Y/N . Address� .1�.�'Y.43`�w�oCC�.�.�- � L. �J�j;�.�o - ' C.icense# {�13 ao:t3g�3 �'`I ' ,. PLtIMBER COMPANY ' � StGHATURE REGISTEREb �Y/ N FEE CURRENT `� Y I N " Address ' License# � �- �� MECNANICAL. ' � , CQMPANY �, SIGNATURE ' REGISTERED Y/ N FEE GURRENT Y P N � � � Address - � License# �� OTMER . COMPANY ' . �� `� � SIGNATURE REGISTERED Y I N FEE CURREN7 � Y/N - - � . , v .. Address ' • , .. . - - License# ' �.^�--�� RESlD�NTIAL Attach{2)Plot Plans;(2)sets of Bullding Plans;{9)set of Energy Forms;R-O•W Permit for new construction, � Minimum.ten(10)working days affer submittat dafe. Required onsite,Construcfion Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit far subdlvlsionsttarge projects , COMMERCIAI: Attaoh(3)camplete sets of Building Ptans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Permit far new construction. Minimum ten(10)working days after submittal date. Required onsite,Construcfian Pla�s,Stormwater Plans w/Silt Fence instatied, ' - � " Sanitary Faciii6e"s&��1 dumpster.S'rte Work Permit for all new projects.AA commerciai requiretnents must meet compliance SlGN FERMIT Atiach{2}sets of Eng�neered Plans. ' - . ' . . *`"'PROPERI`Y SURVEY required for all NEW construction. - � ' ' �irections: ' � Fil)out application completely. , - � Owner&Contractor sign back of applica6on,notarized � � . ' � IE over$2500,a Notice of Cammencement is required. (AIC upgrailes aver$5000) . � '* Agent(far the contractor}or Power of Attomey(for the ownar}would be someone with notarized ietter irom owc�er authadzing same OVEt2 THE COUNTER PERM1TfING (Front of Application Oniy) ° Reroofs Sewers Service.Upgrades A/C Fences(PIoUSurvey/Footage) . , Drivevriays-Nat over Counter if on publ3c roadways.:needs ROW , � ' _ ,- � � ` � . � . t . � ' .. . , . , 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 compliar�e with any applicable deed restrictions. " k �� = UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired •a �ontractor 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 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 Bu'ilding 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 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 ttie tim'e 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 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 a'nd 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 Enyironmentally 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 8� 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 .fll- 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 fhe 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;(9) 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 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 shal� be construed to be a license to proceed with the work and not as authority to,violate,.cancel, alter, or s�t 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TINICE 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 CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who Is/are personally known to me or hasJhave produced as identification. as identification: Notary Public Notary Public , � Commission No. ' Commission No.� Name of Notary typed,printed or stamped ; Name of Notary typed,printed or stamped