HomeMy WebLinkAbout14-15391 CITY OF ZEPHYRHILLS
5335-8th Street .
, � (813)780-0020 1� �
ELECTRICAL PERMIT •�
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,:�.���E PERMIT INFORIUTATION.,;.�._�'�a.° r,�;,�y. �x�.,�LOCATION�INF�ORMATION�_��.���:o -}�4...4�,��:.-,..n
Permit#:15391 Issued: 6/16/2014 Address: 5508 EUGENE DR
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
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�`,��. ��� CO.NTRACTOR�INFORMATI:ON.��"'°.�"°"»� � -°� - �OWNER�INFffiORMATI.ON'�...::=.����.;°�:��.
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Name: MARTIN ELECTRIC ��Name: �SIXTH AVENUE LLC C/O MHC OPERAT��
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: REPLACE POLE & EQUIPMENT
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-';�� r��.��s���: - APPLICATION FEES - '�.= _ •- '
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ELECTRICAL FEE 40.00
�., �`� ..�-���..r__., _ INSPECTIONS�REQUIRED ' ' ,� � �
ROUGH ELECTRIC
CONSTRUCTION POLE t-- 4 P� A �,
PRE-METER
FINAL '7 - 'L2 - (� °�
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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.
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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.
CONT PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
$�3aso-aa2fl � City of Zephyrhills Permit Applicatian , FaX-$�3-7ati-aa2z
' Building Department
Date Received Phone Contact far Permitting --
Owner's Name �� . �� Owner Phone Number
i1�Erst Z� '�'¢ O
Owner's Address lo �$'Z Owner Fhone Number� �
Fee Simple Titlehoider Name Owner Phone Murriber�- �
Fea Simpis Tiftehalder Address
aos A�oa�ss 556 B Q.n�: ��- �.of� � �1..�
su���vls�or� C��__�!'�.�o:�a. 0.t' PAEtCE�tD# �Z•2lP• 2L- bo2�g- bo�do- oaoo
_,_—__ __.__ _� �__ (08TAtNEB FROM PROPERTY TAX NOTiCE)
WORK PROPOSED NEW CONSTR ADD/AL.T � SIGN 0 MOVE � ��DEMOCISH� —�`-
e 1NSTA�.[. e REPAIR
PROPOSED USE � SFR 0 - COMM Q OTHER
TYPE OF CONSTRUCTIQN � BLOCK � FRAME � STEEi� Q OTHER
DESCE2[PTION QF WOE2K �csz. a� � .Q,. ' Y1,
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BUl�D1N�SIZE �� � SQ FOOTAGE � HEtGHT �J �
0 BUILDING I$ � � VALUATION OF TOTAL CQNSTRUCTiON
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� ELECTRICAL $ �0�4„ � AMP SERVICE �,] PROGRESS ENERGY Q W.R.E.C,
0 PLUMBING � � �.,.-���
0 MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION
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I 0 GAS 0 ROOFING � SPECIALTY � OTHER
FIN1SFlED fiLQOR ELEVATIONS � � FLOOD ZONE AREA [�YES ONO
BUILDER COMPANY
S[GNATUi2E �?EGlSTEREp Y J N FEE CUi2RENT Y 1 N
Address � License# �— ���
ELECTRICIAN � COMPANY U-�.�11 C„.��-�t'tC. �1..f'\�--
SIGNATURE , REGISTERELt Y I N FEE CUf2RENT Y I N
Address �.��b''�C.4'3"] ���,,.� "3'3�,2 License# �<<��JOI�$� �
PLUMBER COMPANY
SIGNATt)RE REG]STERER Y/ IV FEE CUt2RENT Y/hl
Address Lioense# �� �
iNECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/R!
Address License# �— �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CUI2RENT Y/N
Address License# �— �
RESIp�NTIAL Attach(2)Plat Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consfruction,
Minimum ten(10)working days after submit#al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciEities&1 dumpster;Site Wark Permit for subdivisianslEarge projecfs
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new construction.
Minimum ten{10)warking days after submittal date. Required onsite,Construction P(ans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit far a1(new projecfs.AI(commercial requirements must meet comptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directions:
Fiii out application compiekely.
Owner&Confractor sign back of applicafion,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
`* Agent{for the contractor}ar Power of A#tomey(for the owner}would be someone with no#arized letter from owner authorizing sarrie
OVER THE COUNTER PERMITTING (Front of Application Only)
Rerao#s 5ewers Service Upgrades AlC Fences{PioUSurvey/Footage)
priveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians"
wh4ch may be more restrictive than County regulations. The undersigned assumes responsibility for campliance witti any
applicable deed resfrictions. ,
UNLICENSED CONTRACTORS AND CONTRAGTOR RESPONSIBILITIES: If the owner has hired a contractor .or
contractars to undertake work, they may be required to be licensed in accordance wi#h stafe and 4ocal,regulations. [f the
contractor is not licensed as required by law, both the awner and cantracto� may•6e cited for a misderrieanor violation
' under stafe law. if the owner ar intended contractor are uncertain as to what licensing requiremertts may apply for;the
intended work, fhey are advised to contact the Pasco County Building inspection Divisian—Cicensing Section at,727-847-
8009. Furthermore, i# the owner has hired a contractor or contractors, he is advised to �ave the contcactor{s) sign
porfions of the "confractor Block" of fhis appficafion for which they wiil be responsible. 1f you, as the owtter sign as�the
contractar, that may be an indication that h� is not properly licensed and is not entitled to permitting privileges in Pasco
County. -- . .. -
TRANSpORTATION IMPACTIUTILITIES IM!'ACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportafion lmpact Fees and Recourse Recavery Fees may apply to the construction of nerrv buildings, change of
use in existing bui(dings, or expansion of existing buildings, as specified in Pasco County Ordfiance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifiedyat the time of
permitting. (t is further understood that Transportation Irrtpact Fees and Resource Recavery Fess must be paid prior to
receiving a "certificate of accupancy" ar final,power release. If the project does nat involve a certificate af occupancy or
final power release, the fees must be paid prior fa permit 3ssuance. Furthermore, if Pasco Coun#y WaferlSewer Impact
fees are due,they must be paid prior to permi#issuance in accardance with applicable Rasco County ardinances. '
; CCINSTRUCTt(JN LIEN LAW{Chapter 713, Flarida Statutes, as amendedj: If valuation of uvork is$2,5t�U.00 ar rr�ore, I
certify that 1, #he appiicant, have been provided with a copy� of the "Fiorida�Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
ather than fhe"awner�,.1 certify thaf 1 have abtairted a copy af the above described document and pramise in good fa9th to
deliver it to the°owne�' priar to comm�ncement.
CQNTRACTOR'SI{.7V11NER'S AFftDAVIT: I,certify that a!I the Information in this application is accurate and that all work
will be done in compliance with aff appficable faws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to da work and installation as indicated. I certify that na work or installation has
cammenced prior ta issuance of a permit and that aA woric will be pertarmed ta meet standards of al1 laws regula#ing
construction, County and City cades, zoning regulations, and land development regulations in the jurisdiction. I also
cerfify tttat 1 tinderstand #hat the regulations of other government agencies rnay apply to the intended work, and that it is
my respansibility to identify what actions I must take to be in compliance. Such agencies include bu#are nat limited to:
- Department of Environmental Pratection-Cypress 8ayheads, Wetland Areas and EnviranmentaEly Sensitive
Lands, Water/Wasfewafer Treatment.
- Southwest F�orida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Flealth Unit-Wells, 1Nastewater Treatment,
Septic Tanks. �
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authorify-Runways. '
I understand that the following restrictions apply to the use of fill: �
- Use af fiil is nat ailowed+in Flood Zane"V"unless expressly permitted.
- If the -fill material: is to be used in Flood Zone °A", it is understaod that a drainage plan addressing a
"compensating valume° will be submitted af tlme a€ perrt�ifting which is prepared by a professional engineer
licensed by the State of Florida. ,
- Rf the ftl4 material is to be used in Flaod Zone "A" in connection with a permitted building using stem wall
eonstruc#ion, 1 certify that fil(will be used onty to fill the area wifhin the sfem wali. •
" - If fill material is to be used in any area, I certify that use af such fill will not adversely affect adjacent
properties. If use of fili is faund;to adversely afFect adjacent propet�ies, the ownes-may be�cited fior violating
the conditions af 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 requ9red.
If I am the AGENT FOR THE OWNER, I pramise in good faith ta inform the awner of the permitting conditians set forth in
. this afFidavit prior to commencing construction. I understand that a separake permit may be required for electrical wark,
piumbing, signs, wei{s, paois, air canditioning, gas, ar other installations not specifically included in the appiicafion. A
permit Issued shall be construed to be a license ta proceed with the work and not as authority to violate, cancel, alter, or
sef aside any provisians af the technical codes, nor shatl issuance af a psrmit prevent the Buiiding O�cial from thereafter
requiring a carrection of errors in plans, conskructian or vialations of any codes. Every permit issued shalf become invalid
un{ess the wark author9zed by such permit is commenced within six months of permit issuance, or if wotk authorized by
, the permit is suspended or abandoned for a period of six(6) monfhs after the time fhe work is commenced. An extensian
may be requested, in wri#ing, fram the Building Official for a period not to exceed ninety (90) days and will demonstrate
jusfifiable cause for the extension. If wark ceases for ninety{90)consecutive days,the job is cansidered abandaned. �
WARNING TO OWNER: Y4UR FAtLURE TQ RECORD A NOTICE OF COiVlMENCEMENT MAY RESULT IN YQUR
PAYING TWICE FOR IMPROVEMENTS TO,YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCiNG, CONSULT
WlTH YC?UR L.ENDER OR AN ATTORNEY BEFQRE RECORDlNG YOUR NOTICE OF COMMENCEMENT.
FLORiDA JURAT(F.S:-1�1T.d3} -- _ �
OWNER OR AGENT CONTRACTOR -��`-`- " __ �
Subscribed and swom tv(or affirmed)before me fhis � Subscribed and swom to(or affirmed}before me this
by aY
Who islare personatly known to me or haslhave produced Who islare persanalty known to me or haslhave produced ;
as identificafian. ; as identification.
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Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �
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