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Home My WebLink About14-15393 CITY OF ZEPHYRHILLS ��" . 5335-8th Street 153 � (813)780-0020 ELECTRICAL PERMIT PERMIT�INF�ORMA�TION� ` � �'-0 `" L�O�C TA�iIO.N INF�ORMA�TIO.N Permit#:15393 Issued: 6/16/2014 Address: 5527 5521 ANNETT ST LOT 42/43 Perrriit 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:' 1,600.00 Total Fees: 60.00 Subdivision: SIXTH AVE Amount Paid: 60.00 Date Paid: 6/16/2014 Parcel Number: 12-26-21-002B-00500=0000 `� C*_O.NT;R%�C�T�OR INF..ORMATION O.WNER INFoORMATiION • Name: MARTIN ELECTRIC Name: SIXTH AVENUE LLC C/O MHC OPERATE 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 (2 ON 1 SERVICE ) ��s�.. � �� :#? r�°"Brr. ,�+�� - ✓T�i 7f '—Y� � "7 ��x' � s.,� ��u�at�w'r�eR� �4��:��n.�_ �,��x�� x;,��APPLICATI'ON,FEES,��,��:. �,. :,.��'�� ELECTRICAL FEE 60.00 "..'.?'L. - _ _ -_ _ _ " _ _^`H-=�"^},i. _ e ��,g yv��y, #tR.T.�'. ��'�� {'k"�y. 9�r3" R .}-, {.n� '1'— �� 5�"� .-T�.��'l.��v :�`�� °��a� ��, ,:�t �, ° �•IN$PECTIONS;REQl�11RED. � r.i-�'R �-�" �� u,. �� ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER • ' FINAL " � � / / REINSPECRON 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 t� 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 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. CO OR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , ! s�3-7so-oa2o � City of Zephyrhills Permit Application , �aX-s�3-7ao-aaz� ' Building Department Date�Ceceived/ Phone Contact for Permitting -- � Owner's Name �j �v2Y'�l�R,_. �� Owner Phone Number Owner's Address 2 IV�C"5�� P�z , �j""�,` �d� Owner Phone Number� � � Fee Simpte Tiftehoider N m • Owner Phone Nurtiber� � Fee Simple Titleholder Address , .�o�a��ESS °�5�. $a �5�f hn�. 5{ . �.of# Z `�3 � at{ PARGEL iD# �� 2.�pr �•�• �7 b.2�j '6'O�bC► - t90a sus��vis�ot� �'�"��. C � 1 " � � (08TA1NED FROM PRQPERiY TAX NOT[GE} WORK PROPOSED e NEW CONSTR e ADD/AI..T � SIGN Q MOVE Q DEMOLISH (NSTAl.L REPAIR ' PROPOSED USE Q SFR [� COMM Q OTHER TYPE OF CONSTRUCTtON [� BLOCK � FRRME � STEE� 0 QTHER DESCRIPTtC?N OF W4FtK ��-�`� ��Q� ��'1 t 2�� BU{LDlN�SIZE �_ � SQ FOQTAGE HEIGHT 0 BUILDING I$ W � VALUATIQN OF TQTAL CONSTRUCTlON � �'' ELECTRICAL $�, ��,� p� � AMP SERVICE � PROGRESS ENERGY C] W.R.E.C, � PLUMBING �$ � 0 MECHANICAL '$ VALUATION OF MECHANICAL INSTALLATION � � �� ` 0 GAS � ROOFING � SPECIALTY Q OTHER FiNISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES �NO BUILbER COMPANY S[GMATURE �2EGISTERED Y 1 N FEE CURRENT Y I N Address License# �— � ELECTRICIAN ? COMPANY ►�`4�r <�'.-.�.C�lU -�+� � StGNATURE REG1S7Et2EI3 Y I 3V FEE GURRENT Y I N Address .�. �1 u'� � � 'lj �j�.�p License# ��l�O C7(3"� � PLUMBER COMPANY SIGNATURE REGESTEREp Y/ N FEE CllRRENT Y i N Address License# � —� MECHANICAL CQMPANY SlGNATURE REGISTERED Y/ N FEE CURRENT Y!N Address License# � � OTHER COMPANY SlGNATUl2E REGlSTEREp Y/ N FEE CURRENT Y/N Address License# � � RESIDENTIAL Attach(2)Plot Plans;(Z)sefs of Buifding Plans;(1)sef of Energy Forms;R-O-W Permit for new construcfion, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, � Sanitary Fac9lities&1 dumpster;Site Work Permit for subdivisionsllarge prajecfs 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 aftec submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _ Sanifary Facitities&1 dumpsfer.Site Work Permit for at(new projecfs.All comrnercial requirements must meef compliance , SIGN PERMIT Attach(2)seks of Engineered Plans. ""'PROPERTY SURVEY required for a!I NEW conslruclion. Directions: Fill out application completely. Owner&Canfractor sign back of appl3cafson,noEarized • If over$2500,a Notice of Commencement is required. (AIC upgrades over$50p0) `" Agent{for the contractar)or Pawer of tCttomey(for the owner}wauld be sameone witl�no#arizec!letter fsom awner authoriz'sng same � OVER THE COUNTER PERMITiING (Front of Applicakion Only) � Reroofs Sewers Service Upgcades A!C Fences{P{otlSurveylFootage) Driveways-Nok over Caunter if on public roadways.:needs RQW L NOTICE OF DEED RESTRICTIClNS: The undersigned understands that this permit may be subject to°deed" �strictibns" which may be mare restrictive than Caunty regulatians. Tlie undersigned assumes responsibility for compliance witti;any applicable deed restrictions. UNLICENSED CON7RAG70RS AND CONTRAGTOR RESRONSIBILITIES: I# the owner has hir.ed a contractor or contractors fa undertake work, they may be required to be licensed in accordance with stafe and local reguta#ions. tf the contractor is not licensed as required by law, both the owner and contractor may be cited far a misdemeanor violation under state law. If the owner ar intended contractpr are uncertain as to rrvhat licensing requRremen#s may apply for,the intended work, they are advised to contacf tlie Pasco County Building Inspection Division—Licensing Secfian at 727-847- 8009. �u�thermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(sj sign pot�ians of the "contractor Blocic" of fhis appficatian for which they wil! be fesponsible. If you, as the. owner sign as;the contrac#ar, that may be an indication that he is nok properly licensed and is not entitled to permitting privileges in Pasco County. � ` � : TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURC� RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recavery �ees may appty to the construc#ion af.new buildings, change of use in existing buildings, or expansion of existing buildings, as specifiied in Pasco Counfy 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 understaad that Transpartation Empact Fees and Resaurce Recover}r Fees tnust be paid 'prior to receiving a "certificate of aceupancy" or final power release. If the praject does not involve a certificate of occupancy or final power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasca Counfy V1laterlSewer [mpact fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco Caunty ordinances. CONSTRUCTION LIEN !AW(Chapter 7�13,;Flarida Sta�tutes, as amended): !f valuation af wvrk is$2,500.00 or more, ! eertify fhat (, fhe applicant, have been pravided with a" cQpy of the "Florida Constri,tctiori Lien �aw—Homeowner's Protectian Guide" prepared by the Florida D'epartment of Agriculture and Consumer Affairs. If the applicant is someone other fhan#he"owner", 1 certify thaf 1 have obtained a copy of the above described document and promise in good`faith to deliver it to the"owner" priar to commencement. . CC}NTRACTQR'S/CfWNER'S AFFIDAVIT: I;cert9fy that all the information in this applicatian Is accurate and that all wark will be done in compliance wifh all applicable laws regulating consfruction, zoning and land development. Applicafion is hereby made to obtain a permit to do wa'rk and insta!lation as indicated. ! ce�tify that no work or installation has eommenced prior ta issuance af a permit and that ali work will be pertormed to meet "standards of al! iaws reguEafing construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certif}r thaf 1 tinders#and that the regulations of other governmsnt agencies may apply to #he intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are nat limited to:' - Departrr�ent of Environmenta! Rrotectfan-Cypress Bayheads, Wetland Areas and Environmenta(!y Sensitive Lands, Wafer/1lVastewater Treafinenf. : - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering WaEercaurses. - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways. ' - Department of Healt�t & RehablEitative ServiceslEnvironmenta[ Flealth UnRt-VlleEls, V1lastewater Treatrnent, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. , - Federa(Aviafian Authority-Runways. I understand that the following restrictians apply to the use of fill: - Use of�11 is nat allowed in Fload Zone"V'unless expressly permitfed. , - If #he fill material is to be used in Flood Zone °A°, it is understaod that a drainage plan addressing a °compensating volume" wlll be submitted at time af permitt9ng which Is preparec! by a professionat engineer licensed�by the State of Flarida. � -' If the fi!! material is to be used :in Flood Zone "A" in connection inrith,a.permitted building using stem wall cansfruction, I certify that fili will be used only fo�!t the area uvithin the sfem wali. � - 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 faund�to adversely a#Fect adjacent proper�ies, the owner rnay be cited for vialating the conditions of the building permit issued unde� the attached permit application, for la#s less than one (1) acre which are elevated by fill, an engineered drainage plan is required. � If I am the AGENT FOR THE OWNER, i pramise in good faifh to inform fhe ovrtner of the permifting conditions set forth in this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, paals, air canditioning, gas, or other ins#allafions not specificalfy 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 cocles, nor shall issuance af a permit prevent the Building t7fftcia(fram titereafter requiring a correctian of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid unless�the work au#harized by such permi# is commenced wi#hin six months of permit issuance, or if work authorized by ' the permif is suspended or abandaned for a period af six(6)months affer fhe time fhe work is commenced. An extensian may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiab{e cause#ar the extension. If work ceases for ninety{90)consecutive days,the job is considered abandoned. 1NARNING Tt� OWNER: YQUR FAILURE TO RECORD A �1QTIGE OF CONEMENCEMENT MAY RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT Y WITH YClURtENDER-OR AiV A7TORI�EY BEFORE-RECORDING YOUR NOTlCE OF COMMENCEMENT. FLORtDA JURAT(F.S.117A3} � ` �' r" — OWNER QR A�EPlT CONTRACT4R Subscribed and sworn to(ar a�rmed)before me#his Sabscribed and swom to{or afftrmed}befoce me this by bY Who Islare persona{ly known to me or has/have produced Who is/are persona!!y known to me or haslhave produced as idenfification. as identiticatiort. � �lotary Public Notary Public' Commission No. � Cammission No. ; Name of Notary typed,printed or stamped Name of Nofary typed,prinfed or starnped ,