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HomeMy WebLinkAbout14-15395 ClTY OF ZEPHYRHlLLS ��" 5335-8th Street (813)780-0020 -5395 '' `� ELECTRICAL PERMIT � {-� � � ' ��PERMlT,INF4RIVIATION '... ,<.`. .` ._ - k m � LOCA`TIQN 'tNFORlNATIQNs=�'`Y:.�:`°°;�`���`'��_�_� 6�L'r'_+y�,..m.3�:+ .3.N Permit#:15395 tssued: 6/16/2014 Address: 394'17 TABETHA DR LOT 91 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERViCE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): BMock: Section: Sq. Feet: Est.Value: Book: Page: Cast: 500.00 Total Fees: 40.OQ Subdivision: SIXTH AVE Amount Paid: 40.00 Date Paid; 6l96/2014 Parcet Number: 12-26-21-002B-00500-0404 _��.����'���C:ONTRi4CTOR�IWFORMATIO,N'�":°'��'�`- '�`���T � ' iC)WNER�INE'.ORMATI,f� N�:- :,�������:�`a��: -� Name: MARTlN E�ECTRIC t Name: SIXTH AVE LLC C/O MHC OPERATING Addr: P.O. BOX 437 Address: 2 N RIVERSIDE PLZ STE 800 DADE CITY, FL 33525 CHICAGO IL 60606-2682 Phane: 352}521-3319 lic: Phone: Work Desc: REPLACE POLE . . �._ .. .._ . . .. .. �., '"�<� �= - APPLICATION FEES • ELECTRICAL FEE 40.00 � ��'� ,INSPECTIONS REQUIRED � � ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER ��1�� - F1NAL �j��•� ',� ��� � /�� ��' REINSPECTiON FEES; Reinspection fees wi!!comply with Fiorida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one af the following reasons: a}wrong acEdress b)condemned work resuEting from faulty construction c) repairs or carrections not made when inspection called d)work na#ready for inspection when catled e) permit nat posteti on job site f} p[ans nat at jo6 site g)wark not accessi6le. NQTICE: In additian to the requirements of this permit, there may be additional restrictions applicable ta this property that may be found in the public records of this caunty, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. °Warning to owner: Your faiture to recard a notice of commencement n�ay resatt in your paying twice for impravements ta your property. If you intend to abtain financing,consult with your lender or an attorney before r�cording your notice af commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Godes and Ordinances, CONTRA PER C?FFI PERMIT EXPIRES IN fi MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HQUR NQTICE REQUIRED PROTECT CARD FROM WEATHER s�sasa-nozo ' City of Zephyrhills Permit Applicatian , Fax-s�s-7aaaa2� � , Building Department Date Received R Phone Contact for Permitting -- �"�`�'t'�i Owner's Name �1�4'1 . �� Owner Phone Number tve�' "Z„ 2 e Owner's Address Owner Phone Number Fee Simpte Titlehaider Name Owner Phone Nurriber� � Fee Simple Tifieholder Address � t� —t� J08 ADDRESS �R'C 1 \ �2 t � �C}T# � sua��v�siou � — - - } � �.� PARC��ia# ,��2!p•`.�.� -bb2� -60500 �= ooc�a-- -- - - (OH7AINED FROM PROPERTY 7AX NUTIGE} WORK PROP4SED NEW CQNSTR ADD/ALT Q SIGN C] MOVE � DEMOLISM. e INSTAf.L e REPAIR PROPOSED USE Q S�R 0 COMM Q OTHER TYPE OF CONSi'F2UCT10N [� BLOCK 0 FRAME Q STEEL [� OTHEF2 DESCi21PTiON OF WORK �C.S;_. C� BUILDtNG S1ZE SQ FOOTAGE�_ � HElGHT �_`� � BUILDING � � VAL.UATiON OF TOTAL CONSIRUCTION � ELECTRICAL ��n�� � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. L1 0 PLUMBING � � �j� ����� � ..��„ � MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION � GAS � ROOFING � SPECIALTY 0 OTHER F{NISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES QNO BUILDER COMPANY SlGNATURE � REGts�RED Y! N �E CU�zRFNT Y/N Address License# �� � ELECTRICIAN CQMPANY �0.��'n � R C� �1� ` SIGNATURE REGISTERED Y I Id FEE CURRENT Y I N Address •�.� �3 � 3�5�, License# �..C,l�,ba I"3'�� PLUMBER COMPANY - SIGNATURE REGtSTEREp Y I N FEE C�RRENT Y I N Address License# �� —�� MEGHANICAL COMPANY SIGNATURE RECa1STERER Y I N FEE CURRENT Y/N Address License# � � OTHER COMPANY SIGNATUF2E REGISTERED Y/ N FEE CURRENT Y/N Address License# �� � RESID�NTIAL Attach(2)Plak P(ans;(2)se#s of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcfion, Minimum ten(10)working days after submiktal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, Sanitary Facilities&1 dumpster;Sife Wark Permit for subciivisionstlarge pro]ecfs CQMMERCIAL 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 ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facififies&1 dumpster.Sife Wark Permit for al!new projecfs.All commerciaf requirements must meet camplisnce _ SIGN PERMIT Attaoh(2)sets of Engineered Plans. "'*PRQPERTY SURVEY required for all NEW construction. Directions: Pili out appiication campietely. dwner&Contractor sign back of application,nofarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) '* Agent{for the cantractor}or Power af tlttorney{for the owner)woulci be someane with na#arized IetteG from owner authorizing same OVER THE COUNTER PERMITf'ING (Front of Application Only) Reropfs Sewers Servlce.Upgrades AtC Fences{P1ot(SurveyiFootage) Driveways-Na#over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIfJNS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsib9lity for compliar^e wit�any applicable deed restricfions. ' UNLICENSED CONTRAC70RS AND CONTRAC70R RESPONSIBILITIES: If the�owner has hired a �contractor or canfrac#ars #o unde�kake work, fhey may be required fa be licensed in accardance with sta#e and local regu{ations. Ef the contractor is not licensed as required by law, both the awner and contrac#or may be cited�for a_misdemeanor violation under state taw. !f the owner or intended contractor are uncertain as #o whaf licensing requirements may apply for the intended work, they are advised to contact the Pasco County Buiiding Inspecfion Division—Licensing Secfian af 727-847- 8009. Furthermore, if the owner has hired a contractor or cantrac#ors, he is advised to have the contractar(s) sign portions of the "contractor Block" af#his applicatiQn for which they will be responsible. 1#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 Courit}r. �� � � TRANSPORTATION IMPACTIU'TILITIES IMF'ACT A�ND RESOURCE RECOVERY FEES: The un,dersigned understands tha#Transportation Impact �ees and Recour'se Recovery Fess rnay apply to the construction of new buildings, change of use in exisfing buiidings, ar expansion of existing buildings, as specified in Pasea'Caunty Ordinance number 89-07 3and 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 understooci fhat Transpartatian impact Fees and Resaurce Recovery Fees must be paid pr4or to receiving a "certificate of accupancy" ar final power release. If the project does not involve a certificate of occupancy ar ftnal pawer release, #he #ees must be paid prior to permit issuance. Furkhermore, if Pasco County WaterlSewer Irn{iact fees are due,they must 6e paid prior to permi#issuance in accordance with app(icable Pasco Counfy ardinances. ' CClNSTRUCTlC1N LlEN LAW{Chapter 713, Florida Statutes, as amendedj: If valuatian of work is$2,500.00 ar mo�e, ! certify fhat I, the appiicant, have been pravided with a capy of the "Fiarida Construction Lien Law—Homearivner's Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than fhe"ouvn�r", 1 cerfify that 1 have obtained a copy af the above described document and pramise in good faith to deliver i#to the"owner" priar to commencement. , CQNTRAGTClR'StOWNER'S AFFIDAVlT: 1 ce�tify that a!I the infarmatian in this applicatian is accurate and that all work will be done in compliance with ali applicable laws regulafing canstruction, zoning and land development. Application is hereby made to obtain a permit to da work and installation as indicated. 1 certify that rra work or installation has. cammenced priar ta issuance of a permit and that a!1 wark will be performed to meet standards of al1 laws regulating canstruction, County and City codes, zoning regulations, and land tlevelopment regulations in the jurisdiction. I also ce�fify that 1 understanci #hat the �egulations of other government agencies may appEy 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 nat limited to:� - Department of Environmenta! Protectian-Cypress Bayheads, Wetfand Areas and EnvironmentaAy Sensitive Lancis, Water/Wasfewater Treatment. ' - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. � ' - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways. - Dspartment of Hea#th � Rehabilita#ive ServlceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - U5 Environmenta! Frotection Agency-Asbestos abatement. � - Federai Aviafion Authority-Runways. � I understand that the following restrictions apply to the use of fill:� � - Use of fill is nat atlowed in Fload Zone"V"unless express4y permitted. ' - If the fill material is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer ,, licensed by the State of Flarida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted-building using stem wall consfruction, (certify fhat fiil wit! be used only to fitl the area within the stem wall. - 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�II is found #o adversely affect adjacent properEies, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less fhan one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FQR THE OWNER, I promise in good faith fo inform fhe owner of the permifting condifions set forfh in ` , this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, piumbing, signs, wells, poois, air conditianing, gas, or other insfallations naE spec�cally 9ncluded in the applicatian. ' A permit issued shall be construed #o 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 sha1E issuance af a permi#prevent the Buifd�ng OfFicial from thereafter requiring a correction of errors in plans, constructian or vialafions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is 'cammenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6}manths after fhe time the wark is commenced. An extension may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate jusfifiable cause for the extension. Ef work ceases for ninety(90}consecutive days,the job is considered abandoned. , 1NARNtNG TO QWNER: YOUR FAII.URE TO RECflRD A NQTlCE OF COMMENGEMENT MAY RESULT IN YOUR - PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 1F YOU INTEN�TO t3BTAtN FtNANCING, CC1NStl�.T WlTH YQUR�ENDER OR_AN A7TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. , FLORIDA JURAT(F.S."f 17.d3) � � OWNER OR A�ENT CONTRACTOR Subscribed and swom to(or aifirmed)befare me this Subscribed and swarn fa(or affirmec4}before me fhis � by ' bY Who islare personalty known to me or has/have produced, Who is/are personally known to me or haslhave produced as idenUficatian. � as identificatian. . ' Notary Public Notary Public ' Cammission No. Cammission No. Name of Notary typed,peinted or stamped Name of Notary fyped,printed or sfamped