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Home My WebLink About14-15396 - ` • CITY OF ZEPHYRHILLS � 5335-8th Street (813)780-0020 1 96 ELECTRICAL PERMIT PERMITyIAIFORINIATIO:N'}s #.�.�w ��.��, �:��4��> �a`�*:,L''OCi4TIO�N�INFORIIAATI:ON;�, � :��`�� °� Permit#:15396 Issued: 6/16/2014 Address: 5611 LAURA AVE LOT 12 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Ciass of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,000.00 Total Fees: 40.00 Subdivision: SIXTH AVE Amount Paid: 40.00 Date Paid: 6/16/2014 Parcel Number: 12-26-21-002B-00500-0000 T_ �__�—. �"_" T —�— °�-°_'_`_ n bT S�T, "W°", s- _ CONTR,�iom►C°�TO'R�INFORMATION`°��`� �'��`'��%�`�,'Yk��:�:�`?�,� .t��.`'��OUVNER�INF�ORMA�TION � Name: MARTIN ELECTRIC � Name: SIXTH.AVE LLC 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: (506)756-8112 Work Desc: REPLACE POLE & SERVICE � -�•a�-�s�;,,�-„�.�_._.�,-$--�,r - . .. -. ... _ �, ,._}_ � . ;,. .. , . � .�,� - - . - - � APPLICATION�FEES ��`=° '�b�-��.h£..� „ � i . . , , , ;Z: ELECTRICAL FEE 40.00 .`� ,i.� � �ti� ,��n � � �. . .. �r : . : , . _ . _ . a ; �;°:::.�.:;-__ .� - INSPECTIONS:REQUIRED` ' � ROUGH ELECTRIC i _ � —� CONSTRUCTION POLE PRE-METER C,c- �� ', FINAL 9' .1� ' V e5� �� 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 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. CON CTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�a-�ao-oo2a � City of Zephyrhills Permit Applicatian , FaX-8�s-7so-oazl ' Building Department Date Received � Phone Contact for Permitting -- Owner's Name �1 . �,,,_,_ Owner Phone Number . ti�4.,C�i z. �e � Owner's Address ' Owner Phone Number� � Fee Simple Titleholder Name Owner P4one Nurriber� � Fee Simple Titteholder Address JOB ADDRESS ��+�.l Q�, �� # �� su�o�v�s�oN ��a�`�fOrltt? D"afi`W pA�zc��.i�� I�.-2,(�-2.� -402� �ba5oo� flt�oc� (OBTAINED FRdM PROPERTY TAX NOTiCE) WORK P3tOFOSED e NEW CONSTR e ADD/AI.T � SIGN Q MOVE 0 DEMOLISH. INSTALI. REPAIR PROPOSED USE 0 SFR [�- COMM 0 OTHER TYPE OF CONSTRUCTiON � Bt,OCK � FRAME � STEEL � CiTHER DESCRtPT10N OF WORK 1�.� j�ts2._ � r CR.} BUI�DING SIZE 5G2 FOOTAGE� � HEfGNT �� 0 BUlLDING � � VAI.UATIQN OF Tt7TAL GtJNSTRUCTiON � ELECTRICAL $ � '�b�rp � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. � PLUMBING � � �� 0 MECHANICAL $ VAI..UATION OF MECHANICAL INSTALLATION ''� l � � GAS � ROOFING � SPECIALTY � OTHER F)N3SHED FLOOR ELEVAT30NS � � FLOOD ZONE AREA �YES ONt} BUILDER COMPANY SI�NATUR� �2EGiSTERED Y 1 N FEE GURRENF Y I N Address License# �� .� �--� ELECTRICIAN COMPANY Q h „�.G.._, SICxNAT[1RE REGISTERED Y I (V FEE CtJRRENT Y 1 N Address , �. � , 3� License# �C-�a� ��JU�� PLUMBER COMPANY SIGNATURE REGISTEREp Y 1 IV FEE GURRENF Y/�I Address License# �� —� MECHANICAL CQMPANY S[GNAiURE REGtSTERED Y 1 N FEE CURRENT Y i!d Address License# �— �� OTHER COMPANY SlGNATURE ttE�lsTeREO Y! N FEE CURRENT Y/N Address License# � � RESIpENTIAL Attach(2)Plat Plans;(2)sets of euilding Plans;(1)set of�nergy Forms;F2-O-W Permit for new construcfion, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 durnpsEer,Site Work Permit for subdivisionstlarge prajects 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 after submittal date. Required onsite,Gonstruction Plans,Stormwater Plans w/Silt Fence installed, Sa�itary Facitiffes=&`1�durnpsfer.-Site Work-Permit_for_all.new projecfs_R(1 commeraiai requirements must meef compliance SIGN PERMIT Attach(2)sets of Engineered Plans. _ ___ "'*FRQPERTY SURVEY required for a!!NEW construction. � Directions: Fi{)out application completely. Owner&Contractor sign back af apptication,notarized • If over$2500,a Notice of Commencement is required. (A/C upgrades over$5Q00) ''* Agent(for the cs�ntracfor)or Pawer of Attomey(far the owner)wouid be someone wifh notar�zed tefter fram owner authorizing same OVER TH�COUNTER PERMITTING (Front of Application Only) , Reraafs Sewers Serv�ce.Upgrades AtC Fences{PiotJSutveylFoatage} priveways-Nok over Counter if on public roadways.:needs FtOW 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 compliance witti any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired 'a�contractor or contractors to undertake work, they may be required to be licensed in accordance witli state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may.be cited for�a misde'meanor 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 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 owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permittin,g privileges in Pasco County. = -` . � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uction 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. , 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°owrier", 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 and that all work will be performed to meeY standards of all laws regulating construction, County and City codes, zoning� regulations, and land development regulations in the jurisdiction. I al,so 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 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 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'6y a-Rrofessional engineer � licensed by the State of Florida. . - - If the fill 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, fo� lots 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 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, th�job is considered abandoned. ! 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-L-ENDER OR AN-A-T-TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscrlbed and sworn to(or affirmed)before me this � Subscribed and sworn 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 has/have 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 sis-7aaaozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received .. � �a,�I Phone Contact for Pertnittin ��„ I 1 / -�� Owne✓s Name � � Owner -rT't"fTTI"T , � � (, Phone Number { r 3 3$2'��7 Owner's Address �O� ` c..i�� Owner Phone Number � � Fee Simple Titleholder Name �— � Owner Phone Num6er �� Fee Simpla Titleholder Address J08 ApORESS I '^" �OT# �� SUBDlVlSION � � PARCEL ID# ~� �� "VV�(„Jr ( {08TAINED FROM PROPEKfYTAXNOTICE} WORK PROPOSED � NEW CoNSfK 8 ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED t7SE Q SFR Q COC�iM � OTNER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTiON C!F WORK � 'C BUILDiNG 5lZE �` � SQ FQOTAGE HEtGHT � QBUILpING r;� VALUATION OF TOTAL GONSTRUCTION L QELECTRICAL rs � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. L �PLUMBlNC, �a� �MECMANICAL $ ��`� VALUATION QF MECNANlGAL tNSTALWTtON � �� f OGAS 0 ROOFING Q SPECIALTY � OTHER � l � � � FISdI8HE4 FLOOR ELEVATIONS �� FL06D ZONE AREA QYES NO BUILpER � � COMPANY � SIGNA7URE r��IS7ertEO Y/ N FEE CUftRE� Y/N Address Cicense#� T� ELECT�tIC1AN COMPANY � SI�NA7URE �� REGIS?ERE6 Y!N �eecuttixEt� Y1N Address License# �- y ! PLUMBER � � COMPANY �� SI�iNATURE ��IS1�Reo Y/ N FEE CURftE� Y/N Address � License# �` � _. ... .::::. ...... . � MECHANIGAL COMPAFSY ��'S �'t' �� SIGNATURE �Gis�r�a Y i N �E cuw�en Y/N Address `X 3`L� License# ��,��C?�� OTHER � � COMPANY � SIGNATURE �cISTEREO Y/ N FEE CURHEt� Y/N Address License# �—� � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll RESlDENTIAL Attach(2)Pfot Ptans;(2)sets af Buiidi�g Plans;(1j set ot Energy Forms;R-O-W Fermi#£or new construction, Minimum ten(1�}working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w!Sift Fence installed, Sanitaty Facilities&1 dumpster,Site Work Permit for subdivisions/igrge projects COMMERCIAL Attach(3)complete sets of Building Ptans plus a Life Safety Page;{1)set ot Energy Forms.R-O-W Permit far new consVuction. Minimum ten(9Q)working days after su6mittal date. Required onsite,ConsWCtlon Ptans,Stormwater Plans wl Si!#Fence installed, Sanitary Faciiities 81 dumpster.Site Work Permit for afl new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets pf E�gineered Plans. � "'PROPERN SUftVEY required for al!NEW constrvcdon. . Directions:� Fill out application completely. {7wner 8 Contractor sign 6ack of application,nfliarized If over$2500,a NotEce of Commencement is required. (AIC upgrades over$7500} " Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMlT73NG {Front of Application Qntyj Reraofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurveylFootage) Driveways•Not over Caunter if on public roadways..needs RQW 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 compliance with any . applicable deed restrictions. . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor 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 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 I portions of the"contrector 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 IMPACT/UTILITIES 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 i 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. 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 Agricutture and Consumer Affairs. If the applicant is someone other than the"owne�',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'SIOWNER'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 and that all work will be pertormed 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 govemment 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-Welis, 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 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 fill 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 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 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: 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 COMMENCEfNENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed an b�wom to(oraffirtned)before me this crib d byorty�(o��ed)4pfore�u fr Who islare personally known to me or has/have produced o fs! re personallv��n to m�or ha lhave produced as idenfification. as identification. Notary Public �� .iC 4►V�'�1�'� Notary Public Commission No. Commission Na. o�P;:::;B�i� JAMIE M,CLANTON Name of Notary typed,printed or stamped Name of Notary tvo d�r �F' . EXPI(�E9;Febmary 11,2018 N�AjFOPFb�'�� AnGeQ�hn�6udgetNotaryServices