HomeMy WebLinkAbout14-15460 -- - - - - - - - - - - -
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ELECTli',I AL PERMIT
P'armit#=15460 tssugci: 7/O't/20'I 4 Addrass_ 38642 '12T AV�
Psrmit Typ+�r: �LEGTRICAL MISC ZEPHYRHILLS, FL_
C'lass of Wor/c_ �LECTRICAL MI.�C TownsFiip: Ran Ya_
9
Propos�ad !!sg❑ NOT APPLlCASLE Lot{�jc Biocic: S�actGanc
Sq_ F�st: Est. Valua- BooK: Pag.ee_
Cost= '1.900_00 Tot�I Faees= 40.00 Subdivision_ CITY OF'ZEPHYRHILLS
Arnount Paicl= 40_00 �at� Paid: 7/O"1/20`14 Parc�1 Numbgr: 'I'1-26-21-00'10-05000-0'170
Name: OtV-LltVE LEC Rt tYama_ JP OR AtV M R AG TRl1�T
Acldr= P_Q. BOX 921 Addrsss_ 3476 STATEVi�W BLVa
VALRICd, FL 33595 FOi2T MILL SC 297'I�'-a-724.3
Phong: (8'13Z662-0362 Lic- Phane:
WorK �r,wa�c_ �PLAC�LOT�ti�2�J�W�E A�A�A�TY —
ELECTR(CA�PE� 40 OA
RQ4JGH ELECTRIC
C4NSTRIJGTION POLE ���,r
PRE-METER
FliVAL_ .._ / l� ��'i
`� ` 1
�f ����
REINSPECTIClN FEES: R�insp�ction fees wi�� comply wi h��Florida Statute 553_84�(2j(c� wF�+ern e�ra in�zpection
trips aro necossary du�!o any onen of tFr+�following re ns: a)wrang address b)carndemned worlc r�su�ting
from t'aulty tor�slruction cj repairs or corres.,�tGons no made whar� inspcctiar�ca�(ed d�woric not ready for
Gnspectioay wFt+�n cail�rd e} permit r�dt post+�d on,yo s�t�f) ptaras not at.�ob ecite gj worK not a sible_
NCITICE: In addition to tF�� requir�ements of t ihs permit, th�ere may be additional r�strictians ap�cabi�to tF�Ps proper[y that
may be found in the public records of tFiis county, a�d there ay be additional permits r�quir�c!from ather governmental
�ntities suct�as wat�r managem�nt, state ag�nc�es or federai agenci�s_
"Warning tGO own+�rc Your fa�re to record a notic.a of carmmancerrr�nt rriay r��5cult in your paying twice for
improvcments to your prop�rty_ 2f you intend to obW n�Fir�ancing� consult wGth your-Iend�r or as�attorn�y
befar�a recordirag yaur no c�c of cor»mcencem,er�t_"
COmpiet� Pians, Sp�cifications and Fe� Must Accompany Appi tion_ All wor sha�p�rform�d in accordance witFi City
Codes and rdinancss_
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PERM2T EXPIRES ZN 6 MONTHS W THOtJT APPRC7IVE� INSPECTIO
CALL P!OR =NSPECTION - S IDUR NOT=CE REQ�.IIREC]�
PROTECT CARO� P K?M WEATHER
s�s-�aaoozo City of Zephyrh Ils Permit Application Fax-813-780-0021
Buildi g Department
Q�te Received � �� p� O __ ?J" p�
Phone Contact f r Permittin p
Owner's Name � Owner Phone Number
Owner's Addresa Owner Phone Number
Fee Stmple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Addresa
JOB ADDRESS � O �� � 2 " �-- ��
LOT#
SUBDIVISION PARCE ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONS7R 8 ADD/AL ,� SIGN Q Q DEMOLISH
INSTALL REPAfR
PROPOSED USE � SFR Q COMM �] OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK AcZT�/��.. 2�.�1 (2.l� ( �LI�C� �'.Lb� (jV (Yt,� �!c w F�y. /C�
BUILDING SIZE , �� SQ FOOTAGE HEIGHT
QBUILDING a VALUATION F TOTAL CONSTRUCTION
�ELECTRICAL $ ������� AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ����
OMECHANICAL a VALUATION F MECHANICAL INSTALLATION ��
�GAS Q ROOFING Q SPECIA TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN � CO PANY �� �1'���C �`���!C-
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# �-
PLUMBER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# -�
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Re uired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Fadlities&1 dumpster;Site Work Permit for su divisfonsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. R uired onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary FaciliUes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY required for all NEW consUuc on.
Directions:
Fill out application completely.
Owner&Contracto�sign back of applicatlon,notarized
If over i2500,a Notice of Commencement is required. (A/C upgra es over 57500)
" Agent(for ihe contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences( IoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF OEEO RESTRICT�ONS: TFia undersigned underst nds tF�at this permit may be subject to"deed"restrictions' -
whicF� may be mora rastrictive tF�an County regulations_ TFia un ersigned assumes responsibflity for complianca witF� any
applicable deed restrlctions.
UNLICENSEU CONTRACTORS ANO CONTRACTOR RESP NSIBILITIES- If tF�e owner F�as IiirBd a contractor or
contractors to undertake woric, they may be required to be �icen ed in accordanca with state and local regulations_ If the
contractor is not licensed as required by law, botF� tF�e owner nd contractor may be cited Tor a misdemeanor violation
u�dar stata law_ If tF�e ownar or intended contractor ara uncer ain as to wFiat licensing requirements may apply for the
intanded worlc, they are advised to contact the Pasco County B ilding Inspection Oivision—i_icensing Saction at 727-847-
8009_ FurtFiermore, if tFia owner Fias F�ired a contractor or c ntractors, Fie is advisad to Fiave tt�e contractor(s) sign
portions of tF�e "contractor Bloc{c° of tF�is application for which t ey will ba rasponsible_ If you, as tF�e owner sign as tlie
contractor, ttiat may be an indication tFiat he is not properly lic nsad and is not entitlad to permitting privilages in Pasco
County_
TRANSPORTATION IMPACT/UTILITIES �MPACT AN� RE30 RCE RECOVERY FEES_ TF�e undersignad understands
tF�at Transportation Impact Fees and Recoursa Recovery Fees ay apply to tF�e construction of new buildi�gs, ct�ange oT
usa in existing buildings, or expansion of existing buildings, as speci£ed in Pasco County Ordinance number 89-07 and
90-07, as amended. TF�e undersigned also understa�ds, tFiat uch feas, as may be due, will be identified at the time of
permitting. It is furtF�er understood tF�at Transportation Impact ees and Resource Recovery Fees must be paid prio� to
raceiving a °certificate of occupancy" or flnal power release. If Fie project does not involve a certificate of occupancy or
flnal power ralaase, tha faas must be paid prior to permit issu nce_ FurtF�armore, if Pasco County Water/Sewer Impact
fees are due, tF�ey must be paid prior to permit issuance in acco ance witF�applicabl@ Pasco County ordinances.
CONSTRUCTION L�EN LAW(Chaptar 773, Florida Sta[ut@s, s amended)= If valuation of worlc is $2,500.00 or more, 1
certify that 1, tFie applica�t, have been provided witFi a cop of tFie "Florida Construction Lien Law—Homeowner's
Protection Guide° prepared by tha Florida �epartment oT Agric Itura and Consumer ATfairs_ If tFie applicant is someone
other tF�an tFie"owner°, 1 certify tF�at 1 t�ave obtained a copy of tFi above dascribed document and promise in good faitFi to
daliver it to the°owner^ prior to commencement_
CONTRACTOR'S/OWNER'S AFFI�AVIT= 1 certify tFiat all tFia i formation in this application is accurate and tF�at all worlc
will be done in compliance with all applicable laws regulating c nstruction, zoning and land development_ Application is
hereby made to obtain a permit to do worlc and ins�allation as {ndicated_ 1 certify ttiat no worK or installation Fias
commenced prior to issuanca of a permit and tF�at all worlc w II be pertormad to maet standards of all laws regulating
construction, County and City codes, zoning regulations, and tand developmant ragulations in the jurisdiction_ 1 also
certify tFiat 1 understand that tFie regulations of otF�ar governme t agencies may apply to ttie intended worlc, and that it is
my responsibility to identify wt�at actions 1 must talce to be in co pliance_ Suct�agencies includa but are not limited to:
- �epartment of Environmental Protection-Cypress ayF�eads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment_
- SoutF�west Florida Water Managament �istrict Wells, Cypress BayF�eads, Wetland Areas, Altering
Watercou rses_
- Army Corps of Engineers-Seawalls, �ocKs, Naviga le Watarways_
- �epartme�t of HealtFi 8� Rehabilitative Services/ viro�mental Hea1tF� IJnit-Walls, Wastewater Treatment,
Septic Tanlcs_
- US Environmental Protection Agency-ASbestos aba emant.
- Federal Aviation Authority-Runways.
1 undBrstand tl�at tF�e following restrictions apply to tFie usa of fill
- Use of fill is not allowed in Flood Zone"V^unless e ressly permitted_
- If the FII material is to be used in Flood Zona , it is understood ttiat a drainage plan addressing a
"compensating volume" will be submitted at time o permitting wt�icF� is prepared by a professional engineer
lice�sed by the State oT Florida_
- If the Till material is to be used in Flood Zone "A^ in connection witl� a permitted building using stem wall
construction, 1 certify tF�at fill will be used only to fill t e area within the stem wall.
- If fill material is to be used i� any area, 1 certif tF�at use of sucF� fill will not adversely afFect adjacent
properties. If use of fill is found to adversely affec adjacent properties, tFie owner may be cited for violating
tF�e conditions of tF�e building permit issued under F�e attached permit application, for lots less tl�an one ('i)
acre whicF� are elevatad by flll, an angineered drain ge plan is rBquired_
If 1 am t1�e AGENT FOR THE OWNER, 1 promise in good faitFi inform tha owner oT the permitting conditions set Portt� in
tF�is a�davit prior to commencing construction_ 1 undarstand t at a separate permit may be required for electrical worlc,
plumbing, signs, walls, pools, air conditioning, gas, or other i stallations not specifically included in tF�e application_ A
permit issuad stiall be construed to be a license to proceed wit the worlc and not as authority to violate, cancel, alter, or
set aside any provisions of tF�e tac►inical codes, nor stiall issua ce of a permit prevent tFie Building O�cial from tFiereafter
requiring a correction of errors in plans, construction or violatio s of any codes_ Every permit issued shall bacome invalid
uniass tF�e work autFiorizad by sucFi permit is commenced with n six montF�s of permft issuance, or if work authorized by
the permit is suspended or abandonad for a period of six (6) m ntt�s after tF�e time tt�a worK is commenced_ An extension
may be requested, in writing, from the Building O�cial for a p riod not to exceed ninaty (90) days and will demonstrate
justifiable cause for the extension. If wor{c ceasas for ninaty(90 consecutive days, tF�e job is considgred abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECOR� A OTICE OF COMMENCEMENT MAY RESULT �N YOVR
PAY�NG TWICE FOR �MPROVEMENTS TO YOUR PROPER _ /F YOU INTENO TO OBTA�N F�NANCING, CONSULT
OR �N YO �C OF NT_
FLORIOA JIJRAT(F.S. 1�7.03) ^`_ �
OWNER OR AGENT GONT CTO ��`~
SaibscribeO and swom Yo(vr a�rmad)bafora ma ttJS Subscri and swo r a rmed)D¢fore ma ihis
by bY
Who is/ara personally Known to me or I�as/hava producad Who Is/ a parsonally Known to ma or hasA�ava produced
as ldentlHCatlon. as idantlfication.
Notary Public Notary Public
Commission No. Commis ion No_
Name of Notary typad.printaC or stamped Name o Notary typad,prinfad or stampad