HomeMy WebLinkAbout14-15485 �
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� CITY OF ZE HYRHILLS �'
. 5335-8t Street /�
(813)7 0-0020 1548•
ELECTRIC L PERMIT
� PERMIT INFORMATION LOCATION INFORMATION `
�Permit#:15485 Issued: 7/14/2014 Address: 39119 PARK DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 300.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 7/14/2014 Parcel Number: 12-26-21-0030-00100-0090
-- CONTRACTOR INFORMATION OWNER.INFORMATION �
Name: CRANDALL, RICHARD Name: LUCKEY, SHERMAN &ALISE
Addr: 39514 LOUISE DR Address: 39119 PARK DR
ZEPHYRHILLS, FL 33542 ZEPHYRHILLS, FL. 33542
Phone: (813)788-3146 Lic: ER 0012910 Phone: (813)783-2322
Work Desc: TEMP POWER FOR HOME SET UP EMPORARY APPROVED BY CODE
APPLICA ION FEES
ELECTRICAL FEE 40.00
INSPECTIO S REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER �^
FINAL � �' � y ',
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REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following r asons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n t made when inspection called d) work not ready for
I inspection when called e) permit not posted on j b site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, the e may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, 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 o tain financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications and Fee Must Accompany A plication. All work shall be pertormed in accordance with City
Codes an Ordinances.
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CO TRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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813-780-0020 City of Zephyrhills ermit Application ,
Building De artment
Date Rece�ved , Phone Contact for Pe mitti�g �� � �� —�I
.\
Owner's Name J����G� ����� �' Owner Phone Number �I —��� °' �-S �� _
Owner's Address � t�� y .�- Owner Phone Number � \��\
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 / �� ��1 �r ' LOT# �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
.1
PROPOSED USE � SFR Q COMM Q OTHER `'s� � ty�a�'' r
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ff v✓c.
BUILDING SIZE � SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION.OF OTAL CONSTRUCTION
�+.1�:�
�ELECTRICAL $ 'f (?t� AMP SERVICE � PR96Rf��S ENERGY Q W.R.E.C.
.3�� ' '
QPLUMBING $ �/�� �
QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � �
QGAS Q ROOFING Q SPECIAL 0 OTHER (�3��
l
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO -
BUILDER COMP NY
SIGNATURE REGIST RED Y/ N . FEE CURRE� Y/N
Address ' License#
ELECTRICIAN � � COMP NY �r� =zQ `-rcl»o� �I �«-�`��
SIGNATURE _��r'�Lz� REGIST RED Y/ N FEE CURRE� Y/N
Address 3 ,�� ����� a.�v^. ��(�//� License# � � �..
��5�6
PLUMBER COMP Y
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N '
Address License#
MECHANICAL COM NY
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address L.icense# �
OTHER COM ANY
SIGNATURE F2EGIS ERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction,. � ;
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, ,
Sanitary Facilities&1 dumpster;Site Work Permit for sub ivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf Page;(1)set of Energy Forms.R-O-W Permit for new construction. '
Minimum ten(10)working days after submittai date. Req ired onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, ,
Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construcU n.
Dlrections:
Fill out application completely.
Owner&Confractor sign back of applicaUon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgra s over a7500)
** Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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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 witn 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
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 permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recov�ry Fees may apply to the construction 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 ucertificate 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 Cot�nty 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"owner", 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 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 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 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 constn.iction. 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
justiflable 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 FIPIANCING, CONSULT
- -��VIIiTHYOUR'LEPIDER OR-AN AYTORNEY`BEFORE RECORDING YaUR-NOTICE-OF-COMMENCEflAEWT. �- -- - -----
�� FLORIDA JURAT(F.S. 117 03 � � j � fyJ�=�..�
✓J /
OVYNER OR AGENT ✓ /�T'r j L%�ze��•�.l.'� CONTRACTOR • .r.�� ( /
Subscribed and swo o(or rmed)before`me thls Subscribed and s�vorn fo°-(6r 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 lden8flcatlon. as identification.
� Notary Publ(c ' Notary Public
Commisslon No. Commissfon No.
Name of Notary typed,pr(nted or stamped Name of Notary typed,printed or stamped