HomeMy WebLinkAbout14-15486 " CITY OF ZE HYRHILLS
-.. 5335-8th Street
(813)78 -0020 15 86
ELECTRIC L PERMIT -
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Permit#:15486 Issued: 7/14/2014 Address: 4820 - TREET �� ( �
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIGAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 750.00 Total Fees: 40.00 Subdivision: WINTERS
Amount Paid: 40.00 Date Paid: 7/14/2014 Parcel Number: 15-26-21-0030-00100-0010
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�:.�::.z��'�.i��:�;CONTRACTOR.INFORMATIO,N�� � :`'OWNER INFORMATION:`��.�-��;��.�>,��>-;��,_�r�:--
Name: PATTIE ELEC. & REFRIGERATION Name: WINTERS MH PARK IN (JOHNS RUSSEL
Addr: 39111 PATTI RD Address: 38022 WINTER DR
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33542-5544
Phone: (813)782-3319 Lic: Phone: 813-780-8568
Work Desc: REPLACE 60AMP SERVICE
- � APPLICA ON FEES ` �
ELECTRICAL FEE 40.00
INSPECTION REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE ` '
PRE-METER V
FINAL `'�� ,��
/ J �
1 � �
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REINSPECTION FEES: Reinspection fees will comply th Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: 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
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther 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 , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in 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 perFormed in accordance with City
� Codes an Ordinances.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
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Building Department
Dat�Received Phone Contact for Permitting --
Owner's Name � � � I L, Owner Phone Number �z �j)
Owner's Address b�� (,�� ..Q r � � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �C( � /'���C OT# C�
SUBDIVISION PARCEL I # I��lp�� �(,�(j � — Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTIi�/ ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL Q� REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �2 � � Q I('(��L
BUILDIPIG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION O TOTAL CONSTRUCTION
' ELECTRICAL $ AMP SERVICE �� Q PROGRESS ENERGY Q W.R.E.C.
�
QPLUMBING $ �lJ 4L� (_
a`�'°
OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION� V ��
��
QGAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER COM NY � C <<- �
SIGNATURE REGIST RED FEE C RE�
Address i � � �d . License#
ELECTRICIAN G���/"vJ COM NY Ct � �I'e� C.� irl �'-e t/��-- ��
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address � � �� - O License# �� bb
PLUMBER COMP PIY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
__RESIDENTIAL---Attach{2)P-lot-Plans;(2)sets of Building Plans;(1)set of nergy Forms•,R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facfiities 8�1 dumpster;Site Work Permit for subd visionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTY SURVEY required for all NEW constructio .
D(rections:
Fill out application completely. ,
Owner&ConUactor sign back of application,notarized
If over 52500,a Notice of Commencement is requtred. (A/C upgrade over 57500) _ , _ _ .
" Agent(for the contractQr).or:Fower..of Attomey(for the owner)would be s meone with notarized I�tter from owner,authorizing same;�•�_�,, ;;
OVER THE COUNTER PERMITTING,. '` Front_of.,A licat`on'Onl �� �� �� -� " "' - ' �
h , :";( PP.,. 4 Y) � .. . �. ., -
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Reroofsifshingles Sewers ' ' ,Service„Upgrades>NC==: Fences(PI t/Survey/Footage) �' c; ....... .. ....,•, . .._. ' `�' �
Driveways-Not over Cqunter,if<on<public`roadways:n�eds�ROVV „� M y� r� .,� �"" '^ '" �-x:4
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NOTICE O� DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" '
which may be mare restrictive than County regulations. The undersigned assumes responsibility for campliance with any
applicable deed restrictions.
UNl.10ENSED CClNTR�4CTpRS AND GCtNTRACTOR RESPONSIBI�ITlES: !f tfie owner has h9red a contractor or
cont�acfors #o undertake work, #hey may be required to be Iicensed in accordance with state and local regulations. if fhe
contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
under stafe law. if the owner or intended contractor are uncertain as ta wfiat licensing requirernents may apply far the
intended work, they are advised to cantac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
8409. Fu�#hermare, if the awner has hired a confractor or contractors, he is advised #o have the canfractor(s} sign
portions of the "contractor Black" of this application for which they will be respansible. If you, as the ouvner sign as the
cont�actor, thak may be an indication that he is not properly #icensed and is not entitled to permitting privileges in Pasco
County.
; 'TRANSPORTATION IMPACTIUTILITIES IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
#hat Transportstion Impact Fees and Recourse Recovery Fees may spply to the constructian of new buildings, chartge of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amencfed. The undersigned also ttnderstands, that such fees, as may be due, wi11 be identified at the time of.
, permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate af occupancy" or�nal power release. If the project does not involve a certificate of occupancy or
fina# power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasco County WaterlSewer Impact
fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
CONSTl2UCTION �IEIV LA1fV�Ghapter 713, Elarida Statutes, as amended�: Ef valuation of work is$2,500.00 or more, !
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
� Protection Guide" prepared by the Fiorida Department of Agricuiture and Consumer Rffairs. If the applicant is someone
other than the°owner", I certify#haf I have abfained a capy of#he above described document and promise in good faith to
, deliver it to the"owner"prior to commencement.
� CONTi2AGTOR'S/OWN�R'S AFFIDAVIT': 1 ce�tify that alt the infarmation in this application is accurate and that ai4 work
, will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit ta do work and installatian as Indicated. I certitjr that no wvrk or installatian has
commenced prior #o issuance of a permit and that all work wiit be performed to meet s#andards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify thaf t undersfand that fhe regulations of ather government agencies may apply to the intended wark, and that it is
my responsibility#o identify what actions I must take to be in campliance. Such agencies include but are not limited to:
- Depa�tment.af Env9ronmental Profecfion-Cypcess Bayheads, Wefland A�eas and Environmentally Sansitive
Lands, Water/Wastewater Treatment. �
- SouthwesE Fiorida Water Management District-Weils, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depar#ment of Hea}fh & Rehabilitative ServiceslEnviranmenfa! Fleaffh Unit-We11s, Wastewater Treatment,
Septic Tanks.
- US Environti�ental Protection Agency-Asbestos abatemen#.
- Federal Aviation Authority-Runways. .
i understand that the follawing restrictions appiy to the use of fiil:�
- Use of fiil is not altawed in Fload 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
°compensatfig valume" wi11 be subm�tted at fime of permitting whiah is prepared by a professional engineer
licensed by the Sta#e of Florida.
- If the fill material is to be used in Fload Zone "A° in connection with a permitted building using stem wall
construction, I certify that fill will be used oniy to fill the area within the stem wall.
� - ff fi!! material is to be used in any area, I certify that use vf such fll wilC not adversely affect adjacent
properties. .1f use of f"rli is found fo adversely affecf adjacent properfies, the owner may be cited far violating
.
the conditions of the building permit issued under the attached permit applicatian, far Iots less than one (1)
acre which are elevated by fili, an engineered dra9nage plan is required.
If I am the AGENT FOR THE OWNEI2, I promise in goad faith to inform the owner of the permitting conditions set farth in
this affiidavi# prior to commencing constructian. ! understand that a separate permit may be required for elec#rical work,
plumbing, signs, we(Is, pools, air condifioning, gas, or other installations not specifically included in the applicafion. A
permik issusd sha!! be construed to be a license ko praceed with the work and not as authority to.violate, cancel, alter, or
set aside any provisions of fhe technical codes, nor shall issuance of a permit prevent the Buitding Official frorn thereaffer
requiring a correction of errors in plans, construction or violatians 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 autharized by
#he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
may be requssted, in writing, from the Building Officiai for a periad not to exceed ninety (90) days and wil! demonstrate
_ justifiable cause far the ex#ension. If work ceases for ninety(90)cansecutive days, the job is considered abandaned.
WARNINC TtJ OWNER: YOUFt FAILURE TO R�CORD A NOTICE C}F CONlMENCEM�NT {VIAY RES�3�.T IN Yt�U�- -
PAYING TIAIICE FOR IMPROVEMEN'TS TO YOUR PROPERTY. IF YOU INTEND TC1 OBTAIN FINANCING, CON�ULT
WITH YQUR LENDER t3R AN A ORtdEY BEFORE fZECOF2QINC YQUR NU"C'IGE OF C IUII�tENCE11t1ENT.
FLORIDA JURAT(F.S.117. �
p- --�_._.._.
OWN�R OR AGENT G��2�� GQN7i2�►GTOR ���'C�--�
Subscribed and swom to( rmed)before me thls Subscribed and swom t r affirmedj before me fhis
by by
Who islare persanalty kno to me or haslF�ave produced Wha fslare personaify known fo rne or haslhave produced
as ldentificakion. as identification.
' .�..rrw�w -
' "'� L E.BACON
-�'� ' y ����lota Public ���, Notary Public
Comm ion �;' ��: Expires June 29,20l8 �'� �:= Commfssion#FF 1370
Commiss on o. 73
r„�„ .'���, �r� e«M.e une , 18
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Name of Notary typed,printed or stamped Name af Notary typed,printed or s ampe