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HomeMy WebLinkAbout14-15526 CITY OF ZEP YRHILLS � - � 5335-8th Street ,�` (813)78 -0020 155�-6 ELECTRICA PERMIT ,,r''� r PE-RMIT'INF4RM�'�►i�TIQ.N .�� ��:���`�::����°���,"� ���� LGC�A�TI.Q,N�INF�ORMA�TI.t?N Permit#:15526 tssued: 7/28/2014 Address: 39110 CYPRESS ST& 10TH AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class af Work: ELECTRICA� MISC Township: Range. Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est.Value: Baok: Page: Cost: Total Fees: 40.OQ 5ubdivision: CITY OF ZEPHYRHILLS Amount Paid: 4Q.4Q Date Paid: 7i28l2014 Parcei Number: CONTRA►RAC'�T�O,RINFQRMA'TIO,N =� �x.�;���� �' � �O.WNER�INF�ORM TION 'X.' Name: CJWNER Name: ClTY!JF ZEPHYRHILLS Addr: Address: 5335 8TH ST ZEPHYRHILLS FL Phane: Lic: Phone: Work Desc: NEW GONTROL PANEL, FOR US 26 OCATED 10TH AVE & CYPRESS FEE WAIVED) . . . � . � � _ _ .._ . � _� � _. . � �������" ��APP�ICA`�T U.N.FEES' , � �.,,.�-� � ������ rt� � � .� >h�:����-- ELECTRICAL FEE 40.00 ��'� ,s' e�ru��:�;�:4.� - ���,�;E ;�:b-„:�,itVSPECTICIN �REGIU,IRED � �� .�} �:`�` °�����:����:���� ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER �� ���t�-�-- � �� � ����� ��� � 4 c1�1 C3 / �y�'�' 3 REINSPECTION FEES: Reinspection fees wil!comply th Florida Statute 553.80{2)(c)when e�ctra inspectian trips are necessary due to any one of the fallowing re sons: a)wrong address b}condemned work resulting from faulty cons#ruction c) repairs or corrections n t made when inspection called d) work not ready for inspectian when called e) permit not pasted on j site f} plans nat at jab site g}work nat acc�ssible. N�TICE: In addition to the requirements of this permit,ther may be additional restrictions appiicable to this praperly that may be found in the public records of this county, and ther may be additionai permits required from other governmental entities such as water manageme , state agencies or federal agencies. "Warning to owner: Your failura to record a notice f commencement may result in yaur paying twice far improvements ta your property. If you intend to ab in financing,consult with your lender or an attorney before recording yaur atice of cammencement.° Complete Plans, Specifications and Fee Must Accompany A plication. All work shall be perFormed in accordance with City Cades an Ordinances. � CONTRACTOR PER OFFI PERMIT EXPIRES IN fi MONTHS WITHOUT APPROVED INSPECTIO CALL POR INSPECTION - 8 NOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER s�3aeaoozo City of Zephyrhil s Permit Application Fax-813-780-0021 Buildin Department , • ' Date Received phone Contact fo Permttting -- 'L Owner's Name ( Owner Phone Number � �3 7 � Owner's Address "� � S f Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS .S b / 0 /a'J� 3r'!�/y O A�✓I) G �/r�iS S S LOT# � SUBDI!lISION PARCEL D# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK .� �✓S � /-1-liG �t,t� �� ,s%A-T /L� o,v%jLo(� �q.�J�G-ZL BUILDING SIZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATION F TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY �] W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIA 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO BUILDER CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N a4ddress License# ELECTRICIAN CO PANY 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 Add�ess License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities&1 dumpster;Site Work Permit for s divfsionsAarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. 1�MAPROPERTY SURVEY required for all NEW construc lon. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized !f over 52500,a Notice of Commencement is required. (A/C upgr des over 57500) " Agent(for the 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 PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 1 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restr'ictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE$: 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 cont�actor 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 Recovery 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 "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•uFlorida Gonstruction 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 pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulafions 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 8� Rehabilitative Services/Environmental Flealth 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 wrall 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 Iots 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 fo�th 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 pe�mit 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 1NITFI-Y�L1R��NDEI��GiR�►Rl AY'fC"i�tPlcY BEFOF3E C���OF��iN�-YQ7.OR��VO'4'IC�-��-��14l�E!!�El�CEl�"JE�JT. - - FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscrfbed and swom to(or a�rmed)before me thls Subscribed and swom 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 fdentlfication. as identification. Notary Public Notary Public Commisston No. Commfssion No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,