HomeMy WebLinkAbout14-15538 - ,i CITY OF ZE HYRHILLS �=��
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(813)7 0-0020 j��$
ELECTRIC L PERMIT -�
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�`= �. PERMIT�-INFORMATIO.N : LOCATION 1NFORMATION '
Permit#:15538 Issued: 7/31/2014 Address: 4615 WISTERIA 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: 1,000.00 Total Fees: 40.00 Subdivision: WHISPERING OAKS
Amount Paid: 40.00 Date Paid: 7/31/2014 Parcel Number: 15-26-21-0160-00000-0010
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: �_�:�� �. :CONT�RACTOR:INFORMATION � � � �`_OWNER INFORMATION;:.�`�f� �'Y'"s `. �_�_
�Name: HOMEOWNER Name: GARCON, JOE &ALBERTA
Addr: Address: 4615 WISTERIA DR
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: 904-415-2124
Work Desc: ELECTRICAL REPAIRS FROM SAF TY INSPECT SR#1186
` APPLICA ION FEES -
�ELECTRICAL FEE 40.00
INSPECTION REQUIRED
ROUGH ELECTRIC �
CONSTRUCTION POLE �
PRE-METER '( � � i
FINAL ���
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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 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 j b site fl 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 properly. If you intend to ob ain 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.
� C RACTOR PER OFFI
RMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION — HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
s�aaeaoo2o City of Zephyrhill Permit Application Fax-813-780-0021
• Building Department
`, ,
Date Received • phone Contact fo Permitting --
�Owner's Name � Ls O�Co ✓� Owner Phone Number R��'�"'�� S rZ 12.�-
�Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address }
� JOB ADDRESS LOT# �
SUBDIVISION PARCEL D# _-� -�b�Z�—�I t�C�—C����U� ' �B � �N�1�t
j-�' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �-��✓.' ( d�( , � 11.' ( !/' V1 i
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
�--- QELECTRICAL $ /� � ���� ;--AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
�
QPLUMBING $ r�- I r��
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QMECHANICAL $ ; VALUATION F.MECHANICAL INSTALLATIOfV �
QGAS Q ROOFING Q SPECIAL 0 OTHER l ��
FINISHED FLOOR ELEVATIONS FLOOD NE AREA YES N �
_ Q O
�BUILDER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
�{: Address License#
ELECTRICIAN � � CO PANY T� �!M�. O C+✓��//'
SIGNATURE REGI TERED Y I N FEE CURRE� Y/N
..,�:....
Address License#
PLUMBER CO PANY
SIGI�IATURE�: REGI T�RED 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.after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8�1 dumpster,Site Work Permit for su divisions/large projects _ - - - - - - - -
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ty 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 all ew proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets ot Engineered Plans. _
•'"'PROPERTY SURVEY required for all NEW construct on. .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A/C upgra es over�7500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth 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..need's,ROW � ' '� - _
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"r�strictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance,with any
, applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITOES: 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 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 "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'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 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 Flealth Unit-Welfs, 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.
I 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 a�davit 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 IPI YOdJ62
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.
_ ._FLORIDA JURAI"(F.S�1T.03)-------— -- -- -- ----, _- --- - - � __- --° --- - — - -- -- ---- -
OWNER OR AGE CONTRACTO�
S bsc bed d sw to affirme before me this Subscrlbe and swor(� or ffirmed)before me this
�3�l by i cJ�. v- -�byf�l �O e �0.v'Co I✓` - _ __�
Who(s�re perso I knb to me or has/have produced Who Is/ g ersqn ngw,�n'to yn�or has/have produced
y-/pi,�fLt �,1r«�(�as(dentlfication. �/�v��� ���'"' G � ''�''�-es identification.
�� Notary Public � ' %�2 /�J Notary Public
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CI'�Y OF � � / / / / BUILDING
ZEPHY�R}HILLS - DEPARTMENT
' � OF ADDITION R CORRECTION
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ADDRE55 D TE PERMIT f
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THIS JOB HAS NOT BEEN COMPLETED. The foliowing a ditions or corrections shall be made before the job
will be accepte .
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It is unlawful tor any Carpenter,Con ctor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paR of the work with flooring,lath,earth 7$0-0�2� R��PECTION
or other material,until the proper inspector has had ample time to approve ,�
the insfallation. ,� ��)
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI INSPECTOR