HomeMy WebLinkAbout14-15555 _
.-�
� CITY OF ZE HYRHILLS
` 5335-8th Street
(813)78 -0020 15 55
ELECTRIC L PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15555 Issued: 8/08/2014 Address: 4842 16TH ST
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: 1,775.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 8/08/2014 Parcel Number: 14-26-21-0010-02100-0131
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: LOKHANDWALA ABBAS & ARWAH
Addr: Address: 10305 BENEVA DR
� TAMPA FL 33647-3253
Phone: Lic: Phone:
Work Desc: CHANGE OUT ELECTRICAL SERVI E PANEL 100AMP
APPLICA ION FEES
ELECTRICAL FEE 45.00
INSPECTION REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL �'° �i - L
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W`�,
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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
inspection when called e) permit not posted on j b site� 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 f commencement may result in your paying twice for
improvements to your properly. 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.
������
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT 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
8uilding epafinent
Date Received
' Phone Contact for ermitting -
Owner's Name ��(3AS a0 1� iN 1�,� L� Owner Phone Number
Owner's Address 4 a ( � .SO �" '���� � 33 � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
� i � n �qC an u
JOB ADDRESS C�a� � Q LJ �0� n�. �nfiYi v�nq� qQ g �d/� � LOT#
��
- -SUBDIVISION -- --- - - ------- - —PAPtCEL-I # - - - - - - - - - - - - _
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH
INSTALL� REPAIR
PROPOSED USE Q S�R Q COMNI � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ � � VALUATION F TOTAL CONSTRUCTION
�ELECTRICAL $ ���� AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECI � OTHER
FINISFIED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN y7 ,( /� CO PANY � d ��nP�
SIGNATURE ��J� S o `��N�'N��t1�L,TI REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PANY
SIGNATURE REG STERED Y/ N FEE CURRE� Y/N
, Address Lfcense#
MECHANICAL CO PANY
SIGNATURE REG STERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for s bdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for I new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW constru tion.
Directions:
Fili out application completely.
Owner&Contractor sign back of application,notarized
IF over 52500,a Notice of Commencement Is required. (A/C upg ades over 5T500)
"' Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (Front of Appli,cation Only)
Reroofs if shingles Sewers Seryice Upgrades_�A/C ' �Fence (PIoUSurvey/Footage) - • . • ._ : �
� ' ` - , ' "` • 't < _ _ � . -
Driveways-Not over Counter if on public roadways..needs ROW , ' _ ,, „ � . , ,
NOTICE OF DEED RESTRICTIONS: The undersigned understands that fhis permit may be subject to°deed°restrictions"
which may be more restrictive than.County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner fias 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 enCitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IflAPACT AIdD 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 LAVY(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 AFFIDA►VIT: 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 perfo�med 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 OIIVNER, I promise in good faith to inform the owner of the permitting conditions set forth 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 Buildirig Official from the�eafter
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
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 InAPROVEMEfVTS TO YOUfZ PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT.
FLORIDA JURAT{F.S.�7�03��
OWNER OR AGENT �� °� CONTRACTOR �`�(�°V �
S bscribe and swom to(or affir ed)before me this Subscrfbed and sworn o or a�rmed)before me this
�-�-/� by{q(36A�S �OKNFjNO�,1ffL.� -�by ���fjf' o�D)fI�HN�W��
i Who�isl�re ersonally known to me or has/have produced WhorlS/ar ersonally k�own to me or has/have produced
L ,\�u.-l�Cse.�s—es(dentlflcation. (�'L, (�(Ci�S Lt�c¢.vLC__e as identification.
� Notary Public Notary Public
Com s •, Com ion o. ��.
�.L�.' �•s= •°�'' °�='- ELINE BOGES
=f: :�-_ Commission#EE 040520 '" ;*: Commissi -
Name of otQ{¢�„'•'de ,� � Name of No �Q�ri����s�$8v8Pl�r 12,2p14 -,
7019 . ��Troy Fain Insurar�gpp.�g�,7019