HomeMy WebLinkAbout14-15588 CITY OF ZEPHYRHILLS
� - ''' S335-8th Street 15588
(813)78Q-0020
ELECTRIC �L PERMIT
" '} � PERMIT INFORMATION LOCATION INFORMATION �� ``��' „�
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Permit#:15588 Issued: 8/21/2014 Address: 39018 5TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 40.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 40.00 Date Paid: 8/21/2014 Parcel Number: 12-26-21-0030-00300-0010
� CONTRACTOR INF,ORMATION 01NNER:INFO`RMATION� �:�`:�. �r �'�°�: '-
'Name: REESE ELECTRICAL INC Name: STEPP FRANCELIA L TRUST
Addr: P.O. BOX 862 Address: 213 WELLESLEY RD
ZEPHYRHILLS,FL. 33539-0862 SYRACUSE NY 13207-1628
Phone: (813)788-0091 Lic: Phone:
Work Desc: REPLACE RISER DAMAGED BY STC�RM
' APPLICATiON FEES ' �
ELECTRICAL FEE 40.00
� ' 1�3 o4�w�
INSPECTION REQUIRED -
ROUGH ELECTRIC
CONSTRUCTION POLE G`J\
PRE-METER
FINAL - — `'
REINSPECTION FEES: Reinspection fees will comply w 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 fi� 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 there may be additional permits required from other governmental
entities such as water managemen , 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 notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Ap lication. All work shall be performed in accordance with City
Codes an Ordinances.
v>V�--
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
s�s-7ao-aazo ' Gity of Zephyrhills Permit Application �ax-a��-�su-uux�
Building�epartment
� .
Date Received Phone.Cantact for Permitting --
Owner's Name ��t '� �� Owner Phone Number
Owner's Address � Owner Phane Num�er�
Fee Simple Titleholder Name Owner Phone Nurriber
Fee Simple Titieholder Address
JOBADDRESS 7�OI� S� A'.�.1"� • 1 �OT# �
Su�o�Vislor� � i PA c�Lln# I'I��"�b-"�l^�03� �00'3�� = Oalt7
j08i'AlNED FR�M Pi20PERiY TAX NOTlGE}
WORK PROP4SED � NEW CONSTR � AD �IALT Q SIGN � MOVE Q DEMOLISH
INSTA�I, RE AIR
PRCIPOSED USE � SFR � - CO M [� OTHER
'iYPE OF CONSTRUCTIQN � BLOCK Q FRI�ME � STEEL. [� f3THER[�� —`I
DEBCRiPTlOt3 OF WORiC lt'e�iL.�.t�C �t3!w �J�+»wt+� o+r 1«4�•�
Bi11GDtNG SIZE �� � S4�QOTAGE HEiGHT � �
� BUILDlNG J$ � � VAi�UA {ON OF TCITAL CONSTRUCTlON
L
C] ELECTRICAL ����,�v � AMP S RVICE � PROGRESS ENERGY Q W.R.E.C.
1� �
[�] PLUMBING � ��
[�] MECHANICAL $ VA4.UA ION OF MECHANICAL INSTALLATION •-� f�
� GAS 0 ROOFING [� S ECIALTY Q OTHER
FlN1SNED FLOOR ELEVATIONS F iQC}C}ZONE AREA QYES QNO
�
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BUlLDER COMPANY
SlGiI+1AT1fRE (2EGISTERED Y I N FEE Ct�RFtEN7' Y j hI
Address Llcense# C �
ELECTRICIAN COMPANY ee! �= I��'e[.��/���! �1.�.�
SIGNATURE �� + RE6I57ERED I N FEE CURREPIT I N
Address � `3 ��7^ L,icense# ���W« S Zl
PLUMBER COMPANY
SIGNATUFtE REStszeREO Y! R! FEE CURR�N7 Y i N
Address I l.icense# � �
MECHANICAL CUMPANY
SIGNATUF2E REGlSTEREQ Y! N FEE CURRENT Y/N
Address License# � �
O7HER COMPANY
StGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# � I
RE5ID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction,
Minimum ken(10)working days after submittal date. Required onsite,Canstruc8on Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&'1 dumpster,Site Work Permi#f�r subdivisionsAarge projects
CQMMERCIAL Atkach(3)complete sets aP Building Plans plus a Life Safety Page;(1)set of Energy Forrns.R-O-W Permit for new construction.
Minimum ten{10)working days after su6mittal date� Required onsike,Constructian Plans,Stormwaker Plans w!Silt Fence installed,
Sani#ary Facifities&1 dumpster.8ite Work Perm�#f r a3!rtew pro)ects.Alt commercia{requirernents must msef compliance -
SIGN PERMIT Attach(2)sets of Engineered Plans.
�"""PROPEF2l`Y SiiRVEY required for ati NEW con truct[on.
Directions; �
Fill out apgiicat'san aompiekely.
Owner&Contractor sign b�ick of applicafion,notarized
If over$2500,a Notice of Commencement is required. (AlC up rades o�er$5000)
'`" Agestt{for fhe con#cactar}or Power oE Attorney(far the owner}woul be someane with notacized letter from awner autharizing same
OVER THE COUNTER PERMITTING (Fronk of Application Only)
Reroafs Sewers Senrice.Upgrades A!G Fences(PtaUBusveylFootage)
�: .. . f
❑riveways-Not over Counter if on public raadways.:needs F20W - � � � �
NOTiCE QF DEED RESTRlCTl4NS. The un�lersigned understands that this permit may be subject to°deed" �es#r�tions°-,
which may be more restrictive than County regulatlons, The undersigned assumes respansibili#y far compliance witti any
appiicable deed restriations. ,
UNLICENSED CONTRACTORS AND CONTRACT�R RESPONSIBiLtT1ES: if the'ovirner. has hire� a contracfar or
con#ractors fo undertake work, they may be requited#o be licensed in accardance with state and ioca( regulafions. tf the
contractar is not licensed as required by iaw, both the owner and contractor may�be cited far a misdemeanor violatian
under state law. If the owner ar intended contractvr are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasca County Building Inspeckion Dlvisian—Licensing Sectian at 727-847-
8009. Furthermore, if the owner has hired a contrac#or or contractars, he is advised to have the cantractor(s) sign
portions of fhe "contracfor 8(ock" of this applicafian for which fhey wiil be responsib(e, tf you, as the owner sign as the
contractor, that may be an indication that he is riat properfiy iicensed and is no# en#ifled fo permitting privileges in Pasca
Counfy. ' • - ° °, . , _ � •
TRANSP.�RTATION IMFACTlUTI�ITIE� IMPACT AND RESQURCE RECOVERY E�ES: The undersignsd urtderstands
that Transportafian lrripact Fees and Recourse�ftucovery Fees may apply to the construation of new buildings, change of
use in existing buiidings, or expansion of existing buildings, as specified in pasco Counky Ordinance number 89-07 and
90=07, as amended. The undersigned also understands, fhat suc� fees, as may be due, will be identified af the time af
permiffing, tt is furfher understood that Transportatian tmpact Fees and Resource Recovery Fees inust be pai� prior Eo
receiving a "certifrcafe af occupancy" or fna( pawer retease. Ifi the projecf does nat invoive a certi€icate ofi occiipancy or
finaf pawer release, the fees must be paid prior to perm4t issuance. Furthermore, 9f Pasca County 1Nater/Sewer lmpact
fees are due, they must be paid priar to permit Issuance in accordance witn applicable Pasco County ordinances.
� CONSTRUCTION LlEN LAW(Chapter 713,°�lorida.Statu�es., as_amended�;. !f v�luation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Cbnst�uction Lien Law—Homeowner's
� protection Guide" prepared by fhe Florida Department of Agriculfure and Cvnsumer Affairs. If the applicant is someone
� ofher fhan the"awner", t cerfify fhat 1 have obfained a cvpy of the above describeci document and promise in good faith fo
, detiver it fo the"owner"prior ta cammencemen�.
� CONTRACTf.�R'SIt)WNER'S AFFlDAVIT: 1 certify that a!1 the informaklon in this application is acc'tirate and that a!1 work
wil! be done in compliance with al) applica�ls laws regulating construckiQn, zpning and land development. Application is
hereby made to obtaln a permit to do work and Installation as indicated. I; certif.y fhat no work or installatfon has
commenced prior ta issuance of a permit and fhaE all work will be pertormed to meet sfandards of all laws regulating
construction, Caunfy and Cify codes, zoning reguia#ions, and iand developmenf regulations in the jurisdictian. ( al"so
cerfify that t tinderstand fhat the reguiations of ather government agencies may appiy to fhe intended work, and that it is
my responsibility to identify what actions 1►nust take to be in compliance. Such agencres Include but are not lim9#ed to:
- department of Env9ronmentai Frotectlan-Gypress Bayheads, Wetland Areas ar►d Environmentafly Sensitive
�ands, WaterlWastewater Treattnent.
- Southwest Florida Water Management Distriat-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawails, Docks, Navigable Vtlaferways.
' - Deparfinenf of Health & Rehabi(itafive Services/Environmentai Nealth Unit-Weils, Wastewater Treatmsnt,
Septic Tanks.
----- �-US Eovi�ar�mental�?rotsction Agency-Asbestos abatement.
- Federa!Aviatfon Authority-Runways. � --_ _- —_.— _ _ ��____. __._�-- - ---_,
I understand that the following restrictions apply ta tF�e use of fill:�
- . • ; Use of fill,is not a(lowed in Flood Zane"V"un(ess expressly permitted.
'- `�lf fhe �fil" material is �fa�be` used in F(ood Zone "A", it is tanderstaod that a dra'inage pian addressing a
"compensating vaiume" will be submitted at titne of permitt4ng whicti is preparec!-by-a.professionai er�ginee�
. ° •' � iicen�'e��.by the State af Flvrida.
- If the flll material is #o be used in Flood Zone "A" in connectian wiEh a'�permitted��bullding using stem wall
construction, !certify that fill will be used only ta fill the area wi#hin the stem wall.
- If fill material is to be used in any area, I certify fhat use of such fill viri(I nof adverse(y affecE adjacent
properties. If.use of fill is faund fa adverseiy affecf adjacent proper#ies, fhe owner may be cited for vioiating
the conditians of the buitding permif issued under the a#fached permit application, fo'r lats less than one (1)
acre which are elevated by fii, an engineered drainage plan is requirsd.
If 1 am the AGENT FQR THE OWNER, I promise fn goad faith to inform the owner of the permitting conditions se�forth in
this affidavit prior to commencing construction. ! understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or ofher insta(lafians not specifically inciuded in fhe appiication. A
permit issued shall be construed fo be a license fo proceed wifh fhe work and not as authorify fo,viotafe, cancei, alfer, or
set aside any provisions of the technicai codes, nar shall issuance af a permit prevent the Building O#Ficiai from thereafker
requiri�g a carrecfian of errors in plans, consfruction ar violations ofi any cades. Every permit issued shal! becoi�ne inval�d
unless the work autharized by such permit is cammenced with9n six months af permit issuance, or if work authorized by
the perrr�i#is suspended or abandoned far a per9od of six t6) months after the time the wark is cammenced. An extensian
may be requested, in wtlting, from the Building Official for a period not ta exceed ninety (90) days and will demonstrate
Juski�able cause for the extensian. If work ceases for ninety, {90)consecufive days, fhe4job is considered abandaned.
WARNiNG TO OWNER: YOUR_FAILURE TO REC�RD A NOTICE QF CQMMENCEMENT MAY RESUtT IN YQUR
PAYING TW10E FtaR IMPROVEMENTS TO YQUR pRQPERTY. !F Yt?U lNTEND TCJ►OBTAlN FINAMClNG, CONSULT
� 1tViT1=fYOLIR LENDEFt-OR A�i AT�'LIRNEY BEFCIRE-RECQ�DlNG YC1UR NOTlCE OF—COMMENCEM�N�'.- ___�__
�LORfDA d!lRP,T(F:S.117.0 �"
�
j OWNER OR AG„� CO►JTRAC
! b crlbed nd swom to{ar 'irmedl efore me t�is S scribed and swom fo or affirme before me tfiis
, "��— � `2I= by
Who s re perso Ily own to me or haslhave produced Wha tslare pers a y n to me ar haslhave produced
as Identi8cation. as identification.
��Notary Public f� � Natary Pnbtfc
e ,:,'aY°�%�,, JACQUE E BOGES �
� ����:.,; ����� Com lon
��, �4,: E�cpires December 12,2Q14 �:�.z'�-��. JACQUELINE BOGES
�' F,'d:•f1n?• _ ri011'ifT11 •
Name of tdot� ,, Name of Notary e*,-cEmpie�er�nber 12,2014
���Pfi��' Bonded7twTroyFaininsivance800385�7tYi8
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