HomeMy WebLinkAbout14-15611 � CITY OF ZE HYRHILLS
' 5335-8th Street
(sls)7s -0020 15 11
EIECTRIC L PERMIT
PERMIT lNFORMATI4N LOCATION INFORM�4TION
Permit#:15611 Issued: 8/27J2014 Address: 37911 CR 54
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
C1ass of Vllork: ELECTRICAL MISC Township: Range:
Praposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cast: 4Q0.00 Total Fees: 40.00 Subdivision: ZEPHYR OASIS
Amount Paid: 4Q.04 Date Paid: 8l27l2Q14 Parcel Number: 14-26-21-0034-Q4000-0050
CONTRACTOR INFORMATION OWNER iNFORMATtON
Name: FIRST CLASS ELECTRIC INC Name: MCRAE T D LAND TRUST
Addr: 7141 BERRY RD. Address: MCRAE T D TRUSTEE
ZEPHYRHILLS, FL 33540 4608 E COLUMBUS DR
Phone: {813}782-7$61 Lic: Phane: 813-624-4141
Work Desc: REPLACE METER BOX & RISER AS EMBLY
APPLtCA 4N EEES
ELECTRICAL FEE 40.00
INSPECTIUN REQUIREQ
ROUGH EI.ECTRIC
GONSTRUCTION POLE
PRE-METER t
FINAL t��v��
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,�/ � �i�l�
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REINSPEC7'ION FEES: Reinspection fees will comply �th Florida Statute 553.80 (2)(c) when extra inspeckian
trips are necessary due to any ane of the foltowing 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 pasted on jo site f) ptans nat at jab site g�wark nat accessible.
NOTICE: In additian ta the requirements of this permit, ther may be additional restrictions applicable to this praperty that
may be found in the public records of this county, and ther may be additiona( permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner; Your failure ta record a natice f commencement may result in yaur paying twice far
impravements ta your property. If you intend to ob ain financing,consult with your lender or an attorney
befare recording yaur otice of cammencement,"
Complefie Plans, Specifications and Fee Must Accompany A plication. All work shall be performed in accordance with City
Codes an Ordinances.
,
CONTRA T PER OFFI
PERMI E P RES IN fi M4NTHS ITHOUT APPRQVEQ INSPECTIO
CALL FQR INSPECTION - 8 NOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
�, Buildin Department
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Date Receivec9 Phone Contact fo Permittin --
O�nrner's Wame � Owner P'hone Mumber �Q
Owner's 9►ddress ('� � � C_ � � Ovuner 6'hone Number
Eee Simple Titleholder Mame Ouener Phone Fdumber
Fee Simpie Titieholder Address
JOB�►D�RIESS � � � �� LOT# ��
SUBDINISIOM PARCE ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORFf PROPOSED NEW CONSTR ADD/AL �� SIGN [� Q DEMOLISH
INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
7VPE OF CONSTRUCTIOId Q BLOCK Q FRAME � STEEL �
DESCRIPTIOfdOF1MORaC �C°�(�GN �� G _ yl (j(jl �J�C'—z�„ C�j �
BUILDIt�G 51ZE 5('a FOOTi4GE HEIGHT
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
ECTRICAL $ ��f AMP SERVI E / �� PROGRESS ENERGY Q W.R.E.C.
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OPLUMBING $ `r �`
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION
� ��`� \
QGAS Q ROOFING Q SPECIA TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA �YES NO
BUILDfEFZ CO PAMY
SIGfd�►TURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
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ELECTRICIAM CO PAfdY ��✓� S �°C�'�C^G
SIGRIATURE RE ISTERED Y/ N FEE CURRE� Y/N
e4ddress ( �J License# '—C� ��� �
PLUMIBER CO PAMX
SIGtd�►TURE RE ISTERED Y/ IV FEE CURRE� Y/N
e4ddr�ss License#
MECHAIdICAL C AAP.46dY
SIGldATIDRE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER C i1flPAbv
SIGfdATURE RE ISTERED Y I N FEE CURRE� Y/N
Address License# �
RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wor{cing days after submittal date. R quired onsite, Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanftary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects
COilAMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilfties&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance
SIGfd PERI�'l1T Attach(2)sets of Engineered Pians.
"'"PROPERTY SURVEY requ(red for all MEW cons ction.
Directtons:
Fiil out applicat(on completely.
Owner&Contractor sign back of application,notarized
If oder 52500,a Idotice of Commence�ent is required. (AIC upg ades over$7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same
OdEat THE COUNTER PERMITTIIdG (Front of Appflcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fence (PIot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOI�ICE OF D�E� RE�'T�31C7'10�1�: The undersigned understands that this permit may be subject to "deed" restric#ions"
�n+hich may be mare restrictive than Caunty regulations. TEte undersigned assumes respansibility for comgERance wifh any
applicable deed restrictions.
tlNL.10E�YS�� �C}Fd7'�f�C7'OR� ��� ��ltV7��`�'��2 ����ON�l�YL.VI�IE�: !f the owner has hired a contractor or
contractors to undertake work, #hey may be required ta be licensed in accordance with state and tocai regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under stafe law. 1f the avuner or intended contractor are uncer#ain as fa vvhat licensing requirements rmay apply for the
intended wark, they are advised to confack the Pasco County �uilding Inspectian Division—Licensing Section at 727-847-
8Q09. Furthermore, if the awner has hired a contcactor ar contractors, he is advised to have the contractor{s) sign
portions of the "cantrac#or Block" of this application far which they will be responsible. tf you, as the ovvner sign as the
contractor, that may be an indication that he is not praperly licensed and is nat enti#led to permitting privileges in Pasco
County.
7i�IdSPORY��'IOPI I�i��4C�'IUTILI7'I�� IMPA�7�Pl� ���O19��� R��OV�RY fF�ES: The undersigned unders#ands
that Transpartation Impact Fees ar�d Ftecourse Recavery Fees may apply to the construc#ion af neuv buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-07, as amended. The undersigned also understands, that such fees, as rnay be due, wrill be identified a# the time of
permit#ing. It is further understood that Transportation Impac# Fees and Resource Recovery Fees must be paid priot to
receiving a ""certificate of occupancy" or final power release. If the project does not involve a certifica#e of occupancy or
fina3 power reiease, the fees rnus# be paid priar to permEt issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due, they must be paid priar fo permif issuance in accordance with applicable Pasco County ordinances.
COPI�YRtJCT��N C.IIEPd L�►�i9i tGh�pt�P 7'93, �Oe�e�9e9�����u��e�, �s ar��nd�e9�: If valuation of wark is$2,540.00 or more, 4
certify that I, the applicant, have been provided wi#h a copy of the "Florida Consfruction Lien Law—Homeowner's
Proteckion Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than the "ovvner", 1 certify that i have obtained a copy of the above describeci document and promise in good faith to
deliver it to the"owner"prior#o commencement.
�O�iTR�GT��'S/O�fii�llER'a ���i�3�VIT: t certify that all the infortnation in this applicatian is accurate ancf that all wark
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to abtain a permit ta do uvork and instal(ation as i�dicated. 1 certify that no work or installatian has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand fhaf the regulations af a#her gavernment agencies may apply to the intended v+�orEc, and that if is
my responsibility to idenkify what actions I must take to be in compliance. Such agencies include but are not limited ta:
- Depa�tment af �nvironmental Prot�ction-Cypress Bayheads, Wetfand Areas and �nvironmentally Sensitive
Lands, WaterNVastewater Treatment.
- 5authwest Florida Water �1lanagement District-Wells, Cypr�ss Bayheads, Wetland Areas, pltering
Watercourses.
- Army Corps of Enginee�s-Seauvalls, C7ocks, Navigable Waterways.
- Department of Nealth � Rehabi[itative ServiceslEnvironmenfal Nealth Unit-Vye1Es, Wastewrater Treatment,
Septic Tanks.
- US Environmental Protectior�Agency-Asbestos abatemen#,
- Federal Aviation A,uthority-Runways.
! understand that the fo!lawing cestrictions apply to the use of fill;�
- Use of fill is nat aliowed in Fioad Zone"V"unless expressly permifted.
- If the fill material is to be used in Flood Zone "A", if is understood that a drainage plan addressing a
°campensating vaiume" vui11 be submitted at fime of perm9ffing v�rhich is prepared by a prafessianal engineer
licensed by the State of Florida.
- Ef the fill materia! is to be used in Flaod Zone "A" in connec4ion vuith a permi#ted building usittg sterr� waf!
construction, I certify tha#fill will be used only to�II the area within the stem wall.
- If fill maferia! is to be used in any area, ! cer�ify that use of such fill u�rill not adversely affect adjacent
- properties. If use of�li is found to adversely affect adjacenf propesties, the owner may be cited €or violafing
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevateci by fi1l, an engirteered drainage plan is required.
If I am the A.G�tdT FO�t YH� 01it111VfEIR, I promise in gaod faith to inform the owneP of#he permitting conditions set forth in
this affidavit prior ta cammencing constructian. I understand that a separate permit may be required for electrical vuork,
plumbing, signs, wells, pools, air canditianing, gas, or other insfallafions nof specifically incluefed in fhe application. A
permit issued shall be construed to be a license to proceed writh 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 fhe Building Officia!from thereaffer
requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
unfess the work authorized by such permit is cor�menced writhir� six months af permit issuanc�, or if work aufhorized 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 v+rriting, from �he Bui{ding ��cia! for a period not to exceed nlnety (90) days and will demonstrate
justifiable cause far the extension. (f work ceases for ninety{90)conseeufive days, fhe job is considered abandoned.
1AlARN#�0� 'TC} C'1WIN�Ft: Yf)t1� ��►1LllR� �C9 ��C�'J�� �, �10'Y"E�� �� ��`1��EP�G��l�i�T M�Y R��UE.7' 1�1 '�f�11�2
F'l�YIRIG TVUICE FOR I�fIPR�li/EfiiA�kVT� 7'(3 l�C)LD�Z��01���2'ii�f. YfF 1(OlJ 9N1"�W�1'9� 0�7�►I FIN��VC9NC, CON�l1�.Y
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FLORIDA JURAT( .S 11ti. ) � \ �
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C}V�tt�ER{}Ft IiGEP+IT ;" r Gt}PDT�iACTC!!t (�}-�t,
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Subscribed and swor o(or affirmed}ti e r his Subscribed and sw m to(or affirmed}befo �
by by
Who islare personally known to me or hasl ve o uced Who fslare personally knawtn to me or has/ av duced
as IdenUfication. fas identification.
T
Nokary Public Notary Public
Commission No. Commission No.
Name af PJotary typed,printed or stamped Name of Notary typed,prinfed or stamped