HomeMy WebLinkAbout14-15614 '� `"''� CITY OF ZEPHYRHILLS
w
5335-8th Street 14
, (813)78 -0020
ELECTRICA PERMIT ���
�:��';�:�:.�����r.��'.�;:'LL ":PERMIT INFORMATION LOCATION INFORMATION
Permit#:15614 Issued: 8/28/2014 Address: 38070 DAUGHTERY RD
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: 300.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/28/2014 Parcel Number: 02-26-21-0010-00800-0051
�` � CONTRACTOR INFORMATION OWNER 1NFORMATION . � �
Name: MARTIN ELECTRIC Name: BINGHAM REALTY IN & HERSCH L
Addr: P.O. BOX 437 Address: 38070 DAUGHTERY RD
II DADE CITY, FL 33525 ZEPHYRHILLS FL 33540-1375
Phone: (352)521-3319 Lic: Phone:
Work Desc: REPLACE PANEL ON PYLON SIGN
APPLICAT ON FEES
ELECTRICAL FEE 40.00
INSPECTION REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-MET�
F��` • �
1i '
r
REINSPECTION FEES: Reinspection fees will comply 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 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 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.
CONT TOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021
Buildmg Department
� *
Date Received Phone Contact or Permittin __
Ornrner's Mame ,^ e,w— Owrner Phone Mumber
Owner's Address Owner Phone Number
Fee Simple Titleholder Plame Ovdner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS U LOT# �
SUBDIVISIOM PARC L ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/A T � SIGN Q Q DEMOLISH
INSTALL B REPAI
PROPOSED USE Q SFR Q COMM � OTHER
7YPE OF CONSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q
DESCRIPTIOfV OF MIORK � c� /l ` ��
BUILDIRIG SIZE SQ FOOTd►GE HEIGHT
QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
QELECTRICAL $ �� AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C.
3oD ,
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECI TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER C MPANY
SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN C MPANY 9 i ��/�
SIGfdATURE RE �STERED Y/ N FEE CURRE� Y/N
Address � 7 � � � License# G �v �.3 d
PLUNIBER G AAPAIdV
SIGNATURE �Re ISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL C INIPANX �
SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License# �—
OTHER C MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
e4ddress 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 8 1 dumpster;Site Work Permit for s bdiv(sions/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 onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties-&-1-dumpster.Site Work Permft for II new projects.AII commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of Engineered Plans:__
""PROPERTY SURVEY required for all'NEW constru tion.
Directlons:
Fill out applicatlon completely. _
Oumer&Contractor sign back of application,notarized
If over t2500,a Notice of Commencement is required. (A/C upg ades over 57500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same
OdER THE COUNTER PERMITTING � (Front of AppUcatiori Oniy)
Reroofs if shingles Sewers "Service'Upgrades /VC Fences(Plot/Survey/Footage)
� - . . -_ . .
Driveways-Not over Counter.if.on public roadways..needs ROW
( ,
I
( � �
� µ
� NOTICE O� DE�CD RE�Tf31G'TIORIS: The undersigned understands that this permit rnay be subject to"deed" restrictions"
which may be more resEricfive than Caunty regulations. The undersigned assumes respor�sihility for complEance with any
applicable deed restric#ions.
UNLlGE�SE� CUNTR�A�YC?R� AAI� �C1�9�'��'���t f��S�ON�I�!!.!Tl��: !f the owner`has hfred a contractor or
contractors to undertake work, #hey may be required fo be licensect in accordance with state and Iocal regulations. If fhe
contrackor is not licensed as required by law, bath the o+n�ner and contractor may be cited for a misdemeanor violation
under state law. If fhe owner ar intended confractor ar� uncertain as to what iicensing requirements r�ay apply far #he
intended wark, 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 fo have the can#ractor{s) sign
portions of the "contractor Block" of this application for vuhich they wili be responsible. tf you, as the owner sign as the
contraetor, thak rnay be an indication that he is not praperly licensed and is not entitled to permit#ing privileges in Pasco
County. . _ .
1"�ANSPOf�T'ATIOPI Ifl�i��C'Tll1T'IL.VTIES 9i1���►�1��►1��5 ���O�J6�C� RI�COi/�RY���5: The undersigned underskands
fhat TransportatRon Impact Fees and Recourse Ftecovery Fees may apply to the construction of neuv buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wtil! be identifisd at the time of
permitting. It is further uncierstood fhat Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final povver release. If the project does not involve a certificate of occupancy or
final pawer release, the fees must be paici priar ta permit issuance. Furthermore, if Pasco Caunty VtlaterlSewrer (mpacf
fees are due, they must be paid prior to permit issuance in accordance with applicabl� Pasco County ordinances.
CONSTFtUCT10�1 �.IEN L.�►1�P(�hap4�r Y93, �I�eid��t�t�4��, �� �mer�cf�e�): Ef valua#ion of wrork is $2,500.00 or more, !
certify that I, the applicant, have been provided wikh a copy of the "Florida Construction Lien Law—Hameowrner's
Pratection Guide" prepared by the Ftorida Departm��t of�griculture and Consumer Affairs. !f the applicant is someone
ofher than #he "owner", i certify that I have obtained a copy of the above described documenf and promise in good faith to
deliver it to the"orrvner"prior to commencement.
GON'TRI��'COFt'�10UV�1�R'S AF�Ii�A1tIT: 1 certify that ai1 the information in thEs appiication is accurate and that all uvork
will be done in compliance v�ri#h all applicabte laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do vuork and installation as indicated. t_certify that no work or installatian has
commenced prior to issuance of a permit and that afl work vvill be performed to meet standards of alI laws regu(ating
construction, Caunty and City codes, zoning regulations, and land development regulatians in the jurisdiction. I also
certify that I undersfand that fhe regulafions of ather govern►nent agencies may apply to the intended work, and fhat it is
my responsibility ta idenkify what actians I must take to be in compliance. Such agencies include but are not limited ta:
- Department of Environmental Protection-Cypress Bayheads, W�tfand Areas and �nvironmentally Sensitive
Lands, VUat�erNVastewater Treatmen#.
- Souihwest F4orida Vltater l�lanagerr�ent Qistrict-WeEls, Cypress Bayheads, Wetland Areas, Altering
Watercoueses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
- Depar#men# of Health & Rehabilitative ServEceslEnvironmental Flealth Unit-Wells, Was�ev�rater Treatrr►ent,
Septic Tanks.
- US Environmentai Protection Agency-AsbesEos abatement.
- Federal Aviation�4.uthority-Runways.
1 understand that the follo�ring res#rictions apply to the use of fill:�
- Use of fil( is not allowed in �Ioad Zane"V"unless express4y permitted.
- If the fill material is to,be used in Fload Zone "A", it is understood that a drainage plan addressing a
"compensating voiume" will be submitted at fime of permiffing rnrhieh is prepared.by a professianal engineer
licensed by the Skate of Florida. �
- � !f fhe fill material is ta be used in Flood Zane ",4" in connection vtirith a permit#ed building using stem wraff
� construction, I cerfify that fill will be used only to�It the area tirithin the sfem wall.
- If fil! material is to be used in any area, ! csrtify that use of such fil) vuill not adversely affect adjacent
properties. If use of fili is found to adverse�y affect adjacent properties, the ovwner may be cifed fior vialating
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 enginee�ed drainage plan is r�quEred.
If I am the AG�IV7 F06� 7H� 01iV�d�i�, I promise in good faith to inform the owner of the permitting canditions set forth in
this a#fidavit prior to commencing construction. 1 unders4and that a separate permi# may be required for electrica! wrork,
plumbing, signs, wells, poois, air conditianing, gas, ar other installations not specificaily inciuded in the application. A
permil issued shall be construed to be a license to proceed with the vvork and not as authority #o.violate, cancel, al#er, or
set aside any provisions of the technica# codes, nor shall issuance of a perrr3it prevent fhe Building Official from thereaffer
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the wark authorized by such permit is corrtmenced tnrithin six manths of perm3t issuance, or if work authorized by
the permit is suspended or abandoned for a periad of six(6) months after the time the vvork is commenced. An extension
may be requssted, in vuriting, from 4he Building Officia! for a period not to �xceed nineky (9Q) days and v+rill demonstrate
justifiable cause for the extension. (f work ceases for ninety(90)consecufive days, the job is considered abandoned.
�/AR�l6Nf3 'TO C?{�INEFt: YOUi� �AILi1R� TC� �tEC��D �, �Cl'T1C� C�� �G���flEN�E�f��IT MAY �.�SULT 1�1 YQt3F�
PAYIfVG TUVICE �OR II"��F3CDVEIlNIENTS 7"O YC11762�'I�O�'ERYY. I(�YC')U �Pll`�WD 1'O OF37�►IN FINAWCIPIC, CON�ULY
!f1ld��d �lQE!�t��d`���l�i�#��C��-�'�►���Y��t���� �������&��`�C�U��E9'�'!�����CD����N��H�€�!T'. -
FLORIDA JURAT(F.S. 117.Q3)
_�-..
OYYtdEi2 O�t AGE[dT �Q�}T@3RGT0� �.�"
Subscrfbed and swom to(or affirmed)before me this Subscribed and swo {or affirmed)before me this
by
Who aslare persanalEy k�own to me or t�aslhave produced ho Islare p r onally kn �.to me ar haslhave produced
as IdentlficaGon. as identification.
Nokary Public ��.- Notary Public
'j a'y'�Y„U�•
� Commission No. Commis N ��`: �AC�U�L
--:x•"`'�^�;� �prr�p°n#EE 04Q52�
Name of Notary typed,printed or stamped Name of Nota �
�«ance soa�.�ois