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Home My WebLink About14-15637 C1TY OF ZEPHYRHILLS s 5335-8th Street � � (813)78 -0020 156 ' ELECTRICA PERMIT ': �� -.:"��° ._°'�pERMIT lNF4RMATIQN �� LOCAT'fON lNFflRMATlQN � Permit#:15637 Issued: 9/10/2014 Address: 5220 10TH ST Permit Type: ELECTRICAL. MISC ZEPHYRHILL.S, FL.. Glass of Work: E�ECTRICA� MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est.Value. Book: Page. Cost: 1,5Q0.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amaunt Paid: 45.00 Date Paid: 9/10l2014 Parcei Number: 19-26-21-0010-18140-0110 ,.CONTRACTOR INFORMATION OWNER INFORMATtON ' Name: TRI-CITY ELECTRlCAL CONTRACTORS IP Name: CHURCH OF THE LIVING WORD Addr: 430 WEST DRiVE Address: 5220 10TN ST ALTAMONTE SPRINGS, FL 32714 ZEPHYRHILLS, FL. 33542 Phone: {407}788-3500 Lic: Phone: Work Desc: CHANGE OUT ELECTRICAL SERVICE APPLIGAT C}N F'EES ELECTRICAL FEE 45.00 INSPECTIt�N REQUIRED ROUGH ELECTRIG �, CONSTRUCTION P{}LE � PRE-METER �� ,l.{ FINAL q�`` ` �I �� /!� `�/V!� REINSPECTION PEES: Reinspection fees will camply ith Florida Statute 553.80 (2)(c) when e�ctra inspectian trips are necessary due#o any one of the follawing re sansc a}wrang address b}condemned work resulting from faulty cons#ruction c) repairs or corrections n t made when inspection called d)work not ready for inspectian when called e) perrnit na�posted an j b site f� plans not at jab site g}work nat accessi6le. NOTICE: In addition ta the requirements af this permitj the may be additianai restrictions appiicable 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. "1Narning ta awner: Yaur faiture to record a notice f commencement may result in yaur paying twice for impravements to your property. If you intend to ob ain financing,consult with your lender or an a#torney befare recording your otice of commencement.`" Camplete Plans, Specifications and Fee Must Accompany A plication. All work shall be performed in accordance with City Codes an Ordinances. , CflNTRACTOR PER OFFI PERMIT EXRIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO i CALL FOR INSPECTION - 8 HOUR NQTICE REQUIRED PROTECT CAR FROM WEATHER � s�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 Building epartment i - Date Received Phone Contact for P rtnitting `� �� - � �°� /T,, ` p r r� ^/ Owners Name �1L� 5 /4('� �!V CO sj L l,� E��6Fya r P or��N ber O I�'/� �� N�j • Owners Address �2!� �� Z �' /' ��Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS �Z�� S� Z' �L � 1 �IS —/• J S7 LOT# � SUBDIVISION PARCEL ID (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 Q OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �-'� `A-� � ('�'.I� \ �i I T21 lT,d-C� ��/�.yJ(� BUILDING SI2E SQ FOOTAGE HEIGHT � �ING $ VALUATION OF OTAL CONSTRUCTION ELECTRICAL $ 1�,�^D p� AMP SERVICE 4`�ES � PROGRESS ENERGY Q W.R.E.C. �J QPLUMBING $ �l�� QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION .�`� `! �GAS Q ROOFING Q SPECIAL � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO BUILDER •COMP NY • • • • • • • SIGNATURE REGIST RED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMP NY �2/ C/ C��TJZ�C ;�J�.' �2`��'�� SIGNATURE REGIST RED Y/ N EE CURREN Y/N Address I� �' 2�- S' � ��(7f�7 License# C..—JD Q PLUMBER COMP NY SIGNATURE REGIST RED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMP NY SIGNATURE REGIST RED Y/ N FEE CURREN Y/N Address License# OTHER COMP NY SIGNATURE REGIST RED Y/ N FEE CURREN Y/N Address License# � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of ergy Fortns;R-O-W Permit for new consWction, Minimum ten(10)working days after submiltal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subd visionsliarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Fortns.R-0.W Permit for new consWCtion. Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&7 dumpster,Site Work Permit for all n w projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWcUo . i Directions: Fill out applicaGon completely. Owner&Contractor sign back of application,notarized • If over$2500,a Notice of Commencement Is required. (A/C upgrade over 37500) " Agent(for lhe conlractor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner aulhorizing same OVER THE COUNTER PERMIT'fING (Front of ApplicaUon Only) Reroofs if shingtes Sewers Senrice Upgrades A/C Fences(PI USurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned und rstands that this permit may be subject to"deed"restrictions"-, which may be more restrictive than County regulations. Th undersigned assumes responsibility for compliance with any • applicable deed restrictions. ' UNLICENSED CONTRACTORS AND CONTRACTOR R SPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be I censed in accordance with state and local regulations. If the • contractor is not licensed as required by law, both the ow er and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are u certain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco Coun Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor r contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for whi h they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properl licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND R OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery F es 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,t at such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Imp ct 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 i suance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in a cordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a opy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the appiicant is someone other than the"owner",I certify that I have obtained a copy f the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all he information in this application is accurate and that all work will be done in compliance with all applicable laws regulati g construction,zoning and land deveiopment. Application is hereby made to obtain a permit to do work and installa on as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also certify that I understand that the regulations of other gover ment 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-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management Dis rict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Nav gable Waterways. - Department of Health & Rehabilitative Servic s/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos batement. • Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use o fill: - Use of fill is not allowed in Flood Zone"V"unles expressly permitted. - If the fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at ti e 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 c rtify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating the conditions of the building permit issued un er the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered d ainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good f ith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or oth r installations not specifically included in the appiication. A permit issued shall be construed to be a license to procee with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall is uance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced ithin 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 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117:03 OWNER OR AGENT��- 1%� lLC-� C NTRACTOR Sub and swom to,(er�a�rme )befor i Su scribed and swom to(or affirmed)before me this by G � • by Who' p rsonally k e r has/have pr Wh is/are personally known to me or has/have produced as identifica6oa as identification. Notary Public Notary Public • Com Co mission No. "'; JOYCE HU6HES Nam � t " a Na e of Notary typed,printed or stamped s• y Comm.Expires Oct 16,2017 ��, _�:� Cammission#FF 031150 '��°un R'° Bonded Through National Notary Assn.