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Home My WebLink About14-15656 CITY OF ZEP YRHILLS � � 5335-8th Street � �6 (813)78 -0020 ELECTRICA PERMIT - �.--�_' .—d:.____ _.+�__ -__ ..� = � -�-k":. .,vr., _ _ '� r:�' T�r �.s,.-�r_'_.�-�r--��r-•--,�--t ;.{�:' � PERIIIIIT�INF�ORMATION•:�:'. _ ;��,��a�`� :5?'��;;�_ =�;�LOsCATIONz;INFORMA�TION.�:�=; �:�:�Y��.� Permit#:15656 Issued�:� 9/15/2014 Address: 7350 DAIRY RD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 400.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/15/2014 Parcel Number: 35-25-21-0010-06900-0020 CONT;RAC�TiOR�N�F�ORM�A�TION:��.:3��`°��"�`�'��;�""�._� .- - ` R� � # � �� O;WNER�INF�O, MA�TI:O:N� Name: EAST PASCO ELECTRIC, INC Name: ADVENTIST HEALTH SYSTEM Addr: 10411 CONNERLY RD Address: 7050 GALL BLVD DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542 Phone: (813)782-8622 Lic: Phone: (407)975-3000 Work Desc: REPLACE SERVICE POLE- WILL NE D TO RELEASE POWER �: n `ain''�:+.i:�:= ' - ."� 'r �t�-�s� :t--g� ��'.�`rs �- �a- -,m. m��, �. ,_ �� `��ri f,:. :�-�.: s°�' APPLICA�T OIV�FEES�.�. � �.t b � n-�- �;��:��.�,. ELECTRICAL FEE 40.00 . �'��,��.a-��..� - '_ ' . > - _ ��. - .. . _ :�,ti';�'`�,f. ' %S,y*�_': i".:":,;-'�r.;�� £�� F € � `,"� `; . �INSPECTION UIRED, �� '' ��' � ��-... _..�.. 5.. ROUGH ELECTRIC CONSTRUCTION POL 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 no made when inspection called d) work not ready for inspection when called e) permit not posted on jo site fl 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 properly 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 n tice of commencement." Complete Plans, Specifications and Fee Must Accompany Ap lication. All work shall be performed in accordance with City Codes and Ordinances. C TRAC R PER OFFI P RMI EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER i s�saeo-oozo City of Zephyrhi Is Permit Application Fax-813-7B0-0021 Buildfn Department �ate R�ceived Phone Contact f r Permittin -- Ouvner's fVame Owner Phone fVumber Oxvner's Address O�n►ner Phone Number Fee Simple Titleholder Plame Owner Phone Number Fee Simple Titleholder Address JO�ADDRESS %�� LOT# � SUBDINISION PARCE ID# - (OBTAINED FROM PROPERTY TAX NOTICE) 1flloRK PROPOSED NEW CONSTR ADD/AL �] SIGN � 0 DEMOLISH B INSTALL REPAIR PROPOSED USE Q SFR �COMM � OTHER IYPE OF COMSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q DESCRIPTIOM OF WORK BUILDIMG 51ZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATION F TOTAL CONSTRUCTION LECTRICAL $ � �� AMP SERVI E`Ua PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECI TY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO BUILDER CO PANY SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIA - CO PANY � ~ SIGMA'LURE � RE IST RED Y/ N FEE CURRE� Y/IV Address d � License# ��Q l� PLUMBER CO PANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y I N Address License# � MIECHANICAL C MPAMY SIGNATURE ' tte ISTERED Y/ N FEE CURRE� Y/N Address License# OTHER C MPANY SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Fenoe installed, Sanitary FaGlities�1 dumpster;Site Work Permit for ubdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. Minimum ten(10)working days after submittal date. qufred onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, - Sanitary Facilitfes&1 dumpster.Site Work Perm(t for II new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW cons ction. Directlons: Fili out application completely. Owner 8 Contractor sign back of application,nota�fzed If over 5�500,a Notice of Commencement is required. (A/C 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 ONER THE COUNTER PERMITTING (Front of Application Only). ,. � _ Reroofs if shingles Sewers Service_Upgrades A/C ; Fence (PIot/Survey/Footage) ,. ,. , . , „ Driveways-Not over Counter if on public'r'oadways.:needs ROW , I NOTICE OF' DEED RE�TRICYIONS: The undersigned understands that this permit may be subject to"deed" restric#i�s': , ry which may be more restrictive than Gounty regulations, The undersigned asstames responsibltity foc compliance writh any applicable deed restrictions. iJt�LiCENSED CGIIVT�IC'fORS AND Cl�NT�ACTOR F�f�SPONSI�ILI'TIE�: !f�4he owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accorciance with state and loca! regulations. tf the contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation under state law. if tfie ovuner or intended contractar are uncertain as to what licensing requicements may appty far the intended work, they-are advised to contact#he Pasco County Building Inspection Division—ticensing Section at 727-847- � 8409. Furtl�ermore, if the owner has hired a cantractor ar contractors, he is advised to have the contractor(s) sign portians of the "contractar Slock° of#his application far which they wiit be responsible. if you, as the aw�er sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco Counfy. TR�INSPOF�'fATIC1N INIPAC'TIl1TILl'�'IE� INiPAGY�NC1 RE�OURCE R�COV�RY F��S: The undersigned unders#ands that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction vf new buildings, change of use in existing buiidings, 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 fess, as may be due, wi!! be identified a# the time of permitting. It is fu�ther unciersfood that Transpottafion tmpact Fees and Resource Recovery�Fees mUSt be paid prior ta receiving a "certiflicate of occupancy" or final power release. If the project does not involve a certificate of occupancy.or , final power release, the fees rnust be paid prior ta permit issuance. Furthermore, if Pasco County WaterlSewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicabie Pasco County ordinances. CONSTRUCTION LIEN ��►VY(Gha#�ter�13, floPida�itatut�s, as atnended}: if valuation of wark is$2,500.00 or more, ! certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien L�wr—Hameowner's Prokectian Guide" prepared by the Flo�ida Department of Agriculture and Consumer Affairs. !f the applicant is someone other then the°awner", 1 certify that # have abtained a cQpy of the above described document and pramise in good faith to deliver it to khe"owner"prior ta commencement. ' CQN'TRACTQR'SlOVIth1EF�'S AF�IDAVIT: 1 certify that all the informatian in this applicatiort is accurate and that all wark will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obta9n a perm'st to do worlc and installation as indicated. t certify that no wark or instatlation has commenced prio� to issuance of a permit and that ai( work uvill be performed to meet standards of a(t (aws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that 1 understand thaf the reguEafions of other government agencies may apply to the intended work, and fhat it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are.not limited ta: - Depa�finent of �nviranmentat Protection-Cypress Bayheads, V1(et4and Areas and Environrnentally Sensitive Lands, VVateNWastewater Treatment. - Southv�rest F}arida Water i�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Depar#ment of Health 8 Rehabilitative ServicsslEnvironmenta! Nealth Unit-Wefls, Wastewater Treatment, Septic Tanks. _ - US Envi�onmentai Protection Agency-Asbestos abatement. - Federal Aviation Authori#y-Runuvays. ! underskand that the following restrictions apply to the use of fill:� - Use of fiil is not allowed i�t Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood #hat a drainage plan addressing a "compensating voiume" vvill be submifted at fime of permitfing which is prepared by a prc�fessianat engineer licensed by#he State of Florida. - !f the fill material is to be used in FEood Zane "A" in connection.with a permitted buiiding using stem vtiraf! construction, I certify that fill wilf be used only to fill the area within the stem wafl. - !f fill material is to be used in any area, 1 certify that use of such fiA will not adversely affect adjacent prope�ties. If use of fill is faund to adversely affect adjacent properties, the owner may be oited for vialating the canditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fi8, an engineered drainage plan is required. If I am the�►CENT FOR THE 011VNE�t, I promise in gaod fai#h to inform the owner of#he permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permi# may be required far electrica! work, plumbing, signs, welis, pools, air condifianing, gas, ar other instaliafions not specifically inciuded in the applicafion. 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#he technical codes, nor shall issuance af a permit preven#the Building Official from fhereafter requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid unless the wock autharized by such permit is commenced within six months af perm�t 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, #rom the Building O�cia! for a period not to exceed ninety (90) days and wil! demonstrate jusfifiable cause for the extension. If rn�ork ceases for ninefy(90}eansecu#ive days, the jab is considered abandoned. V4iAR�dING--"�'t}-d?N�IN�Ft:-Y�tUR-��DL-t�R�-TC?-RECf3�E� �(��TiCE-�E� �C1M�diEN�EM��1�t�lA�(-RESULT lN YQUR-- - P'AYING NVICE IFOR I�IiPROVENI�NY�YO Y011lt PF�OPER'Tl(. If�YOU �NTEND TO O�TAIN FINA�VCING, CONSUL�" VYITH YC�IJR��ND t'�F�1�N ATTO�N�1(�E�+DR��2E�OI��1NG YOt1 OT'IC C!�CQ�NlENCE�tlENT. FLORIDA JURAT(F: . 1 :Q3)—- - --- - - - - _ _ _ __ _ �-- _._ __ - - - - _.__ - -- QtfitNER O�t AGEN'T CONTR�CTOR � Subscribed and swom fo(or a med)b ore me this Subscrfbed and sw to(or �rme efare me fhis by Who islare personally known o me or asltrave produced Wha Islare e�sanally kno ta me r haslhave produced as Identlfication. � as idenGfica6on. , . �. Nota Public e��r� Nota Public ry ry ;,.u�n, Commisslon No. Com ' s�l •, =*: ' - Commission#EE 04p32Q :;�' :� Name af Notary typed,printed or stamped Nam 'f ° fy�a ' �, ro�s