HomeMy WebLinkAbout14-15658 r�
CITY OF ZE HYRHILLS
. 5335-8t Street
� (813)7 0-0020 � 8
ELECTRIC L PERMIT
��`.:��;�::,.�f�:<��:�;PERMIT.INFORMATION ' '� LOCATION INFORMATION ,
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� Permit#:15658 Issued: 9/15/2014 Address: 5114 16TH ST
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: 600.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS .
Amount Paid: ` 40.00 Date Paid: 9/15/2014 Parcel Number: 11-26-21-0010-20300-0150
'� ,;w:`-l:n:��C.ONTRACTOR INFORMATION ` OWNER�INFORMATION' . �`�`'�`"`�`��:��.�:': ����'~
Name: REESE ELECTRICAL INC Name: MOREL JAMES I & JOYCE E TRUST
Addr: P.O. BOX 862 Address: 5914 WILSON DR
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone:
Work Desc: REPLACE 100 AMP PANEL EXIST
APPLICA ION FEES
ELECTRICAL FEE 40.00
� INSPECTI S RE U RED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL �
�
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following r 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 j b site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, the 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 t, 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 ain 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.
�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhil s Permit Application Fax-813-760-0021
Buildin Departmenx
Date Fteceived � Phone Contact fo PePmitting --
�ner's R�ame ore.� ��r�as � �O ca Qwrraer Phone�umber
Ovuner's Address Owrsier Phone Idurte�er
IFee Simple Titleholder ldame Owne�Phone Idumber �
Fec Simple Titieholder�►ddress
�o��,���ess S I l�l 1 �" S�. �.or# �
�u��idisio� PARCEL ID# � � ' %Z� ' ��•��O •2030 0 •O I S O
(OBTAINED FROM PROPERTY TAX NOTICE)
FfNOPt&t�ROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
e IiVSTALL e REPAIR
�ROPOSED USE Q SFR Q COMM Q OTHER
�VPE O�COMSTRUCTIO� Q BLOCK Q FRAME 0 STEEL Q �
DESCRI�TIOR1 OF lMORE� ,`� `6+�C., �~ S� tU C� A �.1� ��•���.
�UALDIWG SIZE �Q FOOTAGE B�EIGHT
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ 6�v .v J AMP SERVIC 0 PROGRESS EMERGY Q W.R.E.C.
OPLUMBIfVG $
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION �C�I��
� �
QGAS Q ROOFING Q SPECIA 0 OTHER
FIfVISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
- � �IDILD�R - - - - - - -- CO ��,�1V - - - - -- — - - ---- - - - - - __ _
SIGM.��URE REGI TERED Y/ N FEE CURRE� Y/N -
Address License#
�LECTRIC1�11d � (� _ - CO PAfdY �Q, S�2 ��C�G���tr....� �, C
SBGfdE1TURE 9 -`� REGI TERED Y I N FEE CURRE� Y/N
Address `� �o� �b�- Z- L �53 License# C<<3�t353
PL.UARBER co ���v
SIGIdATUFtE REGI TERED Y/ I�I FEE CURRE� Y/N
Address License#
MECHARIIC�►L CO PAR1Y �
SIGR164�U6ZE REGI TERED Y/ I�I FEE CURRE� Y/N
Address License#
OTHE�t CO PAMY
SIGR9e43l�RE REGI TERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDEfdT1�1L Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 8�1 dumpster;Site Work Permit for su divisions/large projects �
COMiUEldCIAL Attach(3)complete sets of Buildfng Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days,after su6mittal date. Re uired-onsite,Construction Plans,Stormwater-Plans w/Silt Fence installed, _ .
Sanitary Facilities&1 dumpster.,Site Work Permit for all ew projects.Ail commercial requirements must meet compliance
SIGM PERIIflIT Attach(2)-sets of Enginee�ed•Plans:�-<�.,�' _.___._.•�- ��.i�. _.--,�, ` - � �
'•""PROPERTY SURVEY required for all NEW constructi n. � � .
Directfons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Idotice og Commencement is requirec9. (AIC upgra es over 57500)
'• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same _
ONER THE COUIdTER PERMITTIMG : .{Front of Application Only) _ : _ _
Reroofs if shingles Sewers �:_Service`Upgrades A%C :' ;�,,Fences( IoUSurvey/Footage) , � ,
, _ . , ` _ ,
,. _ .,:� , . . _ . ,+s. •
Drivewrays-Not over Counter if on putilic,roadways:.needs.ROVV. , �- . , -
,,•
.- . , _ .. .,_.. , , . � _ _ . , - .
6YOTIGE OF DE�D FtE�T�LC1'IOP➢�: The undersigned understands that this permit may be subject to"deed"r,estrictions"
rrvhich may be more restrictive fhan Counfy regulatians. The undersigned assumes �esponsibility for campliance with any
applicable deed restrictions. - , , . ,
, Q1�Ll�E�1SED Gt�N�Rt��T{�R� �i1�Q CC5�1'����'O@� �����W�#�I�.IYIi��:` tf the otnrner has hired a contracfor or
contractors ko undertak� work, #hey may be required to be licensed in accordance wikh state and local regulations. If fhe
contractor is not licensed as required by lawr, both the owner and contractor may be cited for a misdem�anar violation
' under state iarr�. if the owner or in#ended contracfor are uncerfain as to what licensing eequirements may apply for the
intended wark, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fur#hermore, if the owner Ftas hited a contrac#ar ar contractors, he is advised to have th� cantractor{s} sign
portians of the "contractor Block" of this application far which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication tha# he is not �roperEy licensed and is nat enti#!ed to permitting privileges in Pasco
County. - ` , . _'
YF�AI�SPOFtT'ATION If�HP'�C7'll1YILVTIE� IY���►�'Y�i�� f���lOd1R�C� ���ONI�RY FE�S: 'The undersigned understands
that Transporfation ImPacf Fees and Recaurse Recavery�Fees may appfy to the construction of nev�r buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned a{so understands, that such fees, as may be due, wil! be identified aE the time of
permikting. Ik is further understood that Transparkation Impaat Fees and Resoutce R�covery Fees must be paid prior to
receiving a °certiftcaie of occupancy" or fina! powrer relsase. !f the project does not involve a certif+cate of occupancy or
finai pouver release, the fees must be paid prior to permit issuance. Furthermore, if Pasca County WaterlSevver Impact
fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
CO�t��'RUCYIQN LIiEFd L�1�l,{���apf��'��1�, �ler���l��ta�ut�s, �� aenee�d��1}: ,If�vaEuation of wark is$2,500.00 or more, E
certify that I, the applicant, �have been provideii with a copy of"the "Florida Construction Lien Lauv—Homeowner's
Protection Guide" prepared by the Florida Departmen# of Agricutture and Consumer Affairs. If the applicant is someone
other than #he"owner", 1 certify#hat ( have obfained a capy of fi�e above described dacument and promis� in good faith to
deliver it ko the"owner"prior to commencement.
�ORITR�,�1'OR'�10liilRl��'�A��iID;�VeT: I cerfify that all the infarmation in this applicafion is accura4e and that ali work
will be done in campliance with all applicable laws regulating constructian, zoning and land development. Applicatian is
i hereby made to obtain a permit to cfa vuork and 9nstallatian as indicated. ( certify that no vsrork or installat'san has
commenced prior #o issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning r�gulafions, and land development regulatians in the jurisdic#ion. I also
certify #haf I undersfand #hat fhe regulations of other government agencies may apply to the intended wark, and fhat it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Depaetment afi Environmentai Profection-Cypress Bayheads, Wetfand Areas and Environmenta(ly Sensifive
Lands, WaterNVastewater Treatment.
- Southv�rest Florida Water iVlanagement District-VVe1ls, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Carps of Engineers-Seavira!!s, Docks, Navigable Watennrays.
- Departmen# of Heaith � Rehabilifative ServicesJEnviranmental Nealth Unit-V�lel(s, Wastevuater Treatment,
� Septic Tanks.
- �1S �nvironmenfai Pfi�ot��tian Ag�ncy-�sbestos abat�mertt.
Federal Avia#ion Authori4y-Runwrays.
� 1 understand that the#allo�nring restric#ions apply to the use af fIEl:
- Use of fill is not aliowed in Flood Zone"V"unless expressty permitted.
( - If the fi!! material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
� � "`campensaCing volurrie"•wi11 be subrnitted af time of permitting �rhich.is.prepared,-by.a professionai engineer
licensed by the State of Florida.
� - If the �11�maEerial is to be used in Fload Zorte ",0.°,�in connectior� uvith a permitted building using stem v�rall
construction, I certify tha#.fill will be used only to fill the�area within#he stem wall. ' ' �" �
- If fill material is to be used in any area, I certify tha# use of such fi{I wi!! not adve�sely affect adjacent
properfies. if use of filt is found to adversely affect adjacent properties, the ouvner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre whicFt are elevated by 1i11, an engEne�red drainage plan is required.
If I am the AGfEF1T�O��FiE OWlPIi�V�, I promise in good faith to inform #he owner of the permitting conditions set farth in
� this a�davit priar to commencing construction. I understand that a separate permit may be required for electrica! vfrork,
plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically included in the app(icafion. A
permit issued shall be canstrued to be a license to proceed with #he vvork and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Builcfing Official from tFtereafter
requiring a correc#ion of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six rnonths of permit issuance, or if�nrork 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 bs requesEed, in vtirriting, from th� Building Official for a periad not fo �xceed ninety (90} days and wif! demonstrate
justifiable cause far the extension. If vvork ceases for ninefy(90)consecutive days, the job is considered abandoned.
{Af��iVlFl� TO OW/R��R: VOU@3 ��I�UR� �O ���Q�� � �9�T1�� �?� �:C1��lENCiEiiH��1T �AY (���E1LT 1�9 '�6��� --- --
�AYIP�C T1iilICE IFOV� ViliiP9�ObEiW�Y�T� �'t�1(O�l��R(2PEP2'I�(. V�YOIY IPIYEPID YO 0�7'AIF➢ FIN�►R9CIP9fs',, CO��II�.�'
i �r���vocr� ���r���o��t���o���Y���+o�� ���o�z��w��rou��o�ic����o�n���c�����.
FLORIDA-JURHT(F:S:917:03" -- - -
OlfitP1�92 4i2 d�tUE�StT� ��� COP��`RACTO�t
Subscribe r�d-swor or ffirmed)before me this Subscribed and swam to or affirmed)befo�e me this
b �"� Y
Who stare personatly wn to me or haslhave praduced Wha tslare ersanally kn n to me or haslhave produced
as IdentlficaGon. as(dentification.
�' / ����'�-L. f Nota Public
/. ���f��� Notery Public rY
Co ssio h�:����� Com sion t �������,
`� ';,�, Commissiott#EE 04052Q ' '"� ���
�,,: *�' �= CAmmission#EE 440520
Name of Not ry'%., ,,,.�iriy���,��eaa�asaots Name of Notary " � ,, e i„��.��.�o�,
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