HomeMy WebLinkAbout14-15718 CITY OF ZE HYRHIL.LS
" 5335-8t Street
(813)7 0-0020 1571
ELECTRIC L PERMIT
PERMIT INFQRMATIQN LOCQTION lNFORMATION
Permit.#:15718 Issued: 10/14/2014 Address: 6143 PEAR� ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Ciass of Work: E�.ECTRIC SERVICE REPLACEME Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cast: 650.00 Total Fees: 40.OQ Subdivision: OAKSIDE MHP
Amount Paid: 40.00 Date Paid: 10/14l201 Parcel Number: 02-26-21-0020-00300-0010
CONTRACTOR 1NFORMATION bWNER INFt3RMATION
Name: HOMEOWNER Name: SNOKE JEAN & DIETERICH PATRICIA
Addr: Address: 2168 WATERSIDE DR
CLEARWATER FL 33764-6659
Phone: Lic: Phone; 813-78&0712
Work Desc: CHANGE PANEL 200 AMP
APPLICA It?N FEES
ELECTRICAL FEE 40.00
INSPECTIO S REQUIREQ
ROUGH ELECTRIC
CONSTRUCTI4N f'O�E
PRE-METER
F�P�AL
����"i 1 ��Z��
REINSPECTION FEES: Reinspection fees w►ill camply ith Florida Statute 553.8Q (2)(c)when e�ctra inspection
trips are necessaty due ta any one af the fallowing r asons: a)wrong address b}condemned work resutting
from faulty construction c) repairs or corrections n t made when inspection called d)work nat ready far
inspection when called e) permit not pasted on j b site f} plans not at job site g}work nat accessible.
NOTICE: In addition to the requirements of this permit,th e rnay be additional restrictions applicable ta this property that
may be found in the public recards of this county, and ther may be additional permits required from other gov�rnmental
entities such as water manageme t, state agencies or federal agencies.
"Warning ta owner; Your failure to record a natice af commencetrtent rnay result in yaur paying twice far
impravements to your property. If you intend to o tain financing, consult with your lender or an attorney
before recording your atice af commencement."
Complete Plans, Specifications and Fee Must Accompany pplication. All work shall be performed in accordance with City
Cades a d Ordinances.
GONTRACTOR PER C1FF1
PERMIT EXPIRES IN E MONTH WITHOUT APPRQVED INSPECTIO
CAL� FOR INSPECTION $ HQUR NQTICE REQUIRED
PRC�TECT CA D FROM WEATHER
813-780-0020 � City of Zephyrh Ils Permit Application Fax-813-780-0021-
Buildi g Department
Date Receieed Phone Contact r Permittin --
Oxvner's fName J o l �c/ /�GL��J'1/�' /?�I' Ov+rner Phone Number /�- 7��—��
�nrner's Address � /�� / %' Ov+rner Phone Number
Fee Simple Titleholder ldame Ouvner Phone tdumber
Fec Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDINISION PARC L ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/A T Q SIGN Q Q DEMOLISH
INSTALL REPAI
PROPOSED U�E Q SFR Q COMM 0 OTHER
T1/PE OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q
DESCRIPTION OF�k10RK C'ff n! r q/� �i/TT��3 �/9 L d� ✓���'S
BUILDIfNG SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
QELECTRICAL $ CO � AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C.
J � [ S'��� �
OPLUMBING $ p,�/1
�►��
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION n(/�.1" �U'�
I�'
OGAS Q ROOFING Q SPECI LTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
I�UILDER C MPANY
SlGfde4TURE R ISTERED Y/ N FEE CURRE� Y/N
Address License# —�
ELECTRICIAN C AAPANY � � �G!J'il/��/Z
SIG(dATURE R GISTERED Y/ N FEE CURRE� Y/N
��
Address License#
PLUAABER C MPANX
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
MIECHANICAL C MPANY -
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER C AAPANY
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
dlddress License#,. ....: -�
RESID�MTIAL Attach(2)Plot Plans;`(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisfons/large projects
COAAAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permif for new construction.
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance
SIGId PERMIT Attach(2)sets of Engineered Plans.
•••'PROPERTY SURVEY required for all NEW cons uction. -
Directions:
Fill out applicatlon completely.
Ovmer&Contractor sign back of application,notar(zed
If over 52500,a Notice of Commencement Is required. (AIC up rades over 57500)
•• Agent(for the contractor)or Fower of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same.
OVER THE COUNTER PERMI7TING. _(Front of Application Only) _ _
Reroofs if shingles Sewers �Service Upgrades-;A/C Fenc s,(Plot/Survey/Footage) - � ;= y
Driveways-Not over Counter if on public roadways:,needs R01N " " : _ ' ; =
` � � ' � - , _ . . , , .
I
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PIOTIC� OfF �E�LI Ftf�S�'�ICYIOiV�: The undersigned understands that this permit may be subject fo"deed" restrictions"
� which rriay �e mo�e r�strictive than County regulatia�s. Th� undersigned assumes responsibilfty for compEiance witit any
i applicable deed restrictians.
� 11�1LlC�NSfEp CONTRAGYOff�� AR1f� �47�Rf�'��Y�R IFtf�S�OPI�il�IL1TIE�: !f the owner t�as hired a contractor or
confractors to undertake work, they may be required to be licensed in accardance with sfate and iocai regulations. Yf the
contrackor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanar violation
under state law. If the o�rner ar intended contractor are uncerfaEn as #o uvhat licensing requirements may apply for #he
intended work, they are advised to contact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
84Q9. Furthermore, if the owner has hired a contrac4or or cantractors, he is advised to have the contractor(s} sign
portions of the "cvnkractar Block" of this application for tnrhich they will be responsible. If you, as the avvner sign as the
contractor, that may be an indication that he is not �roperly licensed and is not entitled to permitting privileges in Pasco
County.
Y6���i�OR�',��'IOId IIifl�AC�°IUi�'ILI�'t�� Vi���C�'l�PY� i����J�9��� ����VE�,Y fF���: T"he undersigned understands
that Transportatian Impact Fees and Ftecourse Recaver}r Fees may apply to Ehe canstruction af new bu'sldings, change ofi
use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-OT and
9Q-07, as am�nded. The undersigned alsa undersfands, thak such fees, as may be due, wil! be identiffed at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees musf be paid prior to
receiving a "certificate of occupancy" or final povver release. (f the project does not involve a certificate af occupancy or
final po�nrer release, the fees r�tust be paid prior #a permit issuance. Furthermore, if Pasco County Wa#er/S�wer lmpac�
fees are due, they must be paid prior to permit issuance in accordance with applicable f'asco County ordinances.
GQ�l�7Rl�C"�10�1 �.�1E�9 ���(�ha�p��r��3t �I�POd�t Sf�Ytt���� �� �emee�d�e�): Ef valuatian af vuork is $2,50Q.00 or more, i
certify that I, the appticant, have be�n provided with a capy of the "Florida Constructian Lien Law—Homeowner's
P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"ovuner", 1 cerfify#hat t have obtained a copy of the above described document ancf promise in good faifh to
deliver it to the"owner"prior to commencement. ,
���9Y�I�C�'OF�'�lt?!f�l���'��i��1�D�V1Y: 1 certify that a1C fh� information in this application is accurate and that all w�rk
will be done in compliance with all applicable lawrs regulating construction, zoning and land development. Application is
hereby made to obtain a permit ta do uvork ancf installation as ind'scated. ! certify that no wock or installatiort has
commenced prior to issuance of a permif and that a�l work uvill b� perfarmed to meet standards of alf laws regu(a#ing
construction, County and City codes, zoning regulations, and land developmenk regulations in the jurisdictian. I also
certify #ha# 1 understand that the regulafions of ofher government agencies may apply ta the infended wark, and that if is
my responsibility ta identify vvhat actions I must take to be in compliance. Such agencies include but are not limited to:
- Depa�tment af Environmental i'rofectior�-Cypress Bayheads, UVetland Areas and �nvironmentally Sensitive
Lands, V1lat�rM/astewater Treatment.
- SouthwesE Florida Water iVlanagem�nt Dis#rict-Wells, Cypress Bayheads, Wetland Areas, Alkering
Watercaurses.
- Army Corps af Engineers-Seawalls, Docks, Navigable 1Naterways.
- Depar#ment of Ffealfh � f2ehabilitative S�rvices/E�vironmen#al Health Unit-Vllells, Wastewater Treafinent,
Septic 1'anks.
- US Environmental Protection Xgency-Asbes#os aba�ement.
- Federal Aviation Authority-Runways.
1 understand that the following eestrictions apply to the use of fill:
- Use of fill is no#allowec#in Fioad Zone"V"unless expressiy permitted.
- If the filf material is to be used in Flood Zone "p", it is understaod that a drainage plan addressing a
°compensating volume" �vill be submi#tec3 at time of permitting uvhich is prepared by a professional er�gineer
licensed by the State of Florida.
- If �he fill material is fo be used in Flood Zone °A" in connection vtrith a perrnitted building using stem vuali
eonstruction, I certify that fill vuill be used only to fil(the area uvithin the stem wall.
- If fill material is to be used in any area, ! certify that uss of such fill will not adve�sely affect adjacent
properties. If use of filt is found to adversely affecf adjacent properties, the owmer may be cifed far viola#ing
the conditions of the building permit issued under the aktached permit applicatian, for lots less than one (1)
acre�nrhich are e#evated by fill, an engineerecf drairtage plan is requirecf.
If I am the�C�iV7' FOR 1fF9� Cl'�i9Wf�Y�, I promise in good faith to inform the ovvner of the permitting conditions set forth in
this affidavi# priar to commencing canstruction. I understand tttat a separate permit may be required for electrical vuork,
plumbing, signs, wells, pools, air cor�ditioning, gas, or other insfaiia#ions nof specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and nat as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor sha11 issuance af a permit prevent the Building �f€icia!fram thereafter
requiring a correction of errors in plans, constructian or violations of any cades. �very permit issued shall becarne invalid
uniess the uvork autharizec! by such permit is comtr�enced wlEfhir� six manths of permit issuance, or if vuork aufhorized by
the permit is suspended or abandoned for a periad of six(6) months after the time the�nrork is commenced. An extension
may be requested, in wri#ing, from the Building Official far a period not ta exceed ninety (90) days and will demonstrate
justifiabie cause fior the �xfension. If work c�ases for ninefy(90j consecutive days, the job is considered abandoned.
1K1�R�1it�� TtJ �VitN(EI�: Y�l1R I�A1�.�1�2� '��9 ��C�R� � PdO�'IG1� Q� C�i1�1�i�9V�E�i�PI�' ii�i�.Y_i���t9LT I�i-YUt3R
�"AYING 'TiiV1�E ��R If�!l��f�OVlEiiii�PYl"� YCA YOU� �ff�.C2f�EF�`�'Y. I�YOLp �R97'E�If� TC) 0�7'�il�l F'GPIA�l�I�lt9, C��1�4��Y
�6�F1 Y�UF�L.�NCIIER QC2�►Pl}�T�'���1�Y I���C���9��G��l��t��1Y�L1� 6�OY1���J� ��'�f��d��1��isfd��iP�.
FLORIDA JURAT(F.S 117 3)
{71fU�lEF2 Ot��GEAIT t/`+ �'�tA��'O���� ,��_.���„'',�'�i��—...
Subscribed a d sw „�or affi ed bef e me this S bscribed and r to(or affirmed)before me fhis
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/l7/'�It°l by� '�l'o l'�` �/�7 GGrf9�.r71/�'!/� y0^/�—/Sl b y ��c��.t"�v ,�3��.G�}n/?".�/r./,�
Wh 'slar ersonally known to me or haslhave producecf Wha Is are person !ly kn vun to e or haslhave praduced
tL�Gar�S2 as Identification. �, �/C/�� ���-- as identification.
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� Notary Public !� Notary Public
Co I i n ., �'y��?
;� _ Com (s R�,!'P��,
=.; ,''� Commission#EE 44Q52U *;R .:`-_ Cflmmission#EE Q4�520
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tVame of o ,'„� ��d,�afi �t�fr�►�,�,dano.w�rr7:: . Name of o �d #��fF��}�,P oo-sssao�9
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' DISCLOSUFtE ST NT .FOR OW.t�R
CIfiY OF ZEPFfi�72FiSI�Z�S f3VI�DING I}EPAR'li�Nfi
_ ' • �iave read aiad ful3y understand and
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agree •ta the provisions o� �this instrumen .
.The undersigried .states a,xxd af�a.rms t�iat h or she is desirous of constructing,
reriavating, adding to os �eroo�'ing his or her owri domicile, •that he os she
actually occupies, ar wi1.2 occupy by said c3omics:le, and same is not far
I •resxt, lease or sale. Tha'� he or she sha7. comply wi-th the foZlowi3rsg candi-'k�.ons:
�
1. That the owner and_he or she al.one sh ' 1 act as -the buiZder fos all phases of
consts�action. -
2. R�sat the awner wi:2Z camply with a1�: p avisions of �the City of Zephyrhil:ls
ordinanaes and �odes perta.rient to �he build.issg.
3. That in the ev�nt various phases a� c ns'tsuc'tzon ase s�aontsactad, he will
ESlgage only •prop�rly 1.icensed subcan actors and will pessonal�.y supervi.se
suclz .vraxk.
4, '1`hat in t�he event the Hui.].ding `Inspec ox s1z�11 rec�T;�c casrectians ta be mac3e,
�e ownes will assume full respons�bi i�y ta insute •they �re made, and upon
compl.etion will call �or a reizxspecti u before praceeding with the building.
5. That the ownes sha11 asswne fu�.l resp nsibility for the cr�nst�uction asad wi7..1
not axpect_ supervssion of his work f 'the Cif.y of Zephy=hi1:Ls Building
Depart�ess,t.
6. That prior to fizaa.l inspection aay a ��.ional fees, 3.xicluding reinspec�.ion
fees, must be pasd isk �fu11.. A wri�tt s�quest �som this office s�ial3
constitute an of�'icial no�.ce '�o pay dditioaal �'ees..
7. fihat the ownar sha1Z co�ply with a1�. Ci.ty, Sta-ta and Fedes-a1 laws �.a reg-drd ta
social seeur.ity, workman's compensa. �on, Z.iea 1aws, etc. , where applicable.
B. That the owner s3i�11 comply wi�h all the safe.ty codes issv:ed by the Fl•arida
Industrzal Commi.ssion.
9. State law r��,;res corxstr�actiorx to b done by li.censer3 contractors. You have
appl,ied f or a pe�t under an exemp �on to that law. The �emptioz� allows
you, as the owner ef your propesty, o act as your own cazxtractor with certa5.n
restria�..''tans evez�. though yau do na� v+e a 3.icesss�. You mus� .prov�.de clirect
onsi.te supervisiori o� the constructa. n yours�lf, Yo�.x may bui3.d or improve a
one-fama.ly or twa-fam�.ly sesidence o a fasm outbvil.cling. Yon may also build
or iiaprone a commercial btuldi.ng, pr ided your costs do not �ceed $2�,000.
, Z'he buil.ding or residence must be �o yaur own use o,r occupancy. .It may nat
, be bui.3..t or substariti�lly ��praved f r sale ar leas�. It` you sel:1 ar 1.ease a
building you have btii.lt ox� substaata. ly improved yavsself within 1 yeas af'ter
the construction is camplete, the 1.a will presume .that you _built or
substan.�a.a12y �.mpraved if for sale o lease, whz.ch is a va.olat.icn of this
exemptic�n. You may nat hire an unli �nsed persoa to act as yovr contractor or
� to supesvise people working an yous 'lding. St, is yaur r�spansibili:ty ta
make suse tt�at people P�plvyed by yo ha.ve 1.icea�zses xegui.red by s�ate law and
by county ar muna.cipal Lic�si.zig ox � aes. You may not delegate the
respons�.bility for supervising worlc o a licerssed coxitractor t�zho is not.
licens�e3 to perfarm �r.e wark b�iag ne. Arsy pesson worlr3.ag ozi yotsr baa.ilding
who is uot 1.a.cezised must work uncl�s ac2� direct szxpezvis3.on and must be
Employec3 by you, which meaas �.hat yo must deduct F.I.C.A. and wi'thholding tax
and provid� workers' campeusatioa i`o that employee, aZl as p�escribed by 1aw.
Your constrtzatiozz must compZy with 1 appZicable laws, osdznances, buildi.ng
codes, and zoning regulatioas.
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W�2fi2ESS ' PERMIfi #