HomeMy WebLinkAbout14-15740 � CITY OF ZE HYRHILLS
� r'':S' S335-8th Street
�` (813)78 -0020 157 0
ELECTRIC L. PERMIT
' - .� -::.PERMIT lNFORMATI4N LOCATI(?N INFORMATION
Permit#:15740 Issued: 10/23/2014 Address: 384�€5 5TH AVE NISTCIRIC
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Wark. ELECTRICAI� Nf1SC Township: Range:
i Praposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book; Page.
Cost: 1,2Q0.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amaunt Paid: 45.04 Date Paid: 10/23/203 Parcel Number: 11-26-29-Q030-153QQ-4490
� + CONTRA,CTOR 1NFGIRMATION OWNER 1NFORMATIfJN `
Name: DOUBLE M ELECTRIC Name: ABED HAZEM G
Addr: 40�10 RIVER RD Address: 38445 5TH AVE -HISTOR#C
DADE CITY FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (89 3}7'I 3-3150 Lic: Phane: {813 997-3406
Work Desc: RELOCATE SERVICE DROP 400 A PS
APPLtCA lON FEES
ELECTRiCAL FEE 45.00
INSPECTIt3N REQUiRED
RQUGH EI.ECTRIC
GONSTRUCTION POLE
PRE-METER;��-,�f�� � ,,,
FINAL � � �� 4
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one af the following re sons: a)urrrang address b}condemned work resulting
from faulty constructian c) repairs or corrections n t made when inspection called d) work not ready for
inspection when called e) permit not pasted on j site f} plans nat at jab site g}wark nat accessible.
� NOTKE: In additian ta the requirements af this permit, ther may be additianal restrictions applicable ta this property that
I 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.
"'Vllarning to owner: Your failure ta record a notice f commencement may result in your paying iwice far
improvements ta your property. If you intend to ob in financing, consult with your lender or an attorney
before recarding yaur atice af cammencement."
Complete Plans, Specifications and Fee Must Accompany A plication. All work shall be performed in accordance with City
Codes an Ordinances.
CON O PER OFFI
PERMIT EXPI'RES IN C MONTHS WITHOUT APPROVED INSPECTIO
CALI. FQR INSPECTION - 8 HQUR NOTICE REQUiRED
PRQTECT CAR FROM WEATHER
s�3aso-oo2o City of Zephyr ills Permit Application Fax-813-780-0021
Buildf g Department
Date Recei�ed Phone Contact r Permittin --
Ovener's Idame � �� b�z� Oarner Phone Mumber ���" 3 �b
Obmer's Address O�nmer Phone Number
Fee Simple Titleholder Mame Owner Phone Mumber
Fee Simpie Titleholder Address
JOB E►DDRESS . � ���� �Q�h� � z �Z- � �o�# C�
sueo�vlslok PARC ID# ll Z��Z/, 6U/G—�J�,jGb � �G 6
(OBTAINED FROM PROPERTY TAX NOTICE) �
MlORK PROPOSED e NEW CoNSTR e ADD/A T � SIGN Q Q DEMOLISH
INSTALL REPAI
PROPOSED USE Q SFR Q COMM 0 OTHER
TYP�OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q
DESCRAPTIOfd OF WORFC I����-�G� /�I / �� �r ����
BUILDING 51ZE SQ FOOTAGE HEIGHT
QBUILDING S VALUATIO OF TOTAL COMSTRUCTION
QELECTRICAL $ AMP SERVI E � �] PROGRESS ENERGY Q W.R.E.C.
CX� C�d
QPLUMBING $ ��o
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION � `�
QGAS Q ROOFING Q SPECI LTY Q OTHER ,
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES tV0
BUILD�R C MPA►PIY
SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N
9lddress License#
ELECTRICIAM GG�� C AAPANY vOU � ,, l�z` C �1 C
SIGtdE1TURE RE ISTERED Y/ N FEE CURRE� Y/N
�lddress ��f/�� �`�/</�y a a/����G/j' J"l. 3.� License# ; L� G(� O�
PLUIMBER C MPAtdY
SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL C INPANY
SIGRfATURE R GISTERED Y/ N FEE CURRE� Y/N
llddress License#
OTHEEt C MPAMY
SlGfdATUFZE R GISTERED Y/ N FEE CURRE� Y/N
Elddress License#
RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se 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 Facflities 81 dumpster;Site Work Permit for subdivisionsllarge projects
COMAAERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W PeRnit for new construction.
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciUties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
' SIGM PERMIT Attach(2)sets of Engineered Plans.
•••'PROPERTY SURVEY required for all NEW cons ctlon.
Directlons:
Fill out applicatlon completely. „
Ovmer 8 Contractor sign back of application,notarfzed
Ii oeer 52500,a Motice of Commencement Is requlred. (A/C up rades 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 COUNTER PERMITTING�,;`_"°�(F�onf'of°applrcation Only)
Reroofs if shingles Sewers,_, `�•' Service,Upgrades;A/C; Fenc s(Plot/Survey/Footage)
. . , , ,.�,:�- , �� = ._; �d
Driveways-Not o6er Counter if'on''pu6lic roadways.,�igeds{. ROW
� ._ ; ._._ ..:.. . .. �:a, .•.e.�....4%^v-.�dt>^.n�C...`;
i
� �
� NOT'IC�O� CD�ED R���'f�IC'TtOPI�: The undersigned understands that this permit may be subject to"deed" restricfions" �,
i which may be more restricfive than Gaunty reguEatians. The undersigned assumes responsibility for campl9ance v�rith any
�I applicable deed restrictions.
U�l�IC�h3��D CONTR�CT�R� ��fCD GQR1T�►�'f�� �(��F���#�f�1�.9T�f��: !f the owner has hired a cantractor or
contractors to undertake work, they may be required to be licensed in accardance rwith state and Iocal regulations. Yf#he
conkractor is not licensed as required by law, bath the awner and contractor may be cited for a misd�meanor violation
under sta#e iaw. If the owner ar intended contrac#ar are uncertain as to �nrF►at licensing requirements may appEy for the
intended work, they are advised to contact the Pasco County �uildir�g Inspection Divisian—Licensing Section at 727-847-
8009. Furtherrnore, 'sf the owner has hired a can#rac#or or contractors, he is advised to have the cantractor{s) sign
portions of the "contractor Block" of this application for which they will be respansible. If yau, as the ov�ner sign as the
conttactor, Ehat may be an indication that he is nat properly licensed and is not entiHed to permitting privileges in Pasco
County
TF�►N�POR1"P�YIOI� I��A.CTIIJI'iL�YIf�S Ii�iIf�AC�'��9� �t�50U�C� RI��O�'��Y f���S: The undersigned understands
that Transpor#ation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
� use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number $9-07 and
' 90-07, as amended. The undersigned also undersfiands, ttiat such fess, as may be due, will be identified at the time of
', permitking. It is further understood that Transportation Impact Fees and Ftesource Recovery Fees musf be paid prior to
i receiving a "ce�tificate of occupancy" or final power release. !f the project does rtot involve a certificate of occupancy or
� final power release, the fees musf be paid prior to permit issuance. Furthermore, if Pasca County WaterlSewer Impact
� fees are due, they must be paid prior to permit issuance in accordance with applicable F'asco County ordinances.
�f3�lS"f�tt�C�"!��! C.tIEPd �.�l1fi�{Gh��t�r 7�9�, �I�r�a�a�����ca���j a�� ��t�ee�d�ef�: !f valuatior�af work is$2,500.00 or more, 4
certify that I, the applicant, have been pravided with a copy of the °Florida Construction Lien Lav�r—Hameovuner's
F'rotection Guide" prepared by the Florida Deparkment af Agriculture and Consumer Affairs. {f�he applicant is someone
other than the"owner", 1 certify that t have obtained a copy of the abave described document and promise in good faith to
deliver it to the"owner"prior to commencement.
COP1T�t1�CTOF�'S/i:71ii��1�1�'�6�,��1��V1Y: 1 certify fhat all the information in fhis applicatiort is accttrate and fhat all uvork
will be done in compliance vvith all applicable laws regulating construction, zoning and land develapment. Applicatian is
hereby made ta abtain a permit ta do v�ror4c and installation as ind9cated. { certify that no uvork or installation has
commenced prior to issuance of a permit and that ali work will be perfarmed to meet standards of alI laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdic#ian. ! also
certify that I undersfand fhat the regulations of other government agenci�s may apply to fhe infended wtork, and that it is
my responsibility ta identify what actions I must take to be in campliance. Such agencies include but are not limi#ed to:
- Department o# Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Wat�rNVas#ewrater Treatment.
- SouEhwest Florida Water �anagement District-V1fells, Gypress Bayheads, Wetland Areas, Altering
VVatercourses.
- Army Carps o�Engineers-Seawralls, Docks, lNavigable Watenrvays.
- Department af Healfh � Rehabiiitative ServiceslEnvironmenta! Fiealth Unit VUelis, Wastetrvater Treatment,
S�ptic Tanks.
- 9JS Er�vifanmental Peotection Agency-Asbestos abatement.
- �'ederal Aviakion Authority-Runuvays.
1 und�rstand that the iollovuing restrictions appEy to the use of fiEf:
- Use of fill is not allowed in Ftood Zone"V"un(ess expressly permitted.
- If the fil! mat�rial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating voiume" wi1! be submitt�d at fime of permifting r�rhich is prepared by a pro€essiona) engineer
licensed by the State of Florida.
- If the fi11 material is to be used in Fload �one "A" in connection uvith a permitted building using sfem wall
construction, I cer#ify thak fill will be used only to fill the area within the stem wall.
- !f fili material is to be used in any area, ! certify that use of such fi!! Snrill not adve�sely affect adjacent
properties. If use of fifl is found to adversely affect adjacent properties, the owner may be cited for viola#ing
the condikions of the building permit issued under th� atfached permit application, for lots less than one (1)
acre vvhich are elevated by�I1, ae�engin�ered dra'snage pian is required.
If I am khe�►C�NT fFOFY TYiE OWIFV��, I promise in goad faith to inform the owner of the permitting conditions set forth in
fhis affidavi# prior to commer�cing cor�structio;�. ! understand that a separa#e pert�it may be required for eEectrical work,
plumbing, signs, wells, pools, air condifioning, gas, or other installations not specifically included in the applicafiion. A
permit issued shall be construed to b� a license 10 procesd with the +nror4c and not as authority to.violate, cancel, alter, or
set aside any provisions of the technica{ codes, nor shall issuance af a permif prev�nt fhe 8uitding Officia)from fhereafter
requiring a correction of errors in plans, construction or violatians of any cades. �very permi# issued shall became invalid
un(ess #he work aufhorized by such permiE is commenced writhin six months of permit issuance, t�r if wark authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn extension
rt�ay be requested, in vtirriting, f�orn the Building OfficiaE for a period nat to exceed ninety {90) days and wit! demonstrate
justifiable cause for the extensian. If work c�ases for ninefy(90)consecu4ive-days, fhe job-is considered abandoned.
!�!�►RNiN� Tt3 �1fii���F: Y�UR F6��L�R� TO R(���c�ti3 � �iOT9G� t)� CO��HE�IC��i��dY �i6AY �t(�SUl.T 1�I YCAUR
�AVING l�dll�E IFOR 1�1��OVIE�filEf�'�S 1'�1(OIJ� IPF2.OfPER`�'Y. II�YOl1 YWTI�ND TC) OB7,AI�1 FIRJ�►�9C9P1�, CORl:�l1L.T
i�IYN Y'�UR���i������I���7���9�Y���������C�3�iD1�fC Yf��� i���'1�E�IF��ii����1C����iY.
FLORIDA JURAT(F.S. 117.03) �. ;�
��t►1PfER OFt AG��T �QRlT�GTCIF2 �
f�.��2ry��
Subsc�lbed and swom to(or affirmed)before me this Subscribed and sw � or affirmed) efore me this ,
by by
Who islare persona!!y known ta me or haslhave produced Who Islare personaHy known to me ar haslhave praduced
as IdenBficaUan. as identificaGon.
Notary Public � Notary Public
,.•`''tit�T"a'�- JaEi.E.BACON
Commissfon No. Co mi sion No. +�-.
:%: :�e mmission#FF 137073
_; Q: Expires June 29,2018
Name af Notary typed,printed or stamped PV me of Notary typa
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