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HomeMy WebLinkAbout14-15801 I CITY�F ZE��lY��99LLS � 5335-8th Street t " � (813)780-0020 15 01 ELEGTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:15801 Issued: 12/01/2014 Address: 38529 13TH AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Towrnship: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 85.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 12/01/2�01 Parcel Number: 11-26-21-0010-02100-0081 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOIV�EOWNER Name: CHESLEY STEPHEN P & JUDITH A Addr: Address: 1613 BUNKER HILL DR SUN CITY CENTER FL 33573-5007. Phone: Lic: Phone: 813-727-8449 Work Desc: BREAKER REPLACEMENT � APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTION EQU D ROUGH ELECTRIC CONSTRUCTION POLE ` /� � PRE-METER � y � FINAL p,� � l -l� ���3 �!�A L REINSPECTION FEES: Reinspection fees will corr�ply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the follow�ng reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or correcti �ns not made when inspection called d) work not ready for inspection when called e) permit not posted on job site fl plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there 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 management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. i�i � � C TRAC � PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 813-780-0020 City of Zephyr ills Permit Application - FaX-8�aa8o-ooz�/ Bullding Departrnent =,. . Date Receiv�zJ Phone Contact for Permitting -- - Owner's Idame Owner Phone Number �� � � C�� � Owners Address ,�� � �� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple T(tleholder Address JOB ADDRESS J��2� r 3 �� A�� LOT# � SUBDIVISION PARC L ID# t l " Z j— 2 � " d v� � — � 2 �Q(� ^ r)�g/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/A T 0 SIGN Q_ Q DEMOLISH INSTALL REPAI PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTIOM Q BLOCK Q FRAM Q STEEL Q � DESCRIPTION OF WORK I r I BUILDING 51ZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION _ ELECTRICAL $ � AMP SERVICE PROGRESS ENER Y � �'?S M1Q O Q G Q W.R.E.C. � OPLUMBING $ 2� 3 � QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION G o;M� b� OGAS Q ROOFING Q SPECI TY 0 OTHER S�O' � FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO BUILDER C MPANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN C MPANY SIGNATURE � RE ISTERED Y/ N FEE CU en Y/N Elddress I License# PLUMBER C MPANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL C MPANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# OTHER CqMPANY SIGNATURE 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 constructlon, Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instatled, Sanitary Facilities&1 dumpster;Site Work Permit for s�bdivisionsAarge projects COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Mintmum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.-Site Work,Permit for a I new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. � � " "'*'PROPERTY SURVEY required for all NEW constru�Uon. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (AIC upgr des over 57500) " Agent(for the contractor)or Power of Attomey(for-the owner)would be someone with notarized letter•from owner�authtlriiirig,same:���"�� � �. = - �. .., � .� _. . • � OVER THE COUNTER PERMITTING ,� - (Front,of.Application"Only) � , , ,- " ' ' , i Reroofs if shingles Sewers' Service Upgrades#A/C� ' �Fer�c,es(PIoUSurvey/Footage) ' , ,„_ • ., _. _ ' " , , ? -- - , . ., � �-g ''',• � - .. � �• i Driveways-NotoverCaunte�ifonpublicroadways::needsi6t01N--.�; ••� _�� •r�--�- •-�•�•� -° � """° �F"""'��"�'j3" A_}` 4 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulation�. The undersigned assumes responsibility.for compliance with any applicable deed restrictions. � UNLICENSED CONTRACTORS AND CONTFtACT �R RESPONSIBILITIES: If the ownec has hired a contractor or contractors to undertake work, they may be required o be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both t e owner and contractor may be cited for a.misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco � ounty Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the' owne� has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application fbr which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not p�operly licensed and�is not entitled to permitting privileges in Pasco County. ' � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact'Fees and Recourse Recov�ery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing bui dings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understa ds, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportatio Impact Fees and Resource Recovery Fees must be paid prior to receiving a °certificate of occupancy" or final power r lease. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to p rmit issuance. Furthermore, if Pasco County Water/Sewer Impact- fees are due, they must be paid prior to permit issuan e in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAVII(Chapter 713; Florida tatutes;:as amended):;If valuation of wo�k is$2,500.U0 or more, I certify that I, the applicant, have been provided 'w th a copy of the "Florida Construction Lien Law—Homeowner's � Protection Guide" prepared by the Florida Departme t of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", i certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWPIER'S AFFIDAVIT: I certify t at all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is� hereby made to obtain a permit to do work and i�stallation as indicated. I certify that rio work or installation has -- commenced prior to issuance of a permit and that II work will be perFormed to meet standards of all laws regulating construction, County and City codes, zoning regula�ions, and land development regulations in the jurisdiction. i aiso certify that I understand that the�regulations of otfier overnment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take t be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection Cypress Bayheads, Wetland Areas and Environmentally Sensitive - - -Lands, Water/Wastewater Treatment. - Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. � � - Army Corps of Engineers-Seawalls, Dock , Navigable Waterways. - Department of Health & Rehabilitative ervices/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. � - US Environmental Protection Agency-As estos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to th use of fill: - Use of fill is not.allowed in Flood Zone"V"�unless expressly permitted. " - If the fill mater.ial is to �be used in, Flo d Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is.prepared,by a professional engineer licensed by tfie 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 �nly to fill the area within the stem wall. - If fill material is to be used in any are , .I certify that use of such fill will not adversely affect adjacent properties. If use of�II is found to adver ely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engine red drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in �ood faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I unc�erstand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, br other installations not specifically included in the application. A permit issued shall be construed to be a license to pt�oceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor s all issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction r violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the pe�mit 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 a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension, If work ceases for inety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RE �ORD A NOTICE OF COMMENCEMENT MAY ftESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IfVTEND TO OBTAIN FINANCING, CONSULT ___ _�1AlITFI YOUR LE�l9�R OR AN�4T1�C)RP�EY BEFOR� RECOR�ING YOUR NOTICE OF_Cp�lIIVIENCElVIENT..—____ ,�- _._ _ � FLORIDA JURAT(F.S.117.03) ,�— OWNER OR AGENT � CONTRACTOR Subscribed and sworn ta(or a rmed) efore me Is Subscrlbed and swom to r affir d)befo m this by by Who is/are personally known to me or has/have praduced Who Is/are personally known to me or has! e produced as Identlfication. as identification. ' I � QE6N �� ��'P �•; • No ry Public � . Notary Public _ ;«= sion 137073 ' '.` Commission#FF 137073 ""�� �a: Expires June 29,2018 -*` �= " 2 �8 Com ss I�.�••e�:� Comm sio ci, _ ���u �oy am Ins�aanee 800385d019 ���RF� ;9?^�d Ttw TroY Fain In:uanea 800385-T019 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped I