HomeMy WebLinkAbout14-15810� CITY O ZEPHYRHILLS
�' S3 5-8th Street
(813)780-0020 15810
ELECT ICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15810 Issued: 12/02/20 4 Address: DAUGHTERY GREENSLOPE DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
' Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number:
CONTRACTOR INFORMATION OWNER INFORMATION
Name: OWNER Name: CITY OF ZEPHYRHILLS
� Addr: Address: 5335 8TH ST
ZEPHYRHILLS FL 33542
� Phone: Lic: Phone:
Work Desc: INSTALL NEW PANEL LIFT ST TION #16 NEED EITHER METER#OR ADDRESS
APP ICATION FEES
° � J 7Cv � �v�-
��� � �
INSPEC ONS REQUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER �C .(,
FINAL f� '. '" �� �,iU ^ �
C� ` �y`
�Z� Cry l�
REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c) when e�ctra inspection
trips are necessary due to any one of the followi g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correctio s not made when inspection called d) work not ready for
inspection when called e) permit not posted n job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permi there may be additional restrictions applicable to this property 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 mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a n tice of commencement may result in your paying twice for
improvements to your property. If you intend o obtain financing, consult with your lender or an attorney
before recording y ur notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Cod s and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IIV 6 MON HS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTI N - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER � -
�»-,aU-,�V�U c�ty at Zephyrhill Permit Application Fax s�3asu-oo2�
Building Department
' `
Date Received phone Contact fo Permltting � �
Dwner's Mame �� S Owner Phone Number p��"r T�3" ���
Owner's Address Owner Phone Number '�� �
Fee Stmpte Titteholder Name ' Uwner Phone Number �� �
� Fee SEmpte 7itfeholder Address
� 108 ADDRESS �i�c.#'" ' � I.L1T# �___�-_�
� SUBQIVl81C}N PARCEL 1 #
� - (09TAINED FROM PROPERTY 7AX NOTICE)
1MORK PEtOPOSEb e NEW CONSTR� ADDtAIT Q SIGN Q Q DEMOLISN
INSTAtI REPAIR �
PROPOSEp USE Q SFR, Q COMM CJ OTHER
iYPE OF CONSTRUCTIQN Q ` BLOCK Q FRAME �� STEEL Q �
'� �ESCR��r�oK o�wo�t � " � � �' t t�-�� � �P�
i .
I BU!l.DINt�SlZE �� � SQ FC10TA�E HEIGHT C�� �
[�BUILDING ��----�� VALUATION fl TOl'A!.CONSTF2UCTION
LECTRICAL $ •��. � AMP SERYlC [�] PROGRESS ENERGY � W.R.E.C.
QPLUMBING � $ (�
� . f�t
QMECHANICAL $ VALUATION O MECHANICAL INSTA�LATION
� C
QGAS [� ROOFING Q SPECIAL �] OTHER
=1NISHED FLOOF2 ELEVATlONS r�� FL04D Z NE AREA QYES NO
L
3UILQER P � _ CQM ANY C� ' �` �I v t Z fZ/���G L S ,
itC�NATt1RE (,Z�''iy�{,�4�-�° REGt RED Y/ N FEE CURRE� Y!N .
Addres� C3cense# �i �
_I.ECTRICIAM COM ANY
a1GNATURE ttE��s a�o Y/ N ��cuRR�n Y/N
Address �,{��gg# �� �
'LUMBER ' • ' -COM ANY
31CirNA7URE REGlB ERED Y! N FEE CURRE� Y/I�!
Address � EJcense#.� �
AECHANICAL COM ANY
iiGNATU#tE a���s �R�Q Y! R4 ���cuRR�n Y 1 N
Address l.Icense#,�� �
)THER COAA ANY
4[GNATURE � RE��s �tt�o Y 1 N PEE CURREP Y 1 N
Address l.icense# � - ��
tESIDENTIAL Attach(2).Plot Plans;,(2)seks of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, ;
Minlmum ten{1Qj wotking days after submittaf date. Fisq red onsite,Constructton.Plans,Stormwa#er Pians w!Silt Fence installed,
Sanitary FaclilNes 81 dumpster,Site Work Permtt for sub ivislonsAarge proJects �
:OMMERCIA� Attach(3)complete sets of Buildfng.Plans pius,a Life Safe Page;(1),set of Energy Forms.R-O-W Permtt for new construction. _
Mtnimum ten{10}working days after sttbrr�itta!da#e. Reqa red onsite,Gonsbvc�on Plans,Stormwa#er Plans wl Si{t Fence instalied,
Sanitary Fadlities&1 dumpster.Site Wortc Permit for ail n w proJects.Ali cammerclal requirements must meet compliance
�IGN PERMIT Attach(2)sets of EngMeered Plans.
""PRCJPERIY SURVEY requlred for all NEW constructEo .
►Irectlon�: -
Fi11 out appllcation completely.
Owner&Conkractor sign back of appl(catlon,notarized _
If over�250q,a Notice of Commencement is requlred. (NC upgrad s over 57500)
' Agent(for the cantractor)�or Power of Attamey{for the owner)wouid be s meone with notarized letter from owner authorixing same
IVER THE COUN7ER PERMITTING (Front of Applicadon Only) _
:eroofs If shtngles Sewecs Service Upgrades AlC Fences{PI USurveyiFootage)
Driveways-Not over Caunler if on public roadways..neads RQW
' �
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive#han County regulations. The unders�gned assutnes responsib9lity foc complianae with any
appticabie desd restrictions.
UNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or
contractors ta undertake work, they may be required to be licensed in aacordance with state.and local regula#ions. #f the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. if the owner or intended contractor are uncertain as #o what iicensing requirements may apply for the
intended work, they are advised to contac#the Pasco Counfy Building (nspection Division—Licensing Sec#ion a#727-847-
8009. Furthermoret if khe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
partions of the °contractor B1ock" of thls appllcatian for wh€ch they will ae responsibte. if yau, as the awner sign as fhe
contractor, .that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
Gounty. "
TRANSPORTATION IMPACT/UTILITiES IMPACT AND RESOURCE REGOVERY FEES: The undersigned understands
that T�anspartation lmpact Fees and Recourse Recavery Fees may apply to the construction of new buildings, change af
us�-�rr,�;.istirog-bu6ldings,-or--expansio�e-of-ex6sfin�-b�ildings, as_specifled._in_Pasca_County__t3cdinance_nctmbe�.89-U7_�nd_.�,__._
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. lt is further und$rstood that Transportatian Impact Fees and Resource Recovery Fees rr�ust be paid prlor to
receiving a "certificate af occupancy" or flnal power release. If the projec# does not involve a ce�tificate of occupancy or
frnal power release, the fees must be paid prlor #o permit issuance. Fu�thermare, if Pasca County WatedSewer lmpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
, CONSTRUCTION LIEN L.AW(Chapte�713, Fl�rlda Statutes,as amended): If valuation of work is $2,5q0.00 or more, I
certify that 1, the appticant, have been provfded writh a copy of the °Florida Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Deparkment of Agriculture and Consumer Affairs. If the applicant is someone
ather than the"awner", 1 cert�fy that 1 have obtained a copy af the above described cfocument and promise in gaod faith to
deliver it to the"owner"prior ta commencement. �
CONTRACTOR'SK�WNER'S AFFIDAYlT: 1 csrtify that all the information in this applicatlon is accurate and that aN work
witi�be done in compliance wifh ati applicabte laws reguiating construcfion, zoning and land devebpment. Applicatian is
hereby made to obtain a permit to do work and installatian as indicated. I certify that no work or installation has
commenced prior to �ssuance af a permit and that a11 work w�ll be perf'ormed to meet standards of all laws regulating
construction, County and City codes, zoning regulatians, and land development regulatians in khe jurisdictian. ( also
certify that i understand that the regulations o#ottier government agencies may apply to the intended work, and that it is
my responsibility to identify what actions i must take to be in campliance. 5uch agencies include but are not limited ta:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wasfewater Treatmenf. �
- 5outhwesE Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Wafercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of. Health & Rehabili#ative ServiceslEnvironmental Health Unit-Wefis, Wastewater Treatment,
Septic Tanks.
- US Environmental P,rotection Agency-Asbestos abatement.
- Federal Aviatian�Au#horit}r-Runways.
I,understand that#he following restrictions apply to the use of flll:� �
, - Use of fill ls nat allawec3 in Fbod Zone"V°unless expressfy permitted.
- If the fitl ma#erial is to be used in Ftood Zone °A", it is understood that a drainage plan addressing a
"compensaking volume" wil! be submitted at time of permitting which is prepared by a professional engineer
(icensed by#he State of Florirfa.
- If th� �II material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
constructio�, l cer#ify ti��t fill will be used anly to fill the area wlthin t�e s#em waH.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties, If use of fill Is found to adverseiy affect adjacent properties, the awner may be cited for violating
the conditions of fhe building,permit issued under the attached permit application, for iots Isss than one (1}
acre which are elevated by flll, an englneered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, 1 promtse In good faith to inform#he awner of the permitting conditions set farth in
this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical wark,
plumbing, signs, we11s, poafis, air aonditioning, gas, ar other instailations not specifically irtciud�d En the application. A
permik issued shall�be construed to be a license to proceed with the work and not as authori#y to.vioiate, cancel, aiter, o�
set aside any provisians of the technical cades, nor shall issuance of a permit prevent the Bulidi►ig Official from thereafter
requiring a�correction of errors in plans, canstructian or violations of any codes. Every perm�t issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by
the perrnit is suspencled ar abandvned for a period of six{6}monfhs after the time the work ts commenced. An exfension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
jusfifabie cause for the extension. if wark ceases foc ninety(9Q}consecutive days,the��ob is considered abandaned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOi1R
PAYiNG TWICE FiJR IMPRCIVEMENTS TU YCiUR PROPERTY. 1F YOU INTEND Tt)OBTAIN FINANCING�CQNSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0710E OF COMMENCEMENT.
F�ORIDA JURAT{F.S.117.03)
OWNER OR ACiENT CONTRACTOR
5u6scrfbed and swom to(or aiY3rmed)before me this Subscribed and swom to(or afflrmedj before me this
by bY
Who is/are personally known to me or has/have produced Who Is/are personally known to me ar has/t7ave produced
as Identifica�on. as ldentificatian.
Notary Public Notary Publie
CommissEon No. Commisslon No.
tVar�e of Notaty typed,pdnted or stamped Name of Notary typed,pdnted or stamped
.. G �.
_ 5.