HomeMy WebLinkAbout14-15867 CITY OF ZEPHYRHILLS
, � 5335-8th Street
'� � (813)780-0020 158 7
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15867 Issued: 12/19/2014 Address: 36841 CLUBHOUSE DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 300.00 Total Fees: 40.00 Subdivision: SILVER OAKS
Amount Paid: 40.00 Date Paid: 12/19/201 Parcel Number: 04-26-21-0000-00100-0020
CONTRACTOR INFORMATION OWNER�INFORMATION
Name: CARLYLE ELECTRIC Name: S & R DEVELOPMENT LLC
Addr: P.O. BOX 251 Address: 36841 CLUBHOUSE DR
CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: NEW METER INSTALL/ DRIVING RANGE
� APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE i_ � N� �
PRE-METER �
FINAL "i Z - ' �
� 2 - 22 � � �
�3c3
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections 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 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 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.
CO CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o�o-�au-uucu c;ity of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved ' F Phone Contact for Permitting �I 3 � 1 `i — � 6 �
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Dwner's Name � "''" Ovvner',Phone;Num�er..�
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Dwner's Address ` - .ld � �/� Oyvner P.Fione�Number: '
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Fee Slmpie Titleholder Name Owner Phone Number
Fee Simple 7ltlehoider Address -
JOB ADDRESS � � .�� � � ` V v ' i v V cS C. f' LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
IMORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM Q OTHER
IYPE OF CONSTRUCTION Q` BLOCK Q FRAME Q STEEL Q
� DESCRIPTION OF WORK ��InJ �C f ��� �o�l�'7��L � �t'� v►' ��rv�r
BUILDING SIZE �SQ FOOTAGE� HEIGHT
OBUILDING $ . VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ �Qo pp .AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
QPLUMBING $ �6/`
� S
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �C
QGAS Q- ROOFING Q SPECIALTY'Q OTHER
=1NISHED FLOOR ELEVA710NS FLOOD ZONE AREA =OYES NO
9UILDER COMPAIdY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN ,� COAAPANY
iiGNATUI4E d')• ' REGISTERED Y- FEE CURRE� Y/N
Address _�, � � � License# � � ,� `o
'LUM9ER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense#
AECHANICAL COMPANY
i1GNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License�!
)THER COAAPANY '
iIGNATURE REGISTERED Y/ N FEE.CURRE� Y/N
Address License#
tESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sef of Energy Forms;R-O-W Permit for new construction,
Minimum.ten(10)working days aRer submittal date. Regulred onsfte,Constructlon Plans,Starmwater Plans w/SOt Fence installed,_ ___ . __
__ - -Sanftary FarAtities-8-1 dumpster,SI4e Work Permit for subdlvlsionsAarge proJects — -
:OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-VV Permtt for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Faciiities S•1 dumpster.Site Work Permit for all new proJects.All commercial requiremerits must meet compliance
�IGN PERMIT Attach(2)sets of Engineered Plans.
"'"PROPERTY SURVEY requlred for all NEW construction.
iirectlons:
Fill out applicatfon completely.
Owner&Contractor sign back of application,notarized
If over�2500�a Notice of Commencement is requlred. (AIC upgrades over 57500) �
' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
IVER THE COUNTER PERMIITING � (Front of Applica8on Only)
;eroofs ii shingles Sewers Sen►ice Upgrades�A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UfdLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iicensed in accordance with state and local regulations. If 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 to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Bullding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or_contractors, he is advised to have the contractor(s) sign
po�tions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. ,
- TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersfgned understands
that T�ansportation 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 County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to " - -
receiving a °certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be pald prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide° prepared by the Florida Department of Ag�iculture 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/OWNER'S AFFIDAVIT: I certify that 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 installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction; County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
certify that I understand that the regulations of otfier government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewater Tceatment.
- Southwes! Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental HealtFi Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �
I understand that the following restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"-unless expressly permitted.
- If the fill material is to be used in Flood 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 the 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 wiil be used only to fill the a�ea within the stem wall.
- If fill material is to be used in any area, I�certify that use of such fili will not adversely affect adjacent
properties. If use of fill is found to adversely 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 flli, an engineered drainage plan is required.
If I am the AGENT FOR TFIE.OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poofs, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work 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 Buildirig Offlcial from the�eafter
requiring a�correction of errors in plans, construction or 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 permit 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 ninety(90)consecutive days, th�job is considered abandoned.
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.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGEMT �� CONTRACTOR ,../'
Subscribed and swom M( Htrmed) ef e this � ,, Subscribed and swo (or affirmed) re me this
bY ' ' by
Who Is/are onally known to me r has/have produced Who ts/are personally nown to me or has/have produced
a identlflcadon. �-•-.. as idendfication.
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