HomeMy WebLinkAbout14-15874 CITY C)�-ZEPHYRHILLS
� � 5�35-8th Street
(813)780-0020 15874 I
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15874 Issued: 12/23/2014 Address: 5050 16TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,250.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 12/23/201 Parcel Number: 11-26-21-0010-21300-0310
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MARTIN ELECTRIC Name: ZOOK, AARON
Addr: P.O. BOX 437 Address: 596 E MAIN ST
DADE CITY, FL 33525 LEOLA, PA 17540-1924
Phone: (352)521-3319 Lic: Phone: (717)475-9528
Work Desc: NEW SERVICE FOR GARAGE
APPLICATION FEES
�
ELECTRICAL FEE 45.00
' INSPECTIONS REQUIRED
ROU6H ELECTRIC
CONSTRUCTION POLE �� �� �
PRE-METER �
FINAL_l'Z.- 2�{ -l� i z._ 2� -r y
�
�r,�
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 f) 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.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
_._ .__ ____ ti.,��y or�epnymins rermit Appiicatian Fax-813-�$o-oazl
BuRding Deparhssent
Date Reeeived , - Phone Contact for Permltttn -
Qwner's I�ame �'t� . �p� � Owner Phone Namber ,_i_„�
pwners Address �7�CJ � � �''"� dwner Phone Namber �� � I
Fee Simpie Titlehoider Name � � Ou+mer Phon�Number �� �
Fee Slmple 7ltleholder Address
JOB ADDRESS �C� ,,,,SC� ,��'7� y.^- LOT# ��
SUBDNISION �— � PARCEL!'0�
(OBTAINED FROM PROPERTY TAX NQTICE) _� �
_ WORK-PROPOSED� NEW CONSTa- �ADD/AC'P-"� ` SIGN Q [� dEMOUSH
^�e.' =_ INSTAII 8 REPAIR
PRQPOSED USE [� SFR [� CORdM z� OTHER
t'YPE OF CONSTRUCTION Q BLOCK [� FRAME � STEEL Q
DESCRtPTiON OF WORK `��- � ��+�'�
BUIL.DING SIZE � � SQ FOQTAGEC_�� liE1GHT, ���
OBUILDING $ .� VAI.UA710N OF TOTAl.CONSTRUCTlON
[�I.EC7RICAL. $ �5.�` ,,,,,,� AMP SERVICE �Dc� [� PROGRESS ENERGY [� W.R.E.C.
7-- � - J � �
[�PLUMBING �'-r-�. �
��
{�MECHANtCAR $ VALUATiOA!OF MECHANICAI.INSTACLATION �,'�c��
�]GAS [� ROOFiNG Q SPECtA1.Tl � t3THER
=1NtSHED FLOOR ELEVA"f10PtS FLOOD ZQM1IE AREA QYES NO
3Ut1.DER �� COMPANY
3tGNA1'!!RE REGISTEREO Y/ N h'Ee CuRixEn Y/N
Address Ucense# � �
cLECTRICIAN � ( � f COMPANY /�.. 1%"'��~ '�
�[GNATURE r�"'�- � t�'�'P � � REGIStERED Y I R1 FEE CURREh Y I N
Address License# � �
�LUMBER � CQMPANY
41GNATUR� RBGISTEREO Y i N FEE Ct1RRER Y/N
Address License# � �
AEGHAfi�2tGAl COMPAMf
i1GNA1URE REGlSTEREO Y t N �E�CUrtREt� Y t N
Address License# � ��
)THER COMPARtY
RIGNATURE REGISTERED Y/ N �Ef�uattEt� Y t N
Address l.tcense# � �
tESlDENTIAL Attach{2).Plot Plans;(2)ssts o€Buflding.Plans;{1)set of�nergy-Forms;R-4-W Permit for new construcfion,
Minimum ten(10).working days aRer submittal.date. Requlred onslte,.ConstrucUon Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Factlities&1 dumpster,Si#e VHortt Permtt for subdlvlstonsAarge projects
:OMMERCIAI Attach{3)camplete sets'of 8u!ldirtg Plans plus a Life 9a€ety Page;(4}set of Energy Forms.R-O•W Permit for new cvnstruction.
Minimum ten(10)working days after submittal date. Requlred onstfe,ConstrucRian Plans,Stormwater Pians w!Stit Fence Instailed,
Sanitary Facilities&1 dumpster.Slte Work Pertntt for all new proJects.All commercial requirements must meet compliance
HGN PERMIT Attach{2}sets nt Engitteered Ptans. ' �-- � ------
'"'•PROPERTY SURVE'Y required tor all NEW constsuctlon. �`��
1If@GL�OStB:
Fill out applicaQon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If aver a2S00,a Hotice ot Gammencement Is reqylred.. {AJG upgrades over�7500} -, _ -_ , , �, ,
' Agent(tor the contractot)or Power af Attamey(far:the awner)wauld�ti'�someone with notartzed tetter imm:pumer.authorizing same -�• "" , Y?
tYER THE COtINTER PERMITT1Pt6 , (Froni of Apptica8on On(y}, .� : ` , � � � , ,
;eraois tt shfngles Sewers Servlce.Upgrades A/C-' _ Fences,{PIbUSurvey/Footage} ;
Drlveways-Not aver Counter tf an pubilc roadways..nesds ROW
' _ 'V' ^ ,_ r• ,
NOTtCE t3F DEED RESTRICTIONS: The underslgned underr,tands that this permit may be subject fa"deed"restrictions°
which may�:be.more restrictive than.Gaunty regttlaklons: The underslgned assumes�r.esponsiblttty_for compiiae�ce writh any
applicable deed restricttans.
UNLICENSED CONTRACTORS AND CONTRACTOit RESPONSIBILITIE5: �If the owner has hired a contractor or
contractors ta undertake work, they may be requlred to be Ifc�nsed in accardance with state and Iocal regutations. If the
confractor is nat iicensed as required.by iaw, both the owner and eontractor may be cited�for a misdemeanor violafion
under state (aw. if fhe awner or intended cantractor are uncertafn as to what licensing requirements may appty for the
tntended wark;they are advised to cantact the Pasco County Buildlrtg lnspectton Division--!_I+�nsing 5eatlon at 727-847-
80Q9. Furthermore} if the owner has �hEred a contrac#or or contractars, he is advised �to have the contractar{s1 s(gn
portions af the °contractor Block° of this applicatton for which they will be responsible. If you, as the owner sign.as,the
cont�actor, that may be an indication fhat he is not properly licensed�and is not•entified ta permitting-privileges.in Pasco
County. � .
TRANSPORTATIQN IMPACTIUTILITfES IMPACT AND REStIURCE RECQVERY FEES: The underslgned�understands
that TransporEatian impact Fees and Recourse Recovery Fees may"�pply.to the construction of new buildings, change of
use in existing buildings, or expansio� af existing buildings, as specifled in Pasco County Drdinance number 89-07 and
90-07, as amended.-The undersigned also understands, that such fees, �s crnay be due,-wBll be (dentified.at the time of
permitting. It is further undersfood that Transportatton Impact Fees and.Resource Recovery Fees must be paid priar to
receiving a "aettificate of occupancy" or final-pawer.r.elease. If the �roj�c#,does na#:invoive a certifcate of occupancy ar
finai pawer release� #he fees must tie paid�prior ta permit issuance. Furth�rrriare� if Pasco County WaterlSewer Impact
fees are due�they must-be pald prior to permit issuance in accordanae wltti appllcabie Pasco County ordlnances.
CONS7RUCTION LIEN L.A11f111(Chapter?13, FlO�lds StBltU�es� as amended): !f valuation of work is$2;500.00 or more, I
certify that I, the applicant, have .been provlded with a copy of the "Florida Consfruatian Lien Law--Homeowner's
Proteatton Guide° prepared by#he Flarida Department af Agricul#ure and Consumer Affairs. If#he applicant is someone
other than fhe"owner�, 1 certify that i have abtained'a copy of the above described dacument and promise i�good#aith ta
deliver it to the"owner°prior to comrrtencement. �
COIVTRACTOR'S/QWIdER'S AFFIDAVIT: I certify�that.al!the inforrr�ation ln-th(s applicatlon is aocurate and that all work
wil!�be done tn cQmpllanae with al! applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do. wack and ins#alla#ion as indicated. I,certify that no wark or installatian has .
commenced prior to issuance of a permit and that a11 work wiil be pertormed to meet standards of a!I taws regulating
consfruction, County and City codes, zaning regula�ions, and land develapment regulations �n the �urisdictian. ! aiso
ee�#ify that 1 understand thaf the regulat�ons of ottier government agenaies may apply to the intended work, and that it ls
my respansibi#ity to iden�ify what actions !must take to be!n compllance. Such agenctes lnclude bu#are not limited to:
- Department of Environmental Proteatlon=Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
Lands,Water/Wastewater Treatment.
- 8outhwest F(orida Water Management °District-Wells, Cypress 8ayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps af Engineers•Seawalfs,Docks, �lavIgable WaEerways.
- Depa�tment of Health � Rehabilitative Servtces/Environmenta! Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratectfon Agency-Asbestos abatemenf.
- Federal Aviation Authartty-Runways.
I understand that the fotiawing restrictions appiy ta the use af filt;�
- Use of fill is not ailowed in Fiood-Zone"V"unless expressfy permikted.
- if the flli material Is to be used 3n Flood Zone "A", it !s unders#ood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting wh(ch is prepared by a professianat engineer
licensed by the State of Florida.
- If the ffil material is to 6e used in Flood Zone "A� in connection with a permifted buIlding usEng stem wai!
' construction, I certify t�at fiil wiH be used anty to fill the area withln the stem walE.
- !f tiil materiai is fa be used in any area� t certify #hat use of°suah fiA wlll not adversely affect ad�acent
properties. Ef use of fit!-is faund to adversely affect adJacent properties, the awner may be cited far vfolattng
the conditions af:the buUding permit issued under the attached perm(t•applicafian, .for iots less #han one (1)
acre whfch are elevated by f#II, an engtneered drainage plan Is required.
If I am the AGENT�FOR THE OWNER,-I promise in good.faith fo inform fhe awner of the permttting condit9ons set forth in
this affidavi# prior tu commencing construction. 1 understand that a separate permit may be required for elect�ical work,
plumbing, signs, wetls, poots, air candi�an�ng, gas, or other Insta!lafions not speci�caAy included in the application. A
permit issued shatt be canstrued to be a llcense to proceed with the work and not as�authoriky to.viotate, cancei, atter, or
set aside any ptovisians t�f the technlcal codes, nor shall fssuance of a permi#prevent the 8ulldirig Offfciat from#hereafter
requir4ng a�cor�ection of errors In plans, construction or vtoiatians of any codes. Every permi#issued shall became Invalid
unless the work autF�orized by such permit is aonnmenced within=si�c manths of perrnit lssuance� or tf work authorized by
the pe�mit is suspended or abandon�d for a per(od of six{8)months after the tirne the work is cammenced, An exkensfon
may be requested, in writing, from the Bu'slding C?fflcial for a period�not to exceed ninety (90) days and wil) demanstrate
just�iabie cause for the sxtensiar�. !f work ceases for ninety(90)consecutive days,#he�job is considered abandoned.
WARNING TO OVrINER: YOUR,FAILURE TO RECORD�A NOTICE �F COMMENCEMENT �ilAY RESUlT 1N YClUR
PAYING TWICE FOR IMPROVEMENTS T�YC3UR PRt�PERTY.�1R YC}U iNTEND TQ QBTAIN FlMANCING�CONSULT
WI H U L• E A� . O - B �C1 < ECORDI G=Y U l� �ICE. C E ENT.
FIORiDA JURAT(F.S.91 . } - - - - - _ _-_- -
OWNER OR A,GENT
���� GONTRACTCI � _ --- - - - - -
Subscrlbed and swom to ed}befare me this Subsctlbed and.s�wo (or affirmed),before me thls
Y
Who Is/ar personall no to me or hasfiave produced Who islara p on ify Jcnown ta me or haslhavg����on.
as identfflca�an. .._..
;,�Y rv• L E.SACON •, �",•,. J
°'' � • No ry Public Notary PubHc
�• :�; ires June 29,2018 *: k; fl issio
Commissla �• �:�'� � ��eooassao�s Cammissi ii� ��`.= Expires June 29,201$
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Name of No iyped,printed or stamped Name of Notary yped,ptinCetl or�stamped