HomeMy WebLinkAbout15-15918 , CI OF ZEPHYRHILLS '�
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� � 5335-8th Street
,� (813)780-0020 1591
ELE RICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15918 Issued: 1/16 2015 Address: 39244 SOUTH AVE
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: 2,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 1/1 /2015 Parcel Number: 13-26-21-0010-00000-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JAMES O MORTON ELECTRIC CO.,I C. Name: BOLENDER INVESTMENTS
Addr: P.O. BOX 1537 1055 GEIGER RD. Address: 39244 SOUTH AVE
ZEPHYRHILLS, FL 33539-1537 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Work Desc: REWIRE 2/20 MP 3 PHAS & 2 SINGLE PHASE 2/20 AMP
A PLICATION FEES
ELECTRICAL FEE 45.00
INS ECTIO REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER
FINAL__ __]-2(-I
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
li trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corr ctions not made when inspection called d)work not ready for
inspection when called e) permit not po ted on job site fi� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 m nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing, consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans, Specifications and Fee Must Acc mpany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
i CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
1 uilding Department
7
Date Received p o C nt ct fo P mitting
// v
Owner's Name � v Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Tltlehoider Name Owner Phone Number
Fee Stmple Titleholder Address
JOB ADDRESS � LOT# �
SUBDIVISION P CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR AD /ALT 0 SIGN Q Q DEMOLISH
B INSTALL B R PAIR `
PROPOSED USE Q SFR Q C MM 0 OTHER
TYPE OF CONSTRUCTION BLOCK Q F ME STEEL Q
DESCRIPTION OF WORK � ` v ,I y/ �`� � , �
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ VALUA ION OF TOTAL CONSTRUCTION
�ELECTRICAL ( AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING 'Sa l�
�MECHANICAL $ VALU ION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q S ECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
✓ � � �
ELECTRICIAN • COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED 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 construction,
Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisions/large projects
COMMERCIAL _Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy_Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pe it for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW nstruction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. �,(A/ upgrades over$7500)
*' Agent(for the contractor)or Power of;Attomey(for th'e�owner), ould be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application'On y):. �. � - - � -� •� �
Reroofs if shingles Sewers �" Service Upgrades A/C:- =• ences(PIoUSurvey/Footage) �- - -- ' � .' �` ' ,,
, �. � � 't � .. � ,. , � � ,
Driveways-Not over Counter if on public roadways..needs RO a -�� - • ��-. , .
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FVCITICE OF DEED RESTRlCTIQNS: The undersigned understands that this permit may be subject to°deed"restractions"
which may be more restrictive than Caunty regula#ians. The undersigned assumes responsibiiity for compliance with any
applicable deed restrictions. �
UNLICENSED CONTRACTQRS A�fD COP17'RACYOR RESPONStBILITIES: If the owner has hired a confracfor ar
cont�actors to undertake work, they may be required to be licensed in accardance with state and local regulatians. If the
cantractar is not ticensed as required by ta�nr, both the vwner and contractar may be cited for a misdemeanor violation
under state iaw. if#he owner ar intended contrac#or are uncertain as to what licensing requirements may apply for the
in#ended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
80t�9, Fu�fhermore, if the owner has hired a can#ractor or contractors, he is edvised to have #Fre cantractor(s} sign
portions of the "contractor Block" of this application for which they will be responsible. If yau, as the owner sign as the
cantractor, that may be an indication that he is not prope�ly licensed and is not entitled ta permifting privileges in Pasco
Caunty. � �
TRANSPORTATlON IMPACT/U71LlTIES It���►C�'I�ND RESCIURCE RECC?VERY FEES: The undersigned understands
thaf Transporkatian Impact Fees and Rscourse Recovery Fees may appiy ta the construction af new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-Q7, as amended. The urtdersigned also understands, that such fees, as may be due, will be idsntified at the fime of
permitting. It is further understoad tha# Transportakion Impact Fees and Resource Recavery Fees must be paid prior to � �
receiving a °ce�tificate af accupancy" ar final power release. lf the praject does nat Envolve a certificate of occupancy or
finai power release, #he fees must be paid 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.
CONSTRUCTtfJN �IEN l.AW{Ch�p#eP T13, �lorida Statc�tes; as artne�ded): 1f valuatian of wark is $2,500.00 or more, I
certify that I, khe applicant, have been provided with a copy of the "Flarida Conskruction Lien Law—Homeowner's
Protectio� Guide" prepared by the Ftorlda Department of Agriculture and Consumer Affairs. ff the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and pramise in good faith to
deliver it to the"owner"priar to cammencemenf.
C�NTRACTOR'S/C►WNER'S A�FIDAViT: i certify that a1i the information in this application is accurate and tha#all work
will be done in compliance with all applicable laws regulating construction, zoning and land develvpment. Application is
hereby made to abtain a permit to do work and insEallation as indicated. t certify that no work or instailation has
commenced prior ta issuance of a permit and that all work will be pertormed to meet standards of all laws regula#ing
COt1StfUCtt011, County and City codes, zoning regulations, and land developrnent regulations in the jurisdicfion. 1 also
certify that I understand that the regu�ations of other government agencies may apply #a the intended work, and that it is
my responsibility to�id`entify what actions ! must take to be in compliance. Such agencies inclucle but are not limited to:
- D�partment af Environmental Prot�cfian-Cypress Bayheads, Wetland Areas and Ernironmentatly Sensitive
Lands, WaterMlastewater Treatment.
- Sauthwest Florida Water IVlanagement Disf�ic#-We11s, Cypress Bayheads, Wefland Areas, A1#ering
Watercourses,
- Army Corps of Engineers-Seawalls, Dacks, Navigable Water�nrays.
- Department of Meal#h & Rehabilitative Services/Environmental Heaith Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectian Agency-Asbesfos abatement.
- Federal Aviatian Authority-Runways.
!understand that the following resfrictions apply to the use of fi11:
- Use of fill is not allowed in Flood Zone°V"unless expressly permikted.
- If the fil! material is to ,be used in Flood Zone °A", it is understood that a drainage plan addressing a
°compensating vaiume" wiil.be submitted 'at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If #he fill material is to be used in Flood Zone "A" in connection with a permitfed building using stem vtirall
canstruc#ion, I certify that fill will be used only#o fill the area within the skem wall.
- 1# fi11 material is to be used in at�y arsa, 1 certify that use of such fill will not adversely affect adjacertt
praperties. If use of fill is faund to adversely affect adjacent properties, the owner may be cited for violating
the condltions of the building perrnit issuec! under #he attached permit application, for iats less than one (1}
acre which are efevated by fi(I, an engineered drainage plan is required.
If I am the AG�NT FOR THE OWNER, I promise in good faith ta inform the awner af the permitting conditions set forth in
fhis affidavit grior to commencing construction. 1 understand that a separate permit may be required for elec#rical work,
plumbing, signs, wells, poals, air conditioning, gas, or other installa#ions not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and no#as authority to.violate, cancel, alter, or
set aside any provisions of the technica) codes, nor shatl issuance of a permit prevent the Building OfFicial from thereafter
requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shal! become invalid
unS�ss the work authorized by such permit is cammenceci within six months of permit issuance, ar if work authorized by
the permit is suspended or abandoned far a period of six(6) months after the time the work is cammenced. An extension
may be rsquested, in writEng, from the Building Offrcial for a geriad not ta exceed ninety {90) days and will demanstrate
jus#ifiable cause for the extension. If work ceases for ninety(90)consecutive days, #he jab is considered abandoned.
W�,RNIPdG TCt UWN�R: YOUR ��►iLURE TO REC�RD� iVOTICE�OF-COMi�iENC�MEiVT �ifAY"FiiESIDiLT`16� Y�UR" ��� -
� PA,YING TWICE FOR IMPROVEMENTS TO 1(O.UR PROPER7Y. I�YQU INTEND TO OB7AIN FlNA.NCING, CONSULI"
{�I1TH YOUd�-L��tDER-�R AN�iTTORN�Y BE�OR�RECQRDING YUUR N{�TICE OF CONfN1ENC�MENT. _._
FLORIDA JURAT(F.S. 117.Q3) � _ �
OIWNER 01R AGENT G{)tdTRACTOR �
Subscribed and swam to(or affirmed)before me this Subscribed and swom ta(or affirmed)befare me this
b by
Wha isla�e pe a11y known ta rne ar hasth e produced Who istare persanally!c wn to me or has/haye prodnce �,,,,,/
as Idenfj tlon. as i enUfi ti�
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Notary Public .�� �����. / Notary Pubfic
Com ssion No. :� .:: C missian F 1.37073
Commissi N
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:.= Commissian#FF137Q73 �;ti„�°•• eooa�anwT •�������oaoa�.7ois
Name of Notary c�, � �•0 , Feinlnaurenw8403BS701g Name of Nota ped,printed or stamped
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Bolender�aveatmen#s,�uco�torat�ed Y31�i7T,,,�„�,�,�,G-.'�� _��'� �'�. .
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require a�t additio►�.t dQposit '
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