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HomeMy WebLinkAbout15-15962 f � CI OF ZEPHYRHILLS � � 5335-8th Street / � r � �OlJ)70�'��2� 15962 E ECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:15962 Issued: 1/2 /2015 Address: 38642 10TH AVE 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: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 1/2 /2015 Parcel Number: 11-26-21-0010-08300-0175 CONTR�►CTOR INFORMATION OWNER INFORMATION Name: MARTIN ELECTRIC Name: VELASQUEZ MARTA &ALEX � Addr: P.O. BOX 437 Address: 17914 SAINT CROIX ISLE DR DADE CITY, FL 33525 TAMPA FL 33647-2704 Phone: (352)521-3319 Lic: Phone: ' Work Desc: ELECTRICAL SAFETY INS ECTION PLICATION FEES ELECTRICAL FEE 40.00 � r' INSPECTIONS REQUI ED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL � REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the foll ing reasons: a) wrrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspection called d) work not ready for inspection when called e) permit not post d on job site� plans not at job site g) work not accessible. ' NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, a d there may be additional permits required from other governmental entities such as water ma agement, state agencies or federal agencies. "Warning to owner: Your failure to record a otice of commencement may result in your paying twice for improvements to your property. If you inten to obtain financing,consult with your lender or an attorney before recordin your notice of commencement." Complete Plans, Specifications and Fee Must Accom any Application. All work shall be performed in accordance with City C des and Ordinances. CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTI N - 8 HOUR NOTICE REQUIRED PROTECT ARD FROM WEATHE�t sasasa-oa2o City of Zep yrhills Permit Applicatian Fax-813-780-0021 uilding Department Date Rsc�ived ' � Phone Con ct#or Permitting t Owner's Name I•�G G"(Q s Owner Phone Number �.3 fJ�✓ ! �a Owner's Address lY.�Crai�' �1t„ � q Owner Phone Number � � Fee Simple Tittehotder Name Owner Phone Number �- � Fee Simple Titleholder Address JdB ADDRESS ��'/ 2- a� �"!1J� LQT# �____� � SUBDIVISION � � P EL!Q# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PRQPQSED NEW CONSTR AD A�T 0 S1GN Q Q DEMOZtSH INSTALL 8 REP IR PRQPQSED USE Q SFR Q GQ M [� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q DESCRtPTtON OF WORIC d t✓2 ,�l /'/G� 'rS Bt11LDING S12E �� � SQ FOOTA�E HEIGNT ��� �gU«d��� I"5_____� VA�UATI N OF TOTAL CONSTi2UCTtON L �.a �ELECTRtCAL $ �r�� ANtP 8EF2 CE Q PROGRESS ENERGY Q Vtt.R.E.C. � QPLt)MBING �> � OMEGNANlCAl. �;� VAl.t1AT! N QF MECNANtCAI INSTA�I..ATION QGAS Q ROpFENG Q SPE IALTY 0 OTHER FINISHED FLOOR ELEVATIONS � � FLO D ZONE AREA QYES NQ BUII.dER QMpANY SIGNATURE R GISTERED Y/ N FEE CURRE� Y!N Address License# �` � .... � �.~-- I3 ELECTRICIAN �� � C MPANY �/'T� � i'YC SIGNATURE _ 12 GISTEFtED Y/ N FEE CURRB� Y/N Address .� t"} ,�7 �i� License# �1.3(�C�/ ,��� P�UMBER C MPANY 51GNATURE R GISTERED Y/ N FEE CURRE� Y/N Address Ucense# �- � MECHANICAL C MPANY 51GNATURE R GISTERED Y/ N FE6 CURRE� Y/N Address License# �- �� -_. ,-, r. _. ,. .,.__ , - , DTHER . , , - G MPANY �.. . ,� - ,,":.,.� 51GNA7URE RE ISTEREO Y/ N FEE CURRE� Y/N Address License# �� --� 2ESlDENTlAL Attach(2}Pfot Flans;(2}sets of Building Plans;{1}set o#Energy Fatms;R-Q-W Permit for new constructian, Minimum ten(10}working days after submittat date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit far ubdivisionsflarge projects �OMN2ERCtAL_ Aftaah{3}camplete sets af Sullding Pians plus a Life fety Page;{1}set af Energy Forms.R-O-W Permit for new canstrvctian. Minimum fen(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silk Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit for II new proJects.All commercial requirements must meet compfiance St�N PERMIT Attach(2}sets of Engineered Plans. ""PROPER'TY SURVEY required for all NEW constru tion.' }irections: Fill out application completely. � Owner 8�Contractor sign back of application,notariaed If over�2540,a Notiae of Commencement is required. (AlC uqgr des over$T500) ` Agent(for the conUactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same }VER THE COUNTER PERMITfING {Front of Application Only} teroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurveylFootage) Drtveways-Not aver Counter if an pubtic roadways..needs ROW * _ NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit m�iy be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. • � , , . ,• . UNLICENSED CONTRACTORS AND CONTR�4C'TOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with,state and local regulations. If the contractor is not licensed as requi�ed 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 Building Inspection Divisi�on—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 portions 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 IMPACTIUTILITIES IMPACT�►ND ItESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the constUUCtion 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 clue, will be identified 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 ir�volve a certificate of occupancy or final power release, the 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. CONSTRUCTION LIEN L�►1N(Chapter 713, Florida Statutes, as amended): If valua�tion 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 Agriculture and Consumer f\ffairs. If the applicant is someone other than the°owner", I certify that I have obtained a copy of the above described doc:ument 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 an�d 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 performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development,rec�ulations in the jurisdiction. I also certify that I understand that the regulations of other 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 �ayheads, Wetland Ar•eas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress �a�rheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Fleal4h �Unit-Wells, 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 fill:� - 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 �hat a drainage plan addressing a "compensating volume" will be submitted at'time of permitting which 6s 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 will be used only to fill the area within tfie�tern wall. � ' ' - 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�II is found to adversely affect adjacent properties, ithe owner may be cited for violating the conditions of the building permit issued under the attached perm�t application, for Iots less than one (1) acre which are elevated by�II, an engineered drainage plan is required. If I am the AGENT FOR THE OWfVER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, 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 Building Official from thereafter 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, the job is considered abandoned. _ 1fVARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEMCEMENT MAY RESULT IPI YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN�T'O OBTAIN FINANCING, CONSULY VYI7H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIIIf1ENCEMENT. _ _____.� FLORIDA J.URAT_(F_S 11.7.03)-- --– �—� - OWFlER OR�1GENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as IdenUflcadon. as identification. Notary Public Notary Public Commisslon No. Commission No. • Name of Notary typed,printed or stamped Name of Notary typed,printed or si:amped � , ,