HomeMy WebLinkAbout15-15987 CI OF ZEPHYRHILLS
5335-8th Street
a (813)780-0020 15987 -
EL CTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15987 Issued: 2/0 2015 Address: 5645 19TH 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: 500.00 Totai Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 2/0 /2015 Parcel Number: 11-26-21-0010-10900-0050
CONTRACTOR INFORMATION OWNER INFORMATION
Name: WESLEY CHAPEL ELECTRIC LLC Name: LOKHANDWALA ABBAS
Addr: 25678 INKWOOD PLACE (POBox 72 7) Address: 10305 BENEVA DR
WESLEY CHAPEL, FL 33544 TAMPA FL 33647-3253
Phone: (813)973-1141 Lic: Phone:
Work Desc: INSTALLATION 9MOKE DE ECTORS & CIRCUIT FOR HEATER
PPLICATION FEES
ELECTRICAL FEE 40.00
INS ECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL �
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when e�ctra inspection
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� 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 anagement, 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 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 performed in accordance with City
Codes and Ordinances.
NT CTOR PER OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
813-780-0020 City of Z phyrhills Permit Application Fax-813-780-0021
Building Department
Date�teceived Phone C ntact for Permitting --
Owner's Name ��� Owner Phone Number /�� �35��
Owner's Address �7-� �! � � � /�i Owner Phone Number �
Fee Simple Titleholde�Name Owner Phone Number
Fee Simple Titleholder Address
- JOB ADDRESS ,j� r�T . 3�J` LOT# �
SUBDIVISION ARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) i
WORK PROPOSED e NEW CONSTR B DD/ALT � SIGN � 0 DEMOLISH
INSTALL EPAIR
PROPOSED USE Q SFR Q OMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK �. RAME � STEEL 0
DESCRIPTION OF WORK �NS��� s'�� � �����`� r'"l�C� �L/'�G� L
BUILDING SIZE �S� SQ FOOTAGE HEIGHT
�BUILDING $ VAL ATION OF TOTAL CONSTRUCTION
LECTRICAL $ . AMP SERVICE �� PROGRESS ENERGY ' Q W.R.E.C.
�
OPLUMBING $ e j ����
OMECHANICAL $ VAL ATION OF MECHANICAL INSTALLATION
�I
�� � y
OGAS 0 ROOFING Q PECIALTY � OTHER
FINISHED FLOOR ELEVATIONS LOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ,
ELECTRICIAN COMPANY ��!/ G�" "�(/"�'� L^Z G�-��''"�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 2 s�7� /�'� � �! L aF License# � C" �3 a�Sr���
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 ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Per 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 onstruction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. ( C upgrades over$7500)
'" Agent(for the contractor)or Power of Attomey(for the owner) ould be someone with notarized letter from owner authorizing same
' OVER THE COUNTER PERMITTING (Front of Application O ly)
Reroofs if shingles Sewers Service Upgrades A/C ences(PlobSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs RO
NQTtCE O� DEED RESTRICTtONS: The undersigned understands that ihis pe�mit may be subject to"deed"restrictions"
which may be more restrictive than County regulattons. The undersignsd assumes responsibllity for campliance with any
applicable deed restrickions.
UNLICENSED CONTRACTORS �ND CONYRACYOR RESPONSIBILITIES: If the owner has hired a cant�actor or
contractors to undertake wark, they may be required to be licensed in accordance with state and tocai regulations. tf the
contractor (s not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation
under state law. !f the owner or intended contractor are uncertain as to what licensing requlrements may appiy for the
intended work, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractar(s) sign
portians of the "con#ractor Block" of this apptication far which they will be responsibte. tf you, as the awner sign as the
cont�actar, that may be an indicatian that he is not properly Eicensed and is not entitled to permitting privileges in Pasco
County,
_ _TR�4NS�"OIRTATION IAHPA►CT/UTILITIES IMP�4�T AND RESOURCE RECQVERY P�ES: The undersigned_understands_. _____
that Transportation Impact Fees and Recourse RecoVery Fees may apply to the constructian 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 identified a# the time of
permitting. !t is further understaad that Transpar#ation tmpact Fees and Resource Recovery Fees must be paid prior to
receiving a "certi�cate s�f accupancy" ar fina! pawer release, if the pro}ect does not invoive a certificate af occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Wate�/Sewer tmpact
fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
Ct3NSTRUCTION LiEN LAW(Chapter 713� Florida Statutes, as amended): If valuation nf work is $2,500.00 or more, I
certify that 1, the app}icant, have been provided wi#h a copy of the "Fiorida Construction Lien Law--Hameowner's
Prateckion Guide" prepared by the Ftorida Department af Agriculture and Cansumer Affairs. If the applicant is someone
other than the°owner", I certify that! have obtained a copy af the above described dacument and promise in gaod#aith to
deliver it to the"owner"prior ta commencement.
CC>WTR�ICTOR'SlO1�INER'S AF�IDAVIT: I certify that all the informatian in this applicatton is accurate and that aU work
will be done in compliance wi#h al{ appiicabie laws regulating construction, zoning and land development. Application is
hereby made to abtain a permit Ea da work and instaliation as indicated. I certify that no work or installation has
commencsd priar to issuance of a permit and ihat a!1 wark will be perfarmed ta meet standards of all laws regulating
cons#ruction, Gounky and Gity codes, zoning regulations, and land develapment regulations in the jurisdiction. t alsa
ce�tify 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 nat limited to:
- � Department of Environmental.Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaferlWastewater Treatment. ' � �
- Southwest Fiorida� Watec Management Distric#-Wetts, Cypress Bayheads, �Utletland Areas, Al#ering
Watercourses.
- Army Corps of Engineers-Seawalls, Rocks, IVavigable Waterways.
- Department of Health & Rehabilitative ServfceslEnvironmenkal Health Unit-Wells,_Wastewater Treatment,
Septic Tanks. '
- US Environmental Pratection Agency-Asbestos abatement.
- Federal Aviation Autharity-Runways.
! understand that the foNowing restrictions apply to the use of fi#f:
- Use of fill is not allowed in Fload Zone"V"unless expressly permltted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
� "compensating vo(ume° wiil be submitted at #ime of permitting which is prepared by a professional engineer
(icensed by the State of Ftorida.
- !f the fill maEeriat is ta be used in Flaocf Zone "A" in connection with a perrniffed building using stem waii
cons#ructian, 1 certify that fil!witf be used anly to f�ll the area wi#hin the stem wal1.
- If fill material is to be used In any area, I certlfy that use of such �I! wifl nat adversely affect adjacent
�' properties. If use of fill is found to adversely affect adjacent praperties, the owner may be citec! for vialating
� the conditions of the building permit issued under the attached permit application, far lots less than one (1)
��� acre which are elevated by fili, an engineered drainage plan is required.
If I am the A�G�NT FOR THE OWNER, 1 promise in gaad faifh to inform#he owner af the permitting aonditians set forEh in
this affidavit prior to commencing canstruction. I unclerstand that a separate permit may be requirad for etectricai work,
plumbing, signs, weUs, pools, air conditioning, gas, or ather instaUa#ions not specifically incfttded in the application. A
permit issued shall be canstrued to be a license to proceed with the work and not as authority to.violate, cancel, alter, ar
set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Building Official from the�eafter
requiring a correction of errors in plans, cons#rucfion or vioiations of any codes. Every permit issued shall became invalid
unless the work autharized by such permit is cammenced within six months af permit issuance, ar if wark au#horized by
the permiE is suspended or abandoned for a period of six{6}months after the t�me the work is commenced. An ex#ension
may be requested, �n writtng, from the Building �ffic(al for a periad not to exceed nEnety (90) days and will demonstrate
justifiable cause far the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned.
WARNiPIG 'TO 011iillN�R: YOU FAiLUitE TO RECORD A NOTICE O� COriAflIIflENCEMENT �ViAY RESULT IPl YOUit
PAYING TWICE FOR I�i1PR0 NfENTS TO YOUR PROpERTY. tF YOU INTEND a QBTAIN FINANGtNG� CONSULT
WI`CH YC?UR I.ENDER C3R ATTt3R Y �FO E RECQRDiNG YOUR NO OF C NlNtE �iVi� .
��aRiaA,�uRar t�.s.��7.os - . -
OWNER OFt AGEN7 ___� _ - �ONTRACTOR .
Subscribed and sworn to(or afflr c!}be#ore me this Subscr(bed and swom or aff]rmed)be ore me this
by �Y
Who is/are personaNy known ta me or has/have produced Who(s/are personally knawn to me or has/have produced
as lden8tication. as ldentification.
��Notary Public Notary Publia
Commisston Na. - Commfsston Na.
f��m�ot N.�tary typed,printed ar starnped Name of Notaty typed,pdnted ar s#amped