HomeMy WebLinkAbout15-16244 ; �� CITY OF ZEPHYRHILLS ,
5335-8th Street
(813)780-0020 16244
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16244 Issued: 5/05/2015 Address: NORTH AVE 18TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: ection:
Sq. Feet: Est. Val e: � .�Book: Page:
Cost: 2,40 0 t I es: . Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: -•--� •. e Paid: 5/05/2015 Parcel Number: �
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MELVILLE ELECTRICAL SYSTEMS LLC Name: CITY OF ZEPHYRHILLS
Addr: 7945 SE 121 ST PLACE Address: 5335 8TH ST
BELLEVIEW FL 34420 ZEPHYRHILLS, FL 33542
Phone: (352)245-0600 Lic: Phone:
Work Desc: REBUILD ELECTRIC SERV W/ PANEL LIFT STATION #13 meter#8627260 FEE WAIVE
APPLICATION FEES �
ELECTRICAL FEE 45.00
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INSPECTIONS REQUIRED . �
ROUGH ELECTRIC � ,-, �
CONSTRUCTION POLE �, ���,;,�, �� � �
PRE-METER CU'E3'{ S vJ C�� � � �
FINAL � �,/
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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 wlien inspection called d) work not ready for
inspection when called e) permit not posted on job site� 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.
ONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
; ei��eo-oozo City of Zephyrhills Permit Application Fax�1&760-0021
' Building Department
Date Received / � S < S' Yr $�
Phone ConWctfor Pertnitting
Owners Name �ii I` �� ��� lr V�'� ���✓ Owner Phone Number
Owners Address (�'f��� �"1 � � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
FeeSimpleTiUeholderAddress �`�C`J'V � �UQ �� 1 D � � �'i���-�/l.� '�
� � �JOB ADDRESS ��Q V�L�' � LOT#
SUBDIVISION PARCEL ID#
(OHTAINED FROM PROPERiYTAX NOi10E)
WORK PROPOSED e NEW CoNSfR 8 ADDIALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP710N OF WORK �1.91 � ��IC_.- S `� � ' s'�'� L��� �'��`�' �T ��Z�
BUILDING SIZE SQ FOOTAGE� HEIGHT � ��� 7
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $� � AMPSERVICE�Qp � PROGRESSENERGY Q W.R.E.C. p ����1„Q
,/y . �`/_� �i�^�
QPLUMBING $ ��"�`��D � �� `
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(��
QGAS Q ROOFING Q SPECIALTY 0 OTHER
�� ��� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��
� .,
BUILDER COMPANY
SIGNATURE �cis�rtED Y/ N FEE cUru�n Y!N
Address License�
ELECTRICIAN — � � COMPANY �� �^\ I�� � � �"'L'L"'
SIGNATURE REGISTERED Y/ N F�cuw�n Y/N
Address � �� c�� PL � ieuie� �" License� +�������
PLUMBER COMPANY
SIGNATURE rtECis��o Y/ N FEE CURRE� Y!N
Address License#
MECHANICAL COMPANY
SIGNATURE aFCis�aen Y/ N F�cuw�n Y/N
Address License#
OTHER COMPANY •
SIGNATURE REGISTERED Y/ N pEe cuaRen Y/N
Address Lice�se#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Woric Pertnit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence installed,
Sanifary Facilities 8 1 dumpster.Site Work Pertnit for all new projecLs.All commercial 2quirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consVUCtion.
Directians:•
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITIING (Front of Applica6on Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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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.
UNLICENSED CONTRACTORS AND CONTRACTOR 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 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 Building Inspection Divisior�Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conVactor(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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation 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 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 involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida 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 Departrnent of Agriculture 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 performed to meet standards of all laws regulating
construction, Couniy and City wdes, zoning regulations, and land development regulations 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 Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health 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 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 will be used only to fill the area within the stem 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 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 fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,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.
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 9MMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO �'
Subscribed and swom to(or affirmed)before me this Subscribed and to(or a rtned)before me this
by by
Who isJare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identificafion. as iden6fipGon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
City of Zephyrhills Lift Sta.tion#13
277/480 VOLT 225 AMP 3 PHASE UNDERGROLTND ELECTRIC SERVICE
3-40 HP PUMPS 52 AMPS EACH
Largest Branch Breaker is 100 amps (83.14 KVA)plus full load amps of 2°d. &3rd
motors 104 amps(86.46 KVA)=204 amps(169.60 KVA)for service calculation
*ALL EXPOSED CONDUITS TO BE SCH.80 PVC AND SCH.40 PVC BELOW
GRADE UNLESS NOTED.
ALL CONDUCTORS TO BE CU.THWN UNLESS NOTED
♦— METER SOCKET 320 AMP RATED 3 PHASE W/BYPASS
2-1/2 IN. PVC W/3-#4/0 CONDUCTORS 1-#4/0 NEUTRAL
2-5/8"x10" cu. Ground Rods w/#6 Bare Cu.
~ 480 VOLT 3-POLE 225 AMP Enclosed Breaker
Nema 4x Stainless Steel
2-1/2 in. PVC W/3-#4/0 CONDUCTORS
 EQUIPMENT GRND.
♦-300 AMP RATED GENERATOR ATS .- .
EXISTING
�— 2-1/2 IN. PVC W/3-#4/0 EQUIP. GRND
DEISEL
PUMP GENRATOR
CONTROL 480V 3 PHASE
PANEL EXISTING
200 AMP
Main
4- 2 IN. PVC COATED GRS CONDUITS
TO WET WELL W/SEAL-OFFS
3 for pumps 1 for controls
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�?= .PURCHASE URDER
f �-•a•}:`' :':•., � ' �� No. 00025805
C i�y �t �ephpr�ills �_ a
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VEi�ID�R: SHIP TO: BI�l.�TO:
Utility Technicians Inc Wastewater Plant City of Zephyrhills
630 Goodbar Ave 39825 Alston Avenue 5335 8th St.
, Uma#illa,FL 32784- Zephyrhills,FL 33542- Zephyrhills,FL 33542
VEIVDOR NO. VENDOR PHONE NUMBER TERMS DATE REQlJIRED DEL[VERY DATE
UtilTech (352)669-5822 0 01128/2015
SNlPP1NG IN3TRUCTlO1VS
(none)
TfEM QTY U/M DESC�tIPTION/TASK PRD CODE ACCOUN't' lietIY`pJiIGF� AMOUiVT
1 0.00 Lift Station#13 Rehabilitation. 041-3500-535-6322 - '391;702:970fl, 291,702.97
' Contract#41-]5-05. Approved
by City Council 1-16-15.
Piggyback with FGUA's
contract 5-22-14 Eapires 6-
20i6 plus two(2)yr.renewal. �
Not to exceed tota!cost of PO
based on proposa16009.
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IMPORTANT: OUR ORDER iVUMBER MUS'f APPEAR ON EVERY INVOICE AiVD PACKAGE ,
This ord�is givert upon the represenffition and guaranty of the manufacturer or seller that no breach of any Stete or Fedetal Law or Regulation has occu�red in �
connecNon wiih,the manufacturing,processing,bianding,Iabeling or transportallon of the meschandise herein mentioned. If such breach acc��rs or is charged by any
legally constituted State or Federal authority,the buyer shall be eatitled bo rescind die order and i�etum the unused menchendise and shall also be held harmless by the �,
manufacturer or seller against any penaIty incim�d and/or the cost of defense of any proceeding d�signed fi penaliu the buyer tha�efor. �
�:
Page:Z Purchase Order No. 00025805
1TEM QTY [J/M �DESCRIPTION/TASK PRD CODE ACCOUN'f UNIT PRICE AMOUNT
SUSTOTAL: 291,702.97
TAX; 0.00
SHIPPING: 0.00
, TOTA4: Z91,702.97
TAXABLE: No
CONFIRMING: No
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AUTHORIZED S[GNATURE �
SPECIAL INSTRUCTIONS: ' ,
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IMPORTANT: OUR ORDEit NUMBER MUST'APPEAR ON EVERY[NVOICE AND PACKAGE �
7tiis order is giva�upon the representation and gua�ty of the manufacturet'oc seller that no breach of eny State or Fedetal law or Regulation ltes occtured in �
wnnection witl�the menuFacturing,procGSSing,b�anding,labeliag or hanspottation of the merchandise herein mentioned. !f such breach occ�us or is cheigad by a�ry 'y
legaliy wnstituted State or Fede�al authority,the buyer shall be endded to�escind the order and retum the unused menchandise and shall also be held harmless by the t
manufacturer or seller against any penalty inc�and/or the cost of defense of eny procead'mg desi�to penalize the buyer therefor. i
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Water arrd Sewsr Spec.ialty�'oritracwr
s�r�«�au�nt�c��cuctis�as
t}ffice(352j 669-�r82� 630 Goodbar Av�tue
Fax(3S2j 669-603� �'O�f39�. Umat�'lta,�iorida 32784
#�ttAMElADt1RESS DATE 1J1612tlIS Propoaet� d009
Citj'af Z,ep�yrh�ls
333�S�t Stread .tab:
ZcPhry�u7b.FL 3354� I�8 S�ion 13 Rep�ita
70TAL:
F�ish atl��esia�s,tqu�pmtmt sud 2sbvr aa pra tt�e�Seopa of Wcsrlc ctabed3�aecy ?9S�T02.47
19,2b1S e�l i��Sc�uedule of VaI�for 7.t�shyrhills Y.ift Stalia�13 Repairs deted January �
19,2015. .
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TQTAL; $Z91,7Q2.97
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All gsabocial�d wa�oahip ia�u�aa�ad for for nme yatroras ei�ad.AII a�ocic to ba camp2ated ia i pmfex�ioml�naoord'mg to�
pr�ioc�.Aw elkmtiau or deviaiam fe�am ebore rpaafia�iroaa i�lv�g ea�u�a m�s w�l ba mccauted osiy upnu wrimeu.am3e�f,�ad wiI!lx�e m i
a�ItEonsl chu�ge ovrr�ed t6ove�a.All ag�mm�e cantmgonit upon�lae�.aaoidenb,daLya bayocd onr oo�a1.0�reaa'l�e�s tce BiUy owrenad ;
Propo,�t����(?I� fiom daDe ofpmpnaaL Pr�yment due 15 dags lfom invoice or as atffiotl abova ?
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ACC�MANCB t� eba�ve p¢�ca�,��t#m�a and oomdi#ian�ara a�ary gnd sra�aeby ac�aptad,You me�to do tLa '
�aek ae yttclHed abov� 's
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