HomeMy WebLinkAbout15-16448 _ �
CITY OFI ZEPHYRHILLS ,
5335-8th Street
I � ` (813)780-0020 16,4`48
ELECTRICAL PERMIT �,�
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16448 Issued: 7/16/2015 Address: 5506 GALL BLVD �
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: 67. 0 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 67.50 Date Paid: 7/16/20�5 Parcel Number: 11-26-21-0010-05700-0256
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PERRY ELECTRIC & MAINTENANCE INC Name: PHIL MOOK ENT.INC
Addr: 3705 MIRACLE TREE WAY Address: 1108 W BRANDON BLVD
PLANT CITY FL 33565 BRANDON FL 33511
Phone: (813)477-5112 Lic: Phone:
Work Desc: REPLACE ELECTRICAL SERVIGE
APPLICATION FEES
ELECTRICAL FEE 67.50
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INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL � 7 n -(
--�° �..--�--
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 followir�g reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctio�ns not made when inspection called d) work not ready for
inspection when called e) permit not posted i n 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.
G��%i�
C CTOR PER OFFI
RMIT EXPIRES IN 6 UN-THS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT C�1RD FROM WEATHER
813-7'80-0020 City of Zephyrh�lls Permit Application Fax-813-7eaoa2�
Buildi�g Department
, _ �
Date Recelved Ahone Contact for Permtt#in —
Owrner's Name (..� Qwner Phone Numbar C� ��/ �
Owner's Address � � � � �( Owner Phone Number � �
Fee Simple Tltleholder.Name �� � Owner Phone Number �� �
I
Fee Simple Tltlaholder Addres� �
JOB ADDRESS ��C�� Y r�l( �7,�„� �„ LOT# C�
SUBDIViSiON �— � pARCE�1D#
OBTAINEU FROM PROPERTY TAX N0710E)
WORK PROP{aSED NEW CONSTR ADD/A�T SIGN� Q Q DEMOLISH
INSTALL 8 REPAI �
PROPOSED USE Q SFR Q COMM Q QTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� BTEEL Q
DESCRIPTION OF WORK � -�-� � / �%'G y,,,
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BUILDING SIZE �— � SQ FOOTAGE�� HEIGHT ���
�$U������ �,....-�� VALUATION OF TOTAI.CON87RUCTION
,,,_,��J
CTRICA� $� ,�r/���_� AN1P SEF2V1�E ��J PROGF2ESS ENERGY Q W.R.E.C.
V.
OPLUMSING �� . ` `��
QMECHARlICAL $ VALUATtON OF MEGNRNICAl.lNSTA��ATICtN +���`1
Q�+� Q FtOQFlNG Q SPECIALTY � QTHER
FINISHED FLQOR ELEVATIONS �� FLOOD ZQNE AREA [�YES NO
BUILDER COIMPANY
SIGNATURE REGI Y/ N FEE CurtRE� Y/N
'���$$ � 5 License# �— �
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ELECTRIGIAN CO �,r^�' � ld�+ 1�y �'
SIGNA7URE REGISTERED Y N FE�CURRE� Y/N
Address License# �� �
Pl.Utu18ER COMPANY
SIGNATURE REGIStERED Y/ N FEE CURRE� Y/N
'�d�� I License# � � �
MEGHANICA! �(�jL{y�p�y
SIGNATURE REGISTERED Y/ N ��E cuRt't�n Y!N
��r��g License# �� �
O'iHER I
C MPANY
SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Addre�s � tice�se# r� —1
t2EStDENTiAl: Attach(2)P!o#Plans;(2)sets of Bultiltng Plans,('1}se�af Eriergy Forms;R-t1-W Permlt for new construction,
Minimum.ten:(10};working days after,submittal'date. Requlred onsite,Construction Plans,�Stormwater Plans w/Silt Fence installed,
Sanitary Faciiides&1,dumpster Site'Work Rermit for subdivislonsAarge proJects
COMMERCIAi. Attach{3)complete sefs of Buildlrig Plans plus a Ufe Safety Page;{1}set of Energy Faans.R-O-W Perm3t t'or new constructian.
_ _ Minimum ten(10)working days'after submiktal date. Required onsite,Cansfruction Plans,Stormwater Plans w/Silt Fence installed,
Santtary FaciliGes&1 dumpster.Site Work Pertnit for all new proJects.All cammerclal requlrements must meet campltanca -- -
SIGN PERMIT Attach{2}sets af Ehglneered�Plans. �
•"••PROPERTY SURVEY reguired f�r all NEW cons ctlon.
I?ELBCtIOt18: i ,` ,..
Fill out applicaUon completely. � . � � , , 1 � �
Owner&ContracMr sign back of appllcaUon,notadzed: `
If aver�2500.a Nottce of Commencement Is raquired. {AtC apgradea�pver$7500} ----� -=., : , ._,�° �°�f�. :..-.
'" Agent(for the contractor)or Power of Attomey(for the owner)would e someone with noka�ized letter from owner authorizing same �, ,
OVER THE COUNTER PERMITfING`. .:.(Front of Applicatian,On1y);.�� . '. . �- - � � .-_.._. . ,{_; .. . .,....., _ `
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Reroofs if shingles Sewers �Service Upgrades.A/C.. - Ferices�(Plaf/Survey/Footage) �� - � �...� �. ., . ",' '
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Drtveways•Nat over Caenter if on pubilc roadways:;needs ROW<i,;��,.; � � '. '�'' - � ; , :`�.�. . ,,...,
t^�,r�...x-ivy...._, s A-.�.x� :.L.r'I.1...,....» , 4, r. ... ... . . . c.a _ x,. :.r._ t 's.f. A
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NOTICE OF DEED RESTRICTIONS: The underslgned understands°�.that this.p�rmlt.may be,subJect to"deed"restrlctlons"
whfch may be;more�r.est�ictive-than County regulations. �The undersigned �sstimes responsibiltty for comptlance with any
applicable d�ed restrictions. •
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
coniractors to undertake work, they may be required.to be:licensed in accordance.with state.and•local regulations. If the
contractor (s not I(censed as requlred`by law, both the ow►ner and contractor-may be clt�d for a misdemeanor violation
under state law. If the owner or intended�contractor are unc�rtaln as to what Iicensing.requlrements may apply�#or�the
intended work, they are advised to contact the Pasco County�uilding Inspectlon Division--Ltcensing Sectton 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 appllcation for which they wlll be responsible. If you�-as.the owner sfgn as 4he
cont�actor, that may be an indication that he is not.properly Ilcensed and is not entitled to permitting privileges in Pasco
County.
TRANSPARTATION IMPi4CTlUTILITIES IMPAC7'AIVD RESOURCE RECOVERY�FEES: The unde�igned understands
that�ransportation Irnpact Fees and.Ftecourse Recove.ry.Fees may apply�to the constructlon of new buildings, change of '
use in exBsting buildings, or expansion of�ezistiri,g'buildings, as specified in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as�may be�.due,.will be (dentlfied 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 flnal 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 WaterlSewer Impact
fees are due, they�must be.pald prior to permit�lssuance-In accordance writh app9lcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Cha�ter 713, Florida Statutes, as amended): If valuation of work is$2,500.m0 or more, I
certify that I, !he appiicant, have been provided with a copy- of the "Florida Constructlon Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the appl(cant is someone
other than the"owner", I certify that I have.obtained a copy;of,Qhe above..described docurnent°and promise In,good faith to
deliver it to the°owner"prior to�commencement.
CONTR�►CTOR'SIOWNER'� AFFIDAVIT: I ceitify.that all the Information in this appllcation is accurate and that all work
will�be done in complfance with all applicable laws regulating construction, zoning and land development. Applicatiora is
hereby made to obtain .a permit to do work and installation as indicafed: I certify that no work or installatton has
commenced prior to Issuance of a permit and that.ali work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulatians, and land development regulatlons-in the jurisdtction. ( �Iso
certify that I understand:tfiat,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:.corolpliance. Such agenc(es include but are not Iimited to:
- Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management. District-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navlgable Watetways.
- Department of Health & Rehabllitative ServiceslEnyironmental Health Unit Wells, Wastewater Treatment,
Septic Tanlcs. .
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the following.restrictions apply to�the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly permltted.
- If the fill r�oaterial is to be used. in Flood Zone "A", It. is understood 4hat a drainage plan addressing a
"compensating volume" will be submitted at time of pe�rnitting which is prepared by a professional engineer
Iicensed by�he State ofFlorida.
- If the fill maQerlal is to be used in Flood Zone "A" ins connection�with_a permitted building using stem wall
� construction, I certify that fill.will=be used only.to#111 the area within the stern•wall.
- If flll material is to be used In any area, I certify that .use. of such flll will not adversely affect adJacent
properties. Of use of flll is found to adversely:�ffiect adJacent properties,.the owner may be clted for violating
the conditions of the building.permit Issued under the attached permit application, for Iots less than one (1)
acre which are elevated by flll, an engtneered drainage plan Is required. •
If I am the AGENT FOR THE OWRlER, I;:promise In good faith to inform the owner of the perrnitting conditions set forth in
this affidavit�prior to commencing constructlon. I understand that a--separate permit may be requfred for electrical work,
plumbing, signs, wells, pools; air conditioning,.gas, or other (nstallatlons not specificaliy lncluded in.the application. .A
permit Issued shall be construed to be a Ilcense to proceed with the work and not as.authority#o.violate, cancei, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a permit.pcevent the Bulldirig Official from thereafter
requlring a correction af errors in plans, construction or violations of any codes. Every perm(t issued shall become invalid
unless the vuork authorized by such permit�is.cornreienced�withtn sfx months of permlt issuance, or if work authorized by
the permit is suspended or.abandoned for a:period of six(8) montF�s after the time the�work is commenced. An extension
may be requested, tn writing, f�om the Building,Official for � period not to exceed ninety(90) days a�d will demonstrate
justifiable cause for_the extension. If work ceases for ninety(90)coras.ecutive:days,..th�)ob is considered abandoned.
WARNING TO OWNER: YOIJR.FAILUR@ TO,ftECORD l4 NOTIG� OF�COMIVIENCEMEMT MAY RESULT IN YOUR
PAYING TYlIICE FOR IMPROVEMEN�S TO YOUR�ROPERTY. IF°YO.U�INTEND�''TA�OBTAIPI•FIHF�►NCING,�CONSULT
lAIITH YOU ENDE O AN ATTORNEY� FO ��RECOR�D C:�YOU � O �CE�'O ' � E ENT�
FLORIbA JURA�(F.S.1 � .
OWNER_ORI,GEIdT -- -- - ---- Ed3'O.��T�it — -- - - -- -�-- -- ------
Subscribed and swom to(or before Is Subscribed and.b� m to( r afli d)�befo this
by
Who Islare personally known to.me orctiasf�fave produced Who Is/are personally known to me orfi s/have produced
as identlflcatlon. as IdentlfiqUon.
� Notary Public Notary Publlc
Co sslon No. Com n.N �
;:�sY.rvyy JOEL E.B �'�'•� JOEL E.BACON
=`��� °' Commission#!FF 137073 ���"'Y•'�
�- •°= FF 137073
Name of Notary type - �t6wp7etl une , Name of Nola qt�e ,e�q���ffi,2018
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