HomeMy WebLinkAbout15-16309 CITY OF ZEPHYRHILLS
,.-. ` •� 5335-8th Street
� ° (813)780-0020 16309
ELECTRICAL PERMIT
PERMIT INFORtIlIATION LOCATION INFORMATION �
Permi�#:16309 Issued: 5/27/2015 Address: 6851 WIRE RD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 3,200.00 Total Fees: 55.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 55.00 Date Paid: 5/27/2015 Parcel Number: 02-26-21-0010-01200-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DOUBLE M ELECTRIC Name: ZEK INC
Addr: 40410 RIVER RD Address: 6851 WIRE RD
DADE CITY FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (813)713-3150 Lic: Phone: (813)782-4604
Work Desc: INSTALL NEW 200AMP SVC -POLE 3-50 AMP RV OUTLETS-LGHT/OUTLET STORAGE B
APPLICATION FEES
ELECTRICAL FEE 55.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL E;` ` �
��
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 when inspection called d) work not ready for
inspection when called e) permit not posted on 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 pertormed in accordance with City
Codes and Ordinances.
��
ONT CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
: � ..
Date Received � � Phone Contact forPermittin � ' ` —
Owner's Name � �- 1��� ���TS �U�G� Owner Phone Number 13 ( G"- Z 6
Owner's Address �. L(/ � l/ .L-� r I f�L Owner Phone Number
Fee Simple Tltleholder.Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S �� � l`7� ���/�f L� I�`� • ��� �' LOT# �
SUBDIVISION PARCEL•ID# dz� z,�G"�. '�����% 2.��� �
. (OBTAINED FROM PROPERTYTAX NOTICE) .
WORK PROPOSED NEW CONSTR - i4DD/ALT" � SIGN Q � Q DEMOLISH
�� INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM ' 0 OTHER "'
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Z,av �'IP S�Fj UG L D%V J�DI�f^ �j `�G/�FJ�� �'�1�(,c/%L Iz1 l, G/�r�dUl`L%Y
s �/3hGr �LI��
BUILDING SIZE ' � SQ FOOTAGE�. HEIGHT : _
QBUILDING $ VALOATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Z QO � PROGRESS ENERGY �Q W.R.E.C.
z�� . ,
QPLUNIBING $ � �
OMECHANICAL ` $ VALUATION OF MECHANICAL INSTALLATION � �
� ��
QGAS , Q 'ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address � f:icense#
ELECTRICIAN i�ii�/�� COMPANY �vU�G � �"I �G�'�r/�/�
SIGNATURE �L� REGISTERED Y/ N FEE CURRE� Y/N
Address � D f'��JJI�f ��� .�{I�r ��T� (=L ��3z License# �� ���G SO g
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 r. ,� COMPANY -
SIGNATURE � - � - • REGISTERED � Y/ N FEE CURRE� Y/N
Address � � �t - ''ticense#
RESIDENTIAL Attach(2).PIot;Plans;,(2),sets;ofBuililing;P.lans;(,1).se£of Energ'y EoPms;R-O`=1N-Pertnit�for new construction; ' "
�Minimum ten(.10),.working.days�after submittal date�; Reguired onsite,�Construotion Fians;Stormwater Plans w/Sllt Fence installed,
� Sanitary Facilities&;1 dumpster;Slte Vllork�Permit for,subdivislonsQarge projects '
COMMERCIAL Attach(3)complete'sets ofBuilding Plans plus a Life Safety Page;`(1)set of Energy Forms.R-O-W Permit for new canstruction.
Minimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence Installed,
Sanitary FaciliUes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
51GN PERMIT Attach(2)sets°of Engineered,Plans.. " � . -
""PROPERTY SURVEY required for�all NEW construction.
�irectlons: , , . , :. ' . .,
Fill out application completely.
Owner 8 Contractor sign back of applfcatlon,notarized
If over a2500,a Notice of Commencement Is requlred. (AIC upgrades over�7500)
" Agent(for the contractor)'orPower of�Attomey(forthe owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING,__._ (F[ont.of Applicatlon..Only).
2eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drtveways-Not over Counter(f�on public roadways::needs'ROW
� -
NOTIGE OF DEED RESTRICTIONS: The underslgned under.stands that#his,p�r.mit may be subJect to"deed"restrictions"
whtch may be.more rest�ic#ive than County.�eguiations. �The ut�dersfigned assurries responslbility#or compliance virith any
applicable deed reshictfons. .. . �
UNLtCENSEQ Ct?NTRAGTORS .AND_ CCINIRACTOR RESPONSlBlL!'fiES: !f �he owner has hlred a contractor or
contractors #a undertake work, they may be required�.to be ilcensed tn accordance with state.and•tocai reguiattans. If the
oont�actor is not licensed as required-by law, both the owner and contraator may be o(ted for a misdemeanar violation
under state law. Ef the awner ar intended contractor ace uncettalrt as ta what licensing.requlrements may appty�for the
intended work, they are advised to contact the.Pasco County Building Inspection Divlsion—Licensing Sect(on at 727-847-
8U09. Furthermore, !� th+e owner has htred a cantractor ot corttractors, he Is advised to have the contractar{s) slgn
portions of the°contractor Biock° of ihis appllcation for wMch they witi be responsibte. If yau, as.#he owner sign as the
contractor, that may be an indication that he is not properly licensed and Is not entitied to parmitting p�ivileges In Pasco
County.
--m.—--�'�;ti��C�T�1�D�1-4EA�'��'�0�l40L0'�al€§-oMPA�T ANID-�3��OU�CL� RE�O�OI�RY�I�ES:-�"he-undersign�d-understands
that Transportatton Impact Fees and Recourse Recave.ry Fees may apply�to the construction af new bulidings, change of
I use in existing butldings, or.expansion�of'existing'buildings, as specified in Pasca Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned alsa understands,.thak such fees,.as,may_be due„will.be (denkified at the#ime of
perm�#ting. 1# is further'understood that Transporkatlon Impact Fees a�d Resaurce Recavery�`Fees must be paicf priar to
receiving a "certificate of occupancy° or final power-release. :If the;project,,does not Involve a.certificate of occupancy or
finai power release, the fees mus#_be pald prlor to permit Issuance. F�rtherma�e; �f Pasco County UtlaterlSewer Impact
fees are due, they�must be�pald pNor to permit=lssuance-in accardance with appllaable:Pasco Couniy ordinances,
GONSTRUCTlON LIEN l:AW(Ghapter T13, �lorlda Statutes�as amended}: tf valuattan of work is$2,500.00 or more, i
certify that 1, #he appticant, have. been provided with a copy-�of the °Florida Constructiarr.Lien: Law—Homeowner's
Protection Guide" prepared by tlie Flarida DeparkmenY of Agricultu�e and ConsumerAffairs.�. If the applicant is someone
other than the"owne�', 1 certlfy that.t have.cibtained a copY:of the above.described docur�ient°and pramtse in,good faith to
deliver it to the"owner"�prior toacommencement�: - � '
GQNTRACTOR'SlQWNER'S AFEtQAVIT: t certity that all,the informatlon in�this applicatlon is accurate and that a11 work
wiii�be done in compfiance with ail appticabie iaws reguiating cons#rucfton, zoning and land develapment. App�icatlan is
hereby made to obtain :a permit.to do work.and insta(latian as indicafed:- -i certffy that�no work or installation has
comm�nced prlar to Issuance of a permtt ancf that.ali work w311 be peiformed to meet standards of aRl laws regulating-
construction, County and City codes, zoning regulatians, and land development regulations°in-the jw�isdictian. ( also
certify that 1 understand that the cegulat[ans of other government agencles may apply�to#he intended work, and that it is
my responsibility to identify�what,actians i must take to be•ln:.compllance. Such agencles include bu#are.nat limited to:
- Qepartment of Environmental Proteation-Cypress�Bayheads� 1Netland Areas and EnvEronmentatly Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress. Bayheads�, Wetland Areas, Altering
Vilatercourses.
- Army Corps af Engineers=Seawalls, Docks, Navigatile Waterways.
- Department of Health 8� Retiabil9tativs ServiceslEnvironmenfai Heafth Unit Welis, Wastewater�Treatment,
Septic Tanks. � ' . _
- US Environmentai Protection Agency-Asbestos abatement.
- Federal AvEa#Ion Authority-Runways.
I understand that the following,restrictions apply ta the use of fill:�
- Use of fit Is not aitowed ln FI'oad Zone°V"unless expressiy permitted.
- lf the fili material�is to_be used in -Flood Zone "A°, it is understood that a drainage pian addre5sing a
'"compensating volume" will be submitted at time of per.mitting which is prepa�ed by a professional engineer
licensed by the-State-of Ftorida. �
- If_the fll,material is"to.be used i�a Flood �ane "A" in�connec�ion with.a permitted building using stem wall
� constructEan, l certi#y that fill:uv111.be usetf only to.fill the area wlthin.the stem wall.
- If fill material is to be used in any area, f�certify that use of such flll will not adve�sely affeck�adjacent
}aropertles, !f use of flR Is fQUnd to adversely.affect adJacent�propetties, the owner may be c}ted for vloCa#ing
the condi#ions of the;buitding;permit issue.d�under the aitaclied permit-application, for lots less than one (1)
acre which are elevated�by flil,an englneered dralnage plan is required. •
tf 1 am the AGENT FQR THE t1WNEl2, I,rpromise°1t��ood faith to it�form the�owner�bf�the:pertnittingvcor`tdltions_set forth in
this affidavt# prior to commencing construction. Irvunderstand that a;separate permit may be required for electrical wark,
piumbing, signs, wefts,_pools.,.afr co..nditioning,_gas,ror. other lnsta#latfons{not spec�icaliy lncludecf �n.the applfcation. A
permit issued shaif be constiued:to be a'license#o proceed with fhe'work;and.not:as,:authority�3o._violate;,.cancel, alter, or ,
set aside a�y provisions of"the�teckinicaF cades; nor shal! issuance�af a perrnit prevent the 8uildirig Offlcial from thereafter
reguiring a correctton.of e�rors fn-plans,-cons#ructian ar vlolatians of�any-codes. °Every--permi#��issued sFiati become invalid
unless the work authorized by such permit,�is.commenced w(thin sfx„mon#hs of-permlt issuance. ar if wark authorized by
- the permtt is suspendeci.or abancfoned-for-a per�od vf stat{6),months::affer:the tline the work Is cammenced. An extensfon
may be.requested, Pn.wriking; from the�Building,Officia) for a perlod�not ta.exceed ninety�(9q)�days and°will demonstrate
Justlfiable cause for ttis extension: If work ceases;for ninety(90}consecutive days,_the Job�is consEdered aba�doned.
" 1 , i .. _, ... .- , ` � ` ' ' ,
WARNING TO O.WNER: YOUR..FAILURE�TO,:RECORD,A,NOTIGE�OF,.C.OMMENCEMENT�MAY- RESULTa IN YOUR
, PAYING.TW10Eq�'OR,IMPRQVEM6NTS T0.YC1,UR:PROPERTY:_�1�°YOU�INTE�D�T{��OBT;AIN�.FtNANGING;'CQNSU�.T
WITH YOUR�LEND,�R OR AN A'�TORNEY BEFORE R�CORDING YOUR�°NOTMCE`:O�'C�OUI��ENCEMENT�
Fl.QRtDA JGRAT(F:S.1:1 Z:Q3} . _ , � . � ` �- � _ . , . � •
. .OWNER OR A�iENT - - � CONTRACTOR� " - ' ' '� ' '
Subscrfbed and swom b(or aflftmed)before rne thls Subscribed and'swom ta.{or afflrmed)before rtie#iis` '�
by � by. - ` =IZ`
Who islare persbnally known.to.me.or.haslF�aya produced Who.is/are p.er�onally known.tt��me:or�has/have prod'uaed; • -
" 'as IderitlBcaUpn. as IdenBflcaUon.
Notary Publlc � T Notary PublEc
Commiss4on No. Commission No.
lVame a#Notary typed,printed or stamped Name of Notary 4yped,pdnked or slamped �
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" � s I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII I�II
� 2015092979
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Rcpf,:1689225 Rec: 10.00 � I�
, DS: 0.00 IT: 0.00 '
06/11/2015 E. M. , Dpty Clerk ,
NOTICEOFCOMMENCEMENT �PRU�R s o'NEIL,Ph D PASCO CLERK & COMPTROLLER
7, 06/11/2015 12•39 m 1 of 1
PennitNo. l � /�� OR BK ���� p� �?G�� �
�7 0
Property 7dentification No. v Z' Z �`1-/-Gti/G-G`�2b o -- UC�G��
Tf�UNDERSIGNED hereby give informs you that the improvemeni will be made W certain real property,end'm accordence with
Section 713.13 of the Florida S[atutes,the following informetlon is provided'm this NOTICE OF COM11�1VCENPENT.
1.Description of prope�ty(legal d crlpNon:) �� �- �'S L G J G`�
a)Steet Address:_ ��f�% l/I 1_° ) h � y/Z ( / L S !�L 3 ct�
„ 2.Oeneral es ption of irn rovements: '
�-N,5 il�z� ���' ac�� �z T 5
3.Owner InformaGon � � r
a)Nameandaddress: ��: '� ��IJC• ��,�/ lr/l/�ly jfG�_ �(z�/�fI/`��fl�[S �`�.
b)Name and address of fee simple htleholder(if other than owner) �
c)Interest in propetty
4.Con�actbr Infotmation ^-��� .
a)Nameaadaddmss: "`�"�`'' l��C/���-IL /"f CiLl.=�l/��e yU�/v ��/vl��� ���' /J�h/�/� �/T� ��C
b)Telephone No.: �� � �/ � Fax No.(Op�)
5.5uretyInfortnstion
a)Name and address:
b)Amount ofBond:
c)Telephone No.: Fax No.(Op�)
6.Lender
a)Name and eddress:
- Phone No.
7.Identiry of person within the State of Florida desigaated by owner upon whom norices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Qpt.)
8.In addition to himsel�owner designates the following person to receive a copy ofthe I.ienor's Notice as provided in Secrion
713.13(1)(b),Florida Staiutes:
a)Name end address: '
b)Telephone No.: i � Fax No.(Op�) .
9.Expuation date of Notice of Commencement(the expirarion date is one year from the date of recording unless a diffetent date is
specified):
WARNING TO OWNER: ANY PAYMENTS 14YADE BY THE O'WNER AFTER THE EXPIRATION OF THE NIOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENT'S UNDER CHAPTER 713,P[�RT I,SECTION 713.13,
FI;ORTDA STATUTES;AND CAN RESULT IN YOUR PAYIIVG TWICE FOR II4II'ROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F1RST
INSPEC'L'ION. IF YOU INTEPID TO OBTAIi�i FINANCING,CONSUY,T YOUR LENDER OR AN A.TTORNEY BEFORE
COMMENCIlYG WORK OR RECORDING YOiJR PIOTIC O COMMENCEMENT
STATE OF FLORIDA
COUNTY OF PASCO
i f Owner or Owner's Authorimd O�cedDirectar/PazfivlMmegu
��y /<Lr��.Q
PriotNe�e
The focegoing inshvment was aclmowledged�egete me this�_day of �t�IJ L . .20�by � �� vt�fVL I
es m�$•�C.LZ (type of authority,e.g.officer, stee,attorney
in fact)for C\GS (neme of pazty on behalf of whom' ent was est d).
PecsonalIy Known�OR Produced Identificetion Notazy Signature
Type of Fdentification Produced AIame(prmt) t���J �. S��w o�
Verification pursuent to Section 92.525,Florida Stamtes.Under penalties of perjury,I declaze that I have read '
the facts stated in it aze true to the best of my lrnowledge and belie£ �; ;•;;��:�"'• NELSON P.SCF11N08
�'�`� �.t: MY COMMISSION N FF 024792
�=_v�. •,: PIRES:August 20,2017
Signanue ofNaLU-al Puson 3ig�ing Above � ��,'p�Q nh`�� i}W NNary PUNC UndEiM7'A�R
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