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HomeMy WebLinkAbout15-16634 CITY OF ZEPHYRHILLS .:` '� 5335-8th Street (813)780-0020 16634 ELECTRICAL PERMIT � PERMIT INFORMATION � LOCATION INFORMATION Permit#:16634 Issued: 9/30/2015 Address: 6719 GALL BLVD 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: 1,500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 9/30/2015 Parcei Number: 03-26-21-0010-03300-0010 CONTRACT.OR INFORMAT'ION OWNER INFORMATION � Name: MARTIN ELECTRIC Name: SUN MEDICAL CORP Addr: P.O. BOX 437 Address: 6719 GALL BLVD DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542 Phone: (352)521-3319 Lic: Phone: (813)783-6189 Work Desc: SPLIT CIRCUIT ADD 20 AMP � APPLICATION FEES ELECTRICAL FEE 45.00 � INSPECTIO � S D ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER �� �� FINAL . ' �� �� � REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or , - first reinspection,whichever is greater,for each such subsequent reinspection. 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. CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8�s-�so-oozo � City of Zephyrhills Permit Application , Fax-s�s-7ao-ooz� Building Department � A Date Received phone Contact for Permitting -- Owner's Name J�n � Owner Phone Number Owner's Address 3$u�� ��V�, �Q'� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Nurriber Fee Simple Titleholder Address JOB ADDRESS �� I � l.` 4�I V � - ��� LOT# � SUBDIVISION PARCEL ID# �3'�` Z j '��l D'63�C D '�O�� _ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NSWA�ONSTR e REPAIR � SIGN Q MOVE [� DEMOLISH. PROPOSED USE Q SFR 0 COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER DESCRIPTION OF WORK ��` Z(� SI�R � • ��� V� 'C V�rG� �� m�•1�1 �' BUILDING SIZE SQ FOOTAGE HEIGHT Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION � ELECTRICAL $ 1 1��� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. 1 0 PLUMBING $ � / �/,; 3(.� � 'Y Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY i� \Q���� �-�-�—��v�C . SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address C•�• �,� � �3�i License# �1'.�dQ I�jZS�j� PLUMBER • COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# MECHANICAL COMPANY 51GNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '*"PROPERTY SURVEY required for all NEW construction. . i Directions: Fill out application completely. Owner&Contractor sign back of application,notarized , If over$250U,a Notice of Commencement is required. (A/C upgrades over$5000) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways.:needs ROW � -- i I NOTICE OF DEED RESTRICTIONS: The undersigned understands fihat this permit may be subject to"deed" res�rictions" E vrrhich may be more restrictive than County;regulations. The undersigned assumes cesponsibility for compliance witti any j applicable deed restrictions. � - � UNLICENSED CON7RACTORS AND CON7RACTOR RESPONSIBILITIES: If the awner has hired a con#ractor ar ' cantrac#ors ta unde�take work, they may be reqt�ired to be 19censed in accordance with sfa#e and tocal.regutations. tf the contractor is not licensed as required by law, both the awner and contractor may be ci#ed far a misdemeanor violatian , under state Eaw. If the owner or intended contractor are uncertain as ta what licensing requirements may appiy for the intended work, they are advised to con#act the Pasco County Building (nspection Division—Licensing Sectian at 727-847- 80Q9. Furthermvre, if the owner has hired a cantractor or cantractors, he is advised to have the contractor{s) sign � por#ions of fhe °cantractor Block" of fhis application far which they wiH be responsible. 1f you, as fhe owner sign as the cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco Cou�ty. E , TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recaurse Recovery Fees may apply ta the construction af new buildings, change of use in exisfing buiidings, ar expansion of existing buildings, as speeified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also unders#ands, that such fees, as may be due, will be identified at the time of permitting. It is further understaod that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the praject does not involve a certi�cate of occupancy or #'tnal pawer release, the fees mtts# be paid prior ta permit issuance. Furthermore, if Pasco County Vi(aterJSewer Impact f�es are due, they must be paid prior to permit issuance in accardance with applicable Pasco County ordinances. CCINSTRUCTfON LIEN LAW(Chapter 713,�Florida Statutes, as arriended): If valuatian of work is$2,500.40 or more, 1 cerfify that I, fhe applican#, have been provided with a capy of the uFfarida`Consfruction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone athec than the"owner", 1 certify that 1 have obtained a copy o#the above descri�ed document and promis� in goad faith to deliver i#to the"owner" prior to commencement. Ct�NTRAGTOR'S/OWNER'S AFFIDAVIT: ,i certify that all the information in this applicatian Ts accurate and that al! work will be done in compliance with all applicable taws regulating consfruction, zoning and iand devetopment. Application is hereby made to obtain a permit to da wotk and installation as indicated. I certify that no work or installation has.. ; commenced prior fa issuance af a permit and that a11 wark wii( be pertorrrred to rrteet standards of all laws regutating canstruction,�County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify thaf 1 understand tha#the regulations of other governrr►ent agencies may appEy to fhe intended work, and that it is my responsibility to identify what actions I must take#o be in compliance. Such agencies include but are nat limited to: - Deparkment of Enviranmental Protectian-Cypress Bayheads, We#land Areas and Enviranmentally Sensit9ve Lands, Water/Wasfewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. � j - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. � - Departmen# of Health & Rehabilitative Services/Environmental Flealth Unit-Welis, Vtfastewater Treatment, Septic Tanks. ' - US Environmental Protection Agency-Asbestas abatement. - Federal Aviation Authority-Runways. � ! understand that the following restrictions apply to#he use of fill.� ( � - Use af fiil is not allowed in Flaod Zone"V"unless expressly permifted. If the fill material is to be used in Flood Zone °A", it is understoad that a drainage plan addressing a � "campensating valums" will be;stabmit#ed at time af permitting wh4ch is prepared by a professional engineer �, licensed by the State of Florida. „ ' - !f the f1! materia! is to be used in Flood Zone "A° in connection wi#h:a permitted building using stem wall I� cansfruction, 1 cerfify that f�il wiil be used only#o fll the area within the sfem wa41. - If fill material is to be used in any area, I certify that use af such fill will not adversely affect adjacent properfies. If use of fill is fottnd ta adversely afFect adjacent proper#ies, the owner may be cited for viaEating the conditions of the building permit issued under the at#ached permi# application, for lats less than one (1) acre which are elevated by fll, an engineered drainage plan is requirsd. If I am the AGENT FOR THE OWNER, I promise in good faifh ta inform the owner of the permiffing conditians set forth in � this a�davit prior to commencing construction. ! understand that a separate permit may be required fo� electrical work, p(umbing, signs, weils, paols, air conditioning, gas, or ather installations not specifcally included irt the applicafion. A permit issued shall be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or „� set aside any provisions of the technical cocies, nor shall issuance af a permit prevent the Building C7fficial from thereafter requiring a correctian of errors in plans, constructian or violations of any codes. Every permit issued shali become invalid unless the wark author9zed 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 af six(6) monfhs after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed nineky (90) days and will demonstrate justifiable cause for the extension. If work ceases far ninety{90)cansecutive days,fh�job is considered abandaned. WARNING TC? OWNER: YOUR FAIE.URE TO RECQRD A NQTICE O� CQMMENCENlENT MAY RESULT 1N YQUR RAYING TWICE FOR IMF'ROVEMENTS TO YOUR PROPERTY. iP YOU INTEND TO tJBTAtN FINANCING, GONSULT -'—WITH YoUR_�ENDER-OR AN ATTORNEY BEFORE RECORDING YOUR NOTIGE OF COMMENCEMENT. _____ _ FLORIDA JURAT(F.S.117.03) ,�.—� I OWt�}ER OR AGENT CONTRACT4R Subscribed and swom to(or affirmed}before me this Subscribed and s to{or affiirmed}before me this by bY Who istare personatly known to me or haslhave produced Who islare personally known to me or haslhave produced as idenfification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped ; Name af Nafary fyped,printed or sfamped