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Home My WebLink About16-17241 CITY OF ZEPHYRHILLS '� � 5335-8th Street (813)780-0020 �`�� ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17241 Issued: 4/12/2016 Address: 5740 5744 BROADMORE ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,200.00 Total Fees: 45.00 Subdivision: TREE LANE VILLAGE Amount Paid: 45.00 Date Paid: 4/12/2016 Parcel Number: 10-26-21-0000-00100-0000 CONTRACTOR INFORMATION OWNER INFORMATION Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST TAMPA FL 33647 TEMPLE TERRACE FL 33617-3004 Phone: (813)810-4079 Lic: Phone: Work Desc: REPLACE METER AND PANEL APPLICATION FEES ELECTRICAL FEE 45.00 � INSPEC 10 RE�UIRED 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 pertormed in accordance with City Codes and Ordinances. �J '—- - CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 Building Department ' e Date Received �1 / '7^( 2'—� - - Phone�Contact�for Permittin :_ ' ��3 , � I'� p 7`� ' Owner's Name cJqM-�'�J v � � Owner Phone Number Owner's Address - Owner Phone Number Fee Simple Tltleholder Name � - Owner Phone Number ,�, . . Fee Simple Titleholder Address "� JOB ADDRESS � / � % � �`�� "'1O^� � �-- � LOT# SUBDIVISION �� 'E ��^� PARCEL ID# � ' � � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED �NeW cONSTR° ADD/ALT Q` SIGN• Q Q DEMOLISH INSTALL B : REPAIR � PROPOSED=USE Q SFR Q. COMM Q OTHER TYPE OF CONSTRUCTION•�': Q BLOCK ~ Q FRAME Q STEEL Q DESCRIPTION OF WORK '�e �'� r"�� r�o►1.�- I • BUILDING SIZE • SQ FOOTAGE��, HEIGHT.. QBUILDING $_ -VALUAl'ION O�F�70TAL CONSTRUCTION ECTRICAL $ 6 0 o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ . -� l � z�� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS � 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 � ^ License#' ELECTWCIAN. 'J�- '��°� ,, COMPANY J�"" rS ��1"'ti- L �S�d-i._ i .� c SIGNATURE REGISTERED Y/ N �e cu�en �Y/N Addre$� f g��02' �bS�-�,.��c1C l�' ` � �G 336tf� ' " � � Ucense#; �� - r3 � �5 Y`� PLUMBER , , ,COMPANY. - - SIGNATURE '' ' � ` _�cis.r�REo Y I,N FEe.Cuw�� Y/N Address License# � MECHANICAL , COMPANY � SIGNATURE ' � X REGISTERED _. Y./-.N FEE CURRE� ,Y/,N-, Address'' ' � � _ .Ucense# OTHER " ' � COMPANY � SIGNATURE � �� " ' • � - ��REGIS7ERED Y/ N.. FEE.CURRE� Y/N Address , " 4, =, _ �,'± -• „ ' Gicense# RESIDENTIAL`, ;;_Attach(2)iP:,lot:Plans;.(2):sets�of�8uildtng"Plens;°(•ljsetofEriergy•Forms;�R';O-W`PermiffornewconstiucUon, � Mlnlmumsten=(1.0)�working�days;after_sutiinittal:dater Requlred onslte,�Constiuctlon Plans;Stomiwater Plans w/Sflt'Fence Installed, ._ .-. ,.,� .r . . Sanitary Facilldes:&:7:idumpsterSlte-Work;Pertnit for-subd(v(slons/large;proJects ':` �� y ` .- ; COMMERCIAL Attach(3)complefe sets`of Bullding Plans plus a Llfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new constructlon. Minimum ten(10)working days after submlttal date. Requlred onslte,Constructlon Plans,Stortnwater Plans w/Sllt Fence Installed, SeNtary Facllides&1 dumpster..Slte Work Pertnlf for all new project"s:All commerclal requlrements must meet compllance SIGN PERMIT Attach"(2)°sets of En'glneered�Plans.i,.�.��-�^r,��.- .� �� - � - � "'"•PROPERTY SURVEY reyuired,for all NEW constructlon. - _ _ Dlrectlons: •� � � _ FIII out applicaUon completely. Owner 8 Contractar slgn badc of applicadon,notaAzed If over 52500,a Notice•,of Commencement Is requlred. (AIC upgrades over 57500) \� ��rai'�";,i- � . .., . . " /�qent(for the coritractoc)orPower of Attomey(fo�tFie owne�j would be someone with notarized letter from owner authorizing same OVER THE COUNTER.PERMI'1'iING---• -(Front of.�AppllcaUon•Only)�• Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Drlvewaya-Not over Counter lf on publlc roadways..neeii§ROW 813-�so-oo2o City af Zephyrhilis Permit Application Fax-813-780-0021 Bultding Department ' � � ` . Date Recelved ff `2 --� ��j f c� `�Z� �7 —� �"Phane Contact:for Pe'mttNn _ Owner's Nama ��""�'� �° � g Owner Phone Humber .,, Qwner'�Address - � ' Owner Phone�Number '� � Fee Simple Tltleholder Name � � � Owner Phone Number �— � `�t� '�-- Fee Simple Titleholder Address a JOB ADDRESS � / 7� r� "a� �`�"' -� � LOT# t� SUBDIVISION ' � ��-Q �"4'-- �, ' PARCEL ID# � - ` � .. (08TAINED FROM PROPERTYTAX NOTICE)• WORK PROPOSED '^NEw coNsrst ADD/AtT �` SiGN� � Q DEMOi�iSH s e INSTALL _ REPAIR PROP03ED USE. Q SFR [,�� GOMNI � OTHER ' TYPE OF CONSTRUCTION ". Q BLOCK' ` 'Q FRAME [-,,� STEEI. 'Q' DESCRIPTION OF WORK �� `'`R�"�'' �^`'�' �Q'�`�` } � BUiLDING SiZE C� � SQ FOOTAGE��. . HEIGHT. C_„ . ..�. QBUILDING ($—� -�;��_.�--• =..:., . . L VALUA710N�OF�'�OTAL CONSTRUC710N CTRiCAL• � � AMP SERViCE ^ 'Q' PROGiZESS ERIEi2GY Q W.R.E.C. ' � b.Z� QPl.UtUIB1A1Ca Cs� L QMEGHAhtIGAL $ VALUATIdN OF IVAECiiANIGAl.INSTACLATION , � �� o�� . o ROOFIl�fG [� SPEGtAI.TY �. OTFEER, • FINISMED FLOOR ELEVATIONS �� FL.00D ZONE AREA_ QYES NO BUitDER COMPANY� ' SIGNA7URE REGISTEREb Y/ N FeE cuR�n Y/N I Address " License#'� ' I ELECTRICIAN: ._• ,,,�1r� �� ' COMPANY - �� I�c�-1,�.�.2- Seti.o�� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Addre�s r {�.3 °� �aS�-w � �K p.,x" `t ` y ,C L 3',; GY�. , License.#.: �C. I 3�a��"'`9� � , PLUMSER . , , �GOMPANY SIGNATURE '� .REGISTERED � � Y/ N FEE CURRE� Y/N . Address � ' LicFanse# � I MECHANICAI." ., COMPANIt •SIGNATURE � � '� REOISTERED � YI-,N FEE CURRE�. Y/N- Address`� � - � . � . � License# ( � t}THER • ' _ COMPANY ,.3_: , SIGNATURE '� " 'REGISTERED'� Y/ N . � FEE CURRE� Y/N Addres$ , ^ _ � , . ,� • � Ucense# �` �� ,.,... , � ., . RESIpENT1AL, t;�Attach(2)��P:,lot'Plans;.,(2}sefs=of�Bu3tding'Plans;`(1)'set of Ersergyi•Famis;�`R=0-W Penniffor•new ccnstiucfton, Minimum�ten�(1.0)�,working,days;�after_submittal_date::Required.onslte;%CanstiucNan Plan's;Stormwater'Plans w/Stlt Fence installed, . Sanitary fiacili�es;&�:1:,dumpste_r,4Site:lNortc.Permtl�forsubdlvfsiacis!largeNpro�eats . `", " CflMMERGAt,. Attach{3)�comp{ete sets�of Bdiliiing Ptari`s�ptus a Cffe�8afetyr Page;(1)set of Energy Farms.R-O-W Permit far new construction. � M)nfmum ten(10)working days�efter submittal date. Required onsite,Constructian Plans,Stormwater Plans w/511t Fence Installed, Senitary Facilttles&1 dumpster.Site Work Permit for aii new,project"s:•Ali commerclal requt�emenis must meet compilance � StGN PERMIT Attac#r"(2j sets of Engl�,iee'red,Ptans.:.,<,,.;:;.r.,. :-"-;.. . . _ . . ' .««.pROPERIY SURVEY�equired for aII,IVEW_canshuction. - _ . , Directtons: . . � - Fill out applicatlon completely. C3wner 8 Contractac sign bac�c of appticatlon,na�ti�d If over 52500,.a Notice.af.Commencement is requlred. (AIC upgrades over ST500) ;,....�»a�. '• Ageni(for the�aintraator}o�'Power of Attoriiey�(fo�tt►e ownei)woutd be someone with notarized letter from owner authadzing same DVER THE CQUNTER�:P.ERMIITINGi--•-�--(Front of�Appiication Oniy)� Reroafs if shingles Sewers Service Upgrades A7C Fences(PlodSurvey/Foatage) driveways-Not over Counter if on public roadways..net�cls ROW