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HomeMy WebLinkAbout16-17493� CITY OF ZEPHYRHILLS � 5335-8th Street ,:•.+ (813)780-0020 17493 � � ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17493 Issued: 6/20/2016 Address: 5118 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: 1,200.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 6/20/2016 Parcel Number: 11-26-21-0010-07000-0011 CONTRACTOR INFORMATION OWNER INFORMATION ' Name: J L ELECTRIC INC Name: LEE PIETER &YVONNE I Addr: 2848 20 MILE LEVEL RD Address: 6417 BRENTWOOD DR LAND O LAKES FL 34639 ZEPHYRHILLS FL 33542-0622 Phone: (813)949-5119 Lic: Phone: Work Desc: ADD 6 LIGHTS & 4 RECEPTACLES SAIGON CITY VIETNAMESE GRILL APPLICATION FEES. ELECTRICAL FEE 45.00 INSPECTIO S REQ I ED ROUGH ELECTRIC � CONSTRUCTION POLE /' , PRE-METER � , FINAL � f� � \�ti�`��V�.�,(i��,[.,�J� �i REINSPECTION FEES:(c)With espect 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 APPRO\/ED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER / �i� 813-780-aazo City of Zephyrhills Permit Application Fax 813-780-0021 Sultding Departrnent � �'l 3 ���5�- � I� o�e R�►Yea � ���- .1 ,(r� . � �� . 5 � , � �Rhone ContactRfor'Rermittin` { Owner's Name l�Q� [ � T� C3vrner Phane Number /�'". �� 7' "' T�(� �. I Owner's Address + . tlwc�erPhone-Number �� � � Fee Slmple Titlehalder."Name � � � ,�_ ' �� I Owner Phone Number I _ � ,r!`,--... . . �s Fee Slmple 7ltleholder Addresa , � �° � . . � � JOBADDRE3S � � � LOT# ���^ SUBDIVISION � PARCEL�ID# . - ` . ' ' - ' ' � � _ � � - � � �(08TAIHEDFROIIAPROPEEtzYTAX'NOTiGE}_ - ' WORK PROP.OSED �_ ' ° N�rnr�coNSTa :° ��` ADD/�;LT SIGN DEMOLISH� • c�i. o � , .- �m.� i . � e ... INSTAI:L .8"•.;� •:REPAIR , : _ ._ . . I PFtOPOSED:USf Q SFR Q ., COMM ,. � `OTi1ER � :. . . I TYPE OF�ONSTI2UCTIOIV, � BLOCK�' Q, FRAME; � ST,EEL: Q: . � � � DESCRIP710P1 OF WORK '± `p G� �j f��l "-� � �� \ � � BUILDiNG SIZE.;-� � $,Q.FQOTAGE���. ,;HEIGHT. C���>, . , , .. QBUILDING $ 7�;�u:.;,. _�� :,.,_._ "_ , , VAL:IJATICON aF`TOTAt CONSTRUCTION' ' �. , , �ELECTftICAI $ P►MP SERVIC� ' ��[� PROGRESS ENERGY '�[�, {W.R.E.C. , ��'��a�. , [�Pi:UMBING. $' . �C���� � ,� _ ���� _ Q NIECHAtVIGA� $ ' -V1�t.iJAT14N.OF MEGHA4�IICAI.INSTALlA.TlON ' � _. � QGAS Q � ROOFiNG:,,;O SPECIAIl'Y°:� , OTFIER FINISHED F1.00R ELEVATIONS ��� FLOOD ZONE AREA C]YES. NO ` . . . f BUiLDEit COMP�IY � I SIGNATURE RE(31STERED Y/ N ��E CuwtEn" Y l.N _:- ,_ Addre�s �. . ' '4license# I � � I .. . : ,� ELECTRICl/,1N. ,- = , �5 -,,COMPANIf " .` � �C�..C...... � � • ,_ SIGNATUPtE REGISTEREQ Y/ N FEE GURRE� .Y'/N . � Addre�s ��Q. �. .Q.(. , ' .. 'License#=� '��:�.. ( �j,t��.• 5�1��''Zt I . . " - . _ . -. PtUMBER � � COMi�ANY=- •;`:;`, �: -: • .. , SIGNATUPt� • - . ,. ._ :R�c3is.r��o �,;., -=.Y/�-,N � �. ��cur�en �. � Y f N:', : ;.{. Addresa , _ , ' . .- , .Ucense#;� - � MECM�ltCAL� . _ .. _. . ' :.C,OMPAFiY�, . -: • .- . , • - - SIGIVATURE - ` ", ' ' REOIS7EREC1`' „ ..Y./'N', ... ;FEE CURRE�' . ='Y:/^W��: ' - Address' - � . ,,. , •- �� - - � , , ,.:License#�I. •: �� • � - OTHER � _ � .f...w.,:: . - ...,. �. - �' �COiY1PANY =-,, t >..= f . SI(3NATURE,.. ',� ; , - _- .�� - , , .,REGIS7ERED .Y/ N..: . F.E@.GURF2E� _ ..:Y:/�P1,.. r ' . Addcess �;: � ���F j � - t.,.�; .. ,. ,. _ ,. `p L'Icen§e#�`� � � r �.ti. _ ,,�.., � _�tt_�=,i., _ ��� ,.;;,d:._�;,:>;�= '<�';'' ... _. � R iDENTtAL..- ttacti.2'�Pict'Pians. �,set§�.oE;Suildin �'Plans•`.�1 `set',of�Ene �Forriis;�R=0=1Nr''�Perrmi�ifi;fo:rnew:,construction;; . � ,,... - ='�-- ,t..}._�._.. ;t�� .;., . , �. �.t.�,. . �Y �_ . ...z., ..; ., K . , E_ .. • ` ;.: ':; ,•yMlnlmum�.ten;(�1�0.)�worlting�day,s�atte�.;siititnittal:cfate:�Requlred'`onslte;�Constni�ctlon�Plans;�Stomiwater`Plans'w/.-Slit Fenc,e in;s.talled,, .,i.�,`. .. , _ _ . ��Sanitary Faq�[N,es;&4�,��mpste,r,;Sitet.Vitoik�Pem;tl#:fQr:sutidivl'slonsilarge;projecks;�:'.z`���;;'`�,-: _ . _. _ _ .r :�� :._..._.:.�,� C01Y1�IIERGIAL Attach(3j'ccmplete seis of BulMding Pians ptus a"Life.S'tifety Page;(1)set of Energyi Fortns.R-O-W Permit for new asnstruction: Minimum ten(10)working day�'after submittsl date. Requtred onsite,,ConsVuallon Plans,Sto�rnwater Plans w/Silt Fence Installed, $anitary Fadllttes,�,.i�,dumpster.�Site_Work-P-erml#.far alE,new�projects:^Aii,commeralat requirements must•meet complEance SIGN:PERMiT Attadi"(2)'sets afEng�iiii�er`,ed_Plat�s:3.,7�;��`" • ., -. , , - „ ' .. . - ' , . ••"•PROPER7Y'SURV',EY required•for;�)I NEW:.cons.trucdon.; -- - „, � �� 'Directlons: ._.. . � .�._ � _ _.� .. . Fill out applicatlan completely. Owner&Confractor sSgn.back.of appltcatla�.natarized If'over$�500,a Nodce of Commencement la fequlresl. (AIC upgrades over S7500) r= .. P::.:^,,<^i,�::,",:'.,_ � _.�_ __ __..., ... _ --- _. -- - � ___ ._.. ._... � , , Agent(tor Uie cantractar)"Cr.PowerofAittoriisy{forllie ownet)woutd be someone yrith aotarizad iatter from awner autho�izing same :OVER THE COUN'1'ER.PEI�MITTINI3�=�;, =(Fronf af•Application'Qnty)�'�:�.`,"+"_ :T���"...�. - ._ ._ Reraofs tf shingles Sewers Service Upgrades,AIC .,_ FenceA.,(Pl"oUSurvey/Faatage) -- �- -- _ . . ' _.. � �� :.;: . ��;:�= - :-, ' - _ _ . . DNveways-Not over Counter if on pubUc.roadways.:needs ROW • , .� , . � ;�.;..,.;:,�y�:=::,.y '� �ItICT10NS:�The=:undersignedF,undergtand��:th�t�itiis:�p�,rrni��may..Lbe;subJe.ct�,to,,°de@d"_;restitCctions°�n;j,,;: . ; �TICE OF DEED•RE .T. , _ iich may,be,,more:r,est�ic`tive.�tha�i��G�unEq��regdlattoris:�`3The�un�ere1gned:'a�s�mesyrespri'�i�siblltty=for coinpliance with:any � ,.� ,:=.�... �pUcable`deed;:re�trlctions.� ` .:,�:_=-j;:;s:,,.;:•�:;r,;�;�-��. . ; . _ • _ _ _ _ _ _-_ - � . S �D�'CONTRAC'FOR�::AND,-:CONTRAGTOR�RESPOW�IdILITI�$':==��'If�=�Fie°�owner`fi�s�-litre����g:;corihactor>or �LICEN E . - - � . � undertake;inrork ttte ma�tieare�: ulred�to�;�:e:hc�ns�d In:accQrdance_witt��state�:and',local,regulattons:�.If�tiie�`t-:��'-'��' � ntractors�io. ,,_. Y Y:..:,_,..,.4.,,..s;�� ..a,.. � w-�:,.:.,...:�: ,ve:,.�-....�..-�.-:,�: ,�,...:.�..-�. - -- : �ntracto�:�:ts;not•:1lcensed as;�reqUlcedFtiy:law,:tioth'�the.ovmer and=�.contcactoThrnay�tie;�cit�d��for�a�pmisderr�eanor ylolation , ; , st te law. If tlie�o�nrner o� lnterid.'e"tis,contra�for�'ar,e�,uncerfalh;as��.to what"Iicenstng;,requi�ements:;mayy`appijr�for:4tie.����.u����°���� ider a _ .. :.:_.. ... __.�.�.,.,;�.�.:..�. �,.... :. .- �.- -=-. .� ... .:r:.in�r.';:v x_�.Y,n � . ....• � ended'work;`they'are'advised�to:�`c'oritact`the>Pasco.,CountyrBullding�Inspectfon;vDlylsion-=Licensing'Section�at 727=847- ; �09. Furtherrtiore; if tFie.owne��lias'�Filr�d"a co�ntractor�`o��contractor`s, he l� edvtsed to have;the .contracbr(s),sign,,,. _ .,,;;_ �� .a -, ; �rtlons of'the,;"contractor Block",of`this appllcation�for_whlch;.they,;.wiU.-be.fe.,sponsi6�le. ,I�you;�.as,,the`oiivii���:stgn'as�'the� <"� � ��'� ;ti, � ' �tractor;�tFiet�iriay-be��n"�indication thet�he ts=not4.properly�licenseif`and'is'"noC�enfiBed`�to`pemiiHl'ngp�ivileges in Pasco; , ,. wnty. ; :� . - - .._.._ �_:<.._ ._,r,:_.. .=:....,:� .: ,.>.,:.:,, i . . :�i � tl1NSPORTA'fION:�IMPACTNTILITI�S=�NIIRA�'t'.�AI�b��ESO�1aCE R�COVERY°FEES:'°T`he�understgned:iihderstands ��, i �t Transportatbn Impact Feas:and:Reco.utse Recove.ry.Fees_,may�;epply�;#o:tf�e�construc8on_o�_new.buildings;�change°of`''������"�`���- .; .j � e In existfng bulldings;t�a��;expari'slb��of���ls��is��i�itltlings;"as_sp�cffled:In P�sco�County�Ordlnance number 89-07 and '� ! ._M; '� �-07, as amende.d.,,,�;�h�.undetslgned �Iso;,urtderstands� th�t:'suoh fees;-,as,tnay^`b�:rd.ue�;,wllFh�e Identlfled at the�time'�of`` �����`�=�r- ' �; ; �� �rmltting. It Is furtfier understaod tf�at Tra�sportatlon�.Impac�Fees andVReaource Recoi►'.ery-'Fees.mu�ti be pald prlor�to �' �e�vtng,a"cerflflcate�of=occupancy"__or flnal,power:;release. :I�.the:proJ�ct;;do�s:riot�lnvolve.a=.certiflcate,of occupancy or�='�`��`A`<� � � al power,release;.:the_:fees;::mu�t�'be��ald;�.prlor;to_,permR Issuance. -F•.-,t�lGther,more;��lf°�Pascm.,Caunly:Water/Sewer�;lmpact:.;���., �=°;��°. � ; �s are due;_they�must be�pald.pi�lorto,permlt•Iss4ance:�n accordance�wlth;appllcatite.Pasco�County ordlnances. � )NSTRUCTION`LIEN�'LAVI�(Chapta�713�FIoHd�Statutes�ae�mended); tf valuaHon of work fs$2,500.00�or�more;1 -�, _ , rttfy that I,..�#he._appllcant,_��iave,-�been;�.praovlded:wtth��a��copy�of;-:�e°-"Florlda•�°Constitiatton;.`Lfen'�:Law—Homeowner's � otectlon Gutde" prepared by�:4Me Flo�lda Depertinent;of Agrlc.ulture and Consum�ar_Affalrs: If the appllcant Is sotneone�, -,� , . , . - ' 7er than the°owner"� I certffy,:th�t l;have.obfa�ined�a`:copy;of.the�above:.ries,crlped;docurnent�ahd;p.r..or�ts�:ln;gpod�,falth fo , -. ._..� �liver It to.�:the:'owne"�'�:prlor!�ito4co�nriiencemerit�`-��r' =-"` �` " � � � -' ' ' . -:, . .. - _ ._. _�.- { .i'• '_ �NTRACTOR'S/OWNER'S AFFIDAVIT: 1 certlty:�tk�at:all:-th�.:lnf.ormatlon::ln thl�appllcatlon Is accurat�.�nd that all wo�k II'be done in compltance with all.appltcable'laws��egulaHng const'uctlon� zoning and�land;development. Appltcation is . �reby made to obtaln;a.permlt:,to,do,;wotl�,�and:�liistallatlon as Indlcefed:�-. `I�.�certffy-�lhat no�viiork`�or Instatlatton''lia's . , �mmenced p�lor to'Issuanc�of'a pemllt and that:all�work wlll be perFormed�to meet,standerds:of:all laws regulating- �nstructlon, County and C(ty codes� z.oning regulattans� and land development�regulattons�In�tfie;ju�lsdlctlon:::� =1-:al'so � �rtlfy that ( u�de�stand thaf ihe regul�tlons of other�government�gencfes may�apply;to.the.lntended,work� and that it 1s d responsibllity to Identlfy•what.actlons I mustk,.take;to be,In:.compllance.;.Such,agencles lnclude but>are:not Ilmited>to: � � - - - Department of E�lvironmental:�Protecti€S%i-�ypress.�Baqhead�, V1letland�/�reas and Envlronmentatly Sensitive � Lands,WatedWastewater Treatment. "' `' , - Southwest Florlda Water ManagemenE�::Dlstrlct Wells, �Cypress•��.Bay�i�ads��� �Wetland Areas� Altering j- Watercourses. - � - - , - . � _ .` � - Army Corps of Englneei�`s=Seawalls�Dock's, Navigable Waterways. �; ' - Department,,of ,Health;B,�.ReMatiilitaHve..�ServtceslEnvironmental•,-Healt�Unit Well.s;:.Wastewater+Treahnent; Septic Tanks::.,: ..._ . ... ;. �,.. . , ; . -= -. - US Envlronmental Protectlon Agency-Asbestos atiatement.;. ..Federal Avlativn:AWho�ity=Runways: �- -- � inderstand that the..follow�ng;cestrlctl,ons�apply to�the�se of flll:• - - Use of fill Is not allowed ln.Flood::Zone"V"unless expressly permltted. - If the flll-;mate�al��ls:`��'�be.:�usetl�ln_flood Zone. "A", 'IE Is understood-that a dralnage��plan addresstng a "compensattng volume"wlll be submttted at�ime.of permlfting w61ch Is prep�red by a professtonal englneer Ilcensed-by�tFie;��tateof:FloHda: °� � , _-�• - • . .. - If th�.flll:mate�lal`_�=to;be�.used�(n �lood �one 'A" In�connectlon�wlth�:a'�pe�ntitted building using stem wall conatrvctlon,,.l.certify_that fill:virall:b�e.�sed only.to flll the.arQa.wlthln•;the�stem:walL _. _ .. , - �If�flll=mafe�ial��Is�to'tie'�used•In any �area;�1"�certlfy that .use. of�such`fllf w111.r�ot adversely affect adJacent ' propertles. If use of fllf.,ls founc#to adyecselyr.,bffecf'adJaEedt��pra�pertles,.the owner may be'ctted for vloCating• . �_ . _.--- - the cond{ltons;�of,the`b�illaing�permlt tssued'under tfie'�attacfied_,permit�gppltcatlon,.for�:iots less�than.one (1) _..... , ; I am the AGEN�FOR THE OWNER,in�i�omtse Irn g od_fatth to 1nf'm the owner�of:4he..permltting condftlons.set forth In ��� • s affidavlt'prtor to�commencing constructlon. 1 undetstand that a�aeperate perinit may be requtred for electrical work�; `��� �mbing, signs, wells,,�poolsi�alr.co.nd[tloning�.:gas:,or•otMer Ins't�l�lons no�•specftically Included-in.the�appflcation. •A , , ,., , :rnnit Issued sfiall 6e�.consrtiued to'be�a'Ilcense�to:�proceed wlth`�tNe°.work`end not�as~authority,to:vlolate;•cancel; alte�, or �„ t aslde any provlstons ofithe:teoFinlcal:codes;�nor shall Issuance�of a:perm(f.peevent the Bullding Officlal from thereafter �, �,' qulring�conectlon nf eRors;ln�:plans�,'coristructlon;or Vlolatlons:of�anyr codes:, ��very.=p�ermlt:lssued•�h�ll bec�me invalid � ;_., �less the work authoNied�tiy sucF� permlt��ls-comrtienced�wlfhln.sfx::months�ofipermlt Issuance. or If work authorized.by .=- 3 permit i,'s suspended,or..abandoned�for-a�:�eriodrof;slx�EH)�montiisy,after the Nr�e the�work�ts commenced. An exlenslon - ay be requested, In wrlting;:,;f�om:tFie�Bull'ding:Offlclal-.fora perlod�not=to..ex�eed�nlnety{90)��ays e�d�w11�-demonstrate ���� ►tlfiable cause'for.�the exfenslon�� If wark.ceases�tor nlnety(90�cons.ecutive:day.s...the)ob�ts consldered abandoned. . %E _. _ . . _ , . ... • . �., , ._._. ::. ,. ,. .. , .. ,= -�_ .. , - �:�: ARNING TO OWNER:`�YOUR.FAILWRE Tia�REC:O�tQ.:A�:(�OTI.GE:.OF�;COMMEMGEMENTaMAY=:RESULT-1N�YOUR�. : .- ;;:; 1YING TWICE:FOR IMPROVEMEN�'�=;TO:�Y-OC�i.,t�.�;P..ROPERTY:���:1�;:YO.U�IiV�'��E�ID^TQ��B�?AIN��FIN�A`I�IEING;��ONSULT ''�� _IT YOUR L D �O O �s.•ECO � �.�� OU �C '` '_-'—-- JRIOAJURA�•(F.S:1.17.03} . � � ' - __ � fNER OR AOENT CONTRACTO .. �scdbed and swam lo(or a(flrmed)beforo ma thls Subeaib 'end' (ot; tfl ed)�bafore;me'tli . , by � .by � . . . ." . � - �Islare pe�sonally known to.me or�haslheve produced ��pQ n= ly kn wn:tt►me or.haslhave�produced_ • - as lden6flca8pn�- - 'L: . °f2.c L�-� � . es ldentlflaadon. ��� _ � _ . Not�ry Publlc _ � �' ' ' Notary Publlc � . �'� nmisslon No:' Comrrila on o. ;��,..'vB��,� JACQUELINE BOGES - ne ot Nolary typed,printed or stamped Name of Note " e ,o; � ber 12,2018 �%�OF 1f��a`` Bonded Thn�Troy fain Ineuren�o B00•385•1019 Illll 1