HomeMy WebLinkAbout16-17533 �
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1753
,• ; .
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17533 Issued: 6/30/2016 Address: 7822 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range: �,
� Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,340.00 Total Fees: 50.00 Subdivision: ZEPHYR COMMONS
Amount Paid: 50.00 Date Paid: 6/30/2016 Parcel Number: 35-25-21-0130-00000-0140
. CONTRACTOR INFORMATION OWNER INFORMATION
Name: WEATHER CHEK ELECTRIC INC Name: SF ZEPHYR COMMONS LP
Addr: P.O. BOX 2 Address: 400 CLEMATIS ST STE 201
TARPON SPRINGS, FL 34689 WEST PALM BEACH FL 33401-5322
Phone: (727)943-0886 Lic: Phone:
Work Desc: RELOCATE EXISTING CIRCUITS FOR FIXTURE- PET SUPERMARKET
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL \
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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.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aaeo-oozo City of Zephyrhills Permit Application F�$��-���
Building Deparfinent
Date Reeelved phone Contact for Permitting —
11�11111 �+ � I � It
Oxmers Name R d�"�'Fr� � Owner Phone Number
�-I�ma. , fa'F-
Owners Address � 5 �� ��pOwner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOBADDRESS V �I �J v � �� � � LOT� �
, SUBDIVISION PARCELI� ��r ��+�����'�d���� '�
(OBTAINED FROM PROPFATYTAX NOTICE)
WORK PROPOSED e NEW CON57R e AOD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUC'f10N Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK r�\�Ca� `S `� C{�u I— � �F Y� �W
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
1�ELECTRICAL $ � �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ n C��3
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� " � `� J
OGAS Q ROOFING Q SPECIALTY Q OlNER Ln �,�
I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
BUIL�ER COMPANY �
SIGNATURE REGISTERED Y/ N �cuRRen Y/N
' Add►ess Licerue#
.!` ELECTRICIAN ' j COMPANY Ld� C� . P_ �
SIGNATURE � REGISfFRFD Y/ N �cuR�h Y!N
Address J�b ��•• • � 6� Licerue# C Da/ �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FE£CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNA7URE REGISTERED Y!N FEECURREA Y/N
Address License#
OTHER COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURREA Y/N
Address License#
1111111111111111 � 1111111111111111111111 �� 1111111111111 � 111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum len(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwaler Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life SaFety Pape;(1)set of Energy Fartns.R-0-W PermR for rrew consWdion.
Minimum ten(10)working days aRer submittal date. Required onsite,ConsWction Plans,Slortnwater Plans w/Silt Fern�installed,
San"dary Facilities 8 7 dumpster.Site Work Pertnk for all new projeds.All commercial requiremeMs must me�compliar�ce
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion
Dlrectlons:•
Fill out application mmpletety.
Omrer 8 Contrador sign badc of application,rrotar¢ed
If over t2500,a Notice of Commencement is required. (AIC upgrades over=75�)
" Agent(for the mntrador)or Power of Altomey(for the owner)would be sameone with notar¢ed letter from otimer authorizing same
OVER THE COUN7ER PERMIT[1NG (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Sutvey/Footage)
Driveways-Not over CouMer ff on public roadways..needs ROW
. NO't10E OF DEED RESTRIGTIONS: The undersigned understands'th�t ihls:p�cm�tmay_be;subJect to"deed"restricilons°
�which may be<more-r.estticUve•tt�a�t County regr�lattons:'7?ie undersigned sssumes'nesponsitititty for�compilance dvifh"ariy
appAt;able deed resMcllons. . �
UNLlGE�lSED GONTRACTORS AND CON�RAAC7'OR PtESPONS181GITiES`. tf fhe owner has hired a canhactar or
contractors ta undertake work,they may be:regutrsd.to tie;ltcensed tn aaardance.wlth state.and�tocai ragulatian.s... if ttie
contractor!s noR Iicensed a�required`by lew,boUrthe owner and i:rontraotarinay be-otted for'a�misdemeanar violatlon
under state law. !C the owner or Intended�cantra�tor.,ere;�ncerteln as to whaf licenstng.requirements;may=apply.�ior-the
,_ ._.
Intended wark,they are advlsed to caritact tlie Pasco County Bulliling'i�spectiori Dlvlslan--t.icensfng Sectton at 727-847-
8009. Furthermore, ff tha owner fias'hired a cainVactor o�coritracfors, he is advised ta have the cantr;actor(s)sign
� porlions of the"conhactor Btock'of thie appllca8on far,which they witt_be.cesponslble. tf you,.as..Yhs ow'iiec stgtii'�as`tlie
cantractor,ihettnay be an ir`idicatlon thatfie Is na#propedjr licensed and�is not entl8ed to pernnit�ng pr[ii!leges In P�sco
Couniy. `
TRANSP,ORTATtON tMPi0.CTltPfiti'FFES tMpJ1G'�ANb RESQUitCE RECC►VERY FEE3:The undesstgned understands
ihat"fransportaUon impacf Fees:and Reccurae RecoVety.Fees may�eppily�ta tF�e construc8on o�new 6ulldings,change of'
use in existing buitdings,'or expansibrt��of�eiii"sti�`tiuAdl6gs,as speclfisd.in Pasco Counky Cltdinancs aumber 89-07 and
90-0�,as ame�ded. The undersigs�ed atso:understands,thaE such iees,as may be dua;,wilk�6e tdenNfled at the�ttme°of
permitting, it is furttier vndarstoai that TranspnrtaHon Impa�t Fees and�ttesourae lteco�rery�Fees must be pald prlor to
receiving a'ce�fificate of ocoupancy"or flna{•�nre�-.release? ��the.pro)ect.does.not irnolve�a-c�rt�ti:ake of occopancy or
finai power retease;the iees tnnst be patd prlor.#o permK Issuan'ce.. ��iitherrnore;if-Pasc4 Gounty�lNater/Sewer Impact
fees are due,ttiey.must be.pa.id prtor to pesmit�isst�anc�in a�rd."ance viritlt app!laablePasc�'.County ofdinances.
COWSTRUCTION L'IEN'tAW(C6apt�r 713�Elortda�Statutee,sa amended): 1f valuatl�n ot work!s�2,500.Q0:ar more,!
certify that i, the app!lcant,.hsve-been proqtdeii wtth a-copy af the "Flcrtda Constructton:Lten LaMr—�Nomeowners
Protectton GuEds'prepared by`the Ftoiida Depestment of Agrtcultare artd Consumsr AtEairs. If the appltcank Is someone
other than the"owrier",1 csrttfy th�t I�t��ve>dbt�ined�a-aopY:of.the�above.descrltied�toair�enk�and.prcmise�ln,good falth to
deliver it ta the:'owne�"pilor to�commencemetit;= ` '` � '
COhiTRACTOR'StOYYNER'S AP�IDAVIT: !ceillty,.tkia�t ap,the,lnformaUon!n thls appllr.a8on is accurate,and thak al!work
will'be do�e in complfartce wlih all.appNcable lawa regulaUng construcUon,xoning and•Iand devefopmenG AppllcaGoa is
hereby made to obt�tn.a.permit.ko do�.worlc,and It�atalladon as indlCetectr• �:! cettify that no work or InstallaUon has
cammenced p'rior to lssuance of'a perriilE"ani!that:ali work wlll be performed to meet standards of all laws regulating�
consM►ctian, Counky and City cades, zoning regulaUans, and laad developmeM regulaUans�in the jerlsiiicUon. 1 also
certify Ihak 1 understend thak the regulat(ons 4f okhe�govemment agencies may epply�to the lntended wark,and that it Is
my responsibllity to ldentiry what.acttons I mustteke:to bedn.cort�pllance: Such agenoles Include but are.not Ilmited to:
- Qepartment af Envlronmental Protectton=Cypress.'Beyh'ea��;Wedend Areas�nd Envlronmentally Sensitfve
Lands,Weterf Wastewater Treatmen�
- Southwest Florlda Weter M�nagement:C�tsfrlct-Welis, Cypress`Beyheads; Weiiand Areas, Altering
Watercourses. �
- Army Cnrps af Engineers-Seawells,Doaks,Navtgable Waterways,
- Department of Heatth 8 Rehabll(taNve Servtces/Ernironmentet Neatfh Un(t Well�, Wastewater�Trea#ment,
SepUc Taniis; ,
- US Environmenfai Protectton Agency-Asbestos abatemen�
Faderat Aviatton�Auik�orlty�Runweys. � �
i understand that ihe follouring;reaMetlons eppty to the use of�Ilr
- Use of fitt ts not allowed in Flood Zone"V"unless expressiy permitted.
- If the fill materiai is fo be usetf."in:�lood Zone 'A°, it is nnde'r"stood that a drainags plan addressfng a
°compensating eotume"wttl be submStted at#lme of:pe�mitt#ng which is prepared by a professtanai engfneer
ttcensed by tha State of FtoHda.
- tf ihd filt materrat is-to ba us.ed In Fiood Zona`A° Irr�onnection�w1th�a permttted bufidfng using stem waii
constntaiion,l certiiy that ftil:wiil.be used oniy to..fH4 the area witltln�the sterrt wali.
- if iiil matedal la to be used in.any ai�ea, i cettify thet.use af sttch iif! wUi qot advetsely afEect ad}acent
propertles. If use of fill is hatan�t to advers+ety.$lfect adJaeent-pra�pertfes,.the owner may be cfted far_viotating
the cond�fons.of fhe buitiling.pertriit issuai!under tha ett9ct�ed permlt appEtc�Uan,far tats less�than.one(1}
acre whfich are etevated�tsy ttit;�n engineered dratnage plan Is regulred..
if i am tNe AGEMT FOR TH�OWNER,,l,promtse In good faith ta intorm the owner af the permit�ng condttlons set torth!n
th{s aNidavit'p�lar ta commei�ctng canshuctlori. t undersfetid that a-separate permit may be tequlred for electrtca!work,
piumbing,sfgns,wetls,pools;alr conditloning,.gas,or otk�ei Insta!l�No.ns not.spec{flcally lnduded In.the appitcakton. A
pemiit{ssued shal!be c�nshued to be a Ili�nse to proceed wtth tttie virork and nat as.autho�ity to violater cancel,alter,or
set astde a�y provisians of the.techntcal cAde�;nor shall Issuance�of a.permfl.pr.event the Bulldtrig 0111c1a1 from thereafter
�equldng a c�orrec!!on cE errors in.plana;constivctlan or vlolaUons of any codea. �very p'ermlt Issued shell become invalld
unlese the wodc suthorized by such permit:is.carnmenced within afjc,months of permft lasuance,or if work authorized by
the permtt is suapended cr.abandoned•for a_period of s�C(8)montfis atter the Uma tha�workds commenced. An extenstan
may be requeated.ln writing,trom iHe Building,Officlel for a peNod:nof to exeeed ntnety(90)days and will demonstrate
Jusk�iable cause for:lhe exkenslon. lf work ceases.for Nnety.(90)consecuitve.days,�ihe iobds considered a4andoned.
WARNlNG Tb OWNER: YOUit.FA1LURE•7Q.,RECOItD A:NOfi1GE�:OF�COMMENCEMENT NtAY�RE3U`T IN YOUR
PAYIN(3 TWICE:FOR IMPItOYEMENTS 70,YOUE�PRaPERfiY. tF YO.U{iiri�TEliiD`TE3`�B�AIN�Fi 'NEINt3;�OFISUt�T
W17 � U OR �O� , 6U . ,�C . ,
FLQRIDA JURAi'(F.S.t17.09j . } -'.
OWNER OR A4ENT Cr,1ti'1'ppG7'p . z.r„ '
Su6scdbed and svwm to(or eflirmed)before me thls S'bsalb �nd�axiota ta ot j �fo ' e tht� ,� �
� ��i .,�...
Who Is/are persarreify knowrr to.me or Fraalhsve prody�d Who te,(a[e p,rsanai knmm ta me o h 'a
aatdemiftcatlon. /�-L. �, Lfa.i/5 lr�� a en�ftceUcn.
Notary Pubnc � Notaty Pu6llc
Commisslon No:"` Cam ts�t �Fto. ��y�."•P 9��i ,1
:.r' ��: Commission#FF�504��
Name ct Notary typed,printed w slamped Name ot Notery
".,p„�;,�`' 8an ed Fhm Trcy Fain Inswrenca 808�396•i018