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Home My WebLink About16-17118 CITY OF ZEPHYRHILLS 5335-8th Street - ' (813)780-0020 1�.1�8 ELECTRICAL PERMIT ,�.-�'� PERMIT INFORMATION LOCATION INFORMATION Permit#:17118 Issued: 3/02/2016 Address: 4626 KRUSEN FIELD RD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: � Book: Page: Cost: 21,100.00 Total Fees: ��,G� Subdivision: CITY OF ZEPHYRHILLS Amount Paid: Date Paid: Parcel Number: 13-26-21-0080-00000-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: HIMES ELECTRIC COMPANY INC Name: CITY OF ZEPHYRHILLS Addr: 1040 LAND O LAKES BLVD Address: 4626 KRUSEN FIELD RD LUTZ, FL. 33549 ZEPHYRHILLS, FL. 33542 Phone: (813)909-1927 Lic: Phone: Work Desc: INSTALL 3 LIGHT POLES & 100 AMP SVC- FEE WAIVED APPLICATION FEES INSPECTIONS REQUIR - ROUGH ELECTRIC ' � CONSTRUCTION POLE PRE-METER � ' FINAL � / �i 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 properly 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 ��:'�"� 4=;-�;�. PURCHASE QRDER �r.:,.�� t:� ' .;,� Ato. 4tl00428307 �1ty �f Z ephyrhills � YEND4R: SFIIPTQ: BILLTO: Musco Lighring City afZephyrhills PO Bax 80$ 5335 8th St. Oskaloosa,IA 5257'7-0000 2ephyrhills,FL 33542 � YENDQR NO. YEl�TDCf#2 PHOPIE IYUMBER TERMS DATE REQUIRED DELI'YERY AATE Musca 0 l 1/252015 SHiPPIlYG TNS'TRLJCCiOt+I5 (none) ITEM QTY U!M DESCRIP'CIQNlfASK PRD CODE ACCQUNT UNIT PRICE AMOUNT i 0.00 Slcate Paric Lighting—clay county d12�100-541-6325 55,708.OD 55,708.00 piggyback/6id#13/14-8/approved by council 11123f l5!ncst to eacaeed 55,708.00 SUBTOTAL. 55,708.00 TAX. 0�00 SHIPPING: 0.00 TAXABLE: No TOTAL: 55,708.W CONF[RMiNG: �� l.�-0�.� � AUTHORIZED SIGNA'TURE SE'NTI�O. i�/A� E"��I�fI4 �s/�/�Yl�" IMFORTANT: QtIR ORI}ER NUMBER ItrfUSTAPPSAR dN EVERY INVt7ICE ANI}PACKAGE 'Ihia piachasc order ia given upon the representation and gnerenry uf the menufachmr cn scller thet no breecFi of any Stetc ar Faderal Law a Reguiatian lias oxeured in conmdian with the menufactusing,grocessiag,hraading,Iabetiag or transgortstiws of the metchendise hecein mendoned.If such bcexh occurs ar is cFsarged by azry tegetEy eoastituted Stete ar Federa3 authnrity, the buyer shall be endtled to re.scind tlu order and ren�rnt the unused me�sndiae and shatl elsa be held harmless by t6e m�ufacturer ar sella egainst any pet�alty incurred artd/or the cost of defeese of snyr pioaeeding designed m pmalize the buyer. e�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department Date Received Phone Contact for Permitting Owner's Name C.1 n� 7 � i"P�►«S Owner Phone Number OwnersAddress J 3,.7 �1� �i . Z��,5 ^ OwnerPhoneNumber Fee Simple TiUeholder Name ^ Owner Phone Number Fee Simple Titleholder Address ^ JOB ADDRESS D�� T��S�i�� J� LOT# � SUBDIVISION `� PARCEL ID# (�'p�'�I "DN U:� 'D��Q��0�� (OBTAINED FROM PROPERN T/U(NOTIC� WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPEOFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK Sib« L � �p� � I�� uV 1 � BUILDING SIZE SQ FOOTAGE� HEIGHT � �BUILDING $ VALUATIONOFTOTALCONSTRUCTION�'�1,`aCJ�J �ELECTRICAL $ AMP SERVICE IQO Q � PROGRESS ENERGY Q W.R.E.C. li �PLUMBING $ � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( / I� OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY , SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ' Address License# ELECTRICIAN COMPANY �ti�MC� ;e�,d�G (�U �1 �r- SIGNATURE REGISTERED Y/ N FEE CURREN /N Address ��O�O n..� o� � ZS. �1:<TZ- f"�. License# L��0�3l b P LU M BER COM PANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY S�GNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 111111-I�IIIIIIIIIIIi�llllllllllllllllllll�llllllllllllllllll�llllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submiltal date. Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, Sanilary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects - COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.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. Directions:• Fill out application completely. Owner&Contractor sign back of application,nolarized If over$2500,a Notice of Commencement is required. (A/C upgrades ove�57500) " Agent(for the contractor)or Power of Allomey(for lhe owner)would be someone with notarized letter from owner aulhorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if an public roadways..needs ROW � V NOTICE OF DEED RESTRICTIONS: 7he undersigned understands that this permit may be subject to"deed"restrictions" which may be mare restrictive than Counfy regulatians. The undersigned assumes responsibility far compliance with any applicabie deed resfrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNSIBILITIES: If the owner has hired a contractor or contrackors to undertake wark,they may be required to be licensed in accordance with state and loca!regulatfons. lf the confracfor is not(icensed as required by law, both the owner and cantractor may be cifed for a misdemeanor viotation under state law If the owner ar intended contractor are uncerkain as to what licensing requirements may appfy for the intended wark,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8d09 Furthermore, if the owner has h'sred a cantractor or eontractors, he is advised to have the contracfor{s} sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County 7RANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation lmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buitdings,ar expansion of existing buiidings,as specified in Pasco Gaunty drdinance namber 89-07 and � 90=07,as amended. The undersigned also understands,that such fees,as may be due,wili be identified at the fime of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificafe af accupancy"ar final power release. if the project does not involve a certificate of accupancy or final power release,the fees must be paid prior to permit issuance. Furfhermore, if Pasco Co�n#y WatedSewer impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Ghapter 713,Florida Statutes,as amended}: If valuation af work is$2,S4Q 00 or more,! certify that I, the app(icanf, have been provided with a copy of the "Fiorida Construction Lien Law—Homeawner's I'rotection Guide"prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is someone other fhan the"owne�',!certify that i have obtained a copy of the above described document and promise in good faith ta deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work wi(i be dane in compliance with al(appiicab(e{aws regu(ating construction,zoning and land development. Application is hereby made to obtain a permit to do work and instailation as indicated. 1 certify that no work or installation has commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and laod development regulations in the jurisdiction. I also certify that t nnderstand that the regulafions of other govemment agenoies may apply fo the intended work,and that if is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Deparkment of Environmenta{ Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treafinent. - Southwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-8eawa]ls,Dacks,Rlavigable Watetways. - Department of Heal#h & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmentai Profection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use af fitl is nat a3Sawed in Flood Zone"V"unless expressiy permitted. ' - If the fiit material is to be used in Ftood Zone "A", it is urtdersfaod that a drainage p(an addressing a "campensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the Sfate a#F(orida. - tf the fili materiat is to be used in Fiood Zone °A" in connection with a permifted buitding using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - tf fiii materiai is to be used 9n any area, i certify fhat use of such fi!! wiii nat adversely affect ad}acent properties. If use of fiI(is found to adversely affec#adjacent properties,fhe owner may be cited for violafing the condi#ians of the building permi#issued under the attached permit appiication,for lots less than one(1) acre which are eleuated by fiif,an engineered drainage pfan is required. If I am the AGENT FOi2 TNE OWNER,I promise in good faith ta inform the owner of fhe permitting conditions set 4orth in this affidavit prior to cammencing construction. I understand that a separate permit may be required for electrical work, piumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A permit issued sha11 be construed fo be a license fo proceed wifh the worEt and not as autharity to violafe,cance{,alfer,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correcfion of errors in plans,construotion or violations of any codes. Every permit issued shall become invalid unless the wark aufhorixed by such permit is cammenced with'sn six monfhs af permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)manths after the time the work is commenced. An eutension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the jab is considered abandaned. WARNIPIG TO OWNEFt: YOUR FAILURE TO RECqRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYl1+IG TV1tICE FdR 1MPROVEMENTS Td YOUR P120PEF2TY. IF YOU INTEND TO OBTAINI FtP1ANC11U�,GONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDtNG YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.0 OWN�R 4R AGENT CONTRACTOE2 Sub cri d an b�wom to( a� ed before—e jhis�� Subscripad and sbwyom to(or affirmed)before me lhis ('l o islare perso�aHy known to me or hasthave produced Who islare personaAy known to me or haslhave produced ��/� r"'/ as identification. as ident�cafion. �+�+bIi Notary Public ��Y P��4 . Comm ��a �er�''. -St810 0 3 Commission No. �.; x•; My Gomm.Expires 3un 9,2�16 Name f 4J" �rintadCc0�1�F1��p� Name of Notary typed,printed or stamped '�FO,`„+°`� 9onded Through National Notary Assn. - � Q IMES �LECTRIC 0 OMPANY, INC. EC13001316 March 2, 2016 To: City of Zephyrhills Development Services Permitting DepartmentlContractor Licensing From: Joseph C. Urban • Himes Electric Company, Inc. Electrical Contractor License No. EC1300131�i • Himes Electrical Service, Inc. Electrical Contractor License No. EC130019�i� I Joseph C. Urban, being the electrical qualifying agent for Himes Electric Company, Inc., located at 1040 Land O' Lakes Boulevard, Lutz, F?orida hereby authorize the . following to sign for permits on my behalf. Any previous list or letter is null and void. Timothy J. Himes Joe Kelly Himes Thomas Cook � Paul R. Schmidt Justin Ellis , Thank you, � 3�Z�j� Joseph Urban Date *Unless otherwise noted, this letter is effective one yea�-from the date listed above. oQ— Signed and acknowledged before me this Z°day of /�Gr�� , 20� by Joseph C. Urban who is personally known by me or has produced proper identification. � Ol.�� °'�"''•, T (�Qel1�SFIALL �'� "�': Notary Signature ': MY COMENISSION#EE198844 "�'�'�� EXPIRES May 15,2018 (407)398-0153 FlorbeNotery3etvke.can Phone (813) 909-1927 • Fax(813) 909=9776 Post Office Bog 516 • Lutz,Florida 33548-0516 • www HimesElectric.com