HomeMy WebLinkAbout16-17727 T �
CITY OF ZEPHYRHILLS
5335-8th Street
" � (813)780-0020 17727
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17727/17478 Issued: 9/12/2016 Address: 7600 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: I Total Fees: 40.00 Subdivision: ZEPHYR COMMONS
Amount Paid: 40.00 Date Paid: 9/12/2016 Parcel Number: 35-25-21-0130-0000-0080
I CONTRACTOR INFORMATION OWNER INFORMATION
Name: LEVALDS TECHNICAL COORDINATION G Name: SF ZEPHYR COMMONS LP '
Addr: 6860 DALLAS PKWY STE 575 Address: 100- 2851 JOHN ST ,
�LANO TX 75024 MARKHAM ON L3R 5R7 CANADA
Phone: (972)801-9950 Lic: Phone:
Wor;k Desc: LOW VOLTAGE FOR DATA
i APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS,REQ � ED
ROUGH ELECTRIC
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CONSTRUCTION POLE
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PRE-METER ti
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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
i 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
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' ` City of Zephyrhills '
I Uniform Notice of a Low-Voltage Alarm System ProJ'ect�
Owner's/CustomerName 7— ELEVEN CONV�ENCE STORE ��
Address 7600_Gall blvd
�;�y Zephyrhills st z�P �
, Phone E-mail
, Contractor LEVALD TECHNICAL COORDINA��ON EC 56
6860 Da].las PKWY S ".#
• Address �
, �lty .Plano st TX_zip75024 �
Phone ]7�.—��6— 22�] DateProjectComplete
e Scope of Work
�
�
�Signature:
Owner or tenant or contractor or authorized representative
Notice is hereby given that a]ow-voltage alartn sy stem project has been completed at the address
specified above.I certify that all of the foregoing information is true and accurate.
10/1J33 section 553.793 FS
I
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� 813-�so-oozo City of Zephyrhills Permit Application ��-���-7$°-°a2�
( { µ Building Department .
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Date Re,ceiver�� , � _ �-� � '
• Phone Contact far Permitting �
, Owner's Flame �' 4 Owner Phane Number , �
�Owner'�:Address � � ' Owner Phane Number
``�._..:.____._,
Fee Simple Titleholder fdame Owrner Phane NumbeP
Fee Sim le Titleholder Addtess
P ,
OB ACIDRES�B lA G U . LaT� ��
SUBDCNiSlO�� �� � PI�RCE�ID# � �
(OBTAINED FRC1M PROPERTY TAX NOTIC6)
WORIC Pi20Pt)SED � IVEW CONS'�R t3DDlALT [� StGIU Q [� DEM0�18H
� e INSTALL 8 REPAIR
PROP.OSED USE i Q SFR Q COMM C� QTHEF2'
�, TYPE'OF CONSTRIiCTION Q BLOCK ~ [� FRAME C� S,TEEL . Q
� � , .
DESCRIPTIOpd`OF WORF(
�Ult-DING`SI�E � �_ SQ FOOTAGE�,�,� HEIGNT �^�
�
08UI�DtNG , � � VALUATION�OF�TOTAL-CONS'i°RUCTtON
QEL�C.T,RICA� ,$ A�t1P SERVICE �� PRC?GRESB ENEF2GY Q W.32.E.G.
OPI.�MBtNt3 $ ' �
� � � � ,�A� �����
OMECHANICAL $ ' VALUATION OF MECHANlCA�INSTALLATtQN L�""
�!�"��
._ G�S Q Ft04F11�G Q SPEGIfi�TY 0 OTHEFt
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FINISHED.FL�QOR ELEVATIQNS FLOOD ZONE AREA YES NO A�
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``BUt
� �� /� CQIVIPANY �VcL� � ��C�r�1c� �AA��i �«7rt tT�t?
ATURE � REGISTERED Y/'N FEE CIJRRE� Y/N
Address UC U�� � t.{) �►GJ 7�`' ��x�`��License# '� � ��� �.����
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ELECTRIGIAN CQfl6PANY �
� SIGNI4,TURE � REGISTERED Y/ N FEE CURRE� Y/N
�' .
Aiddress Cicense.# �!
PLUNIBER..,. COMRANY% �
SIGNiATURE ' � REGISTERED• Y•/ N- FEE GURREn Y/N
. i4ddress, Liaense#"�� � ' �
;; :MECMAIdIG I • COMPANY
: SIGWATURE ' � REGIS7ERED Y/,N FEE CURRE� Y/N
' �- '
�iild'ress�� License# �
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OTHER�`��:-,' . ' � CC►NIPANY
�`SIGWI.ATURE::> � - � • ' REGISTERED Y/.N FEE CURRE� Y,.I N
��ddres�:_. �, � ��:- .- - - . . " , License#
7'
���RESI�DE1VTi, :_ Attacii.(2);Plot'Plans;(2)="sets of Building-`Plans;�,{1)set'of°EnePgy,Forms;'R-O-W Pemitt.foc new`cansfructian,
� �..;�-t�Minimumw{ten;_(:1'Q,)workingedays afte��"sutamittal.date. Required'onsite;Constnlction Plan"s,�Stormwater Plans w/Silt Fence installed,
Sainta.ry..Faatities:&ti,1:dumpsterSite;:Work�Rermit'far_subdivisi'ons/large�prbjecfs,f� " �
.. 4.,�y...,s_:.*.,....:'..-rt.,_�i� :..r v.
4 GOMMERCIAL Attach°(2)'complete`sefs'ofBu9tding Pians ptus a�Life Safery Page;(4}set af Energy Fanns.R-O-W Permit fiar new consfrucfion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence:installed,;
Satti#ary FaciEities&1 dumpster,Site Work Perrriit fot all new projects.All commercia)requirements must meet carr�pllance
���SIGN PERM�T 'Attacfi(2)sets of�Engineer�d Ptans:�-.° ,� � � � •
; •"""PROPERTY'SURVEY,required for_aII.,NEW canstruction.
':Dire'c,4ions:_, ,�:�,>',: t � .
'.Fill�out application completely.
Oinrner&Gontractor sign back of applicatian,no#arized
If over$2500,�Notic�of Commencament is required. (A!C upgracles.over$75Q0)
,. -i--�,�,.r;�. �
Agent(�o'r''ttie�contractor)orPower.of Attomey{far ttie`ovirnec)would be sameone with notarized letter from awner authorizing same
�',OVERtF1E•COUNTERPERMITTIRIC,_ .(copy-of-conVaet•.required) `� �
,,,.��
Reroofs if sh�ngles { Sewers Servfae Upgrades A/C Fences(F?IoUSurvey/Footage)
Driveways-Not over Counter if on pu6lic road`ways.:needs ROW
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PdOTIC�QF.d��IED R�S7'RlGTl�NS: The undersigned undecstands.that.this:permit may;be�ubject to"deed"r.estric#ions"�:"=`.
., . .. �, i.. 1: :' ':.i ".v .'a. ��..
s 4,`,k.....as,.: -P�a.,...Y.�r,�'��'
which;maybe�more:restr:icti�e�ttiarr.County.r.egulations: The�unde'rsigned�assurr'%e"sy-�espons�tiifity;for�comp!lance=witti�ariy�`"
applicable:deed�es#rictions. . � _ H.._. . � r.
UNLICENSED�,zCONTRACT,ORS I�ND CANTRAGTOR RESP!ONSI�ILITIES: - If tlie�awnerfias=�tiired��a�;contractor~or 1
coritractars to undertake work;:they may be.r.equired #o be iicensed iri accordance with state and:iocal,r.egula#ions:=plf;�tlie�`�-
contractor is no#:�ficensed-as-.cequired by, lawr, botti"�the awnec�and'-cciritractof=-titay;Atie=citetl�fo�:�a�misdemeanor violatibn 4
under state law. If the owner or intencied con#ractar are uncertain as to what licensing requirements�may>�apply.�for=;t�te�-'� ,
,,. . . :�.:_, , ., �
infended�work;•they are advised to contact tti`e Fasco Gounty Building Inspectiori_pivisiori.-Licensing Section at 727=847-
8009. Furthermore, if the owner has hired'a -contractar ar contractors, he is advised to,�have the contraCtor{s)._sign.;.,., '
portians of the "con#ractor Black" of this application,.for which they._wilL.be responsible._:Ifryou, as`;the`owrte��`sign'as��ttie"�
contractor,tlia# rr�ay be an indication thaf he is no# property�ticensed anci is naf entitle�to permitting p�iviieges in,Pasco.�; �°
County. , _ _ '_., - ...._ .,... • _ „ - . �"r',. _. .. .
T12AN�PORTATION IMFACT/UTIl.lTlE�IMPA,C7 AND-RESOURCE R��QVERY FEES:'The uniiersigned undecstands ;-
that Transportation Impact Fees and Recourse Recovery Fees may;,apply'to the constructia.n of,,new:bulldings, change��of'.���� �°
use in existing buildings, ar expansion.�.of.,existing buildings, as specified in Pasco County Ordinance number 89•07 and ��
90-07, as amend�d. The undersigned aiso understands, that such.�fees, as�may,:�be{due, will"'kie�identified�at'�.tfie';time�of=�°� '„
permitt�ng. tt is fu�#her und'erstaod fhat Transpartatian Impact Fees�and Resource��Recovery.Fees musf be paid prior to
rec�iving a "certificate of occupancy°-or final..,power release. If#he project�does nat invoive a'certificate of occupacrcy4o"r,'.:���;
final power release, the fees must be paid prior to permit issuance. Furttiermare, if,,Pasco Gtiiinty WaterlSevtrer�v#inpaet;;;�- ;
fees are due,.they must be paid prior ta permit issuance in accordance with°applicatile Pasco Cou.nEy ord�nances.� '�
CONSTRUCTtON`L:IEN LAVfI �Cfiapter 713; Florida Statutes,as am�nded): If valuation of work is$2,�QO,OU..or.�moce;ti,l,;-�,_�:
certify that f, the appl'rcant,, have been. provided.:with a copy_ of the "Flarida Construction,;;Lien_Law::Homeowner's ��h
Protection Guide° prepared by the Flaritla Department af Agriculture and Cansumer Affairs. If the app�icant;is some.one�;
ather than the°owne�', !cerkify that I have obtained a copy of the abave'descr'ibec!"ciocument�and�promise_=in gaod;,faith_to,,�.,,
delivec.it to the.'>owne�'prior to comrnencement. � � ' ' �
CONTRACT�R'S/OWMER'S AFFIDAVlT: ,I..certify.that all;the in#ormation in this applica#ion is accurate and that alf work
will be done in compliance with all applicable laws regulating cons#ruction, zoning and.land�development. Application.is
hereby made to obtain a permit:.to do work and installation as- indlcated. I certify that no �wark or.installation��has
commencect pr'ror to issuance of a permit and that ail work will be pertormed to meet standards of all laws regulating
constructian, County and City codes, zaning regulations, and land development regulations�in;the jurisdicfian: I atso
certify that 1 understand that the regufations af ather government agencies may apply to the interided work, and that it is
rny responsibility to identify what actions! must take to be in compl�ance. Such agencies incfucle�but are not;limited�Ea:
- Department of Enviranmental Fratection-Cypress Bayheacls, Wetland Areas anc! Environmentally Sensitive
Lands,WaterNVastewater Treafinent.
- Sauthwes# Flarida Water iUlanagement District Wells, Cypress Bayheads, Wetland Areas, �Altering
Watercourses. � ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Wa#erways.
- Department of Health 8� Rehabil►tatiue ServiceslEnviranmenta! .Health :Unit Wefls,.:.Wastewater Treatment;
Septic Tariks. _ `
- US Envirorimental Pratection Agency-Asbestos abatement. , .
- Federal Aviatian Authority-Runways. ` _
!understand thaE�tlie faflowing resfrictions appiy fa the use of fiil:
- �lJse�of fll fs_not.a(lowed in Flood Zone"V"untess expressly permitted.
- If the�fill material is� to be used in. Flood Zone "A", it is unde�staod that a drainage plan addressing a
"compensating volume" will be submitted at time�of.permitting which is prepared by a prafessiona! �ngirieer � "
licensed by the�State of Florida. �
- If the filt material is to be used in Flood Zone uA" in�connection with a permitted building using stem wall
constructfon, !certify'that.fill wiH be used only to fitl the area uvithin tF�e stem wali.
- If fi!! material is to .be used in-any area, ! cerEiflr that use of such filf wilf not adversely affect adjacent
praperties. If use of�II is found to adversely affect adjacent properties, #he owner may be cited far violating`
the conditions af the=tiuilding permif issued under the attached permit application, for lots less than one {1 j � "
acre which are elevated by filt, an engineered drainage plan`is required.
If 1 am the AGEMT Ff3R THE OWIdER;��1�-promise in good faith to-inform the owner of the permitting conditions.set forth in
this affidavit prior to cammencing'construction. '1,understand that a separate permit may be required for electrical„wark,
plumbing, signs,_wrells, pools, air,conditianing, gas,.or�o#her'�'nstallations not specifically inc(uded in the app(ication. A _
permi#issued shall,be construed`to be a license to:praceed`with the wark and•not as authority to vrolate, cancel, al#er, or �
se#aside any provisions of�#lie technical codes, nar shall issuance of a permit prevent the Building C?fficial frorn therea#ter
requiring a correction of errors in:plans;�construction ar violations of any codes. Every permiYissued shall 6ecome invalid t
unless the wark aiathorized by such permit is commenced within six months of permit issuance, or if work authorized by .
the permit is suspended,or abandoned-far�a period.of.six t6)montFis after the#ime the woric is�commenced. An extension
may be requested, in writing, frorr� ttie Building'Clfficial for a,.periad nat to exceed-n�nety(90) tlays and wilt demonstrate
justifiable caus�for the extension. lf work ceases for ninety{90)consecutive days,the job is considered abandoned.
�VARNtNG TO OVVNER: YOUR FAiLURE TO'.RECORD,dh.NOTICE OF COiNMENCEMENT MAY-RESULT IM YOUR ' �
PAYlNG TWtCE.FC�R�IiVlPRUV.EMENTS;.TC}Yf3.UR:PRQPERTY.=titF YOU.�.iNTEND°TO:t3BTAIN�FINANCING;�CCJNSULT �
�1!!TH YDUR L"ENDER OR AN NTTORNEY BEFOR�.RECC}RDING:YOUR NtJTICE OF Ct}MMENCEMENT:
FLORIDA JURAT(F.S..117.03) - � � - "
OWNER'Oft AGENT ----- ��'iP�'i�riC?�i�t ---––._ — -- _.^._ –----
- Subscrib'ed and swom fo(or affirmed)before me thls Subscribed and swam to{or affirmed)before me this
�y by ,
Wha ts/are personally knawm to me or hasthave produced Who is/are personaity known to me or has/f�ave produced
as iden�fication. �;: as fdentificaUan.
Notary Pubtic Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or skamped
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