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Home My WebLink About16-17766 CITY OF ZEPHYRHILLS 5335-8th Street , .. (813)780-0020 17766 ELECTRICAL PERMIT � PERMIT INFORMATION - LOCATION INFORMATION Permit#:17766/17157 Issued: 9/22/2016 Address: 5935 GALL BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class �f Work: ELECTRICAL MISC Township: Range: Propo ed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Fe t: Est. Value: Book: Page: Cost: Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/22/2016 Parcel Number: 10-26-21-0020-00000-0050 CONTRACTOR INFORMATION OWNER INFORMATION Name: TIME OUT SYSTEMS INC Name: ZEPHYR II LLC Addr: 308 INDIAN CREEK CIRCLE Address: 14524 N ROME AVE ADEL GA 31620 TAMPA FL 33613-2029 Phone (229)896-6190 Lic: Phone: ' Work Desc: INSTALLATION WIRELESS SECURITY SYSTEM APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTIONS REQUIRED ROUGH�LECTRIC CONSTRUCTION POLE PRE-MET�R ' FINAL ' /� L% - ✓ L � REINSPECTION FEES:(c)With respect to Reinspection fees will co ply 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. NOTIC�: 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. "Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comp ete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. I CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 813 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 - Building Department - Date Recerv d ~ , � Phone Contact for Permitting - — • Owner's Na 8 DI/ies /.�C�ro��/� QlC� T Owner Phone Number . Owner's.Ad ress �/ �J'"�� /.�/d Owner Phone Number Fee Simple itleholder Name Owner Phone Number Fee Simple itleholder Address �. . � JOB ADDRESS LOT# � i SUBDIVISIO PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH , B INSTALL e REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE'OF C NSTRUCTION Q BLOCK - Q FRAME 0 S,TEEL Q , � . DESCRIPTI N"OF WORK ` `IN�S79-Ll.��J(r SECL�/CIT S S7�Y1/l . 1 }�1 I r�I�. , BUILDING'S ZE ` SQ FOOTAGE� HEIGHT � OB ILDIIVG $ VALUATION=OF"TOTAL CONS7'RUCTION QE CTRICAL , $ AMP SERVICE 'Q PROGRESS ENERGY Q W.R.E.C. � QP UMBING $ '� �� QM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` � � �r�� QG S Q ROOFING Q SPECIALTY 0 OTHER �jC�/ FINISHED.F OOR ELEVATIONS FLOOD ZONE AREA QYES NO 'y�3 ?j � /� '�� l •BUILDER COMPANY SIGNATUR REGISTERED Y/`N FEE CURRE� Y/N Addres License#' ECECTRICI COMPANY ' ��E C�u-+ S,r'��-rhS SIGIdATUR � ` REGISTERED Y/ N FEE CURRE� Y/N Aad�es p� ///d i�t N CI'�-�' �/� ft�� r Cicense# CFD00 I>�Zp PCUMBER;, COMPANY I SIGNATUR , REGISTERED Y-/ N FEE CURRE� Y/N Addres License# . , ,+. . ",,MECHANIC i COMPANY SIGNATUR REGISTERED Y/.N FEE CURRE� Y/N ,, .... �. ' . .- Address� License# �.�'s4>�.: . , -_O.TFIER'µ ��rl ' � COMPANY �� 'SIGNA'T,UR :-.- � REGISTERED Y/.N. Fee Cuw�� Y/N Ad'ar��s• 5. - � • � - - � � License# =��RESIDENTI ?•;.: AttagFi;(2)�Plot��P_lans;-:(2):sets:ofBuilding�Plans;(1 f set of�Energy For'ms;R-O-W Pemiit,for new.construction, , _. . ;;.-�,� -;Minimum;tenT,(:10)workingGdaysafter.su6iriittal.ilate. Required onsite�`Construction Plans,Stormwater Plans wl�Silt Fence installed, M�� 'Sanita.ry.,Facilities:8�>1;:,dumpster;Site:Work Permit for"subdivlsions/large':projects ' - � ,.,COiVIMERCI AttacFi"(2)comple'#e'sets'ofBuilding-Plans plus a Life Safety Page;(1)set of Energy Forms.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 Permitfo��all new projects.Ali commercial requirements must meet.compliance ��•.SIGN�PERM T AttacFi(2)sets of;Engineer�d Rlans:'�� , ; "•"'PRORERTY SURVEY required for aII.NEW construction. _ _ '>Di�eCtions• . _ � -,t� � _; Fill'out pplication completely. Ovimer Contractor sign back of application,notarized If over 2500;a Notice of Commencement i�required. (AIC upgrades over$7500) .. �•:�., �..•��::-;-. Agent(or the cont�actor.)�orPower�of Attomey(for�tFie owner)would be someone with notarized letter from owner authorizing same �.'OVER.7'HE �OUNTER:PERf�AIT'[IPIG .(copy-of•contraet,required) ' - •Reioofs if sh ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Drivew ys-Not over Counter if on public roaduvays..needs ROW '—. c.^c:r.z..�..^,.'.f4�:'_':r""a.'�"�"�::.� r' �.� NOTIGE OF DEED RESTRlCTIONS: 7he undersigned,understands that�this,permit;may be subject to°deed"rest:rictions"''�y, which may�be more-restrictive�than.County:r.egulations Tiie�uniiersigneii�assumesr��esponsitiilfty=fot�compliance�vuith-aiiy':'`:` applicabie deed restrictians. � �.�v�.=�� :c�=��a� UNUGENSED ;CONTRACTORS AND COId'TRAGTQR RESPOAISIBILtTtES: - if-tfie-owriec-Fiast�hired�a�contractor or � contractors #a undertake work,;they may be,cequired to be'licensed in accordance with state and.local.regulations: '1f�tlie=:: - contractor is not.�licensed:,as-required by law, both the o+nrner anc!=confractar=m'ay��Eie��ited=€or�:a rriisdemeanoc violation under state law. I#fhe awner or intended.contractor are uncertain as to what licensing requirements::may,�apply�f.or;the�- " : intended�work, they are advised to cantacf�tl�ie Pasco County Bailding Inspection°Division:;=Licensing Section at.727=847= 8009. Furthermore, �if the owner has hired'a caritractor or conf�actors, �he is acivised ta��have fhe contractor{s) sign ,,;, ; portions of the "contractar Block" of this application,for which they.will..be.responsible. -If,you, as';the-.owner"sign�as_-the` a contractor, that may be an indication that he is nat'properly ticensed and'is not en`tiflet��to permitting privileges in Pasco_� ° County. - -.. . . .. . .��-,. :_ ..,.. ,3- ., TRANSPORTATION IMRACT/UTILITIES IMRACT AND RES�IJRCE RECOVERY-FEES:-The undersigned undetstands � that Transpor#ativn Impaat Fees and Recourse Recovery Fees.may��apply to the constnaction,of.,nev�r..buiidings, ciiange%of�r`�`' ,# use in existing buildings, ar expansion of�existing buildings, as specified in Pasco County Ordinance number 89-U7 and ;; 90-Q7, as amended. The undersigrted atso understands, that such.fees, as mayMb.e:due, witl b�`identifred at'�tFie�;#�iiie:of=``�" '_ permitting. 1t is fur#her understood that Transportation Impact Fees•and Re'souraerReeravery;Fees must be paid prior to receiving a "certificate of occupancy" or final power release. !f the project�does not involve a ceitificate of occupaney or.��- ft�tal power re3ease, the fees.must be paid prior to permit issuanee. Furtlie"rmore, if,Paseo County WaterlSewer�impaet�,-;-� ; fees are due, they must be paid priorta•permit issuance�in accordance.with'applicableP'asco.Caunty ordinances.'�~ CONSTRUCTEOl� �:IEN I.AW{Chapt�r 713, Flarida Statutes,as amencled): If valuation af work is$2,500.O.O;or more,�,l;;_. certify that I, the applicant, have been. provided with a copy_ of the "Flarida Gonstruction� Lien..Law.--�Homeawner's� Proteckion Guide" prepared by tkte-F{a"rida Department of Rgriculture and Consumer Affairs. !f the applicanf�is sameone,. ofher than the"owner�, I certify that.l have obtained a copy of the abave descri6etl'document�and pmmise�in good.faitli.to:: , delivec.it to the'<owner"priar to commencement. ' CONTRACTAR'S/t�1NNER'S AFFtDAVlT:,•I.certify,fhat�a(I the information in this application is accurate and thaf at!"worii will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application.is hereby made to ob#ain a .permit:.to do work and �nstallat�an as.indicated. 1 certify thaf no �work or ii�s#aHation�.has commenced prior to issuance af a permit and tha# all work will be pertormed to meet standacds of all laws regulating � construction, County and Gity codes, zoning regulations, and land deveiopment regulatians iri the juriscliction: -1 also certify that i unders#and that the regu(ations of other government agencies may apply to the intended work, and that it is � my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not.limited;to: - . C}epartment af Environmei�tal Protec#ion=Cypress Bayheads, Vtletland Areas and Environmentaliy Sensitiv+a Lands,WaterMlastewater Treatment. � - Soutli�nrest Florida Water Management District-lNells, Cyp�'ess 8ayheads, Wetland Areas, Attering ' Watercourses. ' � - , . Army Corps of Engineers-Seawalls, Dacks, Navigable Watennrays. ' - °� Department of Heal#h & Rehab9litative ServicesJEnvironrnental .Health Unit Weils, Was#ewater Treatmen#, � Septic.Tanks. � � - - US Environmental Pro#ecfion Agency-Asbestos abatement. . - Federal,Aviation Authority-Runways. � I understand that the fo!lowing�estrictions apply to the use of fill: - Use of filt is nat atlowed in Flood Zone"V"unless express(y permitted. - If the�fill material is to be used in. Flaod Zane "A", it is understoad that a drainage plan addressing a °compensating valume"will be submitted at time of perrnifiting which is prepared by a professional engir►eer ' licensed by the State of Florida. � - If the fill materia! is to be used 'in Flood Zane "A" in connection with a permitted buifding using stem wall construction, I certify,fhat.fill witl be used only to fill the area within the stem.wall. - If fill material is to .be used in-any area, I certify that use af such fll will not adversely affact adjacent properEies. If use of fill is found to adversely affectadjacent properties, the owner may be cited for violating . the conditions�of the building permit issued under�the attached permit application, for lats less than one (1) acre which�are elevated by fi11,an engineered cfrainage plan is required. If I am the AGgNT FOR THE OWNER; 1�-promise in good faith ta inform the owner of the permitting conditians set forth in ' #his affidavit prior to commencing construction. I_understand that a separa#e pecmit may be required for electrical.uuork, plumbing, signs, weils, poots, air conditioning, gas,. or. o#hier in�stailatians not specifically inctuded in the application. A permit issued shall„be construed to be a license to proceed``with the wa�k and not as authority to�violate, cancel, alter, or set aside any provisions of"the#echnical codes, nor shall issuance of a permit prevent the Building Official from thereaf#ec requiring a correction of er.rars in.plans; construction or violations of any codes. Every�permit issued shall become invalid unless the wark aiathorized by such permEt is commenced withln six manths of permit issuance, or if work authorized b.y . the permit is suspended.or abandvned-for a period.of six(6)manths after the time the wark is°cammenced. An extensian � may be requested, in writing, fram the 6uildirig'Official for a:period nat to-exceed•ninety (90) days and will demonstrate � � jus#ifiable cause for#he extension; tf work ceases for ninety{90}consecutive days,the jab is considered abandoned. VltARNING T4 OWNER: YOUR FAI�URE.'TO.RECORD A NOTICE OF Ct?MMENCEMENT MAY RESUCT 1N YOUR PAYIhIG TWICE FOR IMPRQVEMENTS,.TO YOU,R.PROPERT1f..:IF YOU.�,INTEND~TO.OBTAIPI�FINANCING;�COfdSULT _.�__`",fL�"rQ-YCDlJR��:EN'��t`��:AN-A'P'��Ft6'1�7 B�EORIE-Et��l?RL�ING Vt�UR{dOTlCE-��^!"69!!E!tl��6VlE�1�°::-- __.__,-----_ .--- FI.ORtDA.lURAT{F,S.117A3) � , OYUNER OR AGEPIT COiVTRACTOR Subscr�bed and swam to{ar affirmed}befare me th(s Subscribed and swom ta{or affittned}before me this � by bY I WhQ is/are personally knovun to me or has/have produced � Wha is/are persottally known to me oc has/have produced as Identlfica6an. �;� as identificat�on. � Notary Public Natary Public Comm€ssion IVo. Comm€ssion No. Name af tVotary typed,printed or stamped Name of Natary typed,printed or stamped , _ 4'