HomeMy WebLinkAbout16-17763 i
- CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 177
: ' ELECTRICAL PERMIT
PERMIT INFORMATION � LOCATION INFORMATION. '
Permit'#:17763 Issued: 9/21/2016 Address: 6284 SILVERADO RANCH
Permit Type: ELECTRICAL MISC ZEPHYFZHILLS, FL.
Class f Work: ELECTRIC SERVICE/NEW Township: Range:
Propo ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Fe t: Est. Value: Book: Page:
Cost: 792.00 Total Fees: 60.00 Subdivision: SILVERADO
Amour�t Paid: 60.00 Date Paid: 9/22/2016 Parcel Number: 04-26-21-0010-03900-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: THE KEARNEY COMPANIES LLC Name: DUNE FL AND I SUB LLC
Addr: 9625 WES KEARNEY WAY Address: 5202 N ROCKY PT DR STE 1050
RIVERVIEW FL 33578 TAMPA FL 33607
Phone: (813)421-6601 Lic: Phone: (321)263-0132
W rk Desc: ELECTRICAL FOR NEW LIFT STATION -
APPLICATION FEES
ELECTRI �AL FEE 60.00
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- - � INSPECTIO �R
ROUGH E�.ECTRIC
CONSTRI�CTION POLE
PRE-METFR
FINAL I
REIN PECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or I
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 properly that
may b 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."
Compl te Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
ON RACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
:
: City of Zephyrhills
5335 8th Street
Zephyrhills , FL 33542
CONTRACTOR AUTHORIZED FORM
STATE CERTIFIED LICENSE # CGC056853 , CUC057365, EC13006141
Q
UALIFERS NA1V� JOHN ALEXANDER MITCHELL I
BUSINESS NAME THE KEARNEY COMPANIES, LLC
I authorize the following individuals to sign for and obtain permits.
X*THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS
SUBMITTED AUTHORIZATIONSXx
ARIEL KENT JOYCE ZEVOLA
Shelby Freeman
Signature of qualifier: �
State of FL Coun of Hillsborough Sworn to and subscribed before this
.��"S"���. SHELBY L. FREEMAN day 9/22/2016
��`��h..°�e'�
=�: �� Notary Public, State of Florida
`yr�o; My comm. expires March 4, 2018 .
��.,Q�;;��� Commission Number fF98193 �����,�� � �
Notary Stamp here
ais-�so-oozo City of Zephyrhills Permit Application Fax-sisaaaoozi
Building Department
I DateReceived 9 � phoneConWctforPermitting G� 3 � 1.�
� Silverado CDD 321-263-0132
Owners Name Owner Phone Number
Owners Address 1060 Maitland Ctr Commons,Ste 340,Maitland FL 327 1 Owner Phone Number
Fee Simple Titleholder Name Dune FL Land I Sub LLC Owner Phone Number
Fee Simple Titleholder Address c/o Hawk Management Company,2502 N.Rocky Point Dr.,Suite 1050,Tampa,FL 33607
41 i�2��- �l �A�V /tlLft � �
JOBADDRESS � � LOT#
SUBDIVISION Silverado pARCELID# � � �r��'� �O� O��D�'
(OBTAINED FROM PROPERTY TAX NOTICE) �D t�
WORK PROPOSED Xe NEW CONSfR e ADD/ALT 0 SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR 0 COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL Q
DESCRIPTION OF WORK Lift Station Electrical S� {�(,� �� ��4v�Qy�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
XQELECTRICAL $792 p� AMP SERVICE 0 PROGRESS ENERGY XQ W.R.E.C. / �
QPLUMBING $ � ��� ✓
D� �vn%-�-c�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � CD/� �� ����
��
3� �e �' e,�,�
QGAS Q ROOFING Q SPECIALTY � OTHER n �
r �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER � COMPANY � i
SIGNATURE REGISTERED Y/ N FEE CURREp Y/N I
Address License# �
ELECTRICIAN / ' � t COMPANY The Kearney Companies,LLC ;
SIGNATURE � • REGISTERED Y N FEECURRE� Y N
Address �9625 Wes Kearney Way,Riverview,FL 33578 License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
' Address License#
MECHANICAL COMPANY
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
' OTHER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
IIIIIIIIIIIIItlllltlllllllllllllllllltlllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se[of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects '
COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fomts.R-O-W Pertnit 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 Pertnit 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,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing 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 on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
� applicable deed restrictions.
' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended) If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs.• If the applicant is someone
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
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
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I 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 land development regulations in the jurisdiction. I also
certify that I understand that the regulations 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:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmentai Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wail
construction,I certify that fill will 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 of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter, or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and wiil demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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.
FLORIDA JURAT(F.S.117.03)
OWNERORAGENT CONTRACTOR � `� `e. M'A������a�� '� LLC
Subscribed and swom to(or affirtned)before me this Subscribed and sworn to(or affirmed)bgfor me this �—
by by �O h Y� FI. �M��'C���,
Who is/are personally known to me or has/have produced Who is/are personallv known to me or haslhave prod �
as identification. as identifica n�o�pwJ_.dy�;c, JOYCE ZEVOLA
' MY COMMISSION�FF 027158
U�� :ul ��- '�` EXPIRES:June I3,2017
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Notary Public "��od�'��'yry�y[�1 Thru Notary Public Underviriters
Commission No. Commission No. ���2��5�
o C_2. �. 2-P�c���
Name of Notary typed,printed or stamped Name of o ry typed,printed or stamped
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City of Zephyrhills
� BUILDING PLAN REVIEW COMMENTS
Contrac or/Homeowner: _ T�� ,�E,;9,Q�/�y �G���'AiSI/ES�/—�-C
Date Re eived: � `�/��
Site: �02�� S/�-�/��v`i�UC� �'�I�C�t-
Permit ype: �'�.EC�,2�Ci�L ,C,1FT Si�%7o�
Approv d w/no comments: '� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co ent sheet shall be kept with the permit and/or plans.
� .,l� —
Kal S�v' � Plans Exami er Date Contractor and/or Homeowner
� (Required when comments are present)
�