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Home My WebLink About16-17823 i I � G CITY OF ZEPHYRHIL�S 5335-8th Street �� °' (813)780-0020 � � ' ELECTRICAL PERMIT � � ' PERMIT iNFORMATt4N ° ` ' LOCATION lNFORMATIQN Permit#:17823 lssued: 1 Ql12/2016 Address: 7921 GALL BLVD Permit'fype: ELECTRICAL MlSC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: COMMERCIAL Lot(s): Block: Section: Sq. Fee�: Est. Value: Baok: Page: Cast: 950.00 Tatal Fees: 40.00 Subdivision: CITY UF ZEPHYRHILLS Amoun� Paid: 40.00 Date Paid: 10/12l2016 Parcei Number: 3425-21-0010-QQ904-OQ14 CONTRACTOR lNFt�RMATIQN OWNER IN�ORMATIC?N Name: ',LW R ROGERS ELECTRlC CQNTRACTOR Name: LOWES HOME CENTER Addr: �2050 MARCONI DR STE 200 Address: 7921 GALL BLVD ALPHARETTA GA 30005-5202 ZEPHYRHILLS, FL. 33542 Phone: (813)829-8154 Lic: Phone: (813)838-9000 Wo'o�k Desc: TEMPORARY SERVICE FOR CHRISTMAS TREE SALE TENT II � APPL'ICATi4N FEES ELEGTR{GAl FEE 44A0 la lNSPEGTIONS UlRED � - ° ROUGH E�.EGTRIC CONSTRI�CTION POLE W PRE-METER FlNAL II ` �f f \� REIN�PECTION FEES:(c)With respect ta Reinspection fees will comp y with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times#he amount of the fee imposed for the initial inspection or � �� first reinspection,whichever is greater,for each such subsequent reinspectian. IVOTiCE: In addition ta the requirements of this permit, there may be additional restrictions appiicable to this praperty that may be faund in the pub{ic records of this caunty, and there may be additiona{ permits required from other gavernmental entities such as water management, state ageneies ar federal agencies. "Wa�rning to owner: Your failure to record a notice of commencement may result in your paying twice for impr�avements to your property. If you intend to obtain fnancing,consul#with your lender or an attarney I+ befare 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. �� ,� CQ�TRACTOR PER OFFI PERMIT EXPIRES IN 6 MCMNTHS ITH4UT APPR4VED INSPECTIO CQLL FOR iNSPECTIC}N - 8 H4UR NOTICE REQUIRED � PRCITECT CARD FRt�M WEATHER � _ 4 r I 613-780-0020 City of Zephyrhills Permit Application F�-s��-�eaooz� � L 1654 Building Department I� V � Date Received phone Contact for PertnlBing n0 772 3464 � Owners Name Lowes Home Centers Inc. Owner Phone Number ��-�58-1000 IOwners Address 1000 Lowes Blvd'Mooresville,NC 28117 p�er Phone Num6er � Fee Simple Tltleholder Name Owner Phone Numher � Fee Simple Titlehotder Address I JOB ADDRESS 7921 Gall Boulevard LOT# � � SUBDIVISION PARCEL ID# �4'z5'Z�-0010-00100-0010 i (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH I� INSTALL e REPAIR PROPOSED USE Q SFR Q COMM � OTHER emporary TlPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK Provide temporary power to Christmas Tree tent-(3)120 volU20 amp circuits BUILDING SIZE SQ FOOTAGE� HEIGHT � � OBUILDING $ VALUATIONOFTOTALCONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. 950.00 QPLUMBING $ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� / � QGAS Q -ROOFING Q SPECIALTY 0 OTHER / � ( FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER COMPANY II SIGNATURE REGls�aeo Y/ N FEE CURRE� Y/N � Address License# IELECTWCIAN COMPANY Lin R.Rogers Electrical Contractors,Inc. SIGNATURE REGISTe�o Y/N FEE CURRE� Y/N Ad r 20 0 Marconi Drive,Suite 1 Alp aretta,GA 30005 License# EC0000740 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# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Pians 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 I SIGN PERMIT Attach(2)sets of Engineered Plans. � "`PROPERTY SURVEY required for all NEW construction. Directlons: Fill out application completely. � Owner 8 ConVador sign back of application,notarized I „ If over 5z500,a Notice of Commencement Is required. (AIC upgrades over 57500) iAgent(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 2quired) II Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) j� Drivaways-Not over Counter if on public roadways..needs ROW �I I' �j i � . ., 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 il 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- i 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor BIocK'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 properiy 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 occupanc�'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 Water/Sewer 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—Homeowners Protection Guide"prepared by the Florida Department of f�qriculture 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 i deliver it to the"owne�'prior to commencement. M1 CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all woric 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 pertormed 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 govemment 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, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. i� - 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 W"unless expressly permitted. p� - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a I "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer �, licensed by the State of Florida. �I - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall 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) Iacre 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 Ithe 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 will 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 I WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N�TIL'E OF OM CEMENT. I FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CON TOR � I Subscribed and swom to(or affirmed)befare me this Subs�dan swom t (or a ed) ora �hi I hy � Who(s/are personalty known to me or has/have produced Who Isla perso alty movrt me r has/have pra�1 uced ias Identiflratlon. as Id�p(fffcaflon```\\```w*{�BIIu�R A1'//��,,,,,i t�. �V� � �� °" •• • � '• ��i I Notary Public � ,q��y p,up�� i Cammisslon Na. Commission No. �� y• ' II � r� = c �:.�,+vt� �� ;I Name of Notary typed,printed or stamped Name of Not ped,printed or sta d �.!y•. fQ�,I�i �Q� : i� '�i/jL�j� . !'QQ��` I� '//��lj��i Q.,�`\��`` i �/11111►IIIl11�� I; �� I � i I � ✓ � ; � RO�Et�S ELE�TRIC° a I September 1,2016 City of Zephyrhills 5335 8th Street Zephyrhills,FL 33542 RE: Permit and Registration Authorization I To Whom It May Concern: �e.4�c� Please accept this as letter of author�zation for `-� I b5 � employee of Lin R. Rogers Electrical Contractors, Inc.to sign and submit all paperwork. necessary to register, pick up permits and schedule inspections as needed in the City of I Ze h rhills. PY If you have any questions,please call me at(770)772-3473. ' Thank you, Lin R. ogers - Presi ent/Lin R.Roger trical Contractors, Inc. State of Florida License#EC0000740 I Sworn nd subscribed before me this�day of �D�t� ``��116{I I I I!!0//�� .�o� gU R�EY''''. `` �. .., s��'' � Q�Qa•��a � e � �� ' °70Z ��'�' �U�Ll� :`�� u ��'• '�� . � •��,ti�, _��pe��`. �i ��q��CO��°�\� � i ; ;2050 Marconi Qrive,SuiEe 2d0 � Alpharetta,�A 30005 � Phone 770.772.3400 = Fax 866.592.91'61 � www.IrogerselecEnc:eom t s � � � � � � t�i � � I'_ _ _ _J