HomeMy WebLinkAbout16-17826 � �.
CITY OF ZEPHYRHILLS
, - � � 5335-8th Street
(813)780-0020 17826
ELECTRICAI. PERMIT
� �PERMIT INFORMATION LOCATION INFORMATION
Permif;#.17826 Issued: 1 011 2120 3 6 Address: T600 GAL� BLVD
PermitqType: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Viloric: ELECTRiCAL MISC Township: Range:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,400.00 Total Fees: 40.00 Subdivisian: ZEPHYR COMMONS
Amount Paid: 40.00 Date Paid: 10/12/2016 Parcel Number: 35-25-21-0130-0000-0080
CC?NTRACTtJR INFORMATION OWNER 1NFORMATI4N
Name: COMMUNICATION ACCESS SERVICES Name: SF ZEPHYR COMMONS LP
Acfcir: 927 S STATE R(�AD 7 Address: 100-2851 JOHN ST
PLANTATION FL 33317 MARKHAM ON L3R 5R7 CANADA
Phone: (954}791-6116 Lic: Phone:
Work Desc: ENERGY MANAGEMENT SYSTEM LOW VOLTAGE
�; APPLICATIt�N FEES
Ei.ECTFtI�AL FEE 40A0
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� INSPECTIONS REQUIRED
ROUGH EL.ECTRIC
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CONSTRUCTION POLE
PFZE—tv�ETER 1 `�
FINAL � ���/ �,
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REINaPECTION FEES:(c)With respect ta Reinspection fe will comply with Florida Statute 553.80 (2)(c)the
tacal�overnment shalt impose a fee of four times the amount of the fee impased for the initial inspectian or
� first reinspection,whichever is greater,far each such subsequent reinspection.
N�TICE: In addition ta the requirements of this permit, there may be additianal restrictions applicable to this praperty that
rnay b�e found in the pubiic recards of this caunty, and there may 6e additional permits required from other governmentai
' entities such as water management, state agencies or federal agencies.
�
"Wa`rning to owner: Yaur failure to recard a notice of commencemenf may result in your payi�g twice for
impr�c�vements to your property. If you intend to abtain financing, consult with yaur lender ar an attorney
� before recording your natice af cammencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
� Godes and Ordinances.
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'% CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS 1NITHQUT APPR4VED INSPECTIO
, CALL FOR INSPECTIOIV - 8 HOUR NOTICE REQUIRED
� PR4TECT CARD FROM 1NEATHER
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813-780-0020 City of Zephyrhilis Permit Application Fax$13-780-0021
; _i = � ti Building Departmenl
Date Received 5� 7 (�� ���
O�� I Phone ContactforPermittin D � - �
Owner's Name �� ���1'Pi� �C Owner Phone Number
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� Owner's Address ��� �G�I�C� s rJ`�` �`•� Owner Phone Number
Fee Sfmple Titleholder Name Owner Phone Number
� Fee Slmple Titleholder Address
JOB ADDRESS ' C�1 I � ( (/ LOT# �
� SUBDNISION PARCEL ID# 3 5-Zs - a l- ��3a-o�'C�L��
,�p (OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
' DESCRIPTION OF WORK L..' l�-•I� ' �(�-��t �j!✓�C.'.i�l'�' S -�Y� ��W ��O I'�(��
— - -- - ' ' BUiLDING SIZE - - -- SQ FOOTAGE ` HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�LECTRICAL $ � �/D� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ 1���L���,•� l`1��J�
� � T
q� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� �GAS Q ROOFING Q SPECIALTY � OTHER � I �V��
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �
� BUILDER COMPANY
�;I SIGNATURE REGISTERED Y/ N FEE CURREA Y I N
Address License#
ELECTRICIAN� COMPANY �'�'»'►'1 f.�11�CY�'�'�on I�+L(e� J./Y-��Ce'S �L'`
SIGNATURE REGISTERED "� Y/ N FEE CURREA Y/'N �--.
Address S- T� QG! � ��� ���'�1 !�� License# �� � Q ��
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
-- - ' MECHANICAL-- ---- - - - ` -- -------—CUMPANY— --- - - -- - - —-- - - - -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
i� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
pl RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWctlon,
Minimum len(10)working days aker submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facililies 8,1 dumpster,Site Work Permit for subdivisions/large projects
, COMMERCIAL Allach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum len('10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities&1 dumpster Site Work Permit for ail 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 applicalion,no[arized
If over$2500,a NoNce of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner aulhorizing same
� OVER THE COUNTER PERMIT'fING (copy of contrecl required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Nol over Counter if on public roadways..needs ROW
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� ' ; City of Zephyrhills
Uniform Notice of a Low-Voltage Alarm Systesn Project �,�
� � dwner's/CustomerName �—ELVEN INC #1��
i Address 7600 GaZI blvd
� Ci�, Zephyrhills St zip�3542
, Phone E-mail
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-- ContractoT f'.AS Inc Lic.� ���OQ0241
, Address 927 S. State Road 7 '
� ' Ciry Plantation St F1 Zlp 33317 ;
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Phone 4�7"4�0-33t�ateProjectComplete �
� ' Scope of Work:
�
� � Signature: �
� Ownec or tenant or wntractor or avthorized representative
ii Norice is hereby given that a low-voltage alarm system projed has been completed at the address
specified abova T certify that all of the foregoing'information is true and accurate.
10/l/13 section 553.793 FS
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