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HomeMy WebLinkAbout16-18000 ► ,, CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 18000 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit�:18000 Issued: 12/14/2016 Address: 6500 GALL BLVD - Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class o�F Work: ELECTRIC SERVICE/NEW Township: Range: Propos�d Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 3,000.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 50.00 Date Paid: 12/14/2016 Parcel Number: 02-26-21-0000-29900-0000 � CONTRACTOR INFORMATION OWNER INFORMATION Name: iPROFESSIONAL HIGHWAY MAINTENANC Name: FL DEPT OF TRANSPORTATION B ROW Addr: 7250 61ST ST N Address: 11201 MCKINLEY DR PINELLAS PARK FL 33781 TAMPA FL 33612-6456 Phone: Lic: Phone: Work Desc: INSTALLATION 70 AMP UNDERGROUND POWER FOR TRAFFIC LIGHT-DOT- APPLICATION FEES ELECTRICAL FEE 50.00 i INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE ^ � PRE-METER � ^ FINAL ��� �� ��Z .� l�' REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local c,�'overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or j first reinspection,whichever is greater,for each such subsequent reinspec�9on. 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 � entities such as water management, state agencies or federal agencies. I "Warning to owner: Your failure to record a notice of commencement may re5ult in your paying twice for j 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 Cit�' Codes and Ordinances. / � � �� � • i � ,,� _ _ 'i CONTRACTOR '�� ^ _ PER �C�S r7 PERMIT EX4�IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL i�OR INSPECTION - � ��OUR NOTICE REQUIRED PROTECT Cp.1t� FROI�I WEATHER i 1 ' __ —_"__ j —"__ '_—' _— s��-7$aooao �ity of Zephyrhills Permit Appl�catian �a�-s��-zaaooz� � i ` BufidiAg Dapatiment Date Reaelve�t ` , . -. .Phana�Gan4sct'for:=Permitttn - ` ` � Owner'a Namce ��S C� C B U � `-- .Clwner Phone Num6er 7��"���� +�f�� " ' ,. � Owner's Addross ���irr ����� ��/ ,���� p�'� ��Q vn�Ph'one.Number� ' ; Fae Simple Titleliolde:Name , - Owner Phone Number �� � ; .�, . , . . � „ ,. Fee Simple Tlttehotder Addresa - �� . �ae nao�ss ��G�b �,�,�L,T�LVD Z"�'�'fi�Y�'%H/'ti�S �"'�. �.oT� ��� , , , SUBDIVISION� ��. � PARCEL-1� : � � � ' ' , � , (OBTAINED FROM.PROPERTY,TAX NOTICE) � WORK PRt3P�SED *aNEW CON5TR' . �: ' ADD/ALT ��� SIGN' '� � Q DEMOWSH „. _�: INSTALI, . � ;. �,REPAlR• - - PRQPOSED�USE� , " :Q • SFR� Q COMNt . `- �_ ;OTIiER ' _ TYPE flF GON8'Tl2UCTION._� �Q+ `�''BI.OGK `' �] FRAiME ,�_ 'STEEL `Q il : �, 'J.. . $ . � DESCRIPTION OF WpRlt' �� �' t� �� �n� `'���" � A� � ...�� . . _ , _ - .s,: � BUiLD1N6`SI�E�` !"� ��`$Q''FOOTAGE r ; „HEIGHT ��� , ..,:_ .,, . , QSIf!!.DlMC, $ -r.•...,,..�-. .�.,.,�. .. • _ VAI.UATION:OF:TOTAL COySTRUCTION �i ELEGTRICAL : $ � Q AMP SERViG�. ' �%�r�PRiaGRESS ENERGY [� W.R:E.C. , . . n�"b. � fi.� 7� . � , . - , [�RLUMSlNG � .$ � /�yy ' � 1 .� , � F i. ' . ' � 4 V �`�'� • OMECHi�NICAL' ' • $ ' �'NAi:G70.'TION OF�(tiIIECHANiCAL INSTACIATIt)N: � , � ,. :. ;;� ., .. : ,,� : ,. [�GAS „ [� ; ROOFlNG „L�. . SFEClAI;']'�Y,:.C�:•. ...OTNER�,- . , � FINISHED FLOQR ELEVATIO�lS r� �� Fl.00D ZONE AF2EA ,QY�S. i+10 � ( ,:`o .v. - ,.a.. - ,.�,•f:rM.~ �t:t,..: . ,�,� . .- . � ' � � L , , .,- �. � ,, BU�F.DER � CS3MPAFIY'' ,. SlGNATURE t REGlSTERED y t N .":;.3:�F.EE GURREt�- `;Y/iV � , Address� :,; .;.a. � •n�;a - :LJcense,#I` `I �•,'...��,.. �'; . � s� ELECTT21C1Mt< <�' -. , �. ., ' }C.,rJMPANY� ;1P?rr�:��,..R:;3r.:� -(� . . '. _.,_ , :t .., r.V :.. .r.. . -- .: , S[GNATURE'� �� � REG�STERF.�D Y i N FEE;GURREPu i ..,�-�Y I-.N' :'� - , I , >�:..,,,:., . � r , .. . . . �_� Address7. , . .. � .,. . . ,� , - , � ,. . .i .. L(cense;#=:;��OG?��0�.�. ' � .�. _ a. . ie��i�1'�" fi-' ,�..� PLUMBER'' � � . .. , .COMP�ANY ,..:.>,r.�i :t ,��s :.,. . , �.�. 51GtrATURE�: .- s'.� . �. .. ` . ttE�tsT� � �X_1,:N:t; ,,:<FEE;GURREfi:` X-JN . . Address, - � ,. � - } ' - " "" ,lJcer,isep#f�::. .��... •r' � c:, , .,__�. ... _...,�,_:._�:�._�_- ._ ,. . , ` . .- :�=` - '^'f.:;. }'i.l,l. MECI�ANIGAL` ' . '' - . . �. . � COMPANY. ' ., r , , � , .S; ,. - . ' ! 1 AN � . •..rx:::,..., 51GNATURE:� � - "' , • . . � " ` � � �� + `- ' KECalSTERED 7� Y/,N . �sECu�, �Yl:N: , � ,,;. ... _ , Add�98s+'r,.r 'a�' ,,. ,, -.�T .'i= • : .. . , , � '. � , • ,L(Cef188#`C�^ + . � � �., .. ... .: . . : � .., ,.. ._ , . , ._ �-, .;Y; .:k �;�„�, . , t..... .�. � .. , .. OTHER ., . � . �_ .__ .. ; _. ._ . .- ., ., - ;GQMP%tAtY �..r.,_ _ SIGNAYURE�" . t' 'i� '.;`� �'^ ,. . -� .`' . _ �� `REGlS'TERED' " , Y t iV,;.: ;FEE CURR�t+:�= ':1(7 N , �ddrs�s,, .,'er -> :.: .. , ._.. `V _�r . _ _ �,"V'. 2_ , .. ,�..� � �� _ � �.,�.s's-;--- .�5 t•�u�. a; .� "'Llcense#�`�. � � . .. ... ,n.�...� e.""l:'s�' ��y 3kra:,zc•x��.x, r.:F i .��i:e':• �.:<." �,:.,:�:.; . • . ltESIDENTIAL,,�_�Attach'(2);Platfi�Rlaiis;.<(2)sets=ofB`u�ldliig��Plan"s;(1)set'of�Enei+gy�Forms;R=O-{NtPemi�it for nedu�donstruc�on, � ' . , . . _ ,�. -'�;,� �;�Minimum�4en:(•.1A)�workin„gtd�ys�.after;;subin�ttal:ilate,��Requlied onstfe,.Constriictlon=Plans;Stoiinwat�ir'Plans•w!SIIYF'ence install�, -� _>:. �„ .t ,,.. - •. � `+ �`Sanitary FaciilUes,;&s1�d,um ster-:Site°Work.Permit;forsutidivisionslla eo rnjects;?':,` � r �'� � ,. �- r_# P.;.,,_. ►9-'p,y..-t L:,.�::;:'u`..,;'.. ,;`,';"=_� , ,. . . GOt1f11�Y4E1tCiA� Attadi{3j`eumplefe"�sets'of'8ultiiing"Pians`pliss a�i:ife Ssfety Page;(1 j set of Energy Forms.R-C)`-W Pe`rm.ft�tor nern�-cor;`stii,iotton:�'"r'�r ` Minimum tao(14)workfng days after submlttal data. Requfred onsike,COhStNCU4t?_PIBitS,Stomswatsr�Ptans wl SNt F�ricetnstail�+i, Sanitary Facilitles&1�dumpstsa Stte Work Permit.for all new,proJects:;All commerti �I.requlrements,-must:rneet complfance"'�- {`- .$!GN PEl�N!!Y' Attacti(2)"sets ofEng,t`�eeredr,R{ans:�;�.<,;s:}d�- :: .: '�:,��,,., _ , ..--, , � :i ,. • , . , • ""••PROPERTY SlJRY�Y require¢for ai!IU�Vi!consWcflon.__ -. j - " - D(iectlons: ;�"-,:zs��,t ... ... _, _ . . � - • . - ; Ftfl out appllcallon comptately:+ . �` �~f M Ownar&Contractar slgn baak of appltcatlon,notariz�d �' � if over�500,a,Notice:of Coromerac�ment ia r�qul,red. (A►C upgrades over 57500) , •�rt,:v�:,�;�._,.� '* Agent(fac the cootractit�j"or Powes�ofAttcrrie`y(for the ouioer)�woui�d be'someone with notarized letter?�m owner authorizing same . ; 4 , OVER•THE COUNTER.PERMITfLWG�.:_.�:M.(Frcint•of Applicatian-0nly).,.._._ • � �� .. � - Reroats if shingtes Seweis Servlcs Upgraders AiC ' Fences(PlotlSurveylFaotage} � _ _ - _ Driv�w�ya•No#over CauMer lf on public road~vuays:'.needs ROVU't ' � � � r� � . r .._. _� i � , r � %� � , -. . _�.� - � �.., , , � , �.. , _ ,, . .;� - - o •�,•:���;���;;.. NOTiC�OF DEED.RESTRICTIO�IS: The understgned;unders�tandstth�t�ihlg��,�rmlf��may,.be_subje,cl�to�"deed"�:res,Uictiorts'��� which may�:tie-morerr�stticttve�t#�ei�''Counly�i�g�ilatfons The unUd`.erslgne.d�`as�sumes��respt�ns�btllty�for�compliance:�►ith-ariy'`���"�`� appiicable::deed=restrictions. -�_._:.<:..;::;-:; •-�-:.. �_, �. . -, . .... , .e�,_ m;._w...�..._. .i :��-��_.: �.,��;.� ,:^�>...� ��- ;__.,........ _ ..w..... UNLICENSED��CONTRACTORS�:�ANb CON�RACTOR�RESPONSI�ILITIES:��ylf=tlie�°owner��has��hired`�a"coriti�actcr or contractors to undertake work, they.may�be���qul��ed:_to.tie4lCcensed�•Irt.;accordance.vutth state�.and{lo,cal'.regulatlon_s.��r�if�the��°�"�=�r��� �Y.'a".��.�r..::i cont�actor�ig•not�licensed�as=�required`tiy�law, tiotft��the owner�arid�contractor��may�be��clfed`for���mi�demeanor vlolatlon under state taw. If the owner.or intended7s.contra.�tor;�are.,,.r�ncertaln.as:to.what Iicensing.tequirements;tmay��appty}��for�tiie��-���-����"' intended'work, tNey are advised"to contact`the��P'asco:Coun Bullilin �`Ins�"` ction�Div181on-Licens(ng S . �., _...�.�... .. ....a_� �.�•1..+�e:..�.�s._-.u.-.w. ..._r.,... r . `' r.. ..h_,- . tY� . 9:_ ..Pe . _. . ectlon at 727-847- �-�_� . �: 8009. Furthermore, If�the owner'has�'Fiired a coiiUactor'or contracfors, he ls advi�ed to have�the contractor(s), sign,.;_,.., ..,.� portions of.the,"contractor.Block' of:this�.epplicatian�for which:_they:wilL,be-responsible.-.,:lf.you;=�as.�,tf�e own�r'�stgn'�as`the`�'``° '`4 contractor;that�may�b,e an indlcation that"Fie°'is"not.properly Iicensed�antl�is riot'entitle'd to perriiitting�priitileges in Pasco . County. , . ^ ' • e?:�����.��.::�:=;.� TRANSP;ORTATION_IMPACTIUTILITIE$�IM��C`��A�1b�RE�OU�C�ItECOVERYfEES:�'The unde�signe�understands . : . that Transportation Impact Fesa;and.Reco.urse.Recovery.Fees,may;apply:�to�t�e-construction.of..new,bulldings�?change`of����'`��°'�' use in exisNng buildings,-or�expansian�of�exiati�;g',bulldines� as specified.In P�sco County Ordinance number 89-07 and: �.. 90-07, as amende,d.::;;.Th� under�igned also��urtde�stands, ttiat�such fees;;ss��ma��b��.due��wil!?be Jdenttfied at the3'timeiof'����n�=�>�s"�, pemaitting. It is fu'rtiie�understood that Tre��p�ortation Impact�Fees an�t`��Resou�'�teco�sry$�Fees�_:mu'st be pald prlor to receivinga 'certiflcate°of�occupa�cy"'or,flnal�.power;release:�":if�the.proJact=�does�no��involve�taacsrtifloafe of occupancyao�������=��¢a��=� final powec-release;�;tlie��.fees=musit be patd;p�1or to:permtt issuance. Ft�xthermore;.�i�:Pasco};County�lNater/SewerFimpact--_•-�:5x��tT fees are due�;they�must:be.pald;p�torto,,permitFissuance::in_accordance:virittt:applicabte�Pasco':Countji>ortlinances. • CONSTRUCTION'LIEN'�LAYII�QChapt�r 713� FloNda St�tutes�sa amende��: If v�luadon of work is a2,500.00�.or=more;:�l����s. �°:��. certity tliat .l, the..�:applicant,Thave;.be.en provided �with-a��-cvpy-�.of=-thei�"Florida��Constructton�Llen�:La�v—Homeowner's Protectlon Guide" prepared by'ttie Flo�ida Deperfine�t�of Agriculture and ConsumertAtfairs. If the epplicant is.someone;;;..:.�.;��-:; other than the"own�r", I certifyv;th�t;l�t�ave;:optatned"a�'copy.of:.#he;abQ.va�des,erl,�ed:�loai�enf;and;promise:;in;good:�faith•.to � .,.. -��,4 deliver It to:,ihe:'oHmer":pHo�'to�cornmencement:`' - ' . L � . � � �� . - . � . , . CONTRACTOR'SlOWNER'S AFFIDAVIT: I.certfGy;;Niat�.all��.thg`Inf�rmatidtt�,l��thia applicatlon is accurat�and that all work ��w=, will'be done in compltance w(th all.appitcable laws.regulating constructlon, zoning and:�land'developm�nt. Appltcation ts hereby made to obtai�i�:a pecmit�ato:sdo.w�fk,�rand;thstellatlon as indt�etetl:�:��:1� ce�tify that no work��or ins�llatlon t�'as• - commenced�prfo� b issuance of�.a perinit`and that�:all work wlll be perFormed�to meet,�_standards�of��all I�ws �egulating- constructlon, County and City codes� zoning,regulatians� and land development r.egulatloris�tn the�,Jurtsdtctton:'=�'�`I�al'so.� - certify that I understand that the regulations of otf�er�government agencies may�apply;,to.the�intended.work, and that it (s � my responsibility to Identify•what.acttons I,must�take,;to.be,�in;._corr,lpllar�,ce.�,,$Such�Sagen,cles-lnclude�but�are;.not Nmited to:.:• • • • - Department of E�lvlronmental>+Arotectton'-Gypress:`BayFi'ead�, Vfletland Areas end Enylronmentally Sensfttve Lands,llVateNVUastewater Treatment. ., - ' � � - Southwest FloNda Water Management.�:��Isfrlct-Wells;��"G`�ipt�ess.aBey��ad�;� Wetland' Areas, Altertng Watercourses. .,,q; :.�.s�_.�.� - ., :�. .; ,: •. - . � , . . , - Army Corps of Englneers�=Seawalls,�Docks,Navlgatile Waterways. - . - Department,,,of:;Health;,8r,�ReYiabllltatlVex�,Servlces/Environmental�Mealtb�Untt-Well.si rWastewatert�Treatment, Septl'c Tanks:_�:'. � , � �,. - - ..� _ .- _ -� US Environmental Protectlon Agency-Asbestos abatemen�. � � Federal�Avlatton;Autho,rlt�yr,=Runways:�_ ` A� f r a, .. .(,. y..? . I unde�stand.that the:foltowing:�restNctlons apply fo tNe use of flIL•• - �Use of fill Is not allowed fn.iF�ood=Zone"V"unless expcessly permltted. - � If the-;�ill m�te�lal�Is�'`to''be used`In::Flood Zone. "A", (t Is understood that=a drafnage plan addresstng a °compe�sating volume",wlll be submltted at#lme of:perml�ing wfitch Is prepared by a profess(onal engineer� , ' Ilcensed�tiy�#he,;�tateof'Fio�da: � �� � , - - If ih� flll�•meterlal�:fs'to=:tie�.used In Flood �one 'A" In�conneatlon•wlth:a��permltted bullding using stem wall ... ' ��. constructton,:I..certify.th�t:flll�iddlGb.e-used only.to:.fill the area�vvlthln�the�stem�wall: � �, - �\If flll mate�lal`1s�to�tie used In�any area; I �cenlfy that .use. of;such flll wlll.not adversely affect adjacent ioropertles,_..If use:,of fill Is:founc�_to.-adversely:,�fiect aidJa'F'ent,pra�pertfes�.the owner may be c(ted for arlbfating. - the cond�lons.of:the tii�llding;perrrilfi�lssuedru�der tMe"attacfied:_pecmlt_applbatlon� for�:lofs�.less�1Fian:'one (1) aa�e wfilcFi�ere elevated��6y flll;a�r englneered dralnage plan Is requlred. • . • If I am the ACiENT:FOR Tk1�OW..NER,;I;promise In,good,falth to Inform�#he owner of•the perniltting condftlons�set forth In thts atfidavtt�p�or fo commeracing conshvctfen. I understand that.a;separate�permlt may be requlred for elecMcal:uvork, .. . ,. �..,,,�,,�._, plumbing,,sign:o wells,:poolsi_..alr-condltl�ning;:.ga�;:,ot:othe� Install'�tlons nof spec�tcally Included�tn.the application. .A , - permlt Issued'"sl�all be coiistrued to b`e�a'Ilcense`�to�proceed wltb"'tNe�viio�k aniJ°not-as:authocltyr�to.-vlolate;�c�ncel, alte�, or . set aslde any�pravtstons of tfie.technlcal_cades;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Offlclal frmm thereafter requlrin.g a coner,li�n�af„erro�,in-.plans; constructlon..or.irlolatlons of-any�codes: ��very�ptermlt=-lssued'sFialF;ti�aome�invalld unless the worh'�ut�ortzed.by such permlt:�ts-commenced�wlthln,sf�c,,months of�permlt Issuance� or if work authorized by �, the permlt is su;�pended•or:abandoned-for:a;perlod}of slx;EB)�montiis:efter.the tlme�the�work�l�commen�ced. An extenslon ; may be reques&ad, Inibrltln`g;�;from.tFie:Bulldln8,�3fflclehfor a perlod��not.to exceed'�ntriety�=(90)'day§ a�d��wlll�demonstrate I )ustHi�ble'cau�a for:th�exQenslon�. If work ceas.es:for nlnety.(90)cons.ecutive:day.��..the job�ls consld�red aba�doned. " .�. ' - _ , , . .. . _,.. _ : , � . _ � .i�.. _ ._. _. ,. .. ; ..�. . - � IMAEiNING 70 OWI��:R: YOUI�,.FAILURE;;Tt1.,:R�E�O�tQ:A�MOT�GE�:O���C.OMMEMCEME1�kT:NtAY�RESULT IN�YOUR PAYINt�'�"�4i110E;F0�'�IMPROVENAE�N�''S�•:T:tt Y�UR�:Plt�RER-:Tlf:�:IF-:YO.U;IN��EWDflT��OBTIKIN�FiNif►l�lElN.fy;�ONSULT WITH_YA�,lR LE __�°��O. I1 T:1�'I�RN ._.�3C��r, s, .1�;E�! tt. Ct`c�- , � �r,:�r.. Ye,� �r�.�'r•. .� .�..r - _._. — - _, Fl.ORIDA,l�IRA�<(F:�:�:1:97:��):- �:., . , .__. , ...., . ,.. ..= .�.. .: _ �.... . . � _ .., . . , , .. �- - .. .,., .,..,,, ,, i ,; . . . � :� 2 , e����� OWNEP.OPd AGENT- . <. _ .. .... •.:" �_. � CONTRAG'4'9 -— - - ,�„0 � _ Subs�ibed and evwm to(or aftirtrted)before me thls y, Subeaibed and'swo �to1�t'aPfl�enad�bdfo � ffilb�� . �/v��� by ' 12-1�.-l�.,,by� i�?I�/�` �-���' '!,x,��� 1M1n fsfan�personally known to�me.or.hasmave.produced _ Is/ re p.ersonel .known��t me;or.ftaelhav.erp►odin:ed. � �v ��`(� n� -- �e Id'enBwcatlOn. " . as tdentlflcatlon. m^ � — V•• �F�' t � y � Not�ary Pul+ts�c . � M ry Publlc � ;� ;'S'��yP��'• mmiss+on#FF150422 Commisalon No:` rt1 sslon '•k' �o; �ots - �� oP`� Bond�d Tlw TroV Fe�n Ineuraneo BU0�3�+`' , •��..F F�. Name of,y�4�ry b!P��P�nted or bt�mped Name ot Notery qrped,p pe � � I � DBPR- ELLIS, MICHAEL GENE; Doing Business As: PROFESSI�N�4L HIGHWAY ... Page 1 of 1 . � ,. '�� � 1:33:48 PM 12/14/2016 �=,a;�.J`��� � �, ` ��� �� . ����/n � J� / r I a �icensee Details -,`�,�.I� �;�J1��.' �?.r��'!i�'s'��--� Licensee Information � ` Name: ELLIS, MICHAEL GENE (Primary Name) � �J� I "�Z��r�Z � �/� //,� PROFESSIONAL HIGHWAY MAINTENANCE, INC. (DBA Name) Main Address: 7250 61ST STREET NORTH PINELLAS PARK Florida 33781 County: PINELLAS i License Mailing: I LicenseLocation: 7250 61ST �TREET NORTH PINELLAS PARK FL 33781-4119 � County: PINELLAS License Information License Type: Certified Electrical Contractor � Rank: Cert Electrical I� License Number: EC0002063 � Status: Current,Active ! Licensure Date: 04/20/1999 ! Expires: 08/31/2018 Special Qualifications Qualification Effective ; Alternate Names View Related License Information ,�, . - � View License Coenplaint .- I • ; . 2601 Blair Stone Road,Tallahassee FL 32399 • Email• Customer Contact Center : Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer Copvriqht 2007-2010 State of Florida Privacv Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity Instead,contact the office by phone or by traditional mail.•If you have any questions,please contact 850 487 1395 *Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be , used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. Please see our Chaoter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=D56195B33 C0715E8D9... 12/14/2016 � � ,�}:;, ���� CO►MMERCIAL SERVICE INFUR��ATION FOR;M �� � ���� B�fare Duke Energy can praceed wiih your project Design,appi9cation far new canstructian service is required. To set up a new service,temporary service,or non-service account,please cafl our Buitder Line at 1-866-372-4653. Peoject Name ar Descripkion:Traffic Sign�ls Projec#Locatian Address:��00 Gall BLVD. Zephyrhills, �L 33542 Accounf Billing Name(Company Name or Gustomer Name): pasco County Baard of County Comrr�issianers Cio Traffic operations Division ACCOU111 COt7tSCt ti2IT12:pavid P Skrelunas,P.E.Traffic Operatians Manager �'hone Number,727_g4�_g 13g OWfI@�S N8f11U: pasco Couoty 8aard af Counry Commissioners C�o Tratfic�peratirn'is Divisian Phone Number:727-847-$139 Owners Mailing Addcess:Public Works Utiiities Building, 7536 State Street, Rm 124 New Port Richey, Ft� 34654 Genera(Contracfar: )� Phone Number: g� �. ��3 . ��3 ,� . �}"1!7'?/(� � `F- �, -:C!C C. � Electrician: � -�� �-` � � �r �,. Phone Number: �-�a , �-.� � �1 j � {NEPORTANT!S9te p(an wiih legat description, civi)�ngineering, mechanical and etectricai must be received. Before Duke Energy can procee�with yo�r project desigr,,the follawing information is required: Duke Energy Site ligh#ing Propasat Requested: ❑Yes [�"No � euiiding Service Type: �Overhead rtderground I Voltage Re;quirement &�oad Information: �0/240 volt-3 wire, single phase ❑ 120/240 volt-4 wire, 3 phase � ❑ "I ZOIZO$VO{�-�Wlf�, 3 phase o 277/480 volt-4 wire, 3 phase Secondary iCanductor Size: # � Number of Sets Copper[� Aluminum❑ P(ease remember to iist any other Phase or Vol#age requirements—such as elevators, lift station, pumps, etc. � ENTlRE lOAD FORM MU57 BE COMPLETED j Connected Load in kW (re uired): Project Info: ' Units HP Largest 1 Phase 3 Phase kW �.ighting-triterior n1 r� Building Square Ft N/�i tighting-E�erior („� Size of Main � l�rr�J Air Conditioning-Room j N #of Units n/ � Air Canditioning-CentraE ,�1 j!� #of Meters f , Fteating-Wafii Unit /V //� #of Stanes N f�- -'- -' � Heating-Central Heat Pump 1(1 Perm Power Date Cooking-Misceiianeaus �- Remarfcs: Cooking-Restaurant ,v ,� L(„�} Z � ,-�� ' Miscellaneous rtl�Jt Car Wash � ,�) �- Irrigation Pump �tJ�� Water Heater N � Refrigeration �v h �� Pool Pump,{Commercial} �v��- I�ift Station� t�1 /1Y Washer�(Apt.or Condo} ,,v/,¢ Dryer(Apt.;ar Conda} j(f �- �, 1'rash Cam�iaetor �- Elevator Motor Size(HPj r� Coac! Powered by Solar �' 3 °If muftipie aC units/motars provide 1'sst induding number&t4nsJHP stze Tota!Cor�nected kW: Please notify Duke Energy i►nmediately if any changes are made as they may cause delays and increase casts. � Any questions?Conta+ct me at 72�-�sz-asoa . Please return this form to Rg�.cF���cz�dv�n9�Y.�o�,, t ' — � us� � � c� �� - � �' Sm.xAt R£AfOvat rrEYS ', mv.tv.sv.svi�xu�s n v -e�o=-n {�- 1 bP �fI 66 �-ti +�m '"�y![� J ^ 7 FA �� ° � rev,sP�t n,ns u v •n ias�.z:w � so-x-�r a � LU a q iu u•z• Q ru O•51' W II !E� 80-�-� V /LA ,r� �[� y-m o i � iri o.�. � , � ,�4 a..� b �, IfI S�KK ` _f��-iae�P�S � FY11E�' �.• �•, G G 4� �[� .ny � •• y� I'�._t._. 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F n H�seav�e�i nvu�ri � � srcr+cQ .� .� s�cx po r ,s�n�j. ,� w ��`s�"r�e s�c'�.,i cnkrwn G8ffN8AfJ(GflOUNOW/ �IO'r!6' RE 4IFJ7£D,%I��F.SStOh'A[CNGINEEA WHITF lETTERS AMD LRWLLq �M'£N BACrtGAWND 1Y/ ltAp-�6� � f,t DA(�Cl.A'[Ai�.39IlB rvNlif f£tiERS ANO B�90Eq mp-�n•2 d fA 700-5-�2�IfA 7IX1-S-21 lEA ,J �,j� (,�'1.f� 'f ��..., . . ! ��� xOfEr fJS o BACR SIOL' ' H C V J S i 0 N 5 � � ' N01 frCNMNAN�P E DATL T �r .-Gr n�riar � �i �i9.�'� CQUNT�' . SH£E7 ENGIAIEERING C.R. .S9.�iT U..S 30l xv. Ott�C�uftOr �U'hV .roux1Y fr.Yw�C/A!rmOf('Ci!p mm�,sunt w �dmo•u*cs.r��.b..,.�,a s, Pnsr.o SIGNALlZAT/m1V AL�EN r-6 � [B Ge2 J 10 6I2 � . . . ,. n..�•ea.v �. ,....ta•�. �, .. ...� � � 02-26-21-0000-29900-0000 � Pasco County Property Appraiser Page 1 of 1 �"� � �"� " ��C�\�`^rC e � �� � �(,�/�/�,(� 1� Mike Wells Pasco County Property Appraiser ��1 , Data Current as Of: Weekly Archive - Saturday, December 10, 2016 Parcel ID 02-26-21-0000-29900-0000 (Card: 001 of 001) Classification 82 - Forests, Parks, recreational areas Mailing Address Property Value FL DEPT OF TRANSPORTATION Ag Land $0 BUREAU OF RIGHT OF WAY Land $815 � 11201 MCKINLEY DR TAMPA FL 33612-6456 Building $0 Ph_vsical Address -See All 2 Extra Features $0 addresses �F��t snoW�� 6700 GALL BLVD ZEPHYRHILLS, FL 33542 7ust Value $815 iLeqal Description (First 4 Lines) ASsessed (Non-School Amendment 1) $815 PRT AT SW COR OF SECTION 2 FOR POB TH NOODG 25' S0"W � 23.97 Ff TH S86DG 22' 08"E Taxable Value $0 173.26 FT TH N50DG 16' 34"E ]urisdiction Citv of Zephvrhills Land Detail (Card: 001 of 001�__ _��___T_ -j` T"--_i_ Line _ � _ Use��� Description � Zoning � Units��_Type � Price �Condition Value � 1 � 9400 jRIGHTOFWAYj OOOP � 2,263.94 i SF � $3.60 ; 0.10 � $815 Additional Land Information --I-------I____._�._��__—� 1 FEMA� _ --�-------- . Acres 0.05 Tax Area 30ZH I Code - Commercial Code MNTH7RA Building Information - Use 00 - Unimproved (Card: 001 of 001) Unimproved Parcel 00 - Unim roved _�___ Extra Features (Card: 001 of 001) Line_^__�___Description _� _ Year _� _�i _� Units___i� Value _ i No Extra Features � Sales Historv I � Previous Owner:_ _ _ N/A � _ J � Month Year Book Pa e ^�— T~ � / / g ��___ ype DOR Code Condition Amount , � 1Z/19gZ 1227 / 0653 I Warranty Deed � Vacant $p '' � I i � . http:,//appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0000&... 12/14/2016 OaTTACHMENT 6—TRUTH iN NEGOTIATION CERTIFICATE ' , The wage rates and other factual unit costs supporting the compensation under the Agreement between the CITY OF ZEPHYRHILLS, Florida and JONES EDMUNDS 8�ASSOCIATES, INC., dated July 8, 2013 are accurate, complete and current as of the time of entering into the contract.This Certificate is executed in Compiiance with Section 287.055(5)(a)of the Florida Statutes. I DATED this 13tl� day of DecemUer 2016. i I � i By� � (affiant's signature) STATE OF FLORlDA COUNTY OF ALACHUA I BEFORE ME,the undersigned authority,personally appeared Kenneth S.Vogel, PE, Managing Director 8� Senior Vice President of Jones Edmunds 8�Associates, Inc.who,after first being duly sworn,deposes and i says that the foregoing Truth in Negotiation Certificate is true and correct to the best of his knowledge, information and belief. ' SWORN TO AND SUBSCRIBED before me on this 13l}� day of Deccn�bcr , 2016, by Kenneth S. IVogel, PE. He is personally known to me. � ` �����Vhi4' �.�.�ca�eeoR ; �" �� �s Not�ry Puellc-Sttl�01 FIWi�� ; o Print Name �' �=1ur�+C�omm.E�pirK7lnp'3'6:iD'i7 J= ' COMMISSION SEAL/NUMBER: �%;;�� ���.Rs_-�Comml�rlo"e��►Ff 029t�6 P,,,,,t„ gond�d Tfuouph NNionY Notuy A�sn. I I � I I i I I � g � PUBLIC RECORDS � IF THE CONSULTANT HAS QUESTIONS REGARDING THE APPLICATION OF CH!lPTER 199, FLORIDA STATUTES, TO THE CONSULTANT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIA(V OF PIJBLlC RECORDS , AT 813-780-0000, EXT. 3543 OR CITYCLERK@CL ZEPFiYRHILLS.FL.US '� OR CITY CLERK, CIT1( UF ZEPHYRHILLS, 5335 EIGHTH STREET, ZEPHYRHILLS, FLORIDA 33542. � SIGNATURES , - , IN WITNESS THEREOF, the above parties have executed this instrument, the name of each party being aHixed and these present duly signed by its undersigned representative, pursuant to authority of its Igoverning body. OWNER: CONSULTANT: IThe City of Zephyrhiffs,FL Jones Edmunds&Associates, Inc. ��-� V �� � � F ��� � � ay: �r ey: �� V L � Kenneth V.Compton, Council President Kenneth S.Vogef, PE � Managing Director 8�Senior Vice President � Date Approved:December 12.2016 �I ATTEST: ATTEST• . . .,� i By:ti�J��;S. �1��`� By V � Lori L. Hiliman, City Clerk Linda yles, Contr ts Specialist � , � � l � I � �o NOTICE TO PROCEED � , TO: Marcus Tid Jr. Vice resident y , p , President I � Kamminga& Roodvoets, Inc. I � 5219 Cone Road ' Tampa,Florida 33610 PROJECT NAME: C.R.54 at U.S. 301/S.R.39,Intersection Improvements � , Bid Number: IFB-DL-16-067, C30001.00 You are hereby notified to commence WORK on June 27, 2016-�-ih accordance with the � agreement dated Mav 24, 2016 and you are to complete the WORK within 270 CALENDAR ; , DAYS thereafter. The date for completion of all WORK is therefore March 23, 2017. This agreement also ! � includes an additiona190 calendar days for allowance work, if necessary and approved. ; � i � WI ESS: � i '� j � + � I `' � � - � ' -- .. � � !'}f} �� �,� � Robert C. Shepherd. ; �JU'Y ���'��= �--� =�J1"'`JI'3i-��" Engineering Inspections Manager j ��` ; �� � � DATE: �—a'c��(,l<� _ , I � I � � A�C��:P'fANCE O�F.Ri�T��:'� � I I I � Receipt of this NOTICE TO PROCEED is hereby acknowledged. � ' WITNESS: � BY: � �,arcr�m �6 �'.�� — U.{� I � DATE: �— �-3 —� (� Return three cknowledged copy of this NOTICE TO PROCEED to the Pasco County � Engineering Services Department, Project Management Division, 5418 Sunset Road, New Port Richey, � i Florida 34652 � CC: Margaret W. Smith, P.E., engineering Services Director/County Engineer i