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17-18089
CITY OF ZEPHYRHILLS 5335-8th Street ` " � (813)780-0020 18089 ELECTRICAL PERMIT - �?�� PERMIT INFORMATION LOCATION INFORMATION Permit#:18089 Issued: 1/18/2017 Address: GALL BLVD Permit"Q'ype: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: � Total Fees: Subdivision: CITY OF ZEPHYRHILLS Amount Paid: �0 Date Paid: 1 'l�-d7 Parcel Number: 34-25-21-0110-00000-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: i4URORA FIBER & COMMUNICATION Name: WAL-MART Addr: ;6011 BENJAMIN RD STE 106 Address: 7631 GALL BLVD ;ITAMPA FL 33634 ZEPHYRHILLS, FL. 33542 Phone: ,(813)886-2621 Lic: Phone: (479)204-1063 Wo�k Desc: LOW VOLTAGE DATA AND SOUND ' APPLICATION FEES � Yl i INSPEC S REQUIRED ROUGH ELECTRIC CONSTRU�CTION POLE PRE-METER FINAL i�_ �J �.� �^ � ,n �CL(� iYt ����z�r� 1_ REINSPECTION FEES:(c)With respect to Reinspection fees will comply 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 I first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: 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 improvements to your property. If you intend to obtain financing,con�ult 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 City ;� Codes and Ordinances. � i � CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � _ ___ __ ___.� . . .. — -- ---�� � -- -- - __.. ...__-- - - --�: �----- -- _ �,__�.-�_-�v.�_. . 2 � � � . l � ° . ' ! . , .. - � � . - ,� City of Zephy�rhills �tt��St��� ' Uniform Notice of a Low-VoItage Alarm Sys�tei n Praject� OwneislCustomerNameWalIItart liquor Store ' # � Address 763I Gall Blvd ;� ` ` pY i s , City St Zip Fhone E-mail . , � t �� Contractor Aur�r,� Fiber & Comm. Lic.#ECA4U1631 , � � � Address 6011 Ben-iamin Rd ste lU6 , ! Cicy �ampa St FL Z;p33634 � , Phone$l�—tf�iE7`L621 gateProjedCamplete - , �,Scope of Work �-QW voltage data and sound. � ? � ! � i � " I , i �Signature: � . � .� � ' �Notice is hem given that a Iow-voItage aIazm system praject has been wmpleted at ihe address �specified above.I certify that all of the faregoing information is true aad accurate. �- � 10/1J33 section 553.793 FS , ` - - - - --- - - , � � � . � � . __ _� ' - ` -- -_ � ' �' , , - � , . , . � _ e , � , 4 i _ i � � ��,_ a I ' � � 5 � ( . 1 � i _ � � I + . � I � i � ,_ I • .,' � . , .� � � i � - � � . � - ." � � . . �� .i , � , i. � :�� . I' - � • l -o.?Y:xa:,^ ._�!Fi'�R��.'-..�L4�s'A-•�'�- -`vv'�'1s� FIf7ETr�StyCO ; , muni�ations January 12, 2017 City of Zephyrhills Building Department 5335 8th Street ' Zephyrhills, FL 33542 � To Whom It May Concern: I � This letter serves as official notification to the City of Zephyrhills -Building � Department to allow Rob Kirk to act on my behalf with regards to obtaining, paying fees and pulling electrical permits within the City of Zephyrhills and for the specific address of: I � 7631 Gall Blvd.,Zenhvrhills,FL 33542 � I Any questions can be directed to me by calling (813) 886-2621. Regards, � �-C A- Do 1�3� � � Stanley R. Hankins, Jr. Aurora Fiber& Communications, Corp. i � ' State of Flo�ida � County of Hillsborough i � The foregoing instrument was acknowledged before me t ' th Day of January, ' 2017 by c�'� Y\ � i � (who is ersonally know to me) or(who I i has produced � as identification and who�did (did not) � take an oath. Notary Signature �� Printed Notary Name � Notary Public a`'�Q'.•��M�ss ' % ' : .:�� �OL•,•. �y � Commissioner Number ' � Notary Public: ;o �� �:� - ; Swore *:'a 1,,,g�i, �7A�A��°:c� � ` ,a � o�;• a � ,p��h�ruA�c,,o����c► � yy,,I���-���iiuia�g�,,� 6011 BENJAMIN RD.,SUITE 106,TAMPA,FL 33634 P:(813)886-2621 F:(813)886-2494 Q NEW oor+uc�on sa�Ew� � N01E yTMG�� � �,.��,.,�„ wc:s��+.a"- r�ez� n CIRWIT SCHEDULE CENERAL POWER NOlES !� � � ol3n 6" � �V u�� �rw.IDM.tl)/ec.i�c .�a.m eR.n,rm orc m��.w.mm�.nw. �uw,l.lnro.(Owc.(nn n r c ��°ov�s��v m�e���m mc A _ m 4_ ' �om.N cmow mm.�/�'c m �TQ� "�`"�`°� - -- - _-�_----p'�= DRY TYPE TRANSFORMER SqiEOULE �,,,,°x,�",�,°���° °01°""B1OB"'"` �i i wcoas�w.�...+ � __ __ _ .xmn .�a e— ��.�.��,� � - G4 _ :Ro��,�c:n � « ° a.�wa-�..w-�.x,i o ��� �==m=+��.. .�-- ., A �ww.a��w�� ,,,,�M, ��� ��� � � +^� WARNING ��LOW VOLTACE WIRINC � �) ' �.cm.xaR� A11C MSH ANO SNOqc NALWD. ��.� uyut�sm�mi�uu�a ii0iY52iOiff�`�1 `"�LT Yn�i��f ..aM�� MPROGfliR1EPFA50NPLPfi01ECTVE �vFxvwarton¢N ONE-LINEDIACRAMLEGEND i� m o���� '� - aYw��.����„ EW�MENi(PGE)REW�IiEO. yµ r P ��rac"�"°A�W w� ��',B�p�,1' �r`.�.-..-. ��mswmo'TM��°" �.� /fi ➢1 — i+��an''�° '`'u u an�t'�'�`sa� m'� oM .sc�u mcs w anw w�s �i:�eg''�{ip0oa.�i _ "���n, - - - - .M ��� »9��a �"`..v-���.�..��'m'."��"ao s @�E`4 EleSg6lo� ---- -- ----- --- ��� �s��.��,-� . - ��,� �<��� ��� rp�a """'�"" � /�ARC FLMSH DETAIL „�,,,,,,,� �aPANELBOARD NOlES O s.__-...-.,..�.-.��.l.l.�:...,._.,.,,.��.�,___.�..�.._,_..�.,_...,,t w�o»�R��..'�.�9w�m«am,�o.u,a. � nr y� R wow �ho«ww . ,xo�s � � �� a-•.G.�:rm w�w va � wx w��.o: � � m �.•.�i��o awuff�.� n,�•..•••" � ���. 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PLAN \ ..��.,$�''N�� \�sci�� 1 � � N�,,,x0.a s���` DETAILS - �`v:t� �'�,..��'� ' SCHmULES „m i woi�..9os 's � .ro crsr wc mao.. v.n�m:,m �r. _ _ - - _ s,oa aw ssor.m. �•- ' �LOWER POLE CONNECTION� —�' "�"� -- — -- -- „�„�,,,,�,:�w -- P o„�„ � �� �LI UOR OX POW R P AN � - - — — E2 -- - ��.lrrn��t �up �r�� �nter� .�� � '��� �������� __ Revisions: �"' 1�/��2�14 Seott Garrett �� ��1��$} � �� Added AP100 t� the Liquor ��� �-�,�� .�� �.�� �� ���i� �-,���� Stnre. 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Re-uag x� T�t� AP T e: 8�3� 3 14 14 �}'� 5 5� Management AP's are: 4�, a9, 1�, 1"7, �1, 23, �6, 31, S3 New AP's: 06, 07, 0�, $7 S 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , • • Building Department � o e _ Date Recelved Phone Contactfor Permitting - _ . Owner's Name �v�- Owner Phone Number !, Owner's Address Owner Phone Number i , Fee Simple Titleholder Name Owner Phone Number � ' , ,, Fee Simplei Titleholder Address ' I �� JOB ADDRESS LOT# P I � SUBDIVISION PARCEL ID# � WORK PROPOSED , . NEW CONSTR ADD/ALT � SIGN NED FR�OM PROPERTYT�ncE)DEMOLISH B INSTALL 8 REPAIR PROP.,OSED USE Q SFR Q COMM � OTHER ' TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q /i�i� , DESCRIPTION OF WORK �/ (J(7� G� � �� c�- G✓Y� BUILDINGSIZE SQ FOOTAGE� HEIGHT •. QBUILDING $ VALUATION'OF TOTAL CONSTRl1CTION _ QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. r,� QPLUMBING $ � . . � OMECFiANICAL $ VALUATION OF MECHANICAL INSTALLATION � i � Q_f AS Q ROOFING Q SFECIALTY 0 OTHER ! FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � I , � 4 i ' � � BUILDER� COMPANY SIGNATURE REGISTERED Y�/�N FEE CURRE� Y%N. ; � Addr Iss License# � , 'ELECTRICIAN , COMPANY I7lJ`�(L -�r�C� vr�,'� �vJ i SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N I 'Address License# ' � � PCUMBER., COMPANY SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N � Address License# 1 ' j , . . , MECHANICAL � COMPANY - , ` SIGNATURE'' REGISTERED ; Y/ N FEE CURRE� Y/N - i ' . ' ' � ' - Address��`° � License.#- ,,<< • . .. . �' OTHER�% �k'°'� s " " COMPANY , I ,�"SIGNATURE:>= :.�• •^= - - • - � REGISTERED Y/.N_: FEECURREK Y/N ��,�.p;:^..�.-`. � . ., . . Address., - � - License# ,i •� -'.�.;.. � .. . .. ,, , �'',RESIDENTIAL��,�: `Attacfi;(2):Plot°;P.lari's;''(2):se't's of�Buildirig•'Plans;(1�)�sef of�Energy'Fomis;�R=,O=W Pe.rmit,for new.construction, =-,a��;;,,-::>.;-;��;yMinimum;tern;.(,10),working,days;after�sutimittal�dafe.Required'orisite;�Con`stniction Plans;Stormu"vater Plans w/Silt Fence installed, . �,:.;,_. z.. - Sanita;ry;FaciUties;&�1�,dumpster;:Sife;WorkBermitfo��subdivisions/large`.p�ojects` - �� � � �I-COMMERCIAL Attacli(2)'complete sets'of'Building 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, I 5�` � Sanitary Facilities&1 dumpster..Site Work Permit:foF-all-new projects.All commercial requirements must meet compliance �,..:..:,. •�;�SIGN'PE IT "`Attach°(2)sets:of;Engineerecl�Plans:�f� : � � �� �:�,'.,;`-, �I "•`PROPERTI'SURVEY requlred for aILNEW..construction._ _ � `;Dl�ections: .,;,;�t, .;;... _ - 'i � ; FIII-:out applicat(on completely. � 'Ovuner.&ConVaGtor sign:back of application,notarized � If over$2500;a Notice•.of Commencement ts required. (A/C upgrades over$7500) , , '"'' Agent(fortfie�c'onf�actor)�or°Rower`of'Attomey(for tFie owner)wouldbe someone with notarized letter from owner authorizing same �'-OVER`,THE COUNTER PERMITTING: , (copy_of-contract-required) " "` � � ; .'Re�oofs if sHingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , ' Driveways-Not over Counter if on public roadways..needs ROW -- ......._ , . .. ... ..�"""4�c:� i j __ _ _. _ ,, F ' _ � . , _" :..�..f'�: ' NOTtCE t'3F DEEDRESTRtCTiG1NS: The undersigned understands.that�this;permit may be subjectto.°dee,d"�rest�ictionys����;;� «�:::�.�. which;may,tibe more�restrictive.than-:Cownty:regulations:=�Thesundersigned�'assum'es-fesponsibility'forcomplSanccwith�any,; � , ,�rrs�x.��;:��;::;�=s;;�•; appl�cable deed cestrictions. - � .�, �.,.'. �:. :. ...:...: .a�,_. ��_ , : UNL►GEN$ED CONTRAGTORS AND CONTRACTOR RESPt3NSiBILiT1ES: � If�tfi�e��'oviin`er�has-<tai�ed�an�contractor or � contractocsLL#o undertake wark, they m.,ay.be requic.ed #o be:licensed in acc�rdance with state„and:local_regulation"s:�:�lf'th'e;:°r<>�; cantcactor is not.licensed�as requiced by taw, both�the owner�_and'�eonfractor�riiay==be�c�t`e'difor�a�'misdemeattor violatioia° , ,� under state-law.` !f the owner�or intended;cantractoc are�uncertain as to what:licensing requirematat's�.may�.�applyr:for;�tF`t'e:�.>`t; ,.�,,,.-��,.,:. .... �.....�. intended.work,.they_.are-advised to canfact ttre:Rasco County Building fnspection�Division.--Ciceinsing Section af 7.27=847= ' ;: 8009. Furfherrnare, if the awner�tias�fiired��a` contrac#"or ac cont�acto�s, he is advised to;have -the cantractor{s):�.sigr►;;,,s�., ,.- c<t,r..;.z;::�..�,^W°; •, portions of the "contractor Block"af this applicatian for which they will be responsible.,_lf:you,.:_a'sMthe:owner"s�gn:as-tlie���:`'; contractor, that may 6e an indicatian=#liat he�is nat praperly�licensed'arid is not ent9tled-to��permitting�priviieges�.in,;F�8CO3 ;:,;�; COUfI�(. , � , ._ ., , , ��._::�•;,���:t.� =� TRANSPC?RTATION-IMPACTIUTILiTfES�iMPACT AND RESOURCE RECOVERY FEES:-The'undersigned understands,._; ; ��,.,,•�.,,. a that Transportation Impact Fees and Recourse Recavery Fees may.�apply to the const[uction of.new btaildings,.�ctiange�oi�-�:'':.� use in existing buildings,,or�expansion of.:exi"sting�buildings, as specified in Pasca County t�rdinance number 89-07�.and •�,; 9Q-07, as amended. The�undersigned also understancis,-that such.fees,�as�may=;be:due, wifi tie:identr`fied°�afFthe��time�:of�=���� permitting. �!t is further understoad that Transpar#ation Impact Fees°-and Resource�fRecovery..Fees must be paid prior to ,;� receiving a "certifica#e of occupancy"-or-final:power release. lf the.pr.oject does not involve.a'certiflcate af occ�pai:icy:or�=•='�� � final power release, the fees must be_paid.prior to permit issuance,.:_-Furttiermore, if Pasco:County Water/Sewer,-lmpaci;M.;r;;� fees are due,ttiey must bg paid priar to permit issuance in�accordance with°.applicable.Pasco�Courity ordinances. : CONSTRUCTION•LiEN�LAIN(Chapter 713;Ftarida Statutes, as amended): If�val�a#ion of wo�k is$2,500.0:0.4or.more;,,la;,�� ;, certify that I, the applicant, have.,been provided wlth� a copy,,of �he "Flarida Construction.'Lien Law-Homeawner's� Protectian Guide" prepared by tfie Florida Department af Agriculture and Consumer Affairs. If the appficant$is.sameone,;a;�.. ; othe�thar�the"awner�, I.certify#hat f_have otitairied a copy of the above d'escribed'document-and promise;in good`faith:.to=:���;,, deliver:it.to�the`�ownec"'prior:to-commencement. � � ,; I CONTRACTOR'S/01MN�R'S AFFlDAVIT:.��.I:certify that..a!! the infocrnation �n this application is accurate and'thiaf a!I"irvark � ` wil! be done in compl�ance wifh aA applicabfe laws regulating canstruction, zoning-and land devefopment. ApPlication..is � hereby made to ob#ain a..permit..ta .do,.,work'and instaHatian as�indicated. I�certify fhaf no �work or installation�has , commenceii prior to issuan'ce af a p�rmit and-that all work will be performed to-meet standards of aA laws regulating � construction, County and City codes, zoning regulations, and land development regulations irt..:the jurisd�ction. !:°aiso , ce�tify that ! undersEand that the regufations of other governrnent agencies may apply to the intended wark, and that it is ; my responsibility to identify what ac#ions t must take#a be in compliance. Such agencies include but are npt limited,to: ' - ,Department af Environmental Rrotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterMfastewater Treatment. � - Sau#hwest Florida 1Nater Management District Wells, Cypress Bayheads, Wetland Areas, Attering � Watercaurses. � - Army Corps of Engineers-Seawa[Is, Docks;Navigable Waterways. �. i - Department of Health 8� Rehabilitative Services/Environmenta! Health Unit Wells, WasEewater i'reatment, -�� ; Septic-Tanks. - US Enviranmental Pratection Agency-Asbestas abatement. - � - Federal Aviation Authority-Runways. ' . ' I understand that the fo!lowing restricfions aPply to the use of�!!: 'I - Use af fil!is nat allawed in Flopd Zone"V"unless expressly permitted. ' '� - ff the fill rriateriaF is #o be- used�� in Flood Zone "A", it is understoad that a.drainage plan addressing a ' . . "comperasating volume° will be,subm�tted at time of permitting which-is prepared by�.a professiona! engineer ' ; � . _ , ° , . ~• • ltcensed by the Sta#e af Florida. , - ` -- = i - !f the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stem wall �� construction, i certify that fiil wilf be used oniy to fi(1 the area wiEhin the.stem wall. , " , ; - if fill materiat is to be used in any area, 1 certify that use of such�fill will not adversely affeot adjacent � properties. !f use of fill is found to adversely affe�t adjacent proper#ies, the owner may be cited for violating the condit9oris of the building permit issued under the attached permit application, for Iots less than one (1_} acre which.are elevafed by fiif, an engineered drainage plan is required. � If I am the AGENT FOR THE 4WNER,_I promise in good faith to inform the owner of-the pe�mitting conditior►s set forth in � �, this affidavit prior�to commencing const�uction: I unde�stand that a separate perrriit may be required far electrical work, �` � plumbing, signs, weAs, paols, air conditianing; gas, or�atfiet installations not specificaity included in the appiication. A •. permit issued shatl`be canstrued to be a license#o.proceed with the work and not as authority to violate, cancel, alter, or ` set aside any provisions of the technical codes; nor shall issuance af a permit prevent the Building Offiaial from Eheceafter requiring a correction of errors in plans, constnaction or violations of any�codes. fvery permit issued shalf became invatid unless the work autharized by such permit is commenced within six manths of permit issuance, or if work authoriied by i the permit is suspended.or abandoned for a period..of.six(6)months after the time fhe work i�`commenced. An extension_ '� ; i may be requested, in writing, fram the Building Officia( for a period nat to exceed riinety (90) days and wAI demonstrate ; justifiable cause for the extension. If work ceases far ninety(9Q)consecufive days,the job is considered abandoned. � WARNING TQ OWNER:. YOUR.FAILURE T.,O RECORD,.A NOTiCE OF C.QMMENCEMENT MAY�RESUL`T 1N YOUR PAYtNG TWiCE FOR tMPROVEMENTS TQ Y4,UR:PROPERTY.; IF�YOU.INTEND TO.OBTAIN��FlNANCING,CONSULT WiTH YOUR`L`ENDER OR AN ATTORNEY'BEFORE�REGORDlNG.YDUR NOTICE OF�COMMF_NCEMENT. _ _.__FLORIQAJURAT(F.S._11.7.U3)_._,-_- – — ------ -- � - - -- ' - , - - -_- ~ OWNER OR AGENT CONTRACTOR Subscribed and swom to{or affirmedj before me thls Subscribed and swom to(or affirmed)before me this w by bY ' Who islare personally known ta me ar haslhave produced ' Who islare personally knawn to me or has/have praduced as Identification. � as(dentiflcaUon. Notary' Public Notary Pubtio Cammisslan No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped i �