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17-18171
CITY OF ZEPHYRHILLS �� � � 5335-8th Street � (813)780-0020 1 - 171 ELECTRICAL PEI�MIT PERMIT�INFORMATION LOCATION INFORMATION Permit#:18171 Issued: 2/20/2017 Address: 7631 GALL BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. � Class of Work: ELECTRIC SERVICE/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 5,000.00 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 60.00 Date Paid: 2/20/2017 Parcel Number: 34-25-21-0110-00000-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: BATES ELECTRICAL SERVICES INC. Name: WAL-MART Addr: 7901 HOPI PL. Address: 7631 GALL BLVD TAMPA, FL 33634 ZEPHYRHILLS, FL. 33542 Phone: (813)888-7050 Lic: Phone: (479)204-1063 Work Desc: INSTALLATION (2) NEW CAR CHARGER FOR CAR CHARGER STATIONS APPLICATION FEES ELECTRICAL FEE 60.00 INSPECTIONS REQUIRED ' ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FI NAL 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 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. "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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. , C NTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE ItEQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 II °• Building Department , � 3 Date Received 2 � � r Phone Contact for Permitti�g � �� y�1 — � Owner's Name �Q ���� ��� I� / �d/�� Ovvner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS CT 6I�j LOT# � SUBDIVISIOIV PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED .. NEW CONSTR ADD%ALT 0 SIGN Q Q DEMOLISH e INSTALL B REPAIR PROP,.OSED USE Q SFR Q COMM 0 OTHER . TYPE"OF CONSTRUCTION Q BLOCK •• Q FRANIE 0 STEEL Q ' DESCRIPTION OF WORK �Y�P � p) `]�Q �� � t✓ GR/" � h4� l°/�5 BUILDING SIZE SQ FOOTAGE� HEIGHT • QBUILDING $ VALUATION'OF TOTAL CONSTRIJCTION QELECTRICAL $ C. ��, �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. / ,•' • QPLUMBING $ , �I OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY 0 OTHER ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -BUILDER COMPAPIY SIGNATURE REGISTERED Y"/ N FEE CURRE� Y/N, Address License# ELECTRI,CIAN .,. .. � COMPANY Q /C ��CG���G SIGNATURE REGISTERED Y/ N FEE CURRE� Y'/N ,;.,:' . n i+ ? Address� " 7 D /' � /Cr /G��' License# G DOD � � P.CUMBE�t;;..: COMPA(dY- ;�:- � ' ' -SIGNATURE `REGISTERED , Y.•/"N�-` ; •FEECURRE� � Y./N ' I , . .. Addre�s. � � License#' :":MECHANICAL_ , ' � , COMPANY - � '' SIGNATURE``� � ' '`° � ' � REGISTERED �,' Y.,/ N . FEECURRE� Y'/N ' �� . � „ ;": ..,. ... . . ' Adii�e'ss=`� � ' � � License# � �„i..�:,... _ . . ;: .OTHER�= •�:'' .'- ` ',: � � " ' COMPANY - - �'SIGNATURE�S.,:,�< - ' •� � � • � " ' ' '�REGISTERED Y/ N. � FEE CURRE�' Y/N - - 'Y: ' : . , �. '• ;Address. , - ;:� - � - � License# , ., , . _ - :s;: - _ �, :'. ' . . �:<' . . .� . .. , .., . � - =5i:�:i�'; " '" _ "" _NRESIDENTIAL�", Attacfi`,(2):PIot�Plans;`'(2)�sefs�of`Building��Rlan's;�(�1•)`set of�Energy;For'ms;.R=O-W:Permit for ngw.construction,- _ �•-- _ �.:,�-v���---�Minimum':ten:(,10)working;days'afte�"sutimittal=date..°Required=orisife;�Constniction'Plans;:StormwaterPlans:w/SiltFence;(nstalled; :�?,�_.s:-�.,�.,_ �„ :.. . . - - � „' �Sanita,ry�,Facilities�&;.1�dumpste,r.•,:Site;:Work.P.ecmit.for;§ubdivisions/la,rge'p�ojects .: `� '='_� • - - - - - � - `�_COMMERCtAL_ ' Attach'�(2)complete sets of Building Plans�plus a�Life Safety Page;.(1)seYof Energy�.Fomis:R-0-W Permit fo�'new const�uction, - " s;:r , ,' . . -Minimum ten(10)working days after;submittal date. Required onsite,:Constriictlon Plans,Stormwater:Plans wL3ilt Fence fnstalled,. � �:' "..' �� .:.;,.- ' •Sanitary•-Facilides'8'1•dumpster:Site;Work,,Pemiit fo�all=new p'rojeots.All:commercial�requirements`,must;meet compliance. �� � >'SIGN`PERMIT,�' ��AttacFi(2)�sets:'of:;Engineered Plan,s:�;,.��:,:-�• _ ' , , " ` `"- � � _ � _ '*'*PROPERTY�Sf1R�%EY,�equi�ed°.fo�:a11;NEW'construcBon:- , , �- - _ , �Directions:. - - � ,. ....- - , . . -: .:..' .. -,. . . , _ _ �Ffll:outapplication,completely:''' -• _ " ' ' Owrier&Cdntraator:sign:6acR of.`applfcation;-not'a�iied'� . ; , �•� � . � ` 'Ifover$2500;a Notice.of.:Commencement.is requ'ired:.,(A/G:upgrades.over;$7500).- ; , '';" Agent;(for`tFi'e�cont�actor)or Power of'Attomey,(for'tFie�oinrrier)_would:tie.�someone,with notarized I@tterfroin owner authoriiing,same'� I :;:�OVER:THECOUNTER`.PERMITTING.� _ ".(cgpyofcontract�:requi�ed):'��i��`;�`.'� � , � . - ' = � ' � , -_ 4Reroofs if shingles, . ��Sewers; - '.Service:Upgrades A%C Fence$�(PIoUSurvey/Footage)• " ' -� _� ...,.,, . . _ : .. ... .. �: . ,. _ : -, , ... +Driyeways;NoEove�`Counter.if,'on;public'�oadways.:needs"ROW � ' ' ,,, � _ , . , _ .. ; , - _ � x _ `.;.< _ -�.-�.,:��� ; � ' _ : �s NOTICE OF pEEQ RESTRICTIONS: The undersigned„understands.that this-permit.may.be subject<to".deed" res't�ictians#,,,`��r,;� whrch�may�.be:,more�zestrictive;than:Cczunty:regulations:� TFie<.understgned�assumes:�esponsib�lity`fo"r`campliance�nn#h any,` ':�'� applicable deed restricfions. � �� • � . � ' .,z��=;��,=;«��,=;��"� .� UN�fGENSED.°CONTRACTORS AND" CONTRACTOR RESPBNSlBILiT1ES: f€�>ttie=ovirner--�has'hired�:�a��con#cactar ar cantractors�#o undertake work, they,may be reguired to be.licensed in accardance with state and_ioeal�4cegulatians::=1f�the=�;:'Y;=� contractor is not.lioensed-as requiretl by'law, botfi�the awner.and''contractor=iamap��bezcited-foc�-;a'misdemeanorViolatiiin- under sfate law. If the owner' ar intended cantractac are uncectain as to what.(icensing cequirements:�rnay�,apply�:for;;tlie:-�'"•`°�� _., ,>,.� intended.work, they:are.advised to contacY'the'Pasco Caunty Building°inspecfion`division