HomeMy WebLinkAbout17-18172 CITY OF ZEPHYRHILLS
�;-�� ' 5335-8th Street
(813)780-0020 18172✓
ELECTRICAL PERMIT �
PERMIT INFORMATION LOCATION INFORMATION '
Permit#:18172 Issued: 2/21/2017 Address: 5053 GALL BLVD
Permit Type: 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: 1,500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 2/21/2017 Parcel Number: 11-26-21-0010-19100-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DOUGLAS ELECTRIC Name: EAST 54 MINI STORAGE INC
Addr: 36425 COVINGTON RD Address: 38461 CR 54
DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (813)293-3738 Lic: Phone:
Work Desc: SAFETY INSPECTION
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTION REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER � i
FINAL � � /�`
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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.
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CONTRA TOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �
,-�.�.�, � ` Building Department
Date Received Phone Contact for Permittin —
9'-'
Owner's Name (/ r� � e/ J� �///� � � ��o Owner Phone Number . G/ .3"�J�J ' �� /
Owner's Address � � . p�p � 1 ,�C� Z��.7 Owner Phone Number
Fee Simple Titleholder Name �rC��L O/� Owner Phone ldumber
Fee Simple Titleholder Address �(�_ SC ���U C��
JOB ADDRESS LOT# �
� SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B . NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
' PROP.OSED'USE Q SFR Q COMM Q OTHER .
, TYPE':OFCONSTRUCTION Q BLOCK �• Q FRAME. � ST,EEL Q
,. .�
DESCRIPTION OF WORK ',L�-��'j f' C C JL j SC, �
BUIL"DING'SIZE SQ FOOTAGE�• ; HEIGHT •
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION ,
^[�. ELECTRICAL $ `�Gv• Q� AMP SERVICE PROGRESS ENERGY 1
i
��_ j�� Q Q W.R.E.C. �
!V J�"'C
QPLUMBING $ I
I
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA QYES NO
BUILDER COMPAIdY
SIGNATURE REGISTERED Y'/ N FEE CURRE� Y/N '
Address • License#
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'ELECTRI,CIAN .�; COMPANY� - " �. ^C.�'�S C
SIGNATURE REGISTERED Y N � � FEE CURRE� Y/N
` Address Co'vi�i�'?,,,� ;l}r0 '' ,�j'7-S ; . License# C O �- �� '
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P.CUMBER;,: , COMPANY.-;_ ':` ,
SIGNATURE REGISTERED- :' Y/' N:. .-`-: FEE CURREK� Y/N
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Address ��'�•License#_.. �
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MECHi4NICAL' � , CONIPANY
" SIGNATURE� � � REGISTERED �Y/-N. ,: FEE:CURRE� ,:- • Y`/N _: -
;,.:,
Addce"ss�� ` ' ' l:icense# � ,
�J;.w� � :, . .
.:. OTHER°� ,'� = �� " , COMPANY
';SIGNATUREu.s,. ;s: :« _ - REGISTERED � Y/ N. FEE CURREK Y/N
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Address;=;, - - � ' - � � License#
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s"RESIDENTIAL�.k�;: �Attach�(2)=PIot;Plans;`'(2.).sefs�ofBuilding�Rlans;'(1)`sef`ofEne�gy.Forms;R;0=V11Perrri'it,forn.e_.w.construction,
-�;__ ,.
- -,k�.:��r.r,.y�:*:Min.imum,ten�(10)�wo'rking;days.after su6mittaGdate:-Required onsit'e';`Goristrilctian Plans,'Stormu'vater Plans w/Silt Fence installed,
'�<.�, r.. .. , ;.� - t; .
__ 1 � Sanifary:,Facilities3&;,r1.�dumpster�Sife;..,W,orkRermit.foc,subdi4i§'ions/large'p�ojecfs`_ ` -
_ :`�:COMMERCIAL Attacti:(2)`complete'sets"of'Building Plans plus a Life Safety P`age;(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,
'" ` Sanitary Facilities&1 dumpster.,Site Work Permit"fo�-all�new•projects.All commercial requirements must meet compliance ,
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,L.SIGN.PERMIT '"Attach(2)sets_of;Engineered.;Plans:��� ::�� - , �
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`� �" "'"•PROPERTY SURVEY required for.all.NEW..construction.• �
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r�'Di�ections: ,�;�-:�,;, , �
a�:-... : .
�` �Fill�ouYapplication completely. �
- �Qvuner'&ConVactor sign back of application,notarized .
��� if over$2300;a Notiae.of Commencement is required. (A/C upgrades over$7500) �
:::..:• �,,.-:..,--.:.=•�•a
. AgenY(fo��'th'e�cont�aator)�orFower�of'Attomey'(for'tfie owner)would'6e someone with notarized letter from o,.wner authorizing same
;-�OVERiTHE:COUNTER;�PERMIT-TING_. .._ .,(copy;of_contract�r.equired):t�� �_•, ., - � _ „ ,
-.V�Reioofs if,'shingles Seuvers Service'Upgrades IVC�. Fences(Flot/Survey/Footage) � " � - , . ,
' Driveways=Not over Counter if on public`roacJway§:.neeils ROW�•J'.� _ ., ,�„ ' ,. ., ' �
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NOTtCE OP DEED RESTRtCTiG1NS: The undersigned understa�nds,that this;p,ermit may be,subject.to".de. " �" � 'R'"�}a
ed�. restrictions; i
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which:may�.tie�more�r.estr�ct�ve:.than�Cout�ty regr�iat�oras:-i'he�uridersigned4assumes�:respvnsibai�ty;#or°.coFnpfiance�nnth any ,
applicable deed�restrietions. � ' P.. `�."•� ,
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UNLICENSED•.CONTRACTORS AND CQNTRACTOR RESP.ONSIBILITIE�: 'If=the�=ov'irner-�has��:taired~a~�contractor or tt�
cantractors��fo undertake wark, they may.be,required.;to be�licensed,in accordance with.state and4laeal.regulatians:,�_If:;tlie=``�";
contractor.is not:licensed.as_required.l5y'law, bbth�=#he owner:and'confractor-rriay�=iie-�cited�for,a��misdemeanor violation- .,�{�
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under state iaw. If fhe owner�ar intende,d,contcactor are uncectain as.ta wrhat iicensing cequirements,�r►iay�<apply>:for�;the�>�����:=
'"5;}in..�y..F:,p . Z ..-.'r ;.�.� �
intended work,they=are-advised ta�contact ttie'Pasco Courity`Buildirtg,Inspecfiori`Diyisioit�Lrc.en`sing"Section at 727-847-
8009. Fwrkhermare, if the owner-has�liired'a corit�actor or cont�actors, he ts aclvised�to'ihave the contractor(s)-sign,,p.a;^�;
portians of the "contractor Block" of this application for. which they will be resp.ansible::lf=you, as",the�'�owner Ysign`as�tlie'"��_:��
contractar, that may be an indication that`he is not properly licensed anii�is nof entitled to perrriitting pri''vileges;in„,Paseo A.yy�r;.
Caunty. . .� � - - ��� ,
TRANSPORTATlt3N.IMPACT/.UTILIT[ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned under.stands ,:, ,;;.:,
that T'ransportation Impact Fees and Recourse Recovery Fees:may,apply ta the constcuction of,;new.buildings;.change�'of'��3���:';��
use in�existing buildings, or�expansian of;existing buildings, as specified in Pasco Coun#y Qrdinance numbec 89=07:and � =_�"
I 90-07, as amended. The�undersigned also understands,that such,fees,�as"may_b,e.dwe, wil! 6e�identified��at�ithei�tiri�ie�of�:�3��?,�>; '
permitting. It is further unders#ood that Transportatian Impact Fees•and Resource`�Recovery Fees must be paid.p�ior to �,:� :
reaeiving.a "certificate af occupancy" or final:power retease. if the..project does not imo(ve a certificate of accupancy��o�:G��°= � ,
final power release. the fees-must be_paid prior to permit issuance. ;Furthermore, if Pasco County WaterlSewer,-lmpac#��_�-a : ;
fees are due,ttiey must be paid prior�to permit issuance in accordarice with'applicabfe.Pasca County ordinances.� =
CONSTRUCTlON�LIEN LAW(Ghapter 713, Florida Statutes,as amended): ff valuation o#wor,k is$2,.5,Q.Q,00_or_more,-.E�.,�,,t T;
certify that I, the applicant, ,have been provided with a copy:of_the °Florida� Constructian-�Lien Law--Homeowner's " �
Pratection Guidefl"prepared�by tfie Flarida Department af Agriculture and Consumer Affairs. If the applicant�is s.om.eone...,_,-
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ather than#he"awne�', I.eertify that L.have abtained a capy of the above described'document and promise�in.goo.d�,faith'ifo,_..�
deliver,it.#o the:`�awne�'=priar:to.cornmeneement. -
C4NTRACTQR'S%OWNER'S AFFlDAVfT: .I:ceriify,that all:the information in th9s appiication is accura#e and#hat a(Cwork
will be done in compliance with al! applicable laws regulating construction, zaning�and fand�develapment. Application:is ,
hereby made ta abtain_a _permit to..do,:work�and installation..as`indicated. I�certify that no •work or.�nstallaf'icin�has
commenaed prior to is`suance of a permit and�that all work will be pertormed_to'.meet-standards af a!I laws regulating � ;
constructian, County and City codes, zoning regulations, and land development regulations�in:�the jurisdiction. I�also �
certify that 1 understand fhat the regu(atians af other gavemment agencies may apply to the intended work, and that it is :,
my responsibality to Pdentify what act�ons I must take to be in compf�ance. Such agencies inctude_but are not iimited:,#o: �
- ,Deparkrnent of Environmenfal::�Frotectian-Cypress Baytieads, Wetland Areas and EnvironmentaNy Sensitive '
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress -.Bayheads, Wetland Areas, Altering ,
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. .
- Department of Health & Rehabifitative ServiceslEnvironmental Heaith Unit We((s, Wastewater Treatment,
, Sepfic�Tanks.- � ' '
- US Environmenta!Pcotection Agency-Asbestos abatement, , . �
- Federal Aviation Autharity-Runways.
i understand thatythe fiallowing:.restricfions apply to the use of fill:
- Use a€fifl is not al(awed.in Ftaod Zane"V"unless expressly permitted.
- !f the .fill .mater-ia[ �s to be used in Ftood Zone "A°, it is understoad tha# a drainage pian addressing a
"compensating valume° will be submitted at time of permitting which is prep�red by a professional engineer "
licensed�by the State of Florida. -� � �
� - If the fli ma#erial is to be used in Flood Zone "A" in cannection with a permitted building using stem wa!!
consfruction, i certify that fiii wdt be used only to fil(the area within the.stem wall.
- if fifl •material is to be used in any area, I certify that use af such�fill witl no# adversely a�Fect adjacent
properEles. If e�se of fiEl is faund to adversely affect adjacent properties, the awner may be cited for violating
, the conditions"of#he building permit issued under the attached permit.application, far fots fess than ane {1}
acre wtiich are elevated bjr fill,an engineered drainage plan is requited.
If I am the AGENT FOR THE OWNER,-I promise in good faith to inform the�owner of.the permitting conditions set foeth in
this affidavit.priar ta cammencing constructian. 1 understand that a separate permit may be required for electrical work,_
ptumbing, signs, wei(s, pools, air conditianing, gas, or-atfier instaltations not specifically included in the application. A
permit isstaed sha!!'be aonstrued ta-be a license ta proceed with the wark and nat as authority.to viotate; cancel, alter, or �
set aside any provisions of tlie fechnical codes, nar shaN issuance of a permit preven#the Bufld�ng Officiai fram thereafter
requiring a correction af errocs.in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the wark authorized by such permit is commenced within six months of pe�mit issuance, or fF work authorized by
the permit is suspended or abandoned for a period..of six(6) manths after the time the work i�commenced. An eactension -
may be requested; in writing,.from ttie Building Officiat far a period.not to exceed ninety (9b) days and-will��demonstrate .
justifiable cause for the exEension. !f work ceases for ninety(90}cttnsecutive days,the job is cansidered abandoned.
WARNING TO_QWNER: YQUR:FAILURE T,O RECORD.A�NOTlCB QF CO_,MMENCEMENT�MAY RESULT IN YI�UR j
� PAYING T'V11iCE'FOR IMPRfOVEMENTS;.TO YO,UR.�PROPERTY.. IF YOU;:INTEND�TO��OBTAlN�<FINANGlNG,CONSULT �
WITH YDUR'LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR NOTICE OF=COMMENCEMENT. . ! I
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4; Fl.ORIDAJURAT{F.S.11 03) -- — —.-, ___ .._._�_ _ _ _ _._. _ —.- – - ---- --- !
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BWNER QR AGENT � CON7RACTdR ; i
Subscribed and swor o(or affl ed,�bef tt�e thls Subscribed and swom to ar affi ed befare mg th� �s �-
by 1'r^;Gl, i[ _`I c i!�i/_it�2./ .by_ ��'J����uC'rlr4�
Who(s/are personal{y knawn to me or has/have produced t ` Who is/are pe�sonally known to me or Fias/have produced
as identification, as iden"hficaBon.
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� ���1 L � Notary Public `�GZ' �_� t�!r' �' Notary Public
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Com�isslon Comm .
"", JACQU�I.IN���1G�5 •:a:y°i;'••. JACQUELlNE BOGES
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Name of �►i`Y e�'i p �,�0�� IVame of ' : -��t�!}�eQ2,2018
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