HomeMy WebLinkAbout17-18238 /
CITY OF ZEPHYRHILLS
;- . 5335-8th Street
(813)780-0020 1823
ELECTRICAL PERMIT
PERMIT INFORMATION ' - LOCATION INFORMATION
Permit#:18238 Issued: 3/07/2017 Address: 5855 16TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: CHURCH Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 6,470. 0 Total Fees: 70.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: ' c'� r Date Paid:3-�(7 Parcel Number: 11-26-21-0010-05000-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MARTIN ELECTRIC Name: ST. ELIZABETHS EPISCOPAL CHURCH
Addr: P.O. BOX 437 Address: 5855 16TH ST
DADE CITY, FL 33525 ZEPHYRHILLS
Phone: (352)521-3319 Lic: Phone:
Work Desc: SERVICE ADDED IN MULTIPLY PLACE HAS NOTED
APPLICATION FEES
ELECTRICAL FEE ' 70.00
� INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER �f�
FINAL "� r( � /� �
U U �,/( �
3� `�� V ..t'���
� .
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.
CONT CTOR PER OFFI
PER PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�so-ooaa City of Zephyrhills Permit Application Fax-813-780-0021
f. , Bultding Degartment �
Date Rscetved , . • :PFiane-Contact�for Pertnitttn =� —
Ouvner'sName �- �l�Z�l�e�*S iSc.v�1�� �U,,'Ct� . OwnerPhoaeNumber
Owner's Address r"J`�S� ��Q� �J�"• � Owner Phbne Number � �
Fee Simple Tltleholder Name � � Owner PHone Number �� �
t i� , . . �
Fee Slmple Titleholder Address � '°
JOB ADDRESS �� �� `�'��• 't'��t'�4� �' `-� �S��- LOT# C�
� �� �� � 11-2t�-Zt • boi�O—O�bor�—bc�i'�
sueawisioN RARCEI.ID#
(OBTAINED FROM PROPERTY3AX NOSICE)•
WORK PRORtiSED '�NEW CONSTit � ' ADD/ALT [,� S1GN°� Q Q pEMO1.ISH
e ,INSTALL 8 REPAIR ' -
PROPOSE4�USE Q SFR . [� GOMM Q OTHER
TYPE OF CONSTRUCTION�': Q BLOCK ` C] FRAME C] STEEL. C]'
I � (� (� _ �
DESCRIPTION OF WORK � ��`�iSC�-fLfL
BUiLD1NG SIZE � � SQ FOOTAGE C��. , HEIGHT. ��
QBOt�DING � �� YALUATION�''"O�FM70TAL CONSTRUCTION'
' �ELEGTRICA! $ �'�,�� AMP SERViCE �� � PRt}GRESS ERtEi2GY Q W.R.E.C.
�
QPE:UNIBING ($f.. ^�
�
QMEGHANICAI � � VAt.UATiOt+t OP MECHANiCA�I(+ISTALlAT10N ,
�GAS Q ROOFING Q SPECIAI.TY-�,� - OTF�ER �
FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AFtEA QYES NO
BUIIDER CdMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE�' Y/N
Address • � License# � " I
ELEC7RtC1AN� �""" COMPANY ��"�`t-�r1 �:�2.i�Tt`tv ►�riC.
SIGNpTURE / � L�fi�. ax REGI3TERED Y/ N FEE CURREK Y/N
Address �0 D �k3`7 �Ctc�t. ` �L , ucense.#:•'�-��3�C�13'�3 �
P�UMBER • . , GOMPANY - :. , II
SIGNATURE � � _REGISTERED Y L.N FEE.CURRE�- Y/N
i
Address License# � �
MECHAPtICAl. ` , � .; CONtPA1dY -
SIGNATURE ' � REGISTERED X,L.N . � FEE CURREP Y/N
Addr�s$• ' � ' . . " _ ' License# � I
OTHER ' � CONIPANY ,�
SIGNATURE ' -- �`ReGISTE�� ' Y/ N'.. FEe.CURReK Y/N�
� Addrea� ,,°; . _ �",• n ` ` License# � I
RESIDENTIAI:' s:;Attadi{2};Ptot:Plans;:.{2}'sets�of'Buildi`itg"Ptan"s;`:(1}sef'of Eisergy�Fomi`s;�F2-0-W'Peimif for new cbnstivatton, ` �
; Minimum;ten;(10)uworkingjdays;a#kec�su6rinittal date:''Required.onsite,'Gon§tructlon°Plans;3tortnwater Plans w/SUfFence installed,
�,� ,$anitaiy FaGlities,;&�1�,dumpsterRSite`1lVork:Pecmi#.forsubdivf5torisAarge ptajects ' '� ""
COMHEERCiAt. Attach{3}`cbmplete sefs'ofBuifidirig"Plans plu's a Ufe Saf�ty Page;{1}set of Energy Forms.R-Q-W Pemnit for new canstruction.
Mintmum ten(10)woricing days after submittal date. Requtred ons(te,CanstrucUon Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facili8es 8 7 dumpster.Site Wark Permtt for ai!nev+r:proJects:Aff cammerclai requfrements a►ust meet c+�mpilance
SIGN P�RMIT Attactf'(2j sets of Eiigineered�,Pians:;�r,-^�.; �°-- _ ,-
••""PROPERTY.SURVEY reguired_for a11,IV.EW consWcdon. - � ,
Dlrections: ,. � � - '
Ffll out applicatlon ccmpletely.
Owner&Car�tractar slgn back of applEca�on,natariz�i
if over l2S40,a Notice;of Commencement is requtred. (NC upgrades over 57500)
%�.;.V..��..,y,�"��
" Agent(tor the�aontr'ackor.)ar'Pow`e�of Attoriiep(for ttia ownerj i�rould be�someone with�notadzed tetter from owner authoriztng same
DVER THE COUNTER.PERMiTTING•-- -, -(Front o£Appilca�an Oniyp• -�
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if an public roadways..neeiis ROW ' � -
_ . ,. , : � .
NOTiCE OF DEED RESTRICTIONS: The undecsi ned.,und.e,r�tands;th�t�,this: rmiC�,ma be,-sub ect to,".,deed"restrictlons""��` ' '' �
,.. . -. 9�:::.:..:.�: - _ ,�?��A�.� :,�.1:-yn..;�:�,�L..:_lt:. ,;t.�.<:,..� ... .. ..
which may be�more:r.est�ictive-than'County�'eg�ilaflons:�TFie�uriders7gnedc�as'sumes�responsibtiity°fo���comp0ance"witFi�any'�'`
applicable%deed rest�ictions. , ..,�,;;,��,.::'� � � , , _ . . .
UNUCEN$ED�CONTRACTORS`�-AWD�:=CONTIZACTOR�RESPONSIBILtTIES':�� �If the-owner-hasMFitred��a`contractor or
contractors to undertake work, they may.,be;�.�.qu1�edato;:tie;llcensed In.accordance:with,,state;and,local-regulation_,s:_:'If�the�- ��:>>° �{...
�oretractoc (s�not licensed::as��requlred`'by lainr, both-the.•owner and-contractorbmay be-�cited�'#or a�rtilsdem"eano� vtolatlon
under state law. If�the owner or.Intended�contrac,tor.,i��re�uncertain as to what Itcensing.requirements ymayP�apply���for:,ti�e T �-.--`"�==
intended worli;they are advi'sed to�contact tlie:Pasco County Bullding"Inspection:Divlslon--Li�nsing Section at 727-847-
9009. FurtFi�err►iore, If the owner�iias hl�ed�a con'hacto�or conti�actors. he is addfsed to have .ttie c:ontracto.r(s)�.sign n _ :,,
oortions of the "contractoc Block°.of.,thla applicatlon for,which.they.,.will be r,eap.onsible.--If you,-.as-.fli'e ovifine�sigri�as�the�"'�"'�'4` '
�ontractor, that may�be an indication''that�he°Is`�not.properly�licensed and'is nof-entitled�fo=pe�mit�ing p�iriileges tn Pasco
County. �_: ..:.__.__.. ._ ,..._._ _ . o�,�s�:.,- .., .;�: i
TRANSPORTATION.IMPACTIUTIGITiE5-1MPAC'�ANb`RESOURCE RECOVERY�FEES:��The undersigned unde�stands
IhatTransportation Impact Fees:and.Recoucs�.Recove.ry.Fees may:appiy�:to�.the construction�of,new_buildings,�change�'of�'- r°'�=� -•-rt' `
use in existing buildings, oc:�expansidn{of�;ezisti��bull�ings, as speclfled.in Pascv County O�dinance number 89-07 and
BO-07. as amended;..,�he undersigned also:urtderstands� tha�t�such fees;;as:�tnay���e�;due;;,will.�be identified at the=time'tiof`��`==-'-' �"r s
permitting. It is furtiier understood that Tra�sportatlon�Impact`Fees and:�-Resource.rRecovery��Fees�must be pald prior to
receEving.a "cerEiflcate=of�occupancy!' ar flnal-.power:release. :If�Elie,proj�ct;,does:not`tnvolve.a�:certiflcafe;of occupancy�o��=- =��-'' �'i"
final power�release;,.the::fees-mu�t-be paid�prio��to permit Issuance. F��thermore;-�If;PascosCounty�llVater/Sewer�impact:� -��� .
fees are dt�e,_they�.must.be=pald-pMor.to,.permit�Issuance:�n,.accordance.wltFr�appilcable�Pasco'.County oi�tlinances,
CONSTRUCTION LIEN`LAW�(Chepter 713� Florlda Statutes�as amended): if valuation of work is$2,500.0.0=.or more;,l � � -
oertify that I, -the�applicant,_:haye=been.,provtded-�wlth.�a-copy. of the-":Flocida-°Constrvctlon:.Llen�_Lav�—Homeowner's
.. _
Protection Gutde" prepared by;tlie"Florlda Department of Agric.ulture and Consumer Aifaics., If ths applicant Is someone; ,:;
other than the"owner", 1 certifjr,.that_I,h�ve.obtaineclia'copy.of.,the.above.rfescriped`tiocurt�entpand;�promise::in��good;',faith�:to._. _; :_.�•.��,.
.,.:... . .
deliver it to the.�"owne�"&,prionto�.commencement:'~�f' ��: . , , ' .' _ .. � .. � . .
CONTRACTOR'S/OVYNER'S AFFIDAVIT: I certify,,tFirat�.aik#h�,,inf.ormation,ln:�this appllcation is accurate.�nd that all work "� �
will�be done in compitance w(th ail:applicable'law`s:regtilating construction� zoning and�.land�devetopment. Appltcation is
hereby made to cbtain�:a.permit,,toK;do�;vsr.oiYc:;and <InsCallation as, indi�afed:<;,-.z°I� certity��that no work.o�, Installatlon has
commenced p�lor to Issuance"of'a�permtfV`and that':all�worlc will be perFormed�to meet standards�of.a01 laws regulating-
construction, County and Cily codes, zoning regulatians, and land development tegulatlons`tn-the jurtsdtction.� I:al'so F
certify that I understand that the regulations of other�government agencies may�appiy�:to,the_intended,work, and that It is
my responstbility to identffy�what.acttons I mus.t:take:b besln:.conlpliancs S,uch agenoles=include but�are.:not Iimited to:
- Departfient of Env(ronmental��Protection=Cyp�ess:`Bayheads� 11Vetland Areas and Environmentally Sensttive
Lands,WatedWastewater Treatment. � -
- Southwest Florida Water Management•::District Wells� Cypress. �ayheads, Wetland Areas, Altering
Watercourses. . �-
- Army Corps of Engineers=Seawalls, Docks, Navigatile Waterways. _
- Department of Health�.,&,.Reftabilitativ.e,-.S.eniices/.Environmen#al..Nealfh Unit Weils, Wastewater Treatment,
Septtc Tanks�, �' � ` ` • _
- US Environmental�Protectlon Agency-Asbestos abatement. -
Federal Aviatton;Authority=Runways� -
I understand that the followang;:restrictions'apply to�the use of flIL••
- Use of fill is not allowed in Flood Zone"V"uniess expressly permttted.
- if the flll mateNal ts to°b.e;-used�7n;:Flood Zone. "A", tt. ts understood that a drainage plan addresstng a
"compensating volume"will be submitted at�ime of permitting which ts prepared by a professional engineer � '
Iicensed by#he�State�of:Florida: � � -�
- If th� fill materlal�.ls.to be:�used in Flodd Zone 'A" In�connection�with.a•permitted building using stem wall
construction., I certify that�Il�:�ri.11:b.e;used only.to.flll the area w(thin the stemvvall: .
- if flll materlal Is to be•used In any area, 1=certify that .use. of such"flll wlll not adversely affect adJacent �
' propertles. If use of flll is found to adversely,�ffect a�dJacent�°�properties,.the owner may be cited for violating
lhe condi#ions of the�buiiding�p'ermif issued�under the°at�acfied�ermlt-appl(cation� for�lots less than.one (1)
acre wH(ch-aFe elevated`by flll;a�r engineered dralnage plan is required. .
If I am the AGENT.FOR THE<OWNER, I;•promise in good fatth to Inform the�owner of•the:p.ermitting_.conditlons set forth in �
Ihis aifidavit��p�ior to cotnmencing construction. "f understand that�a seperete permit may be requtred for elecMcal work,,
olumbing, signs, wells, pools; air conditioning,.gas, e�,othec Insfal�a�ns'not,spec�ically included�in.the application. .A . __
aermit lssued shall be constcued to be a'Iicense tv-:p�oceed with the'�work and,not as:authority to:violate,�cancel;-alter, or
set aside any provistons of the technical:c�des; nor shall Issuance�of a permit.prevent the Buildirig Offlcial from thereafter � _
�equtrin_g a correct(on:af eRors In plans, constructlon or violat(ons of any codes. -Every permit Issued shall become��invalid
�nless the work auihorized:by such permit:is.commenced�withtn sGc months of�permlt Issuance� or if work authorized by
ihe permtt is suspended or.abandoned�for aperiod o.f:six�(8)monttis�`;aRe�`.the tirne the�work�ds commenced,�.An extension
�nay be requested, In writing, from the=:Building,Offlclal for a perlod.:nof*to.exceetl=ninet��(90}days a�d will�demonstrate
ustifiable cause for:the extension. If work,ceases:for ninety(90)cons.ecutive.day.s,..th�)ob�is.considered aba�doned:�
� J� - .. . • _�_ -
NARNING TO OWNERc YOUR.FAILURE.TO.,;RECORD.As�NOTIGE;OF.�COMMENCEMEt+�T-MAY�RESUlT IN�YOUR
� �AYING TWICE,FOR;IMP:,ROVEMEN���TO YOUt�::PR�PERTY:::IF..YO.tJ=1N�E1�.D"T����OBTAIN��FINAaE11VG;�ONSULT
NITH i(OUR!,E[+IDER�OR AN�ATTORNEY�BEFOR��R�ECOR�II'�I��YOUR`=N�OTICE'aIF�CdI1111i11ENC�E�INENT'
'LllRIVAJLJRNl'-�r:a- .���i3j— �_� � _----- ., _ .. . . .. .� _ - - -- . . _ . . --- - -- -
)WNER OR AOENT CONTRACTOR
iubscrlbed and swom to(or afflrmed)before me thls Subsaibed and'swom to(ot aRirmed)'before me fhtb
by ,by_ ,
Nho Islare personaliy known to.me.or hasR�aue produced Wlio`is/are p.ersonellyknown•to me or.has/have•produced •
as Identlflcatlqn, as IdenBBcadon.
,g
Notery Public . Notary Publlc
:ommisslon No. " Comr�Isslon No.
� Jame of Notary typed,printed or atamped Narrie of�Notary qrped,printed or atamped
jF �
�
�` 1) Add new overhead 200 amp single phase service
2) Add new 200 amp sub panel in electrical closet
3) Add 40 amp dishwasher
4) Add disposal circuit
5) Add hot food service outlet x 2 110 volt each
6) Add dedicated circuit for hood equipment
I
I •
II���I�II��I��I�III��II��II��I�IIII�III�I��II��III��II�II��I �
� : ;, 2017031631
Rcpt:1843474 Ree: 10.00
D5: 0.00 IT: 0.00
, 03/07/2017 K. R. M., Dpty Clerk
Pertnit No.
Parcel ID No ��'Z�o-2L-oo iD-oSabo-o o t o
NOTICE OF COMMENCEMENT
State of �D���"" County of �4 S W .
THE UN�ERSIGNED hereby gives nolice thal improvemenl will be made lo certain real property,and in accordance with Chapter 713,Florida.Slatules,
the following infortnaUon is provided in th(s Nolice o(Commencement:
1 Descriplion of Property: Parcel IdentlficaGon No. TOWN OF ZEPHYRHILLS PB 1 PG 54 LOO&ALL OF FRACTIONAL BBOCKK
SVeel Address: Sg�S ` � 't'• ��l�S 3S�f. 49 1/2&THAT POR OF VACATED
�fw ^ . `__1�`}►�
2. General Descript�nn of Imorovement�lr�0�'Y���"n�• 0 l�k ���It���•�'�"�-+�"�'� ��^"��,"a-{ Gr-
�����oSoJ. cir ,S7 a� �� hek �od 4SZ,e�Da.ai�� ���-�-:,,,�k- � tioo b �yi.�.
3, Owner Infortnalion or,lessIee information if Ihe Lessee contra1cted for the improvement:
j-}- ���Za�it,�t'�-S ���+m�ti.` C.�lvc'c.�--
�BsS l 1 n� S-� -7p1,1. ,�1,:��c �
Address City Stale
m�
Inlerest in Property: � W�
p\r
Name of Fee Simple Titleholder: �J�,
(If di(ferent from Owner listed above)
• ��
� 7�N�
�,• � ` � �p 1� Cltyc State !�m m
4. Contractor. \lS�r"�\ll���Ql"LS��C. �h�nin 6 h.vSwGr� 'V�/J�
� -���� .� ,�m�
P o �o���sl `°T
Address City Stale '���
3s�= 5z,-33i� '�a D
Contraclor's Telephone No. 3 n
0
5. Surety: �
�r+�
Name �
x
Address City Slale I W��,
Amounl af Bond: 5 Telephone No. :�,...o
v
-i
6. Lender. � � o
Name �
m
Address Cily Slate A
Lenders Telephone No.
7 Persons within lhe Slate of Florida designaled by the awner upon whom notices or other dowments may he served as provided by �
Seclion 713.13(1)(a)(7),Florida Slatules: � �(
` "• *
Name �J �
City State ��� •` �oG�
Address o
� ' � O
Telephone Number of Designated Person: � . �
•
8. In addilion to himselt,the owner designates °�— � y�� , ' o�o Y.
lo receive a copy of lhe Lienofs No(Ice as provided in Section 713.13(1)(b),Florida Statutes. � ° 3 "" • �
� � � �
Telephone Number of Person or Entity Designated by Owner � .;
9. Expiration tlale of Notice of Commencement(the e�lration date may not be betore the complelion of construction and fnal payment lo the � •'��
contractor,bul will be one year from the dale of recording unless a different dale is specifled): ��� � �� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UtJDER CHAPTER 713, PAR71, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
WIT�YOUR L NOER OR AN ATTORNEY BEFORE�COMMENCING WORK ORIRECORD�NGIYO R�NOTI�CE OF COMM NICEMENTSULT
� W �
Under penally of perjury,I declare lhat I have read the foregoing notice of commencement and lhat[he facls slated lherein are Irve lo lhe besl Q Z C�
of my knowledge and belief. � � � � _ � U
STATE OF FLORIDA X � � �A w �Z U� F— h``� r
COUNTY OF PASCO "� ~
Sf of Owner or Lessee,or Owners or Lessee's Authorized � � Q = Q N � a
OKcedD�odPartnerlMana� � � � � w
Q11.U0� � � SZJ � �
Signalory's Title/0(fice �.. �y F— Q Q Q
�. �, v �� � = �o � U
The foregoing instrument was acknowiedged before me this�day of 20� b ��10.n ��Q�C.74 � �
a s Pa�1� ��� (lype of authority,e.g.,oKcer,t tee,atlomey in faG)!or � �—. } V 11..
1 rty behall ho t entwasexeculed). � Q �� o � `�
� 2 U U � J �,
Personally Known 0 OR Produced Ideotification� Nolary SIg r a�— � � Q
[�� rr L�G. Name Prinp � � U m p � V
Type of Identificalion Producedt' � � � � a Z Q �
g�k1L 'O`IB"��0'ZS7'� O [L' a' I� = Q W
��• s�iwFrAn�c� � w O O y.. � -
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�'2fE EJ(PIRES:August30,2oi9 � O 0 Q '
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