HomeMy WebLinkAbout17-18291 1t CITY OF ZEPHYRHILLS
�, �-= , 5335-8th Street
(813)780-0020 18 91
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18291 Issued: 3/23/2017 Address: 6242 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: 7,653.25 Total Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 75.00 Date Paid: 3/23/2017 Parcel Number: 03-26-21-0010-09600-0030 i
CONTRACTOR INFORMATION OWNER INFORMATION �
Name: PATTIE ELEC. & REFRIGERATION Name: CORREIA ELVA
Addr: 39111 PATTI RD Address: 6154 FORT KING RD
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33542-7521
Phone: (813)782-3319 Lic: Phone:
Work Desc: ELECTRICAL OUTLETS, FIXTURES INSIDE POLES
APPLICATION FEES
ELECTRICAL FEE 75.00
INSPECTIONS REQ RED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
. �
l
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.
CONTRACTOR 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 Permitting •• —
Owner's Name ����l Q- � Owrner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS d.� � CO Cc � lI LOT# �
sueoivisioN PARCELID# D3�6� � �'�� ��'��v`D'�d 3 D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e .. NEW CONSTR B ADD/ALT Q SIGN Q � Q DEMOLISH
INSTALL -REPi41R
PROP,OSED`USE Q SFR Q COMM 0 OTHER .
TYPE:OF CONSTRIJCTION Q BLOCK • Q FRAME 0 STEEL Q
��, _ L ( �
DESCRIPTION OF WORK O -� � � T "'�/ lA �-Q
BUILDING SIZE SQ FOOTAGE� HEIGHT •
Q BUILDING $ VALUATIOIV=OF TOTAL CONSTRUCTION
. ELECTRICAL $ ) 2 5 AMF SERVICE Q PROGRESS ENERGY Q W.R.E.C.
(D
QPLUMBING $ - /� ^ �/
�/ fi
�� � �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I,
QGAS Q ROOFING Q SPECIALTY 0 OTHER C/���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
:"ELECTRICIAN : COMPANY
SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N
Address - License# "
P,LUMBER., , COMPANY
SIGNATURE REGISTERED Y•/ N. FEE CURRE� Y/N
, Address. License#` .
- .MECHANICAL COMPANY b�.�ll-P (��2C �L Ao1lJ � �( �1/�- /G�
SIGNi4TURE'`' � REGISTERED - ; Y/ N , FEE CURRE� Y/N
Aaaressr-' Gc License# -L��� ��� �2�P�
;:iM_ .,. .
...OTHER' `, • ' COMPANY
,�° SIGNATURE;�.�.- �_ . - REc�SrEREo Y/.N FEE CURREK Y/N
�Address:,. �.. • — ' `" ' Cicense#
`�;RESIDENTIAL,�; '-Attacfii(2):PIot:P.lans;(2):setsof'�Buildirig�Plan§;(1•)°set ofEnergy'For�iis;R=O=VV.Pertnit for new.construction,�*
- ,. •. =-•-� -:-�Minimum:ten,..(10):working;days afte�;"su6mittal�`dafe. Required�onsite;CansUiiction•Plans,�Sformvirater Pians w/Silt Fence installed,
.-� :,;.P�u.;�_:,:-, .� ; -.
;,;. ;_, _ Sanita.ry.;Facilities�&;1�;dumpster Sife;Work Permit forsubdivlsionsflarge`:projecfs� � • � �
';�:COMMERCIAL Attach(2)compleCe'sets of'Buil�ing 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,ConsUuction Plans,Stormwater Plans w/Silt Fence installed,
�• - Sanitary Eacilitles 8�1 dumpster..Site Work Permit fo�all�new projects.All commercial requirements must meet compliance
-;,.�' ,� .
+,:.:SI'GN:PERMIT 'AttacFi(2)`sets.of;Englneered�Plans:��� ,: � _ ' �
�'��•' R*}MPROPERTY SURVEY.repuired fot_all NEW construction..
,.�. __ _. .
:Df�ectloris: >� .__ ... ., �.
� �=Ffll:out application completely.
'O.wne[:8 Contra�tor sign back of application,notarized
lf over=$2500,a Notice:of Commencement is required. (A/C upgrades over$7500)
,�� `.. q;,;.'y .
i9gent-(for�th'e•cont�actor)�orPower'of'Attomey(for tFie�oinrne�)would`tie someone with notarized letter from owner authorizing same
i:`'OVER.THE COUNTER�PERMITTING, .. (copy_of_contract•required) ' ' � - � �
'Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) .
jDrPveways-Not over Counter if on public roadways..needs ROW ` � '
�� � � � >»>����i�i�o�i�i i��ii���ii��ii��i�i�iii��i�i���i��������i�� ;
2027046244
Permit Na. I B�"! 1 Pamei!Q No G��'z� r�1 ��1� `tJ t�Q�'d0��
NOTICE OF COMMENCEMEPIT
Stateaf �j�f"1Yt�Q�.- �ounryat�SGtb
THE UNDERSIGNEO hereby gives notice that improvement tiYiil he made tn cerlatn real prpperty,and in accordance vartA Chapte�713,Florida Statutes,
the fol3owing information is provfded in this Nafice af Commencemeni: �
1. Llescription of Property: Parcel 1denGfication No. C7�J'"".�b� a� �a� 1� `b���G�— Gc�3 6
StreetAddress:�[rr`_^�—S�i�'. /( �l V Vv'
j�' ���Gi'� T(�t'1" c f � Ut�—
2. Generai DescripGon qf�mprovement O .i �'(��G 1 �)! , l?(''�7 � 7��V
c�v�.
wcn� ,
w �+
3. pwner Information or Lessee information' he Lesse conVacted for fhe improvemenY. 49 B••
"„�• F+i
�,` G'�-�' m�t°Dn I
me
- t� ��n h ✓��1 r j�L �`' i ��
Address City�^i-� 51ate �i
��-2 h f.t..� �' � or •
1Merest in Froperty: �
Name of Fee Simple Ti�eholder. . ,n� '
(If different fram Qwnar Ilsted above) , ��i
.• tp
��. � !
Address .. � � City State �B-• ; -
Contrector. � �" � J �
a �2 2���-c � [5 � �m�
f �c �m;
Address �` G� City State � ��
Contraclor's Telephone No.- �,,��23.Z" ,�.aJ� I �, �
�
5. Surety: ?r ,
Name
Addrass City State i
Amaunt of Bond: $ Tetephone No.• �
' 6. Lender.
Name
�D
Address City State w r:
Leader's lelephone No. ��D
�
7 Persons within the State of Fiodda designated by the owner upon whom nod s or other documents may be served as provided by �N o
Ser:tion 713.13(1)(a)(7),Florida Statutes: B z,
' ��m�.� ��k� �m
t3ame ��r
��.�'�� ��V'� �.�D{����.� �� � � �, ��s'
N
Address / Ci�—T State }�" �
Teiephone Number of Designated Person: ��/'� 9f�!J 7la 3 ��D,
N
8. in addition to himselt,the owner designates of^ 3 0:
to receive a wpy of the Ueno�s tJotice as provided in Sec6on�13.13{�}(b),Ftorida Statutes. ��r�,
Telephone Number pf Person or EnGry Designated by Owner, �I
�.aa "i
9. Faspiration date of Noiice of CommencemeM(the expirafson date may noi be before khe compieGon of consWction and finai payment to the -p tA;
conVac[or,but will be one year fmm the date of recording unless a different date is specified): ���,I
WARf11NG TO OWNER: ANY PAYMENTS MADE 6Y THE OWNER AFfER THE EXPIRR'TlON OF THE NOTtCE OF COMMENCEMENT � -�p�
A}2E GONSlDERED ISvSPROPEI2 PAYMEFUTS UNOER CHAPTEl2?13, FART 1, SEGT1{}N 713.13, FIORIDA STATUTES, AND CAN -�'
RESULT�N YOUR PAY�NG TWICE FOR 1MPROVEMENTS TO YOUR PRQPERTY. A NOTiGE OF CQMMENCEMENT MUST BE � p�
ftECORDED AND PpSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT r�"",.�
WffH YOUR LENDER ORfW ATTORNEY BEFORE COMMENCING WORK OR RECORCIING YOUR NOTICE OP COMMENCEMEM. mi
�i
llnder penatty of perjury,I declare that t fieve read the foregaing notice ot commencement and that the facts stated therein are we fo tFte best
of my knowlsdge and belief.
r STATE OF PLQRiQA�' ��`�'
COUNTY OF PASCQ
Signamre of dwner or Lessee,or Owner's or Lessee's Authorized
_ OCFlcedDirectoNPertnerlManager •
Slgnatory's TNe/Office
The foregoing instrument was acknowtedged betwe me this�day of,��Gh .20�by �i lYi Ct�,R.'�'Q'C.+
as (type of authoriry,a.g.,offlcer,t stee,attomey in fadj for
(name of rty ehal aF tv1�om Ins ent was executed).
Persnnalty Known[]�R Pmduced lden�catian(� Notary Signature ��Gf f=w
Type of Ident�cation Produced� 1(����(,,,1�.� Name(Print) �GI�GI.�u�� �Y�-Y � C.(,��'��.
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Not�ry ruONe=8�ih a�Fbtih
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