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Home My WebLink About18-20048 CITY OF ZEPHYRHILLS 5335-8th Street 20048 (813)780-0020 ELECTRICAL PERMIT PERMIT INFORMATION _ :-.- :_ LOCATIOW]NFORMATION P_.¢rmit#:20048 Issued: 7/30/2018 Address: 5240 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: 7,097.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 7/30/2018 Parcel Number: 11-26-21-0010-15300-0260 CONTRACTOR INFORMATION OWNER INFORMATION Name: J H HAM ENGINEERING INN Name: ROBERTS YVONNE C REV LIV TR Addr: PO BOX 5106 Address: 5240 GALL BLVD LAKELAND, FL. 33807 ZEPHYRHILLS; FL. 33542 Phone: Lic: Phone: Work Desc: ELECTRICAL SERVICE TEMPORARY UNDERGROUND REMEDIATION SYSTEM APPLICATION FEES ELECTRICAL FEE 45.00 ROUGH ELECTRIC 'INSPEC NS REQUIRED IRED CONSTRUCTION POLE PRE-METER FINAL / I Q�p REINSPECTION FEES:(c)With respect to Reinspection feesliffill 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. I "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. 6k CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I aia-�eo 002o City of Zephy hills Permit Applicaflon Fe*i13-TWl 1 Bowng Department DffW Riwellad Phone,Contact br Psrmltlt Ownw%Name Robert Wonne Revocable Living Trust Owner Phone Number Owners Address PO Box 1018 San Antonio,FL Owrwr Phone Number Foo Slmpts•Tttlaboldsr Name NIA Owner Phone Number Fee Sfmpte VU@hoWw Address NIA JOB ADDRESS 5240 Gaff Blvd.ZephyrhIlls,FL. LOT S SUSDPANON PARCEL 1110 11-26-21-0010-153OD-0260 (01 AMW FMA FROMIY TAX WnW WORK PROPOSED ® NEW WNM B ADDIALT ® BIGN = Q DEMOLISH INSTALL REPAIR PROPOS®USE SFR ® COMA = OTHER I Kaing= ? TYPE OF CbNSTRumm �t BLOCK p FRAME STEEL DESCRIPTION OF WORK Electric Service For Florida DEP Funded Temporary Groundwater Remedlatlon System BUILDING SIZE NIA SO FOOTAOE NIA HEIGHT =BUILDING S VALUATION OF TOTALCONSTRUCr'ION DUKE Energy ELECTRICAL S 7017. p0 AMP SERVICE zOA - W.R.E.C. =PLUMBING s =MECHANICAL S VALUATION OF MECHANICAL DWALLATM t/ =GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER �;�� -y , COMPANY FRS Environmental Remediation Inc.DBA The FdS Group SWNATURE - REGISTERED I Y I N FEE W RB LY r N Addreee 120 E.Dr.MLK Jr Blvd,Tampa,FL. � ElECTRItRATd COMPANY 3,N•N�'► r��fGttr,tEt2�I4► �� SrlsNATURE REGISTER® Y r N FEE CUM0 YIN Address bZ 0.61AINO r11r 14 tZ A- L"*Lp„1 L. 33 813 License 9 EG O o o c S? PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CUARO. Y/N Address L l erw# NECFLWCAL COMPANY 8100TURE: Fmcgram LjLNJ FEE CIIRM Y I N Address Licenses (min COMPANY -SIGNATURE RE6151I RHD I YIN I FEEMMM LUNJ Addron Ltcenae s .RESIDENTIAL Af ac h(2)Plot Plane;(2)sets of Bulding Plane;(1)set of Energy Fame:R-O-W.Permitior newoonsbudon, MWmum ten(10)woridg Jaye after submi el dates Required anoft.COn lruco n Plans.Stormw w Pleats w/Sat Fence InstiW, Seniteuy Facintles&I.dumpster;SW Work Permit for subdhAalcimAarge pojeds COMMERCIAL Atteeh(2)co mp{Me suns of BulWrq Pleas plea a LHe Safety Pelge;(1)aet of Energy Forms.R-O-W Panml for new eonabucka Mrdmunr ten(10)working days after aubmlttef date. Required arelte.Ciorwlrudion Plena,Sbmmsster Plana w/Sit Fence fnatailed, SwbiyFecBtles&1 dumpatw.Site Work Perm@ for all new projects.AN commeratal requironwits must meet comptlence SiciN PBRilrr Atlndu(2)seta of Engateerod Plane. 'PROPERTY SURVEY required for al NEW oon buclion. Dbectlartii: FMI out egrpoaatton completsfy. . Owner&Contractor aRp boa of ainAc ntlon,notarized If ovw$2M,to Nance of Commsncwru t le rsqubvt (NC upgrades over;7=) Agent.(for 11be aciftclot),or Pow of Attamey(for the owner)would be someone with rab dad latter from owner auguht Uug same OVER THE OUNTaER PERMIMNO .(copy of canbad mulred) Ravbfa4f aNngtes Sewers Servk:e Upgrades Alt± Fences(PkWSurvey/Footage) Drtvawa1*44otover Counterif an pbac roadr♦m n-needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which-may be more restrictive than County regulations. The undersigned assumes responsibility for cornpllance with any applicable deed restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or contractors to undertake work,they may be required to be licensed In accordance with state and local regulations. If Bte contractor Is not licensed as-required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or Intended contractor are uncertain as to what licensing requirements may.apply for the intended work,they are advised to contact the Pasco County Building inspection Divislon--Licensing Section at 727-847- 8009. Furthermore, If the owner has hared a contractor or contractors, he Is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an Indication that he Is not property licensed and is not entitled to permitting privileges In Pasco County. TRANSPORTATION iMPACTIUTILMES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use In existing buildings,or expansion of existing buildings,as speciiled In Pasco County Ordinance number 89-07 and 00-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at Via time of permitting. it Is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to receiving a"certlffcate of occupancy`or final power release. If the.project does not involve a certificate of occupancy or tlnal power release,the fees must be paid prior to permit issuance. Furthermore, If Pasco County WatedSewer Impact fees are due,they must be paid prior to perttit issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LiEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the"owner",I certify that i have obtained a copy of the above descried document and promise In good faith-to deliver it to the"owns'prior to commencement. CONTRACTORVOWNEITS AFFIDAVIT., i certify that all the information In this application is accurate and that all worts will be done In compliance with all applicable laws regulating construction,zoning and land development: Application Is hereby made to obtain a permit to do work and Installation as Indicated. I certify that no worst or Installation has commenced prior to issuance of a permit and that all work will be performed to most standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is, my responsibility to Identity what actions I must take to be In compliance, Such agencies Include but are not limited to: Department of Environmental Protectior-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Sayheads, Weiland Areas, Altering Watercourses. Army Corps of Enginsers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agan%-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply.to the use of fill: Use of flit Is not allowed In Flood Zone°V°unless expressly permitted. If the fill material is.to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume'will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material Is to be used In Flood Zone "A" In connection with a permitted building using stem wall construction,i certify that frll will be used only to fill the area within the stem wail. - 9 fill material is to be used In any area, I certify that use of such fig will not adversely affect adjacent propertles. if use of till is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit Issued under the attached permit application,for lots less than orie(1) acre which are elevated by flit,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the application. A permit issued shall be construed to be a Ilc eMe to proceed with the work and not as authority to violate,cancel,alter, or set aside any provisions of the technical codes,nor shall Issuance of a permit prevent the Building Official from thereafter requiring a correction of errors In plans,construction or violations of any codes. Every permit issued shall become Invalld unless the worts authorized by such permit is commenced within six months of permit Issuance, or If work authorized by the permit Is suspended or abandoned for a period of six(18)months after the time the work is commenced. An extenslon may be requested, In writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate justifiable cause for the extension. N worst ceases for ninety(90)consecutive days,the job Is considered abandoned: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMP13OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 013TAIN(FINANCING,CONSULT WrM YOUR E DER OKAN ATTWIMAMLkE RecOEWINe YOUR NOTICE OF COMM N E FL:MIIA JU .117 OWNIi Atli l CONTRAirT and to(or sf'frmer balm me this Subaollied an to(or ' reed)beio a me tl►b z7 y a ScL�"� Zts t g 1lVh)fa/are pemsar—af known to me arhaa meS a pnoduoW Who Were or haal m produced as rdammtiBcaion. as r haffir3Son. _Notary Public -Notary P+ubile commission NO Comnmisalon N i�`itY�r r'r C LA R K R. 4 t3 �?+i!t �maiGG Notary61- eublic,State of Florida WNW ¢e Name ofNotW41W, or stamped Narrmeotr" lit 1 � Number FF981259 J. H. HAM ENGINEERING, INC. Electrical & Instrumentation • Engineering & Construction POWER OF ATTORNEY AND AUTHORIZATION TO DRAW CONSTRUCTION PERMITS FROM: J. H. Ham Engineering, Inc. P O Box 5106 Lakeland, FL 33807 TO: City of Zephyrhills 5335 Bch Street Zephyrhills, FL 33542 DATE: 7/16/2018 I,James H.Ham III,the holder of State of Florida Electrical Contractor license registration number EC0000571, hereby name, constitute, and appoint William Meddleton , my attorne}-in-fact for the purpose of applying for and receiving permits in my name. I hereby represent and warrant to that all work performed under the authority of such permits shall be performed by me or under my supervision, and that I shall be fully responsible for the proper performance of said work. (Check one of the following): ( ) This power of attorney and authorization to draw permits is limited to the job as described as (type of construction project and specific location) ( ) This power of attorney and authorization to draw permits shall expire on (date of expiration) (X) This power of attorney and authorization to draw permits shall continue in full force and effect until I deliver to you a letter revoking the power. (Si-nat e o ontractor) 7 (Signature of designated attorney-in-fact) 863-646-1448 (Current Address Area Code - Telephone Number) STATE OF FLORIDA COUNTY OF �pLK Subscribed and sworn to before me this �� day of , 20/S Notary Public 0 My Commission expires S (NOTARY SEAL) _`"• - OLIVE ?' �= N^' 1Y Pualic, state of Florida My comm, expires Jan. 29,2022 602 BRANNEN ROAD • P.O. BOX 5106 "' Comrni6 O—Number GG173254 OFFICE: (863) 646-1448 LAKELAND, FLORIDA 33807-5106 FAX: (863) 644-0784 J. H. ",AM ENGINEERING, INC. Electrical & Instrumentation Engineering & Construction POWER OF ATTORNEY AND AUTHORIZATION TO DRAW CONSTRUCTION PERMITS FROM: J. H. Ham Engineering, Inc. P0 Box 5106 Lakeland, FL 33807 S•3 3 5 S to S-Ta ig-le-11• Z 9'A pA 1-krLL S . FL 3 3.<y Z DATE: J LCL%( 2-7 2,018 It I,James H. Ham III,the holder of State of Florida Electrical Contractor license registration number EC0000571, hereby name, constitute, and appoint C LA V,K R. &13 E1._ , my attorney-in-fact for the purpose of applying for and receiving permits in my name. I hereby represent and warrant to CVrY n IF T 95A+Y6kE401LLci, that all work performed under the authority of such permits shall be performed by me or under my supervision, and that I shall be fully responsible for the proper performance of said work. (Check one of the following): ( ) This power of attorney and authorization to draw permits is limited to the job as described as (type of construction project and specific location) ( ) This power of attorney and authorization to draw permits shall expire on (date of expiration) (X) This power of attorney and authorization to draw perm its shall continue in full force and effect until I deliver to you a letter revoking the power. ASign tore of ontractor) I L6-4�2 (Signature of designated attorney-in-fact) 863-646-1448 (Current Address Area Code - Telephone Number) STATE OF FLORIDA COUNTY OF Ad L.,/ Z-14 Subscribed and sworn to before me this day of , 20/O, l s Notary PublicG� My Commission expires .�'A� � '% SANDRA J. OLIVE (NOTARY SEAL) Notary Public,State of Florida My comm. expires Jan. 29,2022 � ,� Commission 602 BRANNEN ROAD P.O. BOX 5106 Number GG173254 OFFICE: (863) 646-1448 LAKELAND, FLORIDA 33807-5106 FAX: (863) 644-0784