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Home My WebLink About18-20195 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 20195 ELECTRICAL PERMIT - -- PERMIT INFORMATION = LOCATION INFORMATION Permit#:20195 Issued: 9/05/2018 Address: 37045 GEIGER RD 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: Total Fees: 0 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: Date Paid• Parcel Number: 03-26-21-0000-49900-0130 CONTRACTOR]NFORMATION OWNER INFORMATION Name: FLORIDA SAFETY CONTRACTORS INC Name: PASCO COUNTY FACILITIES MANAGEM Addr: 9516 E. MARTIN LUTHER KING JR BL Address: 7220 OSTEEN RD -- TAMPA, FL. 33610 NEW PORT RICHEY FL 34.6534359 Phone: Lic: Phone: 727-834-3604 Work Desc: ELECTRICAL FOR NEW TRAFFIC STOP LIGHT AT THE INTERSECIt ON FEE WAIVED" APPLICATION FEES INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL 3 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 Pe.rmitApplication Fax-a1saeo-oozi" Building Department Date Received ' n Phone Contact for Permitting ( — Owner's Name {��5c0 . Cv�n Owner Phone Number Owner's Address :TJ J ll W ! !Y- )L' T"C. Owner.Phone Number 7097� Fee Simple Titleholder Name: -Owner Phone Number Fee:Simple Titleholder Address: 1 JOB�ADDRESS ' ' �ip (� QOe 6I ✓�% _ LOT# . . 35 . 22 SUBDIVISION . PARCEL ID# OC)- GXI.:�VvV' y%" 'd&.: (OBTAINED FROM PROPERTY.TAX NOTICE) WORK PROPOSED NEW.CONSTR . • ADD/ALT . •0 SIGN Q . Q DEMOLISH INSTALL. . REPAIR. PROPOSED USE Q SFR Q COMM OTHER 'TYPE"OFCONSTRUCTION' Q BLOCK Q :FRAME-' 0' STEEL . 0 DESCRIPTION OF WORK -" I .poi l.z2 0 n. BUILDING SIZE SQ FOOTAGE HEIGHT . BUILDING: $. :. .:VALUATION OF TOTAL CONSTRUCTION' ELECTRICAL:, $. AMP.SERVICE PROGRESS ENERGY: W.R:E.C. . . . . PLUMBING $ .. OMECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION: .'=GAS. Q ROOFING_ .0 SPECIALTY 0 OTHER. FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. . NO . BUILDER COMPANY" SIGNATURE- REGISTERED'. . . .Y/ N FEE CURREI% Address License# ELECTRICIAN f COMPANY YId 0 .SIGNATURE �/ -�' REGISTERED Y-/.N FEE CURREN Y/.N . Address 1901 i� I afl.r�OC(tl Cl �L �3�G'g7 License# c 1 SVO �� PLUMBER COMPANY ' SIGNATURE REGISTERED Y/.N FEECURREN' Y./'N Address License# MECHANICAL COMPANY' SIGNATURE REGISTERED Y/• N- FEE CURREI\ Y'/N Address License* OTHER' COMPANY . SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 813-Le0-0020: City of.Zephyrhills Permit Application Fax-alsaso-oozl Building Department Address .: License#: --------------------- 'RESIDENTIAL: Attach.(2)Plot Plans;(2)sets of.Building Plans;(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;. San itary.FaciIities'&1 dumpster,Site.Work Permit for subdivisions/large projects, . COMMERCIAL .: Attach.(2)complete sets of.Building Plans plus 1_6.Safety Page;(1)set of Energy'Forms:R-O-W Permit for'.new.construction,: Minimum ten.(iQ)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt'Fence installed, Sanitary.Facilities&1 dumpster..Site Work Permit forall new projects.All commercial requirements must meet'compliance, SIGN PERMIT Attach(2)sets of Engineered-Plans. —*PROPERTY SURVEY,required for all NEW.constwction:: Directions:. Fill out•application-completely. Owner&C6htractor sign back.of application,notarized If over$2500,a Notice of Commencement is required.'-(A/C upgrades'over_$7500) Agent(for the_contractor)-br Power of Attorney(for,the owner)would be someone with hotariied-letter from owner authorizing same. OVER THE COUNTER'PERMITTING (copy of contract required) Reroofs If shingles. . , 'Sewers- Service Upgrades A/C Fences(PloUSurvey/Footage) Driveways-Not-over Counter if on public roadways..needs ROW 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;.CONS.ULT WITH YOUR:LENDERJOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT..: FLORIDA JURAT(F.S:.1 3 OWNER'OR AGENT CONTRACTOR fcr d o -affirmed bef me thi S c b d swo oraffirm m)b f re e hi ?S J' 0 bswotTlugbe 1 e• . W ,Isla a . . naTy kno n to me.or has/have produced . Who,Isla ersonally know .me,or has/have p. .uoed . as.identification. m -as.identification: f��1� Notary Public y Notary Public- CQmmissio o, Cy lv �. [ i. I ComR3��e,( / � �' , . . e . Name of Notary ty pri' ed or ped Name of Notary'typedWrinted or stamped � Am Mllllllf.LEDFORI� Q, MY COMMISSION#GG05574?. •►"_''�' KATHERYN BURGESS i'•'.'poi q4Q . EXPIRES December 18,2020 # Notary Public,Statebf fWda ._ - - - = �� Commission No.GG242263 . m� Commission Expires07/26/22, NOTICE OF.DEED;RESTRICTIONS.-. The undersigned understands that this permit may be subject to"deed"-restrictions" Which.'may.b.e,more restrictive than.County.regulations. The.und.ersigned assumes responsibility.for compliance with any applicable deed restrictions: .. UNLICENSED..CONTRACTORS AND. CONTRACTOR.RESPONSIBILITIES: If .the owner has hired.'a contractor or contractors to uridertake work, they.may be.required to.be licensed in accordance with state and local regulations. If the contractor is not licensed.as.required. by law,'both,the.owner and contractor_may be cited for.a misdemeanor violation under state law. .I.f fhe_owner or iriterided:coritractor are uncertain-as.to what'licensi►ig requirements'.may apply.forthe .: intended"work;they are'advised to.contact the Pasco County.Building Inspection.Division=Licensing.Sectio.n at 727-847--. 8009: Furthermore,-if the owner has hired.a contractor. or, contractors,.he is advised,to _have.the contractors) ,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 properly licensed and-is not entitled to permitting. privileges. in'Pasco County... TRANSPORTATION IMPACT/UTILITIES 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:.specified in Pasco County-Ordinance number.89-07 and 90-07, as amended. The undersigned also understands,.that-such fees;'.as may due,,will be.'identified of the time,of permitting. It1s.further understood'that.Transportation'Impact Fees and Resource Recovery Fees'must.be paid.prior to . receiving a."certificate of occupancy"or final power.release. If the project,does not involve a certificate of occupancy or . . . . . . . . . . . _final:power.release; :the:fees must be paid:prior to:permit issuance..,Furthermore,. if. Pasco County Water/Sewer'lmpact fees are due ,they Must-be paid'prior-to permit issuance in accordance with applicable.Pasco County ordinances. CONSTRUCTION LIEN'LAW(Chapter 713;Florida Statutes,as amended);: if valuation_ofwoek:is$2;500.00 or more, I. certify that.I; 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'Oon.sumer.Affairs. If the applicant is someone .other.thanthe"owner", I certify that j have.obtained a.copy of.the above described document and prornise in good faith_to deliver it to:the"owner":prior'to commencement: CONTRACTOR'S/OWNER'S AFFIDAVIT: I:certify that.all the information.in.this application is accurate and that all work will.be done in.compliance-with all-applicable laws regulating construction, zoning and land developm.ent:: Application is. hereby made:to obtain a. permit to.-do work. and installation .as indicated.. .I certify :that no:work :or installation .has commenced prior,to issuance of a permit and.that all-.Work will. be performed.to. meet standards.of all laws regulating . construction, County. and:City codes, zoning regulations,. and land development:regulations in-the jurisdiction: I also. certify that l understand that.the regulations of other.govemment agencies may apply.to the.intended work,and that it is my responsibility to identify what actions I must take:to be incompliance: Suoh agencies include but:are not limited.to:. Departmentof.Environmental. Protection=Cypress Bayheads, .Wetland Areas.and. Environmentally Sensitive . Lands,Water/Wastewater Treatment.. Southwest -Florida, Water Management District-Wells,. Cypress Bayheads,. Wetland. Areas, ,Altering Watercourses: Army.Corps..o Engineers=Seawalls,bocks,..Navigable.Wateiways.. . Department of Health:'& Rehabilitative Services/Environmental Health Unit-Wells; Wastewater Treatment, . Septic Tanks. . - US.Environmental.ProtectionAgency-Asbestosabatement. . - Federal Aviation Authority-Runways. (.understand that.the following restrictions apply to-.the use.of fill: - Use of fill 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 fill.will.be used only to%fill.the:area within the stem wall. = If .fill material is .to be.used in any area,,I certify'that.use of .such..fill will knot.adversely affect adjacent :properties. If use of fill 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.one (1).- acre-.which are elevated'byfill;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. peftit,issued-shall be construed to,be a license to proceed with the.work.and..not.'cis authority.to violate; cancel;alter,.or set aside any provisions of the technical codes, nor.shall issuance.bf a permit prevent the Building.Official from thereafter requiring.a correction of errors in plans, construction-or viblatibris of any codes.. Every.permit issued shall become invalid unless the work 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.(6) months after the time the work.is commenced. .'An extension 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. 1f work ceases for ninety(90) consecutive days;the_job is considered.abandoned. . . . . . . . . . . . . . ou TY FLo* I �. . TR18=414: Traffic Operations:Division' Public Works.Utilities.Building 7536 State.Street,Ahi. 124. New,Port Richey,-.FL.34 654, 727)-841' 139,FAX(727)815=.7014 :'Julie 26;-2018: Duke Energy; CTG .5225.TechData Drive Clearwater;FL 33790 NEit�,C�t"g".QIKT�►C,f�-, Sent Via:Email::new-eonsti*uction�c�uke=energy:com . . _ .. . RE: Eiland Blvd:&.-Geiger.R&: - 3:7045 Geiger Rd'.. Zephyrhills FL 33542. . . Dear Sir or-Madam: The Traffic-Operations Division•of.the.Engineering Services Department.is installing a:.traffic sign ah.at the. ab.ove.location.'e will.require a..100A 2.40.V-service on.the SE.c6 rner of the intersection. The.Traffic - Operations.Division of the En&6ering'Seryices.Department will.be responsible;for all costg.of electrical. consumption.for this.service..Please'bill as.follows:. Pa sco Countq Board of County-Commissioners C/o Traffic Operations Division Public.Works Utilities.Buildin g . 7536.State Street,.Room 124 New Port Richey,:FL:3465.4. Please reference:W0 778:00 in:the service address. If you have any questions,please feel free:to contact this.office: = P.. O,COUNTY . . . . �.I Ja .H..Kirig,.P.L: "I-Traffic.Operations�Ma , ger. J.HW 'and .. .ec: Darryl Foshee . TRAFFIC OPERATIONS'DIVISION, . 727-847.8.139_.PubiicWorks Utilities i3uilding.i 7536-State Street; Rm 124-`New.Port Richey..FL 34654 F LORSAF-01 VARAN 1 ACORO" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Angela Vargas Construction Casualty Insurance,LLC PHONE FAX 3637 4th Street North (A/C,No,Ext):(727)222-0680 (A/C,No):(727)502-2191 Suite 310 Ao RIEss:avargas@constructioncasualty.com Saint Petersburg,FL 33704 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Property and Casualty Insurance Company of Hartford 34690 INSURED INSURER B:Hartford Fire Insurance Company 19682 Florida Safety Contractors,Inc INSURERC:Starstone National Insurance Company 25496 11825 Jackson Road INSURER D:Brld efield Casualty Insurance Co 10335 Thonotosassa,FL 33592 INSURER E:Westchester Surplus Lines Insurance Companyl 10172 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE /ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 21UEAHV7026 01/29/2018 01/29/2019 DAMAGE TO RENTED 300,000 X X PREMISE a occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a PECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY EO acic tlentSINGLE LIMIT $ 1,000,000 X ANY AUTO X X 21 UEAHV7574 01/29/2018 01/29/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED 1,000,000 AUTOS ONLY AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE 1,000,000 Per accdent $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE X X 75121W170ALI 01/29/2018 01/29/2019 AGGREGATE $ 4,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUT ERH 0196-38935 05/01/2017 05/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ® N/A X E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Pollution Liability G46826652001 10/09/2017 10/09/2018 General Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) When required by written contract the certificate holder is an additional insured with respects to the general and auto liability on a primary and non-contributory basis.Waiver of subrogation is granted in favor of the additional insured. Umbrella is follow form.Thirty(30)Days written notice of cancellation is required for all policies herein. To request changes or endorsements please contact Certs@constructioncasualty.com FSC Job#18-005;Bid No.IFB-DL-18-019,Intersection Signalizat)on(Eiland Blvd.and Geiger Road),Pasco County i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Pasco County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 8919 Government Drive New Port Richey,FL 34654 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD , .Jacqueline Boges From: Jacqueline Boges Sent: Friday, August 31, 2018 12:27 PM To: Duke Energy(floridamunicipalities@duke-energy.com) Subject: power release Hello, Jackie, Here in the City of Zephyrhills and I am requesting release of power for 37045 Geiger(new traffic light installed) by#20119. Please acknowledge receipt of this email as it will be part of the permit and indication that release was given. Thank you AiL c/aekk Boges W-780--0020 ext JAIJ "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He Himself we have." Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. 1