HomeMy WebLinkAbout18-20313 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20313
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20313 Issued: 10/04/2018 Address: 5931 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL-MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 21,000.00 Total Fees: 217.50 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 217.50 Date Paid: 10/04/2018 Parcel Number: 10-26-21-0020-00000-0050
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: ZEPHYR II LLC
Addr: PO BOX 862 Address: 14524 N ROME AVE
ZEPHYRHILLS, FL. 33539-0862 TAMPA, FL. 33613-2029
Phone: (813)788-0091 Lic: Phone:
Work Desc: SERVICE UPGRADE- DOLLAR GENERAL STORE
APPLICATION FEES
ELECTRICAL FEE 217.50
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
2�
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 TO 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
.............. ...... .....I.......... ..............rrIn ...............
Owner's Name kq r L-L(2, Owner Phone Number
Owner's Address r t.-j_RQgiyQ qA.SSG-110 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address F--
JOB ADDRESS 17�3 ?-1-M)leA)0,e-1 Zeebvy 16- V L 3 LOT#
SUBDIVISION PARCELID#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR . ADD/ALT SIGN DEMOLISH
t e INSTALL REPAIR
PROPOSED USE Q SFR F-1 COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
i.
DESCRIPTION OF WORK ufnratie, sexyi cv-,
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL RA
`� SERVICE F-w-1 P 0! RRFA ENERGY W.R.E.C.
C) o
=PLUMBING $ ez-.,
1 17 A 3
[MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION I CAD P—--
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY -777--
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED. Y/ N FEE CURREN L_)LLN_J
Address P>W%V). F:L,3353-i I License# F—Fe- aooc53
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11N J
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN L-1=N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address I License# F-
1 1 1111 Fl- 2 1 mHHH"HHH" HHH
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 wl Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building 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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction,
111111 1 111141;1 1!1!;1 111111 s 111;1111 a 1 a 1111111 1 a 1111 W 11 1 1 14i
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
-7
�NOTICE OF DEED S: The undersigned underotandothsdthispermitnnaybeoubeottp,dmed, ronthctions"
which may be more restrictive than County regulations. The undersigned assumes respo risibility for compliance with any
applicable deed rea1hodone`
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 0 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 the
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
intmndedvvmrk. theyapoodvinedhnoontootthmPaaooCounh/Bui|ding |nopection [}k/|o|on--Liconaing@eotionat73T-047-
G003. Furthannope, if the owner has hired a contractor or oontractona, 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
oontrochor, that may bean indication that he is not properly licensed and in not entitled to permitting privileges in Pasco
County.
TRANSPORTATION \K8PACT/UTYLVTUES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply b/the oonetnuction'of new buildings, change of
use in existing bui\dings, or expansion of existing bui\d\nQm, on specified in Pasco County Ordinance nunnbar89-O7 and
QO-OT. aaamended. The undersigned also,understands, that such fees, oe may ba due, will baidenbfiado1 the time of
permitting. It io further understood that' Tronap'rbabmn Impact Fees and Resource Recovery Fees must be paid prior to
receiving e "certificate of occupancy" or final power ns|aoge. If the project does not involve o certificate of occupancy or
final power re|emee, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVobor/Gevver |mppot
fees are due,they must bepaid priorhopermit|aouancminocoondmncewi0happ||cmb}ePaocoCnuntyordinanoen.
CONSTRUCTION LIEN LAW(Chapter 71D, Florida Statutes, mmmmendmd): If valuation of work is $3.5O0.00mr more, |
certify that |, the app(ivant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
ProtectionGuide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant kmsomeone
other than the "ovvner'. | certify that| have obtained a copy ofthe above described document and promise in good faith bm
deliver itbo the"owner" prior hocommencement.
CONTRACTOR°SNOWNER'S AFFIDAVIT: l 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 development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of 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. | also
certify that | understand that the poQu|o1iono of other government agencies may apply to the intended vvorh, and that it in
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheado. VVaUond Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Dinthct4WeUa, Cypress Bayhemde, Wetland Areas, Altering
Watercourses.
- Army Corps ofEngineero-SeavvoUo. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WeUm, VVaatmvvotar Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Author|b+Runxwuyo.
| undoretand that the following restrictions apply tot H to-the- - Use of fill im not allowed in Flood Zone"V^ unless expressly permitted.
- If the fill material is to be used in Flood Zone ''K. it is understood that a drainage plan addressing o
.,compensating volume" will be submitted at time of permitting vvh\oh is prepared by e professional engineer
licensed by the State ofFlorida.
- |f the fill material is to be used in Flood Zone "N' in connection with o permitted building using ahum 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, l certify that use of such fill will not adversely affect adjacent
properties. If use of.fill ia found ho adversely affect odarentproperben. the ovvnmrrnaybec�wd for vio)aUng
the conditions of the' building permit issued under Mle attached permit application, for lots |meo than one (1)
acre which are { ahad by fiU, on engineered drainage plan is required.
If am the AGENT FOR THE OWNER. | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that e separate permit may be required for electrical vmork,
plumbing, aiQnm, vxeUo, pVo|a, air oondiUoning, gas, or other installations not npec|OooUy included in the application. A
permit issued mhoU be construed to be o license to proceed with the work and not as authority toviolate, oonna|, o|tar, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring on of errors in plans, cons�uctinnorviV\aUonoof any codes. Every permit issued mhaUbeconneinvaUd
unless the work oudhbr|zed by such permit is commenced within six months of permit iamuanoa, 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 toexceed ninmty (BD) days and will demonstrate
justifiable cause for the extension. If work 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Subscribed 4a ornito(or affirmed)before me this
by
Who Is/are personally known to me or has/have produced Who is/ r perso�nall' kr" n to me or has/have produced
Notary Public AL-3—______Notary Public
Commission No. Com No. )
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
GE
15
BOGES
JACQUELINE
Expires December 12,
'~~
' '----~-~~21
---'-------------------`
I lilll!illll IIIII IIIII Illll IIIII IIIII Illll IIIII IIIII IIII IIII
2018210502
PermltNolosnil ParcellDNO
NOTICE OF COMMENCEMENT
States, ��-�Q-1�/� Countyof_?�St^fl
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Commencement
1. Description of Property. Parcel Identification No.__� ^Zed' ?��^ ��2Cti (7 p(�n ►+0 0C
Street Address:59-6t Gswl angle��e���.��,�r�i��•, F" 33s�t�
2. General Description of Improvement El e_'bAC n 1
3. Owner Information or Lessee Information if the Lessee contracted for the Improvement
1toZ. �N; j Iron �t�1.1 OTT
Address City State
Interest in Property:
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address �^- 1 1� City State
4, Contractor. evil'.
P ss boy 'gbL 7
Address b O Q 1 City State
Contractor's Telephone No.: -
5. Surety: Rcpt.:2013902 Rec: 10.00
Name DS: 0.00 IT: 0.00
12/17/2018 K. D. K. , Dply Clerk
Address City btate
Amount of Band: $ Telephone No.:
fi. Lender:
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes: FgULP. S.0'NEIL.Ph.6 PASCO CLERK & COMPT— ROLLER
Name 12/27/2018 12:37 vt 1 of 1
OR BK � �� PG 2954
Address City brace
Telephone Number of Designated Person:
S. in addition to tdmself,the owner designates of_
to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
S. Expiration date of Notice of Commencement(the exp1ration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge end belief.
STATE OF FLORIDA
COUNTY OF PASCO �-
Signature 6POwner or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Partner/Manager
M R2 I e_ n . e:/vt-/3 c ti
SlgnatorysTitle/Office •�^ /)
The foregoing Instrument was acknowledged before me this
Tday of 20 Ibf by
es A4 E nn I3 (type ofgUthon-tv. officer,trustee,attorney in fact)for
Z it P tiY 0- (name atf of trument was executed).
Personally Knawn OR Produced Identification❑ Notary Sign
.�`` R I +.
Type of Identification Produced Nam_q S '•,
William Thomas Fisher,Attorney At Law
,' NOTARY PUBLIC-STATE OF OHIO
commission has no expiration date
tiLN� :: _:✓ ��_;O.' Sec.147.03 R.C.
4
wpdaWft=/no0cecommencementpc053048
Dic
4 dap STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING ISA
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
J'n god-we ND ND OFFICIAL SEAL THIt
!wWZ0F jn6 CL &CC
PAULA S. O'NEIL,CLE &COMPTROLLER
• 1887
BY DEPUTY CLERK
OF F