HomeMy WebLinkAbout19-21430 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21430
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit#:21430 Issued: 6/25/2019 Address: 5518 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,800.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 6/25/2019 Parcel Number: 11-26-21-0010-05700-0250
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: WELLESLEY DEVELOPMENT CORP
Addr: 7141 BERRY RD. Address: 34619 SR 54 W
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: PANEL BOX REPLACED BURNED
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE d
PRE-METER
FINAL I l
Cl)
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.
COMACTOR &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 F
.........rrrrrrrrr gis ...... .................
Owner's Name Owner Phone Number
Owner's Address 6'rill Pvd. 'Af6' y,/Q(1 Owner Phone Number
F_ Owner Phone Number
JOB ADDRESS 5 5 6r,I b)W. ?fP11 y r A I'//J LOT III
SUBDIVISION PARCELID#1 ?1 —00)0-05700-02-50
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
R - INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK E:] FRAME STEEL
DESCRIPTION OF WORK kIRrne/ �ollhvel bu
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 1$
VALUATION OF TOTAL CONSTRUCTION
E096ECTRICAL J$ W.R.E.C.
&0 OJ AMP SERVICE
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 SPECIALTY OTHER lvf
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO 6.1
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j
Address License#
t)AV%d HNN-rd tiv-f!r)c
ELECTRICIAN COMPANY db(A fw�-r I*'I'l 4x flee*1 C
SIGNATURE REGISTERED Y/ N I FEE CURREN L_X1 N J
Address 1 b0r Rd I License# F�7t—!_5 a e) 5
w! .
"&A V10S,0 e+rI c
PLUMBER COMPANY 14A %r 042s r Qc&i�jc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN License
Address
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.
Directions:
Fill out application,completely.
Owner&Contractor sign*badk'ckapplicatipri,notarized
If over$2500,a',Notice of Cornrhdn4;er!nqnt-.;s'required.,,,(NC upgrades over$7500)
Agent(for the contractor)or,P6w6r of'Aftqmey.(for t4ownet)would be someone with notarized letter from owner authorizing same
OVER THE COUNT R_,PkkM' '1TTIKQ,' '(do'P9':.0f!60'htr iict required)
Reroofs if shingles Sewers !S'rv'lc?`-e upgrades:" �:k& 4 Fences(PlottSurvey/Footage)
�
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OFDEED The undersigned undenstamdotha1thiapmrmmitmnoybe subject h#^deed"restrictions"
which may be more restrictive than County ' u|a1iono. The undersigned assumes.responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has' hired o contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the .
contractor is not licensed as required by law, both the owner and contractor may bo o�edfor a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section ot727-847-
GODB. Fudhmrmone, if the owner has hired a contractor or contnmctons, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontnactor, that maybe on indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY.FEES: The und�a|gnmd understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tm the construction mfnew buildings, change mf
use in existing buildings, or expansion of existing buildings, as �paoified in Pasco County (Jrd|nano� nunnb$r89-Q7 and
90-07' as amended. The undersigned also undmrebsnda, that such fees, as may bedue, will be identified et the time of
permitting. It ia further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power release. If the,projectdoes not involve a certificate mf occupancy or
final power no|eoom, the fees must be paid prior to permit |aouonoa. Furthermore, �Pomco CountyVVohar/Semer Impact
fees are d m theymust bm paid prior bo permit issuance in accordance withapplicable Pasco(�ounb/ordinances.
��o�NSTK���K�TK��N LIEN LAW(Chapter 713, Florida Ste�utsm, as amended): |f valuation of work ia$2.5OO.O0ormore, |
certify that |, the app|ican1, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department mfAork:uburo and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itbo the°ovxner" prior#ocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and inoboUeUon as indicated. | certify that no work or installation has
oornmnano*d prior to issuance of permit and that all work will be performed to meet standards of all |avxo regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. y also
certify that | understand that the n»Qu|mtimne of other government agencies may apply hm the intended xvork, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmanta| Protection-Cypress Bayhmmde, Wetland Areas and Environmentally Sensitive
Londa.VVedmnMambamxahar.Treotmerd'
- Southwest Florida VVotmr Management Qiatriot-WeUo, Cxpn$oo 0ayhmado, VVmd|and Areoo, Altering
Watercourses.
' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Gon/iceo/EnviQznmmnbs| Health Unit-WeUm, Wastewater Tnaedmmnt.
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. '
- Federal Aviation Auhorib+Runmaym.
| understand.that the following restrictions apply bn the use offill: '
- Use of fill im not allowed in Flood Zone"Vp unless expressly permitted. ^
- If the�fiU material is tm'ba used in Flood Zone "A".. it is understood that a drainage p|oh addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bvthe State ofFlorida.
- If the fill material is to be used,in Flood Zone ^A" in c o with�h o permitstem. wall
dbuilding using owallconmbuction. |oo��vthotfiUv�Ubeuoadnn|yhn0|the am�awithin the stem wall.
- If fill material is to be used in any area, | certify that use of such 5U will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may he cited for violating
the conditions of the building permit issued under the attached permit application, for lots /aos than one U\
acre which are elevated bv fill, on engineered drainage.plan iarequired.
|f| omthe AGENT FOU�THE��WNE|�. | promise in good fa�hbm inform the oxvnmrof the ponn�bngoondNUmneset fo�hin
this affidavit prior to co,nmenoing construction. | understand that s separate permit may be required for electrical work,
p|urnbing, signs, vva|a, pom|n, air oond|tioning, gas, or other installations not opmo0nmUy included in the application. A
permit issued shall be construed to be a license 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 invalid
un|mem the work authorized by such permit is commenced within six months of permit iosuonoe, 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 naqumstad, in mriting, from the Building C]fOoio| for a period not to mxnomd ninety (90) days and will Umrnonntroba
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 CONTRACTOR
subscribed and sworn to(or amrmedMore me this subscribed and,Aorn to(orAffirme&bbfore me this
Who is/are personally known to me or has/have produced Who is/are to me or has/have produced
asidentification. as identification.
Notary Public otary Public
Commission No. Commij�jioNo.
Name of Notary typed,printed or stamped Name of Notary r
~.°~_