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Home My WebLink About19-22154 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 22154 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION.INFORMATION,,k=:�._.' Permit#:22154 Issued: 12/10/2019 Address: 3751 LAUREL VALLEY BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: RV PARK Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 2,000.00 Total Fees: 50.00 Subdivision: MAJESTIC OAKS Amount Paid: 50.00 Date Paid: 12/10/2019 Parcel Number: 24-26-21-0030-00000-OOCO CONTRACTOR INFORMATION OWNER INFORMATION: Name: TARANTO ELECTRIC INC Name: NHC-FL115 LLC ATTN: TAX DEPARTME Addr: 2560 WEST TULSA DR Address: 27777 FRANKLIN RD STE 200 (3751 DELTONA, FL 32738 SOUTHFIELD MI 48034-8205 Phone: (386)804-0020 Lic: Phone: 904-801-2871 Work Desc: REPLACE 2 EXISTING LIGHTS 250 AMPS AT POOL AREA APPLICATION FEES ELECTRICAL FEE 50.00 INSPECTIONS REQUI D ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL REINSPECTION FEES:(c)With respect to Rennspection fees will comp=feei Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the posed 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 CT PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact 727 940.3256 , , owners Name Majestic Oaks RV Resort!Anne/NHC-FL115 LLd Owner Phone Number 727.940.3256 Owner's Address 7777 FRANKLIN RE)STE 200 SOUTHFIELD,MI 480J4 owner Phone Number I I Fee Simple Titleholder Name r owner Phone Number F-- Fee Simple Titleholder Address JOB ADDRESS [7751 LAUREL VALLEY BOULEVARD,ZEPHYRHILLS,FL 33542 LOT# SUBDIVISION �WESTIC OAKS COMMUNITY PARCEL ID#I 24-26.21-0030:00000-OOCO I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTA ADD/ALT Fy-"71 SIGN r7 DEMOLISH R INSTALL REPAIR PROPOSED USE rV7 SFR = Comm OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Replace 2 existing Lights at pool area BUILDING SIZE I— -] SO FOOTAGE HEIGHT -ELLDING VALUATION OF TOTAL CONSTRUCTION ©ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIPJ e s�T)W AX =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE I I REGISTERED I Y/ N FEE CURREN Ly N_J Address -10 1 License# ELECTRICIAN COMPANY =�ANTO ELECTRIC INC SIGNATURE REGISTERED YC N I FEE CURREN L_YLN J Address 2660 W TULSA DR DELTONA FL 32738 License# F EC13005753 PLUMBER COMPANY = SIGNATURE F REGISTERED Y/ N FEE CURREN L—Y=N Address I License# MECHANICAL COMPANY = SIGNATURE REGISTERED Y/ N FEE CURREN L_XLN J Address I License# OTHER = SIGNATURE REGCOMPANYISTERED I Y/ N FEE CURREI, Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 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, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge 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.Al(commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. -PROPERTY SURVEY required for all NEW construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Directions: Flit out application completely. Owner&Contractor sign back of application,notarized It over$2600,a Notice of Commencement Is required. (A/C 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(PlottSurvey/Footage) Driveways-Not over Counter If on public roadways-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 compliance With any applicable deed restrictions. 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 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 intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired 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 properly licensed and is not entitled to permitting privileges in Pasco County, TRANSPORTATION IMPACTIUTILITIES 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 be due,will be identified at the time of permitting. It is 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 Impact 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 of work 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 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 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 development. 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 I understand that the regulations of other government agencies may apply to the intended work,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 of 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 of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I 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 not 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 by fill,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 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 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. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this jubscribed and sworn to(or affirmed)before me this by t I-V-I 1 y by (::� �W c,r),:< �T=�/a Who is/are personally known to me or hasthave produced Who islare personally know6 to me or has/have produced DL as identification. DL as dentificatlon. Notary Public Notary Public Commission No. Commission No. -A Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ZZOZiSL/90 sendx3 LLMIZ 90 uoissiwwoo AW a Ragoo AL11owll epuold 10 a7e16 oilgnd AMON aha A 6 .f dcl S \ q„ r t. + k '4� �"CERTIFICATE OF LIABILITY INSURANCE 1 ,7J09f2019 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. It 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 endorsements. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY N E: CLIENT ONTACT CENTER HOME OFFICE:P.O.BOX 328 PA/ONNo E.:888-3334949 FA c xo:507 446 4664 OWATONNA,MN 55060 aooeess:C IENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC k INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 248-562-1 INSURER B: TARANTO ELECTRIC,INC. INSURER C. 2560 W TULSA DR DELTONA,FL 32738-2582 INSURER 0: INSURER EI IN3URER F: COVERAGES CERTIFICATE NUMBER:124 REVISION NUMBER:0 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 DL SUBR POLICY EFF POLICY EXP LT TYPE OF INSURANCE INS POLICY NUMBER MI D/ YVY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE $1,000,0D0 CLAIMS-MADE ❑X OCCUR DAMPREM ESORENTED $100,000 X BUSINESS OWNER'S LIABILITY MED EXP(Any one person) A N N 6111097 11/30/2019 11/30/2020 PERSONAL S ADV INJURY $1,000,000 OEM1 AOOR42A1E LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICYLJ JECT LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,�0,000 Ea a den X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY AUTO8UlED N N 6111098 11130/2019 11/30/2020 BODILY INJURY(Par aaldent) HIRED AUTOS ONLY NON-OWNED PROPERRTY DAMAGE AUTOS ONLY r dd X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,0D0 A EXCESS LIAB CLAIMS-MADE N N 6111099 11/30/2019 11/30/2020 AGGREGATE $1,000,000 DED I I RETENTION WORKERS COMPENSATION PER STATUTE I OER- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? NIA (Mmdslory In NHI E.L.DISEASE-EA EMPLOYEE ea,1t y describe under DESCRIPTION OF OPERATIONS below E.L DISEASE•POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarts Schedule,may be eUached it more Space Is required) CERTIFICATE HOLDER CANCELLATION 248-562-1 1240 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5335 8TH ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ZEPHYRHILLS,FL 336424312 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 6 O 190-2018 ACORD CORPORATION.All rights reserved ACORD 26(2018M) The ACORD name and logo are registered marks of ACORD FEDER�ITED INSURANCE® Dear Policyholder, Thank you for choosing Federated Insurance to handle your insurance and risk management needs. The attached certificate document(s) have been issued or updated. Please feel free to contact us with any additional changes, additions or deletions that may be needed by contacting the Federated Client Contact Center at: Phone: 1-888-333-4949 Fax: 507-446-4664 E-mail: clientcontactcenter@fedins.com Thank you for your business! . Client Contact Center Enclosed: Certificate Document(s) MISC-0829 (04-13)