HomeMy WebLinkAbout19-22041 CITY OF ZEPHYRHILLS
5335-8th Street
• (813)780-0020 22041_----
ELECTRICAL PERMIT
- -PERMIT INFORMATION LOCATION INFORMATION
Permit#:22041 Issued: 11/14/2019 Address: 7921 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: 1,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 11/14/2019 Parcel Number: 34-25-21-0010-00100-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: LIN R ROGERS ELECTRIC CONTRACTOR Name: LOWES HOME CENTER
Addr: 2050 MARCONI DR STE 200 Address: 7921 GALL BLVD
ALPHARETTA, GA. 30005-5202 ZEPHYRHILLS, FL. 33542
Phone: (813)829-8154 Lic: Phone: (813)838-9000
Work Desc: TEMP POWER FOR CHRISTMAS TREE TENT
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
IRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
� 1
REINSPECTION FEES:(c)With respect to Reinspection fees will ly with Florida Statute 553.80(2)(c)the
W local government shall impose a fee of four times the amount 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.
C NTRACTOR PERNMOFFTI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
913.780-0020 City ofAphyrhills Permit Application Fax-a13ae0-oa21
L 1854 Building Department
Date Received Phone Contact for Permittingg ( 770 772 _ 3464
11111111 IIITI
Owner's Name Lcwes Home Centers Inc. Owner Phone Number 704-750 1000
Owner's Address 1000 Lowes Blvd"Mooresville,NC 26117 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7921 Gall Boulevard LOT N
SUBDIVISION PARCEL IDN 34 25 21-0010-00100-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED El INSTALL
CDNSTR B ADD)ALT 0 SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME I� STEEL
Provide power for temporary tent structure:(1)GFI outlet for register,string
DESCRIPTION OF WORK lighting and exit signs.Tying Into existing(2)dedicated circuits
BUILDINGSIZE Sq FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
r3NJELF-OTRICAL $ 1000 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PWMBING IS
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
_. . . .
BUILDER COMPANY
SIGNATURE REGISTERED I Y 1 N I FEE CURREN Y f N
AMrass License#
ELE077RICIA41 COMPANY Lin R.Rogers Electrical Contractors,Inc.
i SBGNATUREk REGISTERED I Y l N I FEE CURREN LLLN
Address 050 Marconl Drlve,Sulte 1 ° pharetta,GA 30005 License# F E00000740
PLUMBER COMPANY
SIGNATURE REGISTERED Y J N FEE CURREP, Y 1 N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURREK L.Y"N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y 1 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 data Required onsita,Construction Plans,Stormwrater Plans vd Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonsilarge projects
COMMERCUIL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-0-W Permit for near Construction.
Minimum ten.(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans Coco Slit Fence installed,
Sanitary Facilities&1 dumpster.Sda 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 back of application,notarized
If over$2500,a Notice of Commencement is required. (A(C upgrades over S7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorlbng same
OVER THE COUNTER PERMITTING (copy or contract required)
Remofs if shingles Sewers Service Upgrades A1C Fences(PIDNSurveff cataga)
Driveways-Not over Counter if on public roadways..nesds 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.
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.
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 CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed and sw�tar affi ed) fgre me this
by by LA i2�0 S Pi'l i C,y� rJ D
Who is/are personally known to me or has/have produced Who is/ pe na ly kno�j-to me or hasthave produced
as identification. ��Q1�Ci7/�a s identification.
Notary Public Notary Public
Commission No. Com s ' n N .
Name of Notary typed,printed or stamped Name of No ro"Rufaffims
Commixion O W 276467
•o Expires December 12,2022
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Cinder Block- Landscape Timber
Tie wrap
- Light pole
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Cart
Tent
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September 3,2019
City of Zephyrhills
To Building Department:
losPlease use this as letter of authorization for Cjjq 2 )IG,9 w0 to pull or pickup permits/plans
and schedule inspections on my behalf for Lin R. Rogers Electrical Contractors, in City of Zephyrhills.
For:
Lowes 1854
7921 GALL BLVD
ZEPHYRHILLS, Florida 33541
Scope of Work:
Install power for temporary tent structure: (1) GFI outlet for register, string lighting, and exit signs.Tying
into existing(2) dedicated circuits for power.
Thank you,
�Rftgers
in
Lin R. Rogers Electrical Contractors, Inc.
Sworn and subscribed before me this day of
KEls Not
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EOIRG�P00
2050 Marconi Drive Suite 100 Alpharetta,GA 30005*Phone 770.772.3400*Fax 866.592-9161*www.rogersservices.com