HomeMy WebLinkAbout20-22516 CITY OF ZEPHYRHILLS '
5335-8th Street
(813)780-0020 22516
ELECTRICAL PERMIT
-PERMIT INFORMATION LOCATION:INFORMATION'=
Permit#:22516 Issued: 2/19/2020 Address: 4626 KRUSEN FIELD 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: 10,100.00 Total Fees: 95 0 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 95.00 Date Paid: 2/19/ 00 0 Parcel Number: 13-26-21-0080-00000-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: CITY OF ZEPHYRHILLS
Addr: PO BOX 251 Address: 4626 KRUSEN FIELD RD
CRYSTAL SPRINGS, FL. 33524-0251 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: RELOCATING FIELD LIGHT CONTROLS & SERVICE -- wxfwo
APPLICATION FEES
ELECTRICAL FEE 95.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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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.
�7
CON TOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED.INSPECTIOW
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813.780=0020 City of Zephyrhills PermitApplication Fax 813.780.0021
Building:Department> ,, . - -.• ;
bat®Received
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=MECHANICAL $ VALUATION OF MECHANICAL''INSTALIAT,ION
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FINISHED.FLOOR:ELEVATIONS a:r...7;,:.,<,.�CrLOODZONE`:'AR&A 1:',
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R�SIDENYIiA1:` •Att�. .(�)..I ,,, ,r_,n•<,� 1 r:,n. �s- a.Rt;4!��.. r:.l. , ,: ;'
:-7 ,.-,�+lr,f• ..r�'.•.a4 r`•?a.Te't:WJ�'P�k"F '.•F:r_urkYi. a T u rJ2 a
nM71r' rh ten::�.aio ��;',�a ,anrsb�,�i ate::a „reorlsre. ins� edal? Iarrs;FsOri► 7atear ►rsiif I:€rlce�rnsfaiiea° ;1
Sanitary,.Facilities°:8��tlimpster,�Slfe.WorkxP®it'itiit Tor':�sulidtiii'si'oi3/1�-tgs��polbits' :. .
ts`of ufdf =Pia`' 7us:a fe "iPa 8;(1)rset°affheigy,f0ft,s:;R=Q=W:,Permlf;forrtew i tr coon. ,
COMMERCIAL -Attach;0, ccmplete:s0 B,i_ rg:
Minimurei`terr`/10 w5iliin ;tls `alte'r' "bfri t(al'dteeq .epxtQnsite Conslri�.ctfion; �t1t4s+j S2orrri ateln wiitltdFeno�,i�istalled.`
.,.�\.,.�r w,y a ,•�kt,.i' z yJ - ,. as7: `., a'1 ± .• - r•r - - -'
Sanitary Fai;111ges&:1,lluifi�fatl r::Si[e:! or i' bmilutor a1I projects"All commerdal faqui[errients'must"iiieettcompltgi
SIGN'PERMIT: Attach,(2)setsAfiE.FieretPlaris::• :c,
'"'*PF2bP,�R;�YN�i�F�V��:`r?e4ulr`gdfot'alr .�W cbr:3wctton: +�` •
Directions: '
FilI out application completely.
Own8r�8CaIMtictorPgnack_of epRitFatipn;.notarized.-
If Over s25$0''a NotlsA':of' omme. cimenl:Is required: (A/C gpgrades.over'.$7500)
.. +:.. . :;:-.• ,•,:;;:;car::,,_;-'. i
•' Agent:(forthe=contractor,)'orPowerofAttomey;(f8r.thwowner):wbuld'6;.6 Wmeo/ie with notarized letter•fitifm 04Vner authdriiing;same
OVER:7F)E;COWNTERiPERMITTING. :- '.(Cop
) of,coh,tr�a�t required);: . s
Rerootsifsfiingles 'Sewiers Seriitem Up a'dEsi=A/C':"" `t=en'CeS jp1oUSurvey/Footage)
Driveways-Not over Counter'ifon'publicroadway's::n®ads:ROW
NOTICE OF DEED RESTRICTIONS: The undbftiigi d�understands that this permit-may be subject to"deed"restrictions"
which-may.-be.:more::cestdctive--than:Eount rsqulations. The undersignedpassumes-,responsibiilly,for,,complidnccf�.with;any
applicable deed.restrictions: , _ .:. ., , ,: ,..,.::,
Gt 11 :I:t I MtSEQ: O:NT fir ORS��1Nd=�CORTRA TdR�R Sp'DN' 't®IL I I S: 'i'f YtNe"ti iitia '°has'h re i 'a`"contractor or
contractors to undertake-vvork,Ahay y�be.npquireflo be licensed in accor ar�ca vvitft sta e:;apd,,loca[regpiatibrrs�1f the
rr: .
contractiii-Ai.ho#'�ticenaed as required by law, both violation
understate law: -if,the-ownelr or,,ihtended,;contractor,are unce ng rtain;as;t®what;!•icenS reguiremertts: a I ply#br the
_i6tes'ded.-w6rk;:lhey�are4dvlsed to.contact-the Pasco�County Buildii 0n'Dt isiot�# Licensing Section at 727-847-
8009. Furthermore, N-the o>�+r t ei<fia&-.gb re-df.rya contractor or-.contraotorq,;.ha is.ad ts�ed_t ►: have the contractor(s) sign
portions.of.°the_"contractor:Block°:of;this,::application,for.which_xhey;uuill: e:;responsible:,,If you, as the.owner sign as the
contractor, that may be an•iiidication that�he is not property licensed-,and Is not entiNed4o•permitting privileges in Pasco
County,:,:
fiRANSPORTAT30N tMPACTfIilTilsiTtES'IMPACT.A ID RESdUR��RECOVERY'i`EES: The undersigngdjunders�taads
that Transportatldr4.�impact.Eees-:and:-tecoarisesRecoavery=Fees may�appty te-the;-construebonzjof.new buildings;ciiarige of
-use irrexlstindr-buildings;-•or`expansion of`'eWifing-buiidinOS as speciW in Pasco County Ordinance-number.8R.-07,.and
9.0-07,,'as*amended:...The::undersigned`atso.�underst rt thib0si-ift fees;.,as_may,.be.,due;wilt-,be,identled~At`°(F e e of
,. .. . . .... . ._.. : ._.. t
permitting. it is feirtfiernderfotitftriiitii,_pasta#ion:impact Fees and,Resource Recovery Fees must be pald•prior to
receiving,a�"cert�cp#e t6f.occup rib n or-Bh'bl,- vtrgr:c�lease ;Mha r:;a'ectxdoesWrii hnv v "a `di "" "
a,:,.�:' Po � , . P J al, a certificatef�odcdp2lncyTor
flnat t,power release, the fees,must be paid.prior to.permit issuaiiice. �urther#rioiret if'Pasco County Water/Sewer Impact
.. .-
faes are.due;they must be paid°pidrt itissuence in accordancet appliceile Pe`s .County ordinaioes: 't
CONSTRIlOYIONFLiN'ffAW(Ohapter; VFW i'daStatutawastamended):;�1€ 8[#ration"ofworkisi$2��� pOQaocsmore, t
certify:than 1; thy:=a�pR)[cant,,:ha�rea eery proulded:with a,copy-eif.,fttew"�orida Construction Lien Law—Homeowner's
Protection:Guide"prepared-by the:.Flortda,:Repartment.of Agriculture,and;Consumer'Affairs,;:If•thezoppiiclaat�is�sortxeorie
--other than-the"aiivner nd-promise'in goodUlth to
deliver it to the"own#r.prior-to;-co me ent.
lyT CTGR'Sf: lill 'a•. : ...
tf. atr� tlt� `fo
Q, ,c tt'.y,th. dit�:.' o tt"s� lion io ,is'.
.. �,,. � t. ¢' � eti,.pil�t�.ti�p,�r.:..td't�.�: dt�atadotbatrall:�vrork
tnr dolls-in compliance w1th all e ►b laws,regulating cQnstructiora honing arrrian'ddevelopm+antr �ppllcation is
hereby made to obtain a permit fauGoniiE4iihStelltd�iaeniiicated t certify`that no work or•installation has
comma nced.prjs�r to lssuance•.of•.a.perrn t:and..that all work:wi1G be,per€orrrieci to rr ept staff lards of all laws regulating
constriction;-tCotnty and # iotle ;`,�oxttttgdreguiations, nfatidevelopment regulations in the'jtiristic"tloh:- i also
certify that i understand:that the--regulations of other government:agenciesyrnayapply to-the-intended work, and:that it is
my responsibility:to identify.what-actions:):�ust:take:to:beAn compliance. Sudli agencies:include but areinot4mi ited to:
Department of Environmeota?`A•rotection:Cypress Bayheads, Wetiand,,Area&and�Environmentally Sensitive
Lands,WaterlWaste. : e:: r: ;eat;. -.
MA- . ;
Southwest Florida Vyatertariagement District+Welis, Cypress;8ayheads,;',Wetland Areas, "Altering
Watercourses.
- Army Corp&of,Engineers-y+ei�.. ails,,Dock.-i Navigabl#Water.ways„
of Department l#iealttrti et ilitative�ServideslEt��aronmental'Health Unit=WeII6-�Waotewgter-�T,!reatment,
Septic:Tanks
:USiEr7vironrrierital��rt3tei#ieili ,gbncy:ytisbestos�abatement:`:•= - `
`Federal AViatfidh�Af#jtt of = v iayis "
I understand•.that:theloliowin,.g., ktptiQ i pi. o:tile usetof�911:
..'
U�eroUfl its notdfilii��e'�tl ici Flo d or#e nV"u%ir ss'ex(resSly�pe�mit�ed:. : :.
if"'ttie-fill._matey ,;Js,._to>;be-used in'Flood toile ° it is understood'that a drainage plan- addressing a
"compensating;tvdIU i'E7 il-b�ei�s brnifted aY�time:�of permitt r# r b bh;;isr:gfepared�iy::�Professionai engineer
licensed.by'the State of Florida.
1f:the>#ill.mates s•;tckGb%gses;i it food.4.§fib ai r;h in canneCtion with a permitted building using st i i<' i►al1:-
�.
corastructiort,.lctify that flirt.;� lbkicused only;.±p_fiitt .;ar�eaatithlptkteistern«uuall:::.:: :
[f.�fiA..materiaC-is-to=.b,.ey used..In..any area, 1=>certify•that. use.of-suchAll will not adversely affect,adjacent
.-. -Vproae ties. tf useiQf III"#s f0uc#d:to adversely affect&adjac h pKopait es #t ei.owtaer,.rrtay�,be:cifed for violating
the,conditions of:the,building.permit issued:.tinder,;the.-attached permit•appiication;for lots-less than�one._{1,}_
acre,* ,ich-and;,gJQuatet Yb f11 e0 rigineered.�ttaiti a plan-is required.
If 11 amrthe k43 EfO�fC,l2,u.th- :'tablVl ER;"1-:pro Ise in good:faith to info�rn=;tl�wowneF of:#*'I drmIttI gwconditigns set forth In
this,affidavit:prtor:to,commending,construction. I understand.that a.separate permit may be required for electrlcal_gwork,
plumbing;;µsigns;iwells;�,,pools �aitr,.conditioning -gas,>or other installai!ons��not-speCttiCalEy"'inetud`ed�>ih4he applieation. A
permit issued shall-be:,construed.to-be-a:license>to--procee.d;+with:1the:work.and not-as authorityto-violate,icancel; alter;Qi,:..
set-.aside-anyproWsior s:of t#tt3 feet nicai c� r for shallAsuance of4 permit--'preventthe;I3uilding OfflclaLfrom-thereaften`
requirring�acor•section-ofrerrors=irr plans,-construction or violations o anycodes.°,Every-paritiirissi�eii shall-become..Invaild
unless-the-work,authonzed�b..�suchiipermit is.commenced within:six:months_o,,.,p rrnitis uar3cea,.oc,if.work authoitUddlby
t y
w ....
the~permit,le-suspended:nr•atiandoned"for'a 'eriod'of.•six(6)months 9fter`•the'tiM1iHhd:work is commenced:"AMextension
maybe-requested;-in writln9,Jrom.the'_Building.Offlelal'f6",':brtod notao-exceed ninety(90)days and wiitidemonstf'&6"p
justi€iabte cause for tie>ex#ensYo#�:?71f ii%f6 .-:ceases for•ninety,T,gOjxbonsecutiue;,daysr.tho-obLis.considered-abandonier
WAtti+ttNG Q:#:?iIIAt.Ebt. °fAILURE-;TO;:RECORD.A�:NOTIQF,�F F?aCOMMENCEMRN,!TA Y RE6EUl:' "!N ( OR—"
_u - «:`k t,...te..�.-:..,a.:... ^aye. ,.R> ,,,?_
PAYING IC ROVE ti , t ,.. iV::: .
ORi1MP. till t+lf 'O�f R'PI �Op!`tt` (:;.w, IjJ 1"..10:1)!ID? 4"',5- TTA0-Heir N�1NCIrIC:G..a,
�. �. f z . Q .. ......
W/4.,H,Yp O}TU�RJ�2LEND(E#tj!-OR 1iVtA'T'F ilW&B. 'irOft i CQ'.iDIi 1 .=°Uft t tO IGt 'O`;. .OiU1 9Mgrn T
Li�I�iDA JC1RA�(f:S: 1 1/03 1"OWN *•,R�AGEN�r• ".0 INTRACTQR� / j ;
Subd6*fibedl'arid<gwom46'(dfAfiiiwdo)?6 Terri #ills:= Subsaiber#:andrswom%#c#' a`ffiriitedj;tieh>r ath7s
Who is/are personal) known to me or hasthave produced ho.is/y . .personal) ;known#a'meon�l�' ve`>producedt'°'-�' "" " •
-as.identiflcation. asiidierisfltimi:
Notary Public _ YNotary F4biice, -.
Commission No. m ssian: a,
.' dAC
Name of Notary,typed,printed or stamped ryd
Nameofiota . 'cfi, QG 218�5T V"
af�8 b@�tlib8t q
s+1 Fq+ th 202
Sand°d'11w'TroyFtln6aurence80o-38s::;: ��
Purchase Order
Fiscal Year 2020 Page: 1 of. I
THIS NUMBER MUST APPEAR ON ALL
INVOICES,PACKAGES AND SHIPPING PAPERS.
B City of Zephyrhills
I Maintenance Yard
L 39421 South Avenue Purchase
L Zephyrhills, FL 33542 Order# 20200294
T Phone: 813-780-0022
101 Fax: 813-780-0025
Carlyle R Huffman S City of Zephyrhills
ECarlyle Electric H Maintenance Yard
N PO Box 251 1 39421 South Avenue
D Crystal Springs, FL 33524 P Zephyrhills, FL 33542
0 Email:chuffman(cD-crossenv.com T Phone: 813-780-0022
R 0 Fax: 813-780-00,25
Vendor Phone Number Vendor Fax Number Requisition Number Delivery Reference
117
Date Ordered Vendor Number Date Required' Freight Method/Terms Depadmeriftocabon
12/03/2019 2053 Streets
Item# I
Description/PartNo QTY UOM Unit Price Extended Price
LIGHTING SERVICE RELOCATION KRUSEN FIELD INVOICE#1
The Above Purchase Order Number Must Appear On All
Correspondence-Packing Sheets And Bills Of Lading
I LIGHTING SERVICE RELOCATION KRUSEN FIELD 1.0 EACH $10,100.00 $10,100.00
INVOICE#1010(3 QUOTES IN SCANS)
GLAccount: 01007200-564000 $10,100.00
Cross Reference: 001-7200-572-6400
By:Cjiz- C�'. Total Ext. Price' $10,100.00
City Manager PO Total $10.100.00