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Home My WebLink About04-2904 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 2904 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: 4/05/2004 Total Fees: 44.00 Amount Paid: 44.00 Date Paid: 4/05/2004 Work Desc: 60 AMFq)OWER SUPPLY FOR CATV 2904 ELECTRICAL MISC ELECTRICAL M ISC NOT APPLICABLE MORTON ELECTRIC Address: 7425 GREENSLOPE DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS I i Parcel Number: Name: BRIGHT HOUSE CABLE Address: 7425 GREENSLOPE DR ZEPHYRHILLS, FL. 33542 Section: Phone: ELECTRICAL FEE 44.00 ROUGH ~ElJ~C FINAL t if, D f{ ~'^t R~.iN ti.l:' ~c l' .iUN 1'.~~ti: when-ext: :ta-inspec:t lCjfi--e:-f":tpsare-nec:essary-aue--Eo--any -one---OI-.t:lie--------~.-' following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same --"WarnDjq---eo-ownerT-YOu.r""faiTtire---e-cf-recoraa ~notJ.ce-oT-commenceme:ne-mayresun-r:n~.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. Ii L-fJf~ ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME ~ \' ~a \f\, \- 16 s,e. e.c ^-- \0 \ G JOB ADDRESS ~ LiaS- G ( e eY\ 2> \ 0 If) e. ,() (' PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # ~'1t4 -d.-S- - .;21- cJOlb - CJD~ - OOD 0 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J SIGN PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [J ADDITION [JALTERATION [J REPAIR [J INSTALL [J MOVE [J DEMOLISH [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL J J\-tV BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [J BUILDING [J ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION (() () AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J PLUMBING [J MECHANICAL $ D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME [J STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ~Q~C!t'O~..'.'..$E.CTIO~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ******************************************************~~~ 'I2.C'rRICI~ ~ CrMPANtIllm.li/l1 /. SIGNATURE . ~. STATE CERT OR REGIST # t-(l-(J(;JtS)LIL/3 ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REG 1ST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whic~ may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. E. 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. Appli~ation 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned fora period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid DUd not take an oath D who has produced (type and whoD did D did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped DATE: CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# No construction under ground or abon ground of an)' facility shall be accomplished on any City Rights of Way without written appronl from the City Building Department. Any application for approv'al of construction operations on any City o'l'lned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work In triplicate to the ornce of the Building Ornclal for approval prior to the commencement of any work. A copy' of this permit Is to be kept readily available at the site of the work at all times. PARCEL 1.0. # ~4~:2.5r .2/...(jO(O '"100300 -C1 000 CITY ROAD GfLUA/\ 5/'0 {k- ck. DATE LOCATION (Legal Description): Permission Is hereby granted to for the construction and maintenance of of subject to the following conditions: 1. The construction and maintenance of such utility shall not Interfere with the property and rights of a prior occupant. 2. A II work sball be done In keeping wltJi the standards of the City Streets Department and under the supervision of the City Building Official, who will be hotltled at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Ornclal. 4. During construction all safety regulations of the Department of Transportation shall be obsen'ed ami the City shall be rellend of all responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safety' measures, Including placing and display of caution signs, as It ma)' deem necessary In conduct of construction and maintenance work hereunder. It Is the responsibility of the permittee to place, maintain, and supervise all traffic control and dev'lces. 5. All private and all City properly' shall be restored to Its original condition as far as practical In the opinion of the City Building Official. 6. All undergl'Ound crossing Installations shall be laid at such depth as ma)' be sllecitled by the City Building Official. 7. The sketch conrlng the details of this installation shall be made a part of this permit. Thh permit Is granted with the understanding that the appllcaht has notified all other utility users In the area covered by the permit and takes full responsibility for any damage Incurred by prior InstaUatlons as a result of his operations In order that they may safe guard their Interests. 8. It Is npressly stipulated that this permit Is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right In said holder. 9. Whenever the City decides to further exploit the City ~ights of Way, any or all said poles, wires, pipes, cables, or other facilities and appurtehances authorized hereunder, shall be Immediately' removed from said Rights of Way', or reset or relocated thereon as required by' the City Building Official at the expense of the holder of this permit. 10. The holder shall san and keep the City harmless from any and all damages, claims, or Injuries that may occur by reason of the construction, maintenance, and operation of said facility. 11. The holder shall complete the requested work within days or this permit shall become null and void. In the ennt the work requested Is not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of thc permit for all costs Incurred In completing said work. 12. The holder shall post a cash or surety bond with the City, Manager In the sum of$ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the requested Installation. In the event a surety bond Is posted, the surety bond shall be made payable to the City and shall obligate the surety' to hold the City, harmless In the ennt the holder of this permit should fall to meet any of Its obligations hereunder. The bond shall also indemnify the City' for all court costs and reasonable attorney's fees In the event lelalactlon Is required to collect on said bond. 13. The permittee shall have a 24 hour emergency contact name and number listed below. SUBMITTED BY: (permittee) ~JA1 /t~ ~ Signature & Title Address Phone APPROVED BY: CITY OF ZEPHYRHILLS Hulldlnrc Official Date: Utilities Supervisor .....::(' ~ ;;~W.'b~~~p City Manager Date: Z~phyrhil.= Bldg ~w:n-- ~ T_ \fVhom ever Fouc 1--80Q....679-8004 - Kitty ____ '1 _ 813-~ - 44'15/2004 - p-1=O:I r=.4SES ce. o .......--4: X Poor --"'1lIlnN' a .......... c......~llo_..a Cl .-.---- --...,. =.._~ . ~----. THESE \1V1LL ALL eE A RELEASE ON BRJGHT HOUSE CA,BLE FOR. PCl'VVER SUPPL...,....S FOR CA"'T'V' _ AU in the right of vvay 6002 F"ARKHILL TERRACE DR PERMIT#2886 38716 2"'" Ave Pennit #2:827 38217 S.R.. 54 VVes1: PerTTlrt#2.946 3S635 SoUth Ave f=l'errnlt#2B28 38349 C.R, 54 EaeK Permit#.294"7' 6504 HuntingtlOn Dr 6038 Noami Ave PerlT\it#2902 Pennl1#2903 7425 G~ope Dr Perrnit#2904 5840 1..... St 55113 121ft St Perrntt#2906 PerTT'lit:t#.2906 6638 Dairy Rd 5709 6'" S~ Permit#2927 Perrnit#2926 38451 aU'll Ave Permit#2'944 iJI)I~J8UUO~ aj IIU!S~8~ ON (~ 3 r,sn'a (0"3 18,rt.::;U2 'Jr--J (,8"3 !le.j. aU!1 JoJ ,jn gueH (l"3 J 0) I .1.=3 j i) J. U 0 S 12 03.':::1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - - - - - - - - - - - - - - - - - - - - - ;10 a t0086L900816 Xl liJOljje~ LlZ9 -- - - - - - - --- - - - - - -- --- - ---- -- - - -- -- --- - --- ---- ---------- - - - - - -- - ------- - -- - - -- - -- - -- ---- - - -- -- - --- --- tuas tON aHd ilnsad (S) ~ d IJOI+eUI).Saa apol~ 'oN e II :J SlllHdAHd3Z jO A1IJ ~~d9Z:8 tUDZ '9l'HV (Xl U 0 1M e~) t J 0 ljO d tin sad U 0 I S S ! Ijj sue 11 '~ 'J