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Home My WebLink About05-4758 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 4758 Permit Number: 4758 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL MISC Proposed Use: COMMERCIAL Contractor: REESE ELEC. Square Feet: Est. Value: Improv. Cost: Date Issued: 7/26/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 7/26/2005 Work Desc: TEMP. POWER POLE Address: 5963 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ABC RESTAURANT Address: 5963 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: ROUGH ELECTRIC FINAL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the 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 ace The payment of inspection fees shall be made before any further permits will be issued to th person owning same "Warning to owner: Your failure to record a notice of commencement may result in your payin 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. ~~\k~ CONTRACTOR CALL FOR INSPECTION - 8 HOUR NOTICE PROTECT CARD FROM WEATHER ~- r:z- -PERMIT OFFI R REQUIRED CITY OF ZEPHYRHILLS PERMIT A~~~~L~~~U~ BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 . 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING ('if (~) qOIl_ lor'!> ,1.-/ OWNER'S NAME A~c- CSq~"?> .(\ . -:-.. ~, "l... L" . ..l..: '^ (. . PHONE (~\"~') I?." 03ot~ JOB ADDRESS a....~~ ~\uJ. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o SIGN o ADDITION &ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: 0 SGL FAMILY DWELLING D COMMERCIAL OMULTI-FAMILY D INDUSTRIAL 0# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~\M. {It. f.::\,...cH.... ~b \.~ , ').0 I ');.\.lC) \J 60 A. 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 o BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL bo AMP SERVICE ~ogress Energy D W.R.E.C. 0 PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN SIGNATURE ~~ ~~ COMPANyJ4l..e.~~ G:\,,- c..t \I ~ c-..l 'rIA.( . r STATE CERT OR REGIST # l'30011~3 ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************~********************************* 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 sUQject to "deed restrictions" which may be more restrictive than City regulations. The unde~signed assumes responsibility for compliance with any applicable deed r~strictions. 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 portions 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 cQntractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion 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 ~omeone other that.the "pwner"; I cerify that I have obtained a copy of the above qescribed 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 aone in compli,ance with all applicable laws regulating construction, zoning, and land development. Appliqation is hereby made to obtain a permit to do .work and installation a~ 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 code~, 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 responsioility 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, Wetlapd 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 shf~l issuance of,a p. erm1.'t prevent.the Buildi~g Of7i?ial from thereafter requiring a correc 10n of errors 1n plans, construction, or v101at1ons 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 for la 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: YOU~ 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 ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500.IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGN~TURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY Of The foregoing lnstrumentwas Before me this _____day of by acknowledged ,20_ of identification) take an oath. (name of person acknowledged) C1ho is personally known to me, or OWhohas produced (type o,f identification) and who Odid Q:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name t~~ed, printed or stamped Name typed, printed or stamped