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Home My WebLink About05-4859 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 ELECTRICAL PERMIT 4859 4859 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL MISC Proposed Use: NOT APPLICABLE Contractor: ADT SECURITY SERVICE, INC Square Feet: Est. Value: Improv. Cost: 1,931.00 Date Issued: 8/23/2005 Total Fees: 135.00 Amount Paid: 135.00 Date Paid: 8/23/2005 Phone: Work Desc: REPLACE FIRE ALARM CONTROL PANEL Address: 6701 DAIRY RD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Section: Name: HEALTH CARE PROPERTY INVESTORS Address: 6701 DAIRY RD ZEPHYRHILLS, FL. 33542 EL CTRICAL FEE FIRE INSPECTION FEES 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 acc 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. ~ \. CONTRACTOR CALL FOR INSPECTION - 8 HOUR. NOTICE PROTECT CARD FROM WEATHER ~M~ REQUIRED , I CLTY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8th STREET ZBPHYRHILLS, PL 33540 Phone.B13-7BO-0020 FaxIB13-7BO-0021 C, .~/9-'7)~.. DATB RBCBIVBD _Q.._ ~ PLANS RBVIBW FBB / OWNER'S NAME flett/if, Ctl'fe Pr&h e.... i ty hVe..5lo r S PHONE CONTACT . I 10 n/ JOB SITE ADDRESS (Q '70 t D a L '('7 reef, . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WORK PROPSED: []NEW CONSTRUCTION PARCEL 10 # O:1.-J..~-~)-tJO/O-03906~OOtPD(OBTAIN FROM PROPERTY TAX NOTICE) []ADDITION []ALTERATION ~REPAIR [] INSTAI~L DSIGN o MOVE o DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING o COMMERCIAL []MULTI-FAMI,LY o INDUSTRIAL .[]# OF UNITS o MOBILE HOME o SWIMMING POOL o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL f(,eIP}aCB Faf..,L/r-y Fire ,~JB.;Y'm COf/?re>/ , , Pauel BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. -r: {2ft- g ~~ PBlUIITS REQUESTBD jt~ -r;; ~ $ / 9 :3 J VALUATION OF TOTAL CONS'l'~TION o BUIUHNG [] ELECTRICAL AMP SERVICE o Fl,ORIDA POWER o W.R.E.C. [J PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALI,ATION o GAS [] ROOFING o SPECIALTY o OTHER TYPE OF CONS'l'RUCTION: 0 BLOCK [] FRAME [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNA'I'URE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ([) l~ >THBR F/~' e P'fM COMPANyADT 5ectJ."Y"ry ~e'fVlce.5 t?J.1 ~ ~. -11. f}" ~. STATE CERT OR REGI8T # 1: ~ Dt:> (!) /1,;(.:3 SIGNATURE Bt 3 --:3 7 _~ CITY PROCESSING # 3 c> d.. 0 ********~************~~~~************************************* ***************************************************************** UJl~!Jl'J:J.UJII::J UH' PERMIT AFFIDAVI'l' A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance Hith any applicable deed restrictions. B. UNLICENSED CONTRA.CTORS AND CON'l'RACTOR 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 \vork, they are advised to contact the City of Zephyrhills Building Department, 013-7BB-6611. 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 contractor, are responsible for the Hork. 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 S'fATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction 11en 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" prlor to commencement. E:. CON1'RACTOR' a/OWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all work tdll be done in compliance with all applicable laws regulating construction, zoning, and lEwd development. Application 1s hereby made to obtain a permit to do work and installation as indicated. I certif.y that no work or installation has commenced prlor to issuance of a permit and that all work will be performed to meet;:.;,p,t<:l,ndards of all laws regulating construction, City codes, zoning regulations, and land. development regulations in the jurisdlction. I also certify that I understand that the regulations of other governmental agencies may apply to the lntended work, and that it is my responsibility to identify what actions I must take to.. be in compliance. Such agencies lnclude but are no't limited to: "Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewal:er 'freatment "Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses "Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways "'Department of Health <It 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 hy a professional engineer registered in the State of Florida prior to permit issuance. A permit isslled shall be construed to be a license to proceed with ~he 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 1s commenced within silt months of issuance, or if t'1ork authorized by the permi.t is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of thue may be allowed for the permit with fee charge of $15.00. 'rhe 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 '1'0 OWNER: YOUR FAII,tJRE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESULT IN YOUR PAYING TWICE ll'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'I'ATNFINANCING, CONSUL'l' WI'l'H YOUR LENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDP.:R $2,500 IN VAI'uE DO NO'I' NEED 'f0 RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~ SIGNA'l'URE: OWNER OR AGENT ~~.._- SIGNATURE: CONTRACTOR S'I'A1'E OF FLORIDA COUN'I'Y OF 'I'he forego.i.ng instrument was Before me this __ day of by <H..k.nowledged __, 19_ STA'l'E OF nORIDA COUN'I'Y OF The foregoing instrument was Before me this _day of. by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or o who has produced (type and whoO did Od.i.d not of identification) take an oath. (name of person acknowledged) Chho is personally known to me, or o who has produced (type of identification' and who Ddid [}:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment' Name typed, printed or stamped Name typed, printed or stamped , I CLTY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPART~ENT 5335 Bth STRBE'r ZBPHYRHILLS, PL, 33540 Phone.B13-7BO-0020 FaxIB13-7BO-0021 C? ~/C7_V~ DATE RBCEIVED 25 L J PLANS REVIEW :rRE ----- I OWNER'S N'AME liett!t1 Ct1-'fe Pr&h e- i tv hve.5t~ r:i PHONE CONTACT . I 10 nl JOB SITE ADDRESS ~ 7' 0 t D a. L '(' r f"l IX , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # CJ:l-~~-~)_()OIO_03.906",=OO6>D(OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED; DNEW CONSTRUCTION D ADDITION DALTERATION lXREPAIR D INSTALL DSIGN [) MOVE [) DEMOLISH [) SWIMMING POOL [) MOBILE HOME o OTHER o COMMERCIAL [)MULTI-FAMI.LY [) INDUSTRIAL 0# OF UNI'rs PROPOSED USE: DSGL FAMILY DWELLING DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMEN'r APPROVAL f(. efp' a C B Fa Loti 'Cy F /r e l~} iJl.-y h1 C () J1 Z-r c> I , . Pal/le l SQUARE FOOTAGE HEIGHT BUILDING SIZE o BUIUJING $ /9:3/ PLJWg '. fie. ( 2 ) SE'rs OF BUILDI~G PLANS & ( 1) SET ENERGY FORMS. OF BUIlJDING PLANS & (1) SET ENERGY FORMS. ., REQUIRED FOR ALL NEW CONSTRUCTION. , -:t~ 7)J ~ 6'~ 1--fD PERMITS REQUESTED uV ~~ 1:v ~tfJ--.- VALUATION OF TorrAL CONS'l'RUCT~N _ - . ~ -. RESIDENTIAL; COMMERCIAL: ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY D ELECTRICAL AMP SERVICE D FLORIDA POWER [) PLUMBING o MECHANICAL $ VALUATION OF D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONS'l'RUCTION: [) BLOCK D FRAME [) STEEL D OTHER FINISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO rf~iTlr~r, I rj: r'11Ti1~'rjlnrrr~:~ l1'j' r~!'~"1 ~t:~;,"rc i'l]: t[11"jHf" 'I'; l,'~r:'~W'1 : f 1 ,-:.;.: ~ : . '..! ; ,T, . . " - ',: r~1 I:. I': r; "\] lTl~ I ~rtf~~~trt~Rr~~W;iUJill'~G i~[lt:;1~eflW8lmTI;illW1:[~~~r:fI'M4 ~iI;~.\Jr~.'Il, ,:: ',j! L~.lwl 't'," 1'''\.11<'14 1111j 'J~I :it'\~ll~.fjl'l!liJ11'II'i"i )lL'~ .' .. ~_.,: <~ .~.., ,'::. ~J L,:-:, I~ .L:'J~,!.AJIEw~lilllliiJlt\JrL.1:\:~;'til:.~lfl:\WiHI1'le11,1l~~\~J~ls~i~II['f],~U1U:l~ COMPANY STATE CERT OR REGIST # CI'rY PROCESSING # BUILDER SIGNATURE ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # BLBCTRICIAN S I GNA'l'tJRE ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # PLUMBBR ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # MBCHANICAL cOl~ lTHBll F/~ COMPANY. Dr .5ecv- '('it; ..s e'rvlc t ~ STATE CERT OR REGIST It L;' f?O{!)J~;3 SIGNATURE _ . .. , ~/ CITY PROCESSING # 3 ' . 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