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Home My WebLink About05-4965 1 I CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 4965 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: 9/29/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 9/29/2005 Work Desc: REMOVING, REP 4965 ELECTRICAL MIS ELECTRICAL MIS COMMERCIAL ! TERRELL ELECCtlCAL SERVIC Address: 5610 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Section: Name: BURGER KING Address: 5610 GALL BLVD. ZEPHYRHILLS, FL. 33542 Phone: CING AND ADDING MISC. LIGHTS REINSPECTION FEES: When extra i spection trips are necessary due to anyone of the following reasons, a charge of Thirty-fiv 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 inspe tion called (d) Work not ready for inspection when called (e) Permit not posted on job s'te (f) Plans not at job site (g) Work not acc The payment of inspection fees hall be made before any further permits will be issued to th person owning same "Warning to owner: Your failur twice for improvements to your your lender or an attorney befo Complete Plans, Specifications performed in accordance with Ci to record a notice of commencement may result in your payin roperty. If you intend to obtain financing, consult with e recording your notice of commencement." nd Fee Must Accompany Application. All work shall be y Codes and Ordinances. G ~..,. ~e.~ ' NTRACTOR CALL FOR INSPECTION - 8 HOUR NOTICE PROTECT CARD FROM WEATHER ~M?:r REQUIRED / I I OITYOr ZBVHYRBILLS pERMIT APPLICATION UUJ~IYG DEPAR~ 5335 Sd S~, ZGphy~hill., r.L 33542 813-7BO-O~20 rAX:813-7S0-0021 DA!r.l\ RJ:CJlrvlllD PHOlU COND.C~ roll P.tum'TING Q\ ~ - -, cs- ~ - ~ S C{ t;.- OWNER'S NAM&: 1<6~-gl~ ,\ ~\.":2 ~ - c-{l JOB ADDRESS LEGAL DESCRIPTION: PARC&:!. 10 t WORK PROPSEO: DADDITION ~T&:RATION o REPAIR o INSTALL Cl MOVE o DEMOLISH OMOLTI - FAMI!."! Oi, OF UNITS CJ MOBIL!!: HOME o OTHER CIAL 0 rNOOSTRIAL OSWIHMING POOL ~STAURANT "HEALTH DEPARTMENT APpROVAL BUILDING SIZE SQUARE FOOTAGE <-'- ~~t..:...~_ DESCRIP'lIOH 01' lfORI( !(" ~ . o HEIGHT RESIDENTIAL I ATTACH COMMERCIAL: ATTACH IF SIGN PERMIT ONI. PROPERT (2) PLOT PLANS & (2) SETS O~ BUILDING PLANS (3) SETS or BU~LD!NG PLANS & (1) SET ENERGY (2) SETS OF ENGINEERED PLANS REQUIRED. SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. & (1) SET ENERGY FORMS. rORMS. PIlRMITS REQUBSTIlD o BUILDING ~LECTRICAL $ E VALUATION OF TOTAL CONSTRUCTION SERVICE o ProQress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o OTHER o GAS o ROOrING D PECIALTY TYPE OF CONSTROCTION: 0 BLOCK o FRAME o STEEl. o OTHER FINISHED FLOO~ ELEVAT eNS IS PROJECT IN FLOOD ZONli: AREAO YES 0 NO ~ . -- -- _._"""""'--~ - - - ---~-'- mJILDIlR COMPANY SIGNATURE STATE CER'l' OR REGIST # ~.***..* ..********+.******.**************.**************....***** IWlCtRICUN i SIGNATURE c; <e... (} <r-~ ... --" It...- \ '" Q...LL- u COMPANY~~ T ~- .....1... \... 't \~~--\ S ~<" \.;>" ~ t".C':... -r...<--.c, STATE CERT OR REGIST t E ~-~~ \ L ~ ~y ...*.*.* .*.***.****.***.**+****.~********.**.***********.***.**** PIDGBlR COMPANY SIGNATURE STATE C~RT OR REGIST * .****... **********.*+****+*.********~.....***.~***.**.**..****... MIICHl\l1(ICAL COMPANY SIGNATURE STATE CERT.OR REG 1ST t ******** .**.****.***..****.**+*+~**.*..*************+*.********* o~a COMPANY SIGNATURE STAT&: CERT OR REGIST j/ 1 r A.' NOTI~E OF DEED REST~ICTIONS Th'l undersignGld undgrst~nds that this permit may be subject to "deed restriotions" which may'be more reetrictive'than City regulations. The undersigned assumes responsibility for compliance with any app feeble deed restriotions~ B. UNLICENSED CONTRACT ~S AND CONTRACTOR aESPONSIBILITIES If the owner has hired contractor or contractors to undertake work, 'they may be required to be licensed in accor ance with state and local regulations. I~ the contractor is not lioensed 818 required by law, both the owner and contractor may be cited for a misdemeanor violation under s~ate 1 w. If the Owner or intended contractor are uncertain as to what licensing requirements y apply tor the intended work, they are advised to contact the City o~ Zephyrhills Bui ding Department, 8l3-1BO-0020. Furtherlt\ore, if the own r has hired a contractor or oontractors, he is advised to have the oontractor(e) sign port ons of the "Contractor Sections" of this application for which they will be responsible. I you, as the owner siqns as the contractor, you are indicating that you, rather than the co ttactor, are responsible for the work. ,If the contractor wishes you to sign as contract r that may be an indioationthat"he is not properly licensed and is not entitled to permitt n9 privileges in the, City of Zephyrhills. C. TRANSPORTATION IMPA TFEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the a plicant, haye been provided with a copy 'of ~Florida's Construction lien Law - Homeowner's, rQtection Guide" prepared by the Florida Depart~ent of Agriculture and Consumer Affairs. f the applicant is someone other that the "owner", I cerify that I hQve obtained a oopy'of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR'S/OWNER' AFFIDAVIT I certify that all the nformation in this application is accurate and that all work will be done in compliance w th ali applicable laws regUlating construction, zoning, and land development. Appliqstion is hereby m certify that no work or all work will be perfo codes, zoning regulatio certify that Iundersta the intended work, and be in compliance. Such Environmental Requlatio Lands, Water/Wastewater .Southwest Florida "ate Altering Watercourses .Army Corpa of Engineers-~eawalls, Docks, Navigable Waterways .Department of Health & ~habilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, S tic ~anks .U.9. Environmental Pret dtion Agency-ASbestos abatement I aleo certify that, if ill material is to be used in Flood Zone "A" or "A,etc.", it iB understood that adraina e plan addressing a ~compensating 'volume" will be submitted Which is prepared by a profess anal 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. ca qel, alter, or set aside any provisions of the technical codee, nor shall issuance of a ermit prevent the Building Official from thereafter requiring a oorrection of errors in lans, construction, or violations of any code. Every permit issued shall become inva td unless the work authorized by suoh permit is commenced within si~ months of issuance, r if work authorized by the permit ,is suspended or abandoned for 'a period of six Months aft r thQ time the ,work is commenced. One 90 day extension of time may be allowed for the p ~it with fee oharge of $15.00. The extension shall be requested in writing to 'the Buildi 9 Official. An approved inspection must belogqed during each six month period, or the pro ~t will be considered abandoned. WARNING 1'0 OWNER: YOUR PtlILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR' PAYING TWICE FOR IMPROVE !NTS ~o YOUR PROPERTY. Ir YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A ToRNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT. JOBS UNDER 412,500 IN VALUE 00 NOT N EiD to RECORD AND POS'!' A "NOTICE OF COMMENCEMENT". d$ to obtain a permit to do work and instaliation as indicated. I installation has commenced prior to issuanoe ot ~ pe~rnit and that ed to meet standards of all laws requlatinq construction, City 8, and land development regulations in the jurisdiction. I also d that the regulations of other governmental agencies may apply to hat it is my responsibility to identify what actions I must take to agencies include but are not limited to: .Department of -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Treatment Management District-Wells, Cypress Bayheada, Wetland Areas, SIGNATURE: OWNER OR AGE T SIGNATURE: CONTRACTOR STATE or FLORIDA COUNTY OF The toregoing instrument was acknowledged Before me this _ day f , 2Q........ by (name' of person Bck oWledged) ONho is personally kno n to me, or O'WhO has produced (type of identification) and wlioO did Ddid not take an oath. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this -&lay of , 20_ by (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) ancl who Odid Ddid not take an oath Signature of person taki q ~cknowledgement Si~nature of person taking acknowledgment Name typed, printed or s a~PQd Name typed, printed or stamped ''1,,'' ....,... I r"' T...... 'n Of ""''''''N' ""'''''''''TU1':17 IAT\I Cl 'n! IT'JM/Cnn7/Q7 U';r~