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HomeMy WebLinkAbout05-5119 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 ELECTRICAL PERMIT 5119 Permit Number: 5119 Permit Type: ELECTRICAL M ISC Class of Work: ELECTRICAL MISC Proposed Use: COMMERCIAL Contractor: SPECIALTY ELECTRONIC SYSTE Square Feet: Est. Value: Improv. Cost: 1,000.00 Date Issued: 11/09/2005 Total Fees: 160.00 Amount Paid: 160.00 Date Paid: 11/09/2005 Work Desc: FIRE ALARM SYSTEM Address: 38303 NORTH AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: ELECTRI EE FIRE PLAN REVIEW FEES I ('\0- oV ~\\. ..,\' ~ I'd ~ \ 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. ;(DJ CONTRACTOR CALL FOR INSPBCTION - 8 HOUR NOTICB PROTBCT CARD FROM WEATHBR ~- !:Z- -PERMIT OFFI R RBQUIRBD I 'i!'_~ ~ r -t~i ~ () ~. : ':l' \JJ ; :J'- '.:::.....-"> "'\) -.........1'\ 4~~ '1- - )- f\ 1\ (' . ~ ("") ~ '" r ~ f\ ~ v\.. ~ ~ i: I '! ~. , I ( , ~ l f t ~ ~ .: o ~ ~ l> ~ p;1 i "'l:1 t o i ::c I I 0-1 J I f :c i t%l i Ul ! 0-3 ~ f I ,~ @ CD (9 o . S <DI r/7j i . I 1 J i I 1 < ~ l I ~ ~ ! I I ~ i 0~1 ~ o :z o ::c >-l ::r: en H o t%l '-' o ;l j ~/ ft' , I ~ 0 4t ~~'~. ~ ~ ...... ~ -c.. ? ~ ({!) ~ ..J c::: i i ! ~ ! -. 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CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED 11-7 -DS" PHONE CONTACT FOR PERMITTING 5"& 7- 5"77tt OWNER'S NAME f}e'-t..lt-y JOB ADDRESS.5t33Gl3 I-h~~tyt/ L/~/~ x,.o/i- IJ,",-y ~t" /\/()/[..I-A A (/ c: PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ,c; A...e Att-'l.M S'v~/e~ / BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. AMP SERVICE o Progress Energy 0 ~\~{) PERMITS REQUESTED o BUILDING ~LECTRICAL $ :J( I. t/otJ I ~J .:,} VALUATION OF TOTAL CONSTRUCTION o PLUMBING o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION 8()THER o MECHANICAL $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # SIGNATURE ****************************************************************** MECHANICAL ,i f~ ~gr ***************************************************************~ Ai-9'~J'-\ COMPANYJ!et..t'c..!1-{' 6"k,.J~-v/c:: S"Y5,t...-~ r.ve. COMPANY SIGNATURE STATE CERT OR REGIST # OTHER ;:::";/W SIGNATURE -;1("'b;/J STATE CERT OR REGIST # E r t:/eJO 10'1 C; 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 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 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 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. Application 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 for 'a 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 "NO; OF C~;7T'" SIGNATURE' OWNER OR AGENT SIGNA;JRE: CONTRACTOR acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid [}: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 Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 Occupancy No.: Plan No.: Business Name: BusinessAddress: Business Phone No.: Business Fax No.: Contact: PLAN REVIEW FEES ~ Site Plan N/C Building Plans .04 sf Revision .06 sf FIRE SERVICE USER FEES Owner: <" APLi'u ~ f;Le~41.('L ~~s.ktvtJ Billing Addrels: ~..: STANDPIPE SYSTEM D Per Riser $25 SPRINKLER SYSTEMS D 0 - 25 Heads $30 D 26 plus Heads $60 FIRE PUMP D Per Pump $100 FIRE ALARM SYSTEM o 0 - 25 Devices $30 tXJ 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION D Hood/Ducts $35 PLANS TOTAL ~ Comments: P6'~d INSPECTION FEES Annual N/C 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 SPINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM 15<1 System Acceptance $50 D Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 INSPECTION TOTAJ:52j GRAND TOTfL I j /I-/~ ~-Z-/15r~// Billing Phone No.: 35' 2.-~-~ 7- 5""iyp Billing FaxSJo.: ':J. Contact: ~v ;v, ;e...\ PERMIT FEE SPINKLER SYSTEMS D Automatic $15 FIRE PUMP D Fire Pump $15 FIRE ALARM SYSTEM D Detection $15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 FALSE ALARM I TOTAL GREASENENTILATION D Hood/Ducts $15 D Kitchen Suppression $15 PERMIT TOTAL! 15 '!f f;ClS: t?O I Inspector: ~t297 @