HomeMy WebLinkAbout06-5472
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
~/
5472
Permit Number: 5472
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: COMMERCIAL
Contractor: JAMES 0 MORTON ELECTRIC C
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 2/21/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 2/21/2006
Work Desc: 100 AMP SERVICE & WIRE SIGN
Address: 5243 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15400-0050
Name: TANNER,WAYNETRUSTEE
Address: 5243 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
( ~)~1,t\~
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are
necessary due to anyone of the following reasons: 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the 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.
{r /1M
~M~
REQUIRED
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD PROM WEATHER
C1rry OF ;(jJ:!j.t'n~l'\n..L.u.LIu ... -.......- - --- ---
BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-7BO-0021
DATE RECEIVED
;2 - 02/- o?
PHONE GONTACT FOR PERMITTING
OWNER'S NAME
~ ) e 0 ~ : ft;J I c 5f ,+'(2
j (J. dill! PIg
PHONE
1!Z>t3'JJ
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
(OBTAIN FROM PROPERTY TAX NOTICEl
DADDITION
DMOVE
DALTERATION
D REPAIR
D INSTALL
D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D. OF UNITS
D SWIMMING POOL
D MOBILE HO~
DOTHER
BUILDING SIZE
Ii RESTAURANT · HE.,>"TH UEP~~Hf"} goP', O,V~L
S D A1/ 8~LJ.tj/<- /}//;<-I fLb~tI
, 'S Vd._ tv 21u . C:)' L ~~1r-
SQUARE FOOTAGE " ,
1-f)~~
DESCRIPTION OF WO~
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. //
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION~/
PERMITS REQUESTED C 11 .) ~
VALUATION OF TOTAL CONSTRUCTION
$
D B~NG
~LECTRICAL
D GAS
D ROOFING
( jb() AMP SERVICE D Progress Energy D W.R.E.C.
$ VALUATION OF'MECHANCIAL INSTALLATION
D SPECIALTY D OTHER
D PLUMBING
D MECHA~ICAL
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
,- -~~--,-- -~ -- - -- -- .--- -- -- ----, -., ,--- ---~-----------( -- -- -- -, . - ---,_.- -------:---<:"
~ ' I" ,
~~'_____:....__..:_c,~-'--______ ___.__,.!..-'-_,~~I-_--, _" ---- ,~'---~--_~I ,:"
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
......................... .~....... ** **. "TJf)i;j '*67107f*7 71;1) ttJ /.vb
I.J~ COMPANY , -L 7:LJ(;
!/ '1, t STATE CERT OR REGIST # .L; f) () 0 ';J
SIGNATURE
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A.' NOTI~E OF DEED RESTRICTIONS
Tha 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 appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner has hired a contractor or ccntr~ftors to undertake work, 'they may be required
to be licensed in accordance with state and local regulations. If the contractor is nO,t
libensed as required by law, both the owner and contr~ctor maibe cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing require~ents may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department; 813-760-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor Is) sign po.tionsof the "Goritracto~sections" of this '~lication for which they
.ill be tesponsible, It ydU,'S ~he o~er signs as the coutractor, ydu are iudicating that
you, rather than the contractor, are responsible for the work. ~f 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 CONNECTI.oN FEES '
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED)
I certify that I, the applicant, hay. been provided with a copy 'of "Florida's Construction
lien Daw _ Hcmecwner's,protection Guide" prepared by the F1crida Dep.ttment cf AgriCUlture
and Ccusumer Affairs, If the applicant is someone other that the "o~er", I cerify that I
have obtained a copy of the above dascribed document and promise in good faith to deliver
it to the "ownerif prior to commencement.
E. ,CONTRACTOR'S/OWNER'S AFFIDAVIt
I certify that .11 the information in this app1ication'is accurate and that .11 work will
be done in compliance with ,all applicable laws regulating construction, zoning, and land
I development. ' '.
Appli~ation is hereby made to obtain a permit to do work and installation as indic,ted, I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet sta~dards of all laws regulating construction, city
codes, zoning regulatiohS, and land developmerit 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
be in compliance. Such agencies inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetland Areas and Environmehtally Sensitive
Lands, Water/Wastewater Treatment '
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps bf Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells;
Wastewater Treatment, Septic Tanks'
*U.S. Environmental protectiori Agency-Asbestos abatemen~
I also certi~y that, if fill material is to be used in Floqd Zone "An or "A, etc.", it is
understood that a drainage plan addre.sing a"'compensa,ting volume" will be suhmitted which
is prepared by a proiessiona1 engineer registered in the state of F10tida prior to permit
issuance. ~
A permit issued shall ,be ,construed to be a license to proceed with the work and not ..
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 inv.1id unless the work authorized by such permit is commenced within
six months of i.suance, or if work authorized by the permit is suspended or abandoned for ,*
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 $lS,OO, The exten.ion shall be requested
in writing to 'the Building Official, An approved inspection must be logged duririg each .ix
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
. . ' I
PAYING TWICE FOR IMPROVEMENTS ~OYDUR PROPERTY, IF YOO INTEND TO,OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY ilEFORE RECORUING yOUR NOTICE OF COMMENCEMENT. JOBS ONDER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A \\NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2 0..:-
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
'.r 20_
(name of persor acknowledged)
[1ho is personally known to me, or
(name' of person aoknowledged)
o who, is personally known to me, 'or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid Qiidnot take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped