HomeMy WebLinkAbout06-6081
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6081
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6081
ELECTRICAL MISC
FIRE ALARM SYSTEM
NOT APPLICABLE
J L ELECTRIC INC
Address: 4822 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01700-0090
3,688,00
9/19/2006
95,00
95,00
9/19/2006
INSTALL FIRE ALARM
Name:
Address:
GONZALES-SMITH, DIANA & COLLINS
4822 GALL BLVD
ZEPHYRHILLS, FL. 33542
813 788-9011
Phone:
FIRE PLAN R I W FEES
FIRE PERMIT FEES
FIRE IJECTION FEES
~~~~~~t\v4'~\
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.
~
":-:Lvt ~ .
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
~-~
-PERM IT OFFI R
REQUIRED
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6081
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc: INSTALL FIRE ALARM
6081
ELECTRICAL MISC
FIRE ALARM SYSTEM
NOT APPLICABLE
J L ELECTRIC INC
Address: 4822 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01700-0090
3,688.00
Name:
Address:
GONZALES-SMITH, DIANA & COLLINS
4822 GALL BLVD
ZEPHYRHILLS, FL. 33542
813 788-9011
95,00
Phone:
FIRE PLAN REVIEW F
FIRE PERMIT FEES
ROUGH ELECTRIC
FINAL
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.
CONTRACTOR
CALL FOR INSPECTION - 8 HOUR NOTICE
PROTECT CARD FROM WEATHER
~M~
REQUIRED
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
Owner's Name
Owner's Address 1 Lf ~.2.~ C~ \ \
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
f:S-D
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Owner Phone Number
Owner Phone Number
PARCEL ID#I
\~u '30 (
I
LOT #
JOB ADDRESS
4<t~;;l..
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SQ FOOTAGE I
SUBDIVISION
DESCRIPTION OF WORK
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NEW CONSTR
INSTALL
SFR
BLOCK
AD DIAL T
REPAIR
COMM
FRAME
D
D
D
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
OTHER I l=" \;'e.. ~ \a... 11.1
STEEL D OTHER _
DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
<; '.i ~VI1
I
HEIGHT I
BUILDING SIZE
~ERCI~
License # I
~ l@,(., \ ~ \ C.- I r\ C
I FEE CURRENT I Y I N I
License # I); R. 0 tJ f O:L2 D I
I
Address License # I
MECHANICAL I COMPANY 1
SIGNATURE , REGISTERED Y I N FEE CURRENT Y I N
Address I License # I
OTHER I COMPANY I
SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
Address I License # I
111111111111111111111111111111111I11111111111111111111111II11111111I111111I1111111I111111111111I1I11111111111I1I11111111111111I1111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance,
Attach (2) sets of Engineered Plans,
''''PROPERTY SURVEY required for all NEW construction.
11111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
1$
1$ 3!Q%~. ~
D PLUMBING 1$
D MECHANICAL 1$
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
11111111111I111111111111111111111111111111111I11111111I1111111111111111I11111111111111111I11111111111111111111111111111111111111111I11111111111111
I
I
I
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
j2(
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
o
W,R.E,C,
VALUATION OF MECHANICAL INSTALLATION
~. ~_ a.o.Gb
Pt+
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y I N
, FEE CURRENT
Y/N
Address
ELECTRICIAN
SIGNATURE
I ~,L,
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions,
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction, I also
certify that I understand that the regulations of other government 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 Protection-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,
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways,
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is' to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "N in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes, Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced, An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is 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,
FLORIDA JURAT (F,S, 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identification,
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No,
Commission No,
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner: '"'S"L
Billing Address:
Q\~,c ~G
"2$-~- 20 ~\e lGwtl
~
Occupancy No.:
Plan No.: t;J,~. /~
Business Name: : ' ~'
BusinessAddress: , z-
Business Phone No,:
Business Fax No,:
Contact:
~l G3~
PLAN REVIEW FEES
II Site Plan N/C
, Building Plans .04 sf
Revision .06 sf
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 ALAR~S M
M,o - 25 Device $30'
1[}26 plus Devices
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
PLANSTOTALI:~~
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
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM S~
~\ System Acceptance ~
IT Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
Billing Phone No,:
Billing Fax No,:
Contact:
PERMIT FEE
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
Non Compliance $150
"Affidavit of Service/Repair"
SPRINKLER SYSTEMS
D Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM S~
~ Detection ~,
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
[l Hood/Ducts $15
D Kitchen Suppression $15 ,...,-
PERMIT TOTALLj{;J FALSE ~~:~ I I
.JPMTOT~:rs :;~<:~~W~~
/' / /
INSPECTION TOTA~
Comments:
r:;,J #/4r A1
Date:
0/6~ ~~_~
~V .-' "PLI~ /il(
/
Inspector:
State of
NOTICE OF COMMENCEMENT
~ County of ;J~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: ParceINo./-</-;J..C:--;l/-oolo -t:J/7<,o -DC}PO
l^7ooR.C5/ii) P)J/ PG6-1 AcTS 9-/1 .T/VCL /3/K 1'7
(Legal description of the property and street address if available)
2. General Description of Improvement /Y/~o.z ~-;vT~...e/C"e Ch,;4,c..JpC"5
.T,v'5r/7~L S t::"c,-".z,7)i' "c-o<.E-t;- p~~,c c> /9.?,4,i<:/7
Name of Fee Simple Titleholder:
(If other than owner)
1/1111111111111111111111111111111111111111111111111111111111
2006180851
Owner Information: Name GCJiu;:Z/9.LIi.5 ....,~/./'7LT~ th~/-'A,k:. -I.~/L;~:; I-D~[)'~ J
Address A 80)( k (:) DCC.;z City :rAck 5C1IU O./"-L eState J=L
Rcpl: 1029992 Rec: 10,00
os: 0,00 IT: 0,00
09/05/06 Dpty Clerk
JED PITTMAN 'PASCO COUNTY CLERK
09/05/06 0i: l~m 1 of 1
OR BK 716't PG 1606
State
3.
Interest in Property:
D c..v ,v e;2S
SA?7e
Address
City
4. Contractor: Name ROb eAZ DE"vE S
Address ,j.~'Y'..,/ 5A'",vTL 5~oR" E.N2
City ~ApP 0 r /'A/c~ ~j
State /-L
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name ~(),V e
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name D 1.4 ,.:)'.) r;; rJ p:2';L eo 5 .5 1'71. '/./...
Address )II') -6,-, x /.:, c' oeD':;" City JAc.k 5n,;(..1I...Jht.L c State J:::-L
R I dd" h' If 0 . ~\le.o C/o D n
,,' na ltIonto lmse, wnerdeslgnates CC:>AJUY,5l/ miLL ~Y.t:-;CCA~II-'/
., ....,,- 3 Cf t&, I 9' S /( f) 'Y
of ;Z..c-.R~ )'12. ~ L.I-L5 FL. 335'01/ to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: i..q-e
Sworn to and subscri ed bet
~
,20ob.
Notary Public:
My Commission Expires:
PC9305~t# V 3 u YJ. 60'} '-i;) l/ )Jl
F""'~ L
~~ MY COMMISSION # DD573386
">- 'If!If(, EXPIRES: July 12. 20 I 0
1.IU:r~OTARY FI. NOlary Dlacount oc. o.
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