HomeMy WebLinkAbout06-6080
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CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6080
6080
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: COMMERCIAL
Contractor: CONTROL DESIGN ELECTRICAL
Square Feet:
Est. Value:
Improv. Cost: 8,138.00
Date Issued: Name: OLD CASTLE MATT STONE
Total Fees: 112,50 Address: 3749 COPELAND DR
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/13/2006 Phone: 813367-9780
Work Desc: ELECTRIC FOR 4000 sa FT WAREHOUSE ADDITION
Address: 3749 COPELAND DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 24-26-21-0010-03900-0000
Section:
ELECTRICAL FEE
112,50
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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.
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CONTRACTOR
CALL FOR INSPBCTION - 8 HOOR NOTICB
PROTBCT CARD FROM WEATHBR
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REQUIRED
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Name OtJj CA~ "7 ~
Owner's Address I 3 1 'f- q
Fee Simple Titleholder Namel
/h1i-r7' S-?'o..u'C
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Date Received
JOB ADDRESS
Fee Simple Titleholder Address I
1.37t.tCJ
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EC~82 ~ICTR'CAL CONTRACTORI. 'Ie.
'ndUatr,., Electrical & Co
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B ADD/ALT C
REPAIR
D COMM 0
D FRAME 0
RICK PHILLIPS
PROJECT MANAGER
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SUBDIVISION
PO Box 90069 . L
863,815-5740 akeland. Florida 33804'0068
. Fax 863,815,5720 . Cell ~63'557{]357
D NEW CONSTR
D INSTALL
PROPOSED USE 0 SFR OTHER I
TYPE OF CONSTRUCTION 0 BLOCK STEEL D
DESCRIPTION OF WORK I 4o-CrO Sa p-r tv~dtt.<Sc;. A-iJ/~17to)'-J
BUILDING SIZE I L/ 07XO ' SG I I SQ FOOTAGE I HEIGHT I U'
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WORK PROPOSED
OTHER I
1$
1$ ~ /3 -? ' 0 (;
1$
1$
o GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDER IC~-.r~"'L ~~.1".u ~~~ ~~.G?fC.~+f
SIGNATURE _ Y / N I FEE CURRENT ,Y / N
Address License # I J~ 1'( en (;) 0 ~ ~7 L. -'2- I
ELECTRICIAN ;( ~ p p~ COMPANY 1Cc>,vTA-CL I.X:sJr;,/J .(?UG-?~~~'
SIGNATURE REGISTERED Y / N FEE CURRENT I Y / N I
License # I '= c CJ(yO Z. 7'- 'C.-
0 BUILDING
E:xl ELECTRICAL
D PLUMBING
0 MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY D WR.E.C,
Cv~~~ P.a..-t-~ 5'iS35
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VALUATION OF MECHANICAL INSTALLATION
Address jptl h,,~ 9bO'Q (~J P'-
33'if6<jL
I
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
1I1111I1111I1111111111111111111I1111111111111111111111111111I111111111111111111111111111111111111111111111111IIIIIIIilllllllllllll
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,
111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111I111111111111111111
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
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadwaysnneeds ROW
N~T'CE OF DEED RES~R,ICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
whIch may be more restrlctrve 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
l 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
.1
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 "A" 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 Officia~ for a period not t~ exceed nin~ty (,90) da~s 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 has/have 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
<SDEC
Lie. No. EC-0002762
CONTROL DESIGN
ELECTRICAL CONTRACTORS INC.
P. O. Box S006Si Lakeland, FL 33804-006S Tel: 863-815-5740
Industrial Electrical & Controls Specialists 4081 Felling Leaf Lanei Lakeland, FL 3381 0 Fax: 863-815-5720
August 23, 2006
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542-4312
RE: Personnel authorized to pull permits
To Whom It May Concern:
The purpose of this letter is to authorize Richard B. Phillips to pull electrical permits for projects
we are performing, which fall under the jurisdiction of the City of Zephyrhills, Florida. This
authorization should remain in effect until I rescind it in writing,
Thank you for assistance,
Respectfully Yours,
ct~q~
John E. Ferguson
President
John E, Ferguson whom is personally known to me acknowledged the forgoing instrument before me this
23rd day of Auaust 2006.
~~\f~
Signature of Notary
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