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HomeMy WebLinkAbout06-6080 ,-' 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 f1~J ') ~/O<o \0/ 1/- Cf ROUGH ELECTRIC FINAL A. <LHJ<2C. b 0\0- ~R..t :f1 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. '" 1/~6 p~ CONTRACTOR CALL FOR INSPBCTION - 8 HOOR NOTICB PROTBCT CARD FROM WEATHBR ~M~ 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 Co p~(A:-lJ1J b~ Date Received JOB ADDRESS Fee Simple Titleholder Address I 1.37t.tCJ I <;?~!D..OT..L ...,.. EC~82 ~ICTR'CAL CONTRACTORI. 'Ie. 'ndUatr,., Electrical & Co ntrD'. WJ jJt;;~ D nit ~H'I I PARCELlD#~ B ADD/ALT C REPAIR D COMM 0 D FRAME 0 RICK PHILLIPS PROJECT MANAGER \ 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' .'tlrllllllllllllllll"rr"'lllt"IIIIIIIIIIIJ"t'tlll111111111111111111111111111111"111""1111111111111111111111111111111111111"11111111111111 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 11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I11111111I1111111 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 ~~ - (c.~(. \&'b"' .~ NOc....l--J') 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 ~",\\:.~. ~\~l\ \ Ii v. ~~ ~\~........-i~~i~ . ~<::)",">>y.\SS'Ot;~ '..~" ~ ...... C,o ~~ 26. <Oa ~_.. '\. .: ...~ "S fP ~.. t- =*: ...-- ~*. =. -. - . . . ~a ~ '00340977 ~.,~ ~ ~ . 1>. " .' 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