HomeMy WebLinkAbout06-6273
....
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
6273
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:
6273
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
SINGLE FAMILY RESIDENTIAL
JAMES 0 MORTON ELECTRIC C
Address: 6051 SIL RANCH BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SIL VERADO
Parcel Number: 04-26-21-0010-03900-0000
3,000.00
11/29/2006
50.00
50.00
11/29/2006 Phone:
100 AMP 30 460 VOLT LIFT STATION 2 25 HP MOTOR
Name: SILVERADO LLC
Address: 2502 N. ROCKY POINT DR
TAMPA, FL
166
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspec Ion trips a e
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 ans, Specifications and Fee Must Accompany Application. All work shall be
perform in accordance with City Codes and Ordinances.
~rJ / r/I/~
CONTRACTOR
CALL POR
~M~
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD PROM WEATHER
813-780-0020
City of Zephyrhills Permit ApplicatiOn
Building Department 95(3
l C^-U h.J-t.,:-,!-:," ~"":'~"o
PROPOSED USE
TYPE OF CONSTRUCTION
Date Received
Owner Phone Number
Owner Phone Number L
Owner Phone Number [
Owner's Name
JOB ADDRESS
~
LOT #
0000
SUBDIVISION
DEMOLISH
WORK PROPOSED
OTHER
DESCRIPTION OF WORK
BUILDING SIZE I I SQ FOOTAGE I I
, . I I I I . . I . I I I I I . . . ~ . I I . , . I . . I . . . . I . I I I . . , , I . I . . I I . . . I , . I , . I . . I I . I I . . I . I I I , I I . . I . . . . I . I . , . I . . . . I I . . . . . . I . I . , I I I I . I I I I . , . . I I . . I I . I . . I . I . I I . . . . . . I I I I
0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
0 GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [:JNO
"'11"1111111111"'111"111"1111'111'11"'11'1111'"Ilf",I",III,III""II,III,III"1111111"II"'IIIII"111,,""111"11"1111'11111'1111'111'
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
ELECTRICIAN
SIGfiATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
Address
111111111111111
RESIDENTIAL
I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of BUilding Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1111111111111111 f I11I1111I
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
COMMERCIAL
SIGN PERMIT
Fences (PloVSurvey/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 violatioh
under state law. If the owner or intended contractor are uncertain as to what licensing requirelT1ehts 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 o,f new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance humber 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 Transportatioh 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 Bayheiads, 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 offill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "N, 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 hot 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 in?luded. in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, n?r shall.lss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or Violations of any codes. Every permit IsslJed shall become. Invah~
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) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed mnety ~90) days and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN VqUR
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 afflnned) 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 afflnned) before me this
by
Who Isfare 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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TOTAL P.02
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"
JUN-02-2~06 10:53 PM TCWWS
t:ll ~ t:l r:o ",:>..0:,,'
r.....a.
Dote: l.u .2....0(., 1
To: ~orton Eleetrlc
#PG$.
Fnx #: 813.78:2.4415
Job~ome: S;\V1'~ \)~LA PS. ft
Job #: ~D:' l '-l
P.O. #: T5 Lfl-fD
*
Job Spec.
D 240/120
V oltl Phase D
Single Ph.
Service size:
D 60 AMP
'...-7 I.f~OV
~ ,l "11) 48~
g3 Ph.
'/
[SJ' l.!lO A.l"IP
o 200 AMP
,/
Yr
By Morton Electrte
o 400 AMP
::Jt:>6 f.a lA,T/()1f./ 8/"9
-S(,C':)I 5. (Vlf!.g~ ~/UL"
Sob ~wVlte ;1-/'T,//s
~,~~
Disconnect:
Fused Weatherproof
'"
By Morton Electric
Non-fused Weatherproof
Stainless Breaker style,,...cODtTnc.
.Pump size ~ HP .3.::l:.... FLAEnch Pump \",,-,
),lain Breaker Size in Control Panel
-1 0 () Amp
'\
"
~
...
'it,~l: #:
TEeo Contact Person:
NOT'E:
2) See attached location map
Approximate start date:
I~
to be conflrmedlater
Dprivate _/
OHms. Spec Mpasco Spec
Deity of Tampa DManotet Spec
DOther
J .1/0 JIJf/~, Ai,lf;l
y.~/ 1-' L,iJ,
DHemando Spec
Dpolk Spec.
, 1 ,JoJtJ111 PI
I }&8 Mil ~'f)
2, /dO j~~f~
PAGE1
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06-02-2006 11:57 MORTON
1'" ;:::;)"t r-M I CWWS
813 8'75 4320
P.03
..,..
15120
FLORIDA 33684
,
813-87s,,0428
813-875-4310
PURCHASE ORDER
DATE
P.O. NO.
6/2/2006
TS440
NOOR
rON 'ELECTRIC
.0.80X 1537
HYRHILLS.PL.33S39
S13.782.7237
FAX 813.782.4415
SHIP TO
T-CON. INC.
390] W.OSBORNBAYB.
TAJdPA,PL.33614
813.875.0428 FAX 813.875.4320
Mell_ Hammond - Purdussing
"
"
JOB #I NAME
" 60314 SILVERADO PHIA PS A
Item D88CI1ptlon /Ordered DP, Rcv'd ~'. Rate Amount
Rev'"
SUBCONT... 100 AMP 3 PH. ~ vf; ~ I 3.000.00 3,000.00
SERVICE 0 '() J
MAIN BREAKER IS 100 AMPS
PASCO COUNTY SPECS
NON.POSED WEATHBRPROOP
DISCONNECT
,
-
'-. -..
PULL PERMITS AND PAX TO lJS pL.eASE. r Total
53,000.00
11,:58 MORTON
IIP/I(,~
PAGE3