HomeMy WebLinkAbout07-6569
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6569
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:
6569
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
ACE REFRIGERATION INC
Address: 5553 13TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-11600-0050
150.00
35.00
35.00
3/21/2007
INSTALL 1 O/S LIGHT AND 1 SWITCH
Name: MCCURRY,SUSAN
Address: 5553 13TH ST
ZEPHYRHILLS, FL. 33542
Phone:
ELECTRICAL FEE
~ nC<-.L?d
4 -10- 07
~
UGH LECTRIC
CONSTRUCTION POLE
PRE-METER
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 conunencement 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 conunencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
h4~ ~r:z-
/ . C - T tTOR PERMIT OFFI R
L FOR INSPECTION - 8 HOUR NOTICE REQUIRED
. PROTECT CARD FROM WEATHER
APPLICATION FOR PERKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTHERT
~ ~5~q
_'S _ SJsO{\ 0\ LW\-JdfJ
_'S ADIlRIlSS ~55 ~ ~ '\:'>-- ~ -
JOB ADDRESS '--~)~ )6 ~ee+
PHONE '6'(:) 'Y5'd - &sJ2:O
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.0.#
(OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:--.Jiew Construction ./' Addition ---...Alteration --Repair _Install
_Sign
--1Iove
---Peaolish
PROPOSED USE: _Single Faaily
---1J/F _' of Units ---1J/H
_ec:-ercial
_Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
---..Restaurant Ii Health Departllent Approval
o/S l', ~U
\(\~\aU
)
~f\d
\ &;]', ~~""-
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
~UlLDING
/ RT.RC'J.'RICAL
$
Valuation of Total Construction
AHP Service Florida Power Corp.
W.R.E.C.
-'lECIIAlIICAL
$
Valuation of Hecbanical Installation
---..PLutlBIRG GAS ROOFING
SPECIALTY
TYPE ()F COIISTRUC'l'ION: _Block _Fraae _Steel
Other
FDISHBD PI.OOR ELEVAnOBS:
Fl.
IS PROJECT IB FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BIJTI.DRR
cotIPANY
State Cert. or Reglst. t
City License Registration .
..........................................
Signature
Rt.RClIIICIAII .. COIIPANYfke 'tZe-\',:5u ~..':iL
== (\1. chelli ~^L hr., State Cert. or Regist . e5 . /
e \ vU l1l>(:}J}Y \. City License Registration f 7'~~
.......................................
PLutlBER
COMPANY
State Cert. or Regist. #
City License Registration .
..........................................
Signature
IlECBABICAL
COMPANY
State Cert. or Regist. #
City License Registration f
..........................................
Signature
OTRRR
Signature
t"~il<i 11'.'\ 3,~'.i:t'l
"
t~-L
APPLICAnOB
:ft
"Ilt';
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this pel'lit laY be subject to .deed restrictions" wbich lay be lOre restrictive than City
regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay be required to he licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - RlIIllOlIIIer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is ~one other than the
"owner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
"owner" prior to cOllBDceaent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable law8 regulating construction, loning, and land developleDt.
Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no IIork or
installation bas ~ced prior to issuance of a perlit and that all work ,ill be perfoIJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agenCies laY apply to the intended wort, and that it is
If responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater !reatlent
t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic tants
t US InvirODll!Jltal Protection Agency - Asbestos abatetent
I also certify that, if fill Jaterial is to be used in Flood Zone "A. or "A,etc.., it is understood that a drainage plan
addressing a .COI(I8Ilsating volUl8" ,ill be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to pel'lit issuance.
A pe,rtit issued sball be construed to be a license to proceed ,ith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every Pl!I1lit issued shall becoe invalid
unless the IOrk authoriled by such pel'lit is COII8Dced within sillODtbs of issuance, or if lork authoriled by the pl!I1lit is
suspended or abandoned for a period of sillOntbs after the tile the IOrk Is COMeJlced. One 90 day utension of tile, IIY be
allowed for the perlit IIith fee charge of '15.00. !be utension shall be requested in writing to the.Building Official. An
approved inspection lUSt be logged during eacb sillODth period, or the project will be considered abandoned.
WARNING TO OIlIER: YOUR FAIWRE TO RECORD A NOIlCE OF COIIIfDCEIIm MAY RESULT IIf YOUR PAYING DICE FOR IMPROVIIIIftS fO YOUR
PROPIIIfY. IF YOU IJIIBND to OBtAIM FlIlARCIMG, COIfSULt Ium YOOR LlRDIR OR AI AnoRRBY BBFORE RBCORDIMG YOUR IfOfICll OF
COMKENCBIIBNf. JOBS UlfDIR' $2,500 1M VALUE 00 NOt IfDD to RECORD AIfD POSt A "DICE OF ClIIHDCBHIIff".
rtr }1(0 lt~('J.c Ji)Y\
SIGMAfURI: OIIIfER OR Iff
SIA'lE OF FLOR~ !..I<
COUIIfY OF
The foregoing instrument was acknowledged
before me this ~ / , ~01 by
tI1l { k-~ (.fl J/l c. kS O/lJ
who is per onallv known to me or who has
produced
as identification and who did/did not
~.~UJ~
(Sign~ture)
~~ O~/LORIDA~ / I<
The foregoing instrument was acknowledged
before me this c:;; , ~ 7 by
If); { /; <IJ II of 3Ac Ks u/V
who is personally kn~ to me or who has
produced
as identification and who did/did not
ta~~l~~~ Wd1;;~
(Si ature)
(Name Typed
NOTARY PUSL
orFrs~
~ Notary Public . State of FIclIIdI
. \My CommlSSIOf' EJPIIllS Sel' 18. 2010
~~l CommtSSlor II DO 593146
\\.~ 8of1d~ 'i. '~,.' '4 "'''!;Jrv AIIft.
-.......-
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ' AllORess ," DATE PERMIT '" I
:..) S S /]d ~ 4/:s (p,~~ t/l
THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections shall be made before the job
will be accepted.
41 ur.)- R ,; f- ( d
tpr /n V' '). I }, of'
. -:r f F ,.rrl.'\ J
I) -(" f) . K .
~//
(Lr IIJ() s.{ " u,./ '" }
I
e<bc> vi' ('~,l"-'j'
'~~i.,.......
{-,.-t ~ ('1, r~
/'1
(".., ~/(u, t=
.. f w. II
{"II
6(/.I/.~
Dr JC1 f
. "
wi Z ".~i' ~~7V
OFFICE HOURS 7:30AM - 4:30 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR f}E-INSPECTION
INSPECTOR ~ /1/1 -'} \.~ w]'f2<t/
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wor1< with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
MAR. 21. 2007 1:11PM
ACE
NO. 308
P. 1
ACE
Air c:.Mitining
8 Eleelric
Sales & Service
863-688-2.231:1
FAX 883-686-9798
WATS '-800-282-7841
923 W. Memorial Blvd.
Lake/and. Florida 33615
Date; 3~ d \ '01
ToC~ a~ Z(-)~1~\lS
Please be advised by this letter that I. Robert K. Krus, do hereby authorize
JOJy'l~ ~rC)~
To sign and pick up electrical permits on my behalf. If you have any questions
Please fill free to call me.
Thank Yon,
/(,.?d-:/ r~'
Robert K. Krus
ES0000061
\iL~~ &~ ~,~, MICHELLE JACKSON
i~~m~~~ Notary Public . Stale 01 Flollc1( I
", . ~Ccimmll1blF~ IV,"" 'I' . I ,
,,~. ~' .
"'~~"fJf,.l COmml$slo"", '! I, '\')r' f
"'IIUII\ BondQd R\ " Ih. . I., "\ ;
-.. I .,....~
State Certified
EleCtrical. ESOOOO061
Air Conditfoning CAC039755