HomeMy WebLinkAbout07-6823
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
6823
ermlt 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:
6823
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
SINGLE FAMILY RESIDENTIAL
JAMES 0 MORTON ELECTRIC C
Address: 39645 DAWSON CHASE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: HIDDEN RIVER
Parcel Number: 24-26-21-0000-00300-0000
2,000.00
7/02/2007 Name: HIDDEN RIVER OF PASCO CTY, LLC
50.00 Address: 2502 N.ROCKY POINT DR - STE 1050
50.00 TAMPA, FL 33607
7/02/2007 Phone: 813 288-8078
100 AMP 30 400 VOLTS - HIDDEN RIVER LIFT STATION
(/ ^!LUtJ. _01
\ l I' 11" ,0
ROUGH LECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
i~ (~d2 --'tU 5'~v~ !<..;:J\<cc...
1!f0io7 @ 2'.33f/~
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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~~
-PE~~ OFFI/);; .
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Address
Fee Simple Titleholder Namel
Date R~celved
Owner Phone Number
"ft: (0 r3 ,Owner Phone Number I
T2}1 y~r'-'" I
Owner Phone Number
Owner's Name
SUBDIVISION
LOT #
Fee Simple Titleholder Address
31 (A5
JOB ADDRESS
WORK PROPOSED
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
D
DESCRIPTION OF WORK
BUILDING SIZE
I
111111111 . . I III11IIII , , 11111 . . 1111 . 1II1I n I . I 11111 , . 11111 , . 1111 .. II , " . 1111111111 ., 1111111111 . III , 111111111111111 I111111 , 1IIII111I11111 , I . 11II1111
: ~/UILDING
ELECTRICAL
:: ZO~O . oJ{ :
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS 0 ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
~
VALUATION OF MECHANICAL INSTALLATION
Address
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
l I
FEE CURRENT Y / N 't;4
License # 1bIf, (J p (I
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address License #
11111111111111 1111I1111111111111111111111111111111111111111111111I111111I111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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
COMMERCIAL 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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Di~~~ti~~~': ' . , , , . . , , , . . , , , . , , . , . , , , . . . , , , . . . . , , , . . . , , , . . , . . . . , , , . . , , , . . . , , , , , . . , , , . . , . , . . , . , , , , . . , , , . . , . . , . . . , , , , , . , . . . , , , . , , , . , . . . . . , . . , . . . . . , . . ,
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 Fences (Plot/Survey/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" restrictiQns"
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 "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 properti~s, the.ow.ner 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 ~f the permltttn~ conditIons s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ~e reqUlr~d for elect~lca.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n?luded. In the applicatIon. A
permit issued shall be construed to be a license to proceed 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. iss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, constructton or vlolat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months o.f permIt Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the tIme th~ work IS commenced: An extensIon
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~}ob IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMP OVEMENTS TO YOU PROPERTY. IF YOU INTEN TO OBTAIN FINANC G, CONSULT
WITH YOUR LENDER 0 AN ATTORNEY B RE RECORDING YOUR NO E OF COMME
FLORIDA JURAT (F.S. I ~ II 6/
OWNER OR AGENT .
7.;(~r~~nt swo to (or affirmed) efore e. this
Who Is/are on Iy own to me or haslhave produced
as identification.
nown to me or has/have produced
as identification.
~ ~ 0 ~ Notary Public
~.~ \)~f)qQ~~
Notary Public
Commission No.
~~:fi.:'!:~ Karen L. Miller
Name of Notary typed. Print~~~' - Ot'!ndsslon II DD609664
';:1........ xptres October 29 2010
,w... Iondecl Troy Flln . ',,"urlncl, Inc edJ-385-7019
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Page 1 of3
Karen Miller
From: Andrea G. Morrow [amorrow@pascocountyfl.net]
Sent: Monday, July 02, 2007 8:56 AM
To: Kartik Goyani
Cc: Karen Miller
Subject: RE: Hidden River - City of Zephyrhills
Kartik & Karen - here they are the 2 lift station addresses:
1) 39645 Dawson Chase Drive
2) 2950 Moulden Hollow Drive
Have a happy Monday!!
Gail Morrow
Pasco County Survey/Addressing Dept.
7530 Little Road, Suite 230, NPR
727.847.8140 (Ext. 8370)
From: Kartik Goyani [mailto:Kgoyani@MDGFLORIDA.COM]
Sent: Friday, June 29, 2007 5:10 PM
To: Andrea G. Morrow
Cc: Sara Roberts
Subject: RE: Hidden River - City of Zephyrhills
Thank you Gail. Sara Roberts from our office will be there with a full size site plan on Monday morning.
.
Kartik Goyani
Metro Development Group, LLC.
www.mdgflorida.com
2502 N. Rocky Point Drive, Suite 1050
Tampa, FL 33607
T: (813) 288-8078
C: (813) 263-8023
F: (813) 288-8178
From: Andrea G. Morrow [mailto:amorrow@pascocountyfl.net]
Sent: Friday, June 29,20074:41 PM
7/2/2007
Page 2 of3
To: Kartik Goyani
Subject: RE: Hidden River - City of Zephyrhills
Kartik,
I'm not sure if you know that I'm located in New Port Richey at the Government building
on Little Road but thought I'd better let you know before you come Monday.
Gail Morrow
Pasco County Survey/Addressing Dept.
7530 Little Road, Suite 230, NPR
727.847.8140 (Ext. 8370)
From: Kartik Goyani [mailto:Kgoyani@MDGFLORIDA.COM]
Sent: Friday, June 29, 20073:51 PM
To: Andrea G. Morrow
Subject: Hidden River - City of Zephyrhills
Gail,
As discussed please find attached a 1 :200 scale Master Site Plan for the community.
Please let me know if you need any additional information from us.
Thanks
Kartik
.
Kartik Goyani
Metro Development Group, LLC.
www.mdgflorida.com
2502 N. Rocky Point Drive, Suite 1050
Tampa, FL 33607
T: (813) 288-8078
C: (813) 263-8023
F: (813) 288-8178
----Original Message-----
From: Karen Miller
Sent: Friday, June 29, 2007 3:02 PM
To: Todd Vandeberg
Subject: FW: Addresses for Lift Stations
7/212007
Page 3 of3
Todd:
I had received a project map from Jim Morton who will be installing electric for
the lift stations today. I scanned it into our system and emailed it over to
addressing. Based on the below I need 1"=200' map of the project where the lift
station are. If they can be sent directly to me. I don't believe faxing would
come across well. Appreciate if you could forward this to the person you were
dealing with on this.
Thank You.
Karen
-----Original Message-----
From: Andrea G. Morrow [mailto:amorrow@pascocountvfl.net]
Sent: Friday, June 29, 2007 2:49 PM
To: Karen Miller
Subject: RE: Addresses for Lift Stations
Karen,
I thought maybe we had the 1"=200' map for this project on our map or somewhere
here but I don't. I will need that before I can assign correct addresses. If
someone can bring that in or you can send it to me, I'll be glad to do it.
Gail Morrow
Pasco County Survey/Addressing Dept.
7530 Little Road, Suite 230, NPR
727.847.8140 (Ext. 8370)
-----Original Message-----
From: Karen Miller [mailto:kmiller@ci.zephvrhills.fl.us]
Sent: Friday, June 29, 2007 11:49 AM
To: Andrea G. Morrow
Subject: Addresses for Lift Stations
<<IMAGE (2) .TIF>>
Gail:
Happy Friday. Attached is the map location of two lift stations for our
project "Hidden River".
Parcel:
24-26-21-0000-00300-0000
25-26-21-0010-00100-0000
Lift Station 1:
Lift Station 2:
located off of Dawson Chase Dr
located off of Moulden Hollow Dr
Thank you.
Karen - City of Zephyrhills
813-780-0020
7/2/2007
Karen Miller
From:
Sent:
To:
Subject:
Andrea G. Morrow [amorrow@pascocountyfl.net]
Friday, June 29, 2007 2:49 PM
Karen Miller
RE: Addresses for Lift Stations
Karen,
I thought maybe we had the 1 "=200' map for this project on our map or somewhere here but
I don't. I will need that before I can assign correct addresses. If someone can bring that in or
you can send it to me, I'll be glad to do it.
Gail Morrow
Pasco County Survey/Addressing Dept.
7530 Little Road, Suite 230, NPR
727.847.8140 (Ext. 8370)
-----Original Message-----
From: Karen Miller [mailto:kmiller@cLzephyrhills.fl.us]
Sent: Friday, June 29,2007 11 :49 AM
To: Andrea G. Morrow
Subject: Addresses for Lift Stations
<<IMAGE (2).TIF>>
Gail:
Happy Friday. Attached is the map location of two lift stations for our
project "Hidden River".
Parcel:
24-26-21-0000-00300-0000
25-26-21-0010-00100-0000
Lift Station 1:
Lift Station 2:
located off of Dawson Chase Dr
located off of Moulden Hollow Dr
Thank you.
Karen - City of Zephyrhills
813-780-0020
1
2
Karen Miller
From:
Sent:
To:
Subject:
Karen Miller
Friday, June 29. 2007 11 :49 AM
'Andrea G. Morrow'
Addresses for Lift Stations
Attachments:
IMAGE (2).TIF
[I
IMAGE
2).TIF (84 KB
Gail:
Happy Friday. Attached is the map location of two lift stations for our project "Hidden River".
Parcel:
24-26-21-0000-00300-0000
25-26-21-0010-00100-0000
Lift Station 1:
Lift Station 2:
located off of Dawson Chase Dr
located off of Moulden Hollow Dr
Thank you.
Karen - City of Zephyrhills
813-780-0020
1