HomeMy WebLinkAbout08-7592
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7592
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/07/2008
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 3/07/2008
Work Desc: REPAIR METER CAN & RISER WIRE
Address: 5046 GALL BLVD
ELECTRICAL MISC ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
COMMERCIAL Lot(s): Block:
K&K ELECTRIC INC Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0000-01400-0000
Section:
V R ALTY INC
777 DEDHAM ST
CANTON,MA
Phone:
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.
m 6 ~S WITBO~ ~PB!~;I~~
INSPBCTION - 8 HOUR NOTICB REQUIRED
PROTBCT CARD FROM WEATHBR
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t CON CTOR
PBRMIT BXPIRBS
CALL FOR
1~3-07-' 08 13: 11 FROM-
40732362066
T-228 P001/003 F-782
/. A(;.ORD. CERTIFICATE OF LIABILITY INSURANCE OP ID L31 DAlE (MMlDDIVVYV)
K&KBL-1 11/28/07
PRODUC:ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATfON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAl"e
Brown & Brown of Florida, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
I. O. Box 15519 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
iampa FL 33684-5519
Phone: 813-226-1300 Fax:813-226-131~ INSURERS AFFORDING COVERAGE NAlel#
INSURED' INSURER A: SOO'l'HERH-OWNEaS 10190
INSURER 8; AUTO OWNERS INSUMNCE 18988
~gf7E~~~f~C ~f~ ad INSURER c: Bridaefield EmDlovers Ins. 10701
Sanford FL J2771 INSuRER 0: Travelers Prop Cas of ADler 256'74
INSURER E:
COVERAGES
Tt{E P<llIOlES OF INSURANCe USTED BELOW HAVE seeN IssueD TO THE INSURED "lAMED ABOvE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDlNll
ANY REauIAE~ENT, TERM OR CONDmON OF ~Y CONTRACT OR OTHER DOCUMENT WITH RESPEcr TO WHICH THIS OERTlflCATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTl'O ALL THE TEAMS, EXCWSIONS AND CONDrrlONS OF SUCH
POUCIES. AGGREGATE UMlTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSRC nIlE OF INSURANCE POLICY NUMBER DATE (MWDDlYV) DATE IMWD~ LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A ~ COMMERCIAL GENERAL L1ABlury 20659855 12/01/01 12101/08 P'ReMI6ES lEa _,.nul $ 300, 000
n CLAIMS MAD&: (jJ OCOUR MED EXP (Any one por~ $ 10, 000
- PERSONAL & ADV INJURY $1.,000, 000
- GeNERAL AGGREGATE $ 2, 000, 000
ilN'L AGG~nE LIMIT APPlIeS PER: PRODUCTS. COMPIOP AOO $ 2, 000, 000
X POliCY ~ec<f n LOC
AUTOMOBILE LIABILITY cOUBlNED SINGLE UMIT I Sl, 000, OO~
-
B ~ ANY AUTo 4613860301 I 12/01/07 12/01/08 (Ell accldenl)
ALL OWNED AlJTOS 800ll Y INJURY I
f-- is
SCHEDULED AUTOS (Per person)
f--
~ HIRED AUTOS BOOll Y INJURY :
(P", ilIccidanl) S
~ NON-DWNeO AUTOS
f-- PROPERTY DAUAGE $
(Pa, accidanl)
I~"AGE LIABILITY AuTO ONLY. EA ACCIDENT $
ANVAUTO OTHER THAN EA AOC S
AUTO ONLY: AGG $
RjESSlUMBRELLA LIABILITY I EACH OCOURRENCE S 1 000,000
B X OCCUR 0 CLAIMS. MAOE 4613860300 12/01/07 12/01/08 AGGREGATe s 1,000,000
$
~ DeDUCTlIlLE s
X RETENTION $10,000 $
WORKERS COMPENSATION AND X ITORYUMlTS I IVEli'.
C EMPLOYERS' LIABILITY 83029562 12/01/07 12/01/08 E.L EACH ACCIDENT S 1,000,000
AllY PROPRIETORIPARTNERlE)(ECUTIVE
OFFICERlMEMIlER EXOWDED? E.L DISEASE. EA EMPLOYEE S1 000,000
gkeMt~(MM~s below E.L DISEASE. POLICY LIMIT $1,000,000
OTHER
D Lsd/Rntd Equip Q'l'6604956C5'71 12/01/01 12/01/08 Lsd/Rntd $100,000
Ded $1.,000
DISORIPTION OF OPeRATIONS / LOCATIONS/ VEHICLES/ EXCL.USlONS ADDED BV ENDORSEMENT I SPECiAl PROVISIONS
Electrical Contractor
CERTIFICATE HOLDER
City of Zephyrhills
5335 8th St
Zephyrb~lls FL 33540
CANCELLATION
CITY OF SHOULD ANY OF THE ABOVE DESCRISEO POLICIES Be CANCELLED BEFORe THE eXPIRATION
OAl'E THEReOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN
NOTICE TO THE CEflTlFlCATE HOLDER NAMEO TO THE LEFT. BUT FAILURE TO DO so SHAlL
IMPO$E NO OIlLIGATION OR LIABIUTY OF ANY ICIND UPON THE INSURER. ITS AGENTS OR
REPA ENTATlVE6.
AU 0 EO esENTATlVE
~
ACORD 25 (2001/08)
@ ACDRD CORPORATION 1998
8.13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
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LOT #
SUBDIVISION
WORK PROPOSED
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
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0 BUILDING 1$
IRI ELECTRICAL 1$
0 PLUMBING 1$
0 MECHANICAL 1$
0 GAS D
FINISHED FLOOR ELEVATIONS I
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00
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AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C.
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
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SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
I ~~ v1: -fA;~~:~T I Y / N I
License # IE ~ d LJC) J ~ $""'~
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
1111111.,1111.1 111111111111.1111,1111,1111111,111.,1111,11111111111,1111111111111111111111111111111111111111I111111111111111111111111111111111111
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 subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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.
I1111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIillllllllllllllll
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 Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadwaysooneeds 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 maybe.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 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 ~nstallations 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, nor shall Issuance of a permit prevent the B~II~1n9 OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes, Every ~ermlt Issued shall become, mvalld
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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety ~90) days and Will demonslrate
justifiable cause for the extension. If work ceases for ninety (90) consecut"'e days, the,lob IS conSIdered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING lWlCE 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)
OWNER OR AGENT
S~.~c:tWild and swo ,to
~) 1 lk:) by
Who is/are personally known
CONTRACTOR
Subscribed and swo
5-7-0,'1 by
Who is/are personally known
':6
me or has/have produced
as Identification.
Notary Public
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03-07-'08 13:11 FROM- 40732362066 T-228 P002/003 F-782
DEPARTMENT OF BUSINESS AND PROFESSIONAL R:l;;GOLATION
ELECTRICAL CONTRACTORS LICENSING BOARD
1940 NORTH NONaOE STRBET
TALLAHASSaE FL 32399-0783
(850) 487-~39S
FERRARA, CJfRISTOPHER If
It & Ie ELECTRIC, INC.
3965 ATRIUM DR
ORLANDO FL 32822
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DETACH HERE
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. SrArE:.O~ FL08I~
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. .. E~BCTRICAL:"C~~~ORS '.~~~-~;r~~ BO~' . S,EQ#IiO.6.0&2ODJ..O.-7S
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o. /;10 .:ii:,:~. 0:.":8&9:4:9.1.6:..: 0001.650
~lle'...t,.etR:~CAt>. cOftRA:c.tr.OR ,.. .'.
_...- b.low:'z.~: .~8RTIt.XI:D .
th1der the provi.a i ODS of Chap'ter
~Xpirat~on date: AUS 31, 2008
489 PS.
Pl:~~,: c.iaI.S~OPJmR .N
Ie fe. K:'BLl:CT-RIC1INC.
2732 TOLIfORTH AVE
ORLANDO PI. 32837
/
Jl:B BUSt{
GOVE-I$OR
DISPLAY AS REQUIRED BY lAW
SIIIOD MAaSTJ:tLBR
. SBCRBTARy . ;
03-07-'08 13:11 FROM-
40732362066
T-228 P003/003 F-782
SEMINOLE COUNTY BUSINESS TAX RECEIPT
RAY VALDES, SEMINOLE COUNTY TAX COLLECTOR
PO Box 630 · Sanford, FL 32772-0630 . Telephone: 407-665-1000
Www.seminoletax.org
\fJ\lLIJ) THROUGH - 09/30/2008
Business Name: K & K El.ECTR I C I NC
Bu' S' Address' 2517 COUNTRY CLUB RD
. sine s . . SANFORD, Fl 32771-
CIty, State, ZIp:
Owner(s): CHR IS TOPHER N FERRARA
Receipt #: OUfS2007083104S26
THOMAS l DELLA TORRE
Account #: 099021
REGULATED
State llC.# - EC 0001650
Qua'ffie~- CHRISTOPHER N FERRAR
Amount Paid: 45. 00
Date Paid: 08/31/2007
BUSINESS OWNER, PLEASE NOTE THE FOLLOWING:
o DISPLAY THE ABOVE RECEIPT PROMlNENTL Y: This Business Tax ReceipI shall be displayed
conspicuously at the pIa.:e of business in such a ..-er that it can be open to the view of the public and subject to iuspection
by all duly authori2ed officers of!be Connty. Upon failure to do so, the business shall be subject to the pa)'Qlent of another
business tax for the same business or profession,
o RENEW THIS TAX BEFORE IT EXPIRES: Putsusnt to Florida Sfatutes, all Business Tax R<<:eipls shall be issued
by the Tax Collector boainning August I" of each year, and it shall expire on Seplember 30. of the a..ceeding year. Those
Business Tax Receipts issued as renewal aceOnnts beginning OctDber I" shall be dolinq_t and subject to a delinquency
penalty of! Q% for the month of October, pIns an additional 5% penalty for each month of delinq....ey therea1ia-, nntil paid;
provided that the total penalty shall not exceed 25% of the business tax for the delinquent establishment (Florida Statute
(FS] 205.053 [1]).
A 25% penalty sball be imposed on any individnal engaged in any new business Or profession withou' fus' Obtaining a
Seminole County Business Tax receipt. ([FS] 205.053 (2J)
This Business Tax Receipt is only a receipt for business taxes paid. It does nOl permit the taxpayer to ,;ola.. any existing
regularo,y or 200ing laws of !be s..... connly, or mnnicipalily, nor does il exempt the taxpayer from any other required
licenses, registrations, certifications, or permits. Business Tax requirements are subject to legiSlative change.
o REPORT ALL CHANGES: The holder ofthls Business Tax Receip, is required to report a change in the following,
Ownership, Business Location, Majling Address, or any other infurmation that wonld alter the sfams of th. CUlrent year's
taxes. This includes, but is not limited to, the loss of or a change in a State License which was used to qualify for the
business activity and/or oCCUpation identified on the cunent Connly Business Tax Receipt. If you have any Changes to
report, contact the Business Tax Department at 407-665-7636.
K & K ELECTRIC INC
2517 COUNTRY CLUB RD
SANFORD, f'l 32771-
,., lilli' t "111/"11'111'1". t J I
County Services Building
1101 E. First Street
Sanford. FL 32771
Wilshire Plaza
384 Wilshire Blvd.
Casselberry. FL 32707
Oak Groves Shoppes
995 N SR 434 Suite 505
A1tamonte Springs, F'L 327] 4
ShelMar Profession-.l Center
1490 Swanson Drive, Suite 100
Oviedo, FL 32765