HomeMy WebLinkAbout08-7723
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7723
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:
7723
ELECTRICAL MISC
ELECTRIC SERVICE REPLACEM
SINGLE FAMILY RESIDENTIAL
CENTRAL STATE ELECTRIC INC
Address: 5347 ALL BLVD
ZEPHYRHILLS, FL.
T Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-12200-0090
2,000.00
4/07/2008 Name: BORGES, FELIX
40.00 Address: 5347 GALL BLVD
40.00 ZEPHYRHILLS, FL. 33541
4/07/2008 Phone: 813765-5666
CHANGE FROM -SINGLE PHASE - 225AMP TO 225 AMP -3 PHASE
fi^~
ROUGH EL C I
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 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 conunencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be
performed in acc ce with City Codes and Ordinances.
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CO
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-PERMIT OFFI R
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application -:U-11' '1.
Building Depar1ment 1k V./
Fax-813-780-0021
Date Received
Owner Phone Number
L Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
Fee Simple Titl.holder Addf8sS I
15347
I
WORK PROPOSED
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SUBDIVISION
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0090
PROPOSED USE
TYPE OF CONSTRUCTION
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DESCRI~F WORK
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
SIGN
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DEMOLISH
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STEEL D
PhASE
HEIGHT I
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OTHER I
SQ FOOTAGE I
BUILDING SIZE
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
ua--- ELECTRICAL 1$ 2000. (J U I AMP SERVICE p6 PROGRESS ENERGY 0 WRE.C.
0 PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
BUILDER
SIGNATURE
COMPANY
REGISTEREO
Y/N
FEE CURRENT
L....:!:ilU
Address
ELECTRICIAN
SIGNATURE
Addf8SS
PLUMBER
SIGNATURE
Addf8SS
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Addf8sS I
License'
COMPANY
REGISTERED
Y/N
FEE CURRENT
L....:!:ilU
License ,
COMPANY
REGISTERED
Y/N
FEE CURRENT
L....:!:ilU
License ,
RESIDENTIAL
Attach (2) Plot Plans; (2) sets or Building Plans; (1) set of Energy Fonns; R-O-W Pemit for new construction,
Minimum ten (10) wor1<ing days after submittal date. Required onslte. Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisionsllarge projects
Attach (3) complete sets of Building Plans plus a Life Sefety Page; (1) set of Energy FOnn5. R-O-W Pemrit for new construction.
Minimum ten (10) wor1<ing days after submittal date. Required onslte, Construction Plans, Stormwater Plans wi Sift Fence installed.
Sanitary Facilities & 1 dumpster. Site Work Pennit for aU new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notariled
If over $2500, a Notice of Commencement is ....quired. (AlC upg...des over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notariled letter from owner authoriling same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveylFoolage)
Driveways-Not over Counter if on public roadwaysuneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pennit 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 dted 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 IMPACTIUTILITIES 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. II 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 pennit 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 Uen 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 t 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 agendes include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMfastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 Rood 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 dted 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 Offidal 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. All extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER OR AGENT
Subscribed and sworn to (or aflinned) before me this
_ by
'MIo is/are personally known to me or hashlaw produced
as identification.
Notary Public
Notary Public
CommiSSion No.
Name of Notary typed, printed or sta~
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Name of Notary ~cft IWluO:)
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FAX (81 J) 949-1586
I, Nelson L. Morrow, contractor license number EC0002561, hereby authorize the
following to act as my agent in obtaining permits in The City of Zephyhills:
1. Alicia J Morrow
2. Thomas W. Morrow
3. Robert Morrow
4. Thomas J Morrow
M600-0 1 0-50-969-0
M600-839-50-342-0
M600-774-45-339-0
M600-830-85-041-0
This authorization is to remain in affect indefinitely, unless canceled by me in writing.
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~tractor, Signature I
State of Florida
County of Hillsborough
This forgoing instrument was acknowledged before me this f-t-/:t.- day of/!! f),.,'; 2008.
By Nelson L Morrow as Vice President for Central State Electric, Inc. ~
X Personally Known
/
..~
otary Public
,.'';i.1/'J''... UNDA TOMUNSON
f.."f ...~.\ MY COMMISSION II DO 735513
= . . - EXPIRES: December 17, 2011
Bonded Thru NotaJy Public Underwriters
L/
My Commission Expires
-=
PH (813) 948-1341
Flaco's Cafe
Attn: Pete
5347 Gall Blvd
Zephyhills, FL 33542
We hereby submit Electrical Proposal for the following;
Change 225 AMP Single Phase Service too 225 AMP 3/Phase Service
Add 1 - 225 AMP 3P 4/Wire Panel
Add 1 -125 AMP MLO 3P 4/Wire Panel
Refeed existing panel
Add 1 - 225 3/P 225 D.S. & Meter N3R
T olal ~"'t,.............."... ~~... .......... ...$2,000.00
c-~~ .' ~
. ) /vv\. G--",- .,~ Date
Thomas Morrow, VP
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FAX (813) 949-1586
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