HomeMy WebLinkAbout08-8137
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020
ELECTRICAL PERMIT
8137
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 216.14
Date Issued: 7/31/2008
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 7/31/2008
Work Desc: INSTALL EMERGENCY LIGHT PER FM
8137
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
COMMERCIAL
PATTIE ELEC. & REFRIGERATIO
Address: 5243 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15400-0050
Section:
Name: TANNER,WAYNETRUSTEE
Address: 5243 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
ROUGH ELECTRIC
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 commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
~~.~~ ~~
~ CONTRA;=T """IRKS IN 6 MONTHS WITHOUT APPROVBD INS:~~~ OFFI - R
CALL FOR INSPBCTION - 8 HOUR NOTICB REQUIRED
PROTBCT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date 'Received
Owner's Address
Fee Simple Titleholder Namel
,;;//5 ,P13SStL
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
JOB ADDRESS
Fee Simple Titleholder Address I
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I
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I PARCELlD#1 /1-.:(' -~/-OOICJ- /,pIM- tPOS'l)
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR E3 ADD/ALT D SIGN D MOVE D
D INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I ~A/fh,11 4al<::rtcy .L(~jd""'1
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
DESCRIPTION OF WORK I~~ C~~ ,J.l;~ ~ ,fU-'L ~/Jf~~
BUILDING SIZE I SQ FOOTAGE I I HEIGHT I
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6ufl Blvd /1/1;/ "'t
LOT #
SUBDIVISION
WORK PROPOSED
DEMOLISH
o
1$ I
1$ ,{'It .Ii I
o PLUMBING 1$ I
o MECHANICAL 1$ I
o GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
~
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
ELECTRICIAN ~ ') . } ~
SIGNATURE . ~ /n - ,?(/~
Address
License #
COMPANY
REGISTERED
4~/~ C/...<:.lrl~
I Y / N I FEE CURRENT I Y / N
License # I E~ -".01';;>" 8'
7/1,;(37
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
111111111111111111111111111111111I111111111111111111111111I11111111111111111111111111111111111111111111111111I11I11111111111111111
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.
DI~~~ii~~~': ' . , , , . , , , . , , , . . , . . . , , . , . . , . , , . , , , , . , , . , , , , , , . , , , , , , , , , , , , , , , , . , , , . , , , , , , , , , , , . , , , , , , , , , , , , , , , , , , , , , , , . . , , , , , , , , , . . , , . . , , , , , , , , . . . , , , , . ,
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 NC Fences (Plot/Survey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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" restrictiolls",
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 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 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 Official 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 th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (.90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
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)
OWNER OR AGENT ::%~~-d~
SYbscribed and sworn to (or rmed) before me this
-/-3/.U5 by
Who Is/are pe~ to me or haslhave produced
as Identification.
CONTRACTOR ~ ~-~
Subscribed and sworn to ( r affirmed) before me this
7 <?}-iJ (3 by
Who is/are oersonl'llly known to me or haslhave produced
as identification.
Notary Public
Notary Public
Pasco County Parcel: 11-26-21-0010-15400-0050001
Page 1 of 1
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Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, July 26, 2008
ParcellD 11-26-21-0010-15400-0050 (Card: 001 of 002)
Classification 17 - 1 Story Office
Mailing Address Property Value
TANNER WAYNE TRUSTEE Ag Land $0
5243 GALL BLVD STE 1 Land $52,381
ZEPHYRHILLS, FL 335424065 Building $119,943
Physical Address Extra Features $1,584
5243 GALL BLVD
ZEPHYRHILLS, FL 33542-4065 Market Value $173,908
Legal Description (First 4 lines) Assessed (Save Our Homes) $0
CITY OF ZEPHYRHILLS Taxable Value $173,908
PB 1 PG 54 LOTS 5-8 INCL
BLOCK 154
OR 1800 PG 336
Land Detail (Card: 001 of 002)
e Use Description Zoning Units Type Price Condition Value*
1 1700 ISTORY OFF 00C2 7,000.00 SF $7.69 0.70 $37,681 II
2 1700 lSTORY OFF 00C2 7,000.00 SF $3.00 0.70 $14,700
Additional Land Information
Acres " 0.32 II Tax Area II 30ZH II FEMA Code " X IICommerical CodeD M3012GR
Building Information - Use 17 - Offices (One Story) (Card: 001 of 002)
Year Built 1975 Stories 1.0
Exterior Wan 1 Concrete or Cinder Block Exterior Wan 2 Common Brick
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel None Heat None
A/C Window Unit Baths 6.0
Line Description Sq. Feet Repl. Cost New
1 AOF 2,496 $131,539
2 CAN 480 $7,589
Extra Features (Card: 001 of 002)
Line n Description II Year II Units U Value
No Extra Features
Sales History
Previous Owner TANNER WAYNE
Year Month Book/Page Type Amount
1989 04 1800 / 0336 WD $0
1989 02 1783 / 1870 WD $175,000
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Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser. pascogov .comlsearch/parcel.aspx?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&blk= 15400... 7/31/2008
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Zephyrhills FLA 33540
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ZEPHYRHILLS FL 33541
ALSO PERMIT WILL BE
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