HomeMy WebLinkAbout08-8295
CITY OFZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
8295
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 4,000.00
Date Issued: 9/12/2008
Total Fees: 75.00
Amount Paid: 75.00
Date Paid: 9/12/2008 Phone:
Work Desc: INSTALL 60AMP 290V ELECTRICAL SVC FOR LANDSCAPE & SPRINKLER PANEL
8295
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
LOUIS SMITH ELECTRIC INC
Address: 7971 MERCHAN ILLE CIRC E
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block:
Book: Page:
Subdivision: CRESTVIEW HILLS
Parcel Number:
Section:
Name: CRESTVIEW HILLS HOA INC
Address: 7971 MERCHANTVILLE CIRCLE
ZEPHYRHILLS, FL. 33542
ELECTRICAL FEE
75.00
q;I1J
q--f ~/ tl
THIS SVC & SPRINKLER PANEL WILL BE LOCATED AT ENTRANCE ISLAND
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 torney before recording your notice of commencement."
Complete Plans, cifications and Fee Must Accompany Application. All work shall be
performed in c ance with City Codes and Ordinances.
~~
PERMIT OFFI R
PBIlMIT BXPTRBS TN . KONTIIS WTTBOUT APPROVKD INSPBCTION
CALL POR INSPBCTION - 8 HOUR NOTICE RBQUIRED
PROTBCT CARD PROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
I ~ 9 ? / fY1e.k~b!i.lle,
I C{e~i/JtP1IJ Hitf&. I
E3 ADD/ALT D
REPAIR
D COMM D
D FRAME D
6~A 110' S~ 9en.5
SQ FOOTAGE I J
SUBDIVISION
(!/f\ ,
PARCEL ID#I
LOT #
DESCRIPTION OF WORK
@
D
D
I (Mtt./J
NEW CONSTR
INSTALL
SFR
BLOCK
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
OTHER I
STEEL D
I\=r=
"j'l&r
HEIGHT .
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
BUILDING SIZE
I
I .p I . I . . . . I I I I . pI' I . . I I I . I . . . . I I . . . I I I . . I . I I I . . . I I I I . . I I I . . I I . . . I I I . . . I . . . . . I . I I . . I I I . . . I I . . . I I . . I . I II I . I . . . . . I I I I I . . . . I . I I I I . . . . . . . . . . . . . . . . . r . . . .
~ ~i P..-.J
ROOFING
I
I
I
I
D
I
AMP SERVICE D PROGRESS ENERGY D W.R.E.C
~
~1?':r .(
VALUATION OF MECHANICAL INSTALLATION ~ ~ J 9
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
1$
1$ 1,ObJ.Jf
1$
1$
c=J GAS c=J
FINISHED FLOOR ELEVATIONS I
c=J
BUILDING
VALUATION OF TOTAL CONSTRUCTION
err
ELECTRICAL
c=J
c=J
PLUMBING
MECHANICAL
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Addres
License # I
,~f)~ri~f/N
License # I
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
Address License #
111111I11111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minim.um ten (10) working days after submittal date. Required onsite, Construction Plans, Strrmwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. ~-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required on site, Construction Plans, St rmwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requir ments must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
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) I
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ov?ner authorizing same
I
OVER THE COUNTER PERMITTING (Front of Application Only) I
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/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" 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 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, WaterlWastewater 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 authono/ ~o vlolat~, 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 mn~ty ,90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the\.Job IS conSidered abandoned,
WARNING TO OWNER: YO
PAYING TWICE FOR IMP
WITH YOUR LE 0
FLORIDA JURAT ( ,S. 117.
OWNER OR AGliNT
Subscribed and $worn (or affl
b
Who islare personally known to me or has/have produced
as identification.
If 771
Notary Public
""-'--'-). /'
C~~ -:-1,. .J;;;;;i~~p"",
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed
Commission No.
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No.1-7/25/2008
1
~ ~mit/b C(S~, JM.
~-, ().@i;,a.' 7181
(:f)f/,;;;1.w ?&qlx1. !JlT88c544.
'/ . ~-<0,()()02201
r?J1," 8/8- 99/- 7()78 Y;;1; /f 1/1- 994~574() C(.)
j1rnpnllul far Am2riterlJ ~nagrmrnt, 1Jnt.
Qtr.e.atui.ew iijiU.s iJranil.arape 'anel
Louis Smith Electric, Inc does propose to supply, wire, and install the following scope of
work for Ameritech Management, Inc:
1. 240 volt 60 amp weather-proof panel
2. 120 volt 20 amp GFI wI WIU cover for sprinkler timer . . . "
3. 2 - #6 AWG, 1 - #8 AWG copper Service Lateral Conductors from Utility Pedestal to Meter Can In 3/4 PVC
Conduit
4. Same size feeders from Meter to Panel
5. Lightning Arrestor
6. 2 - Ground Rods 6 feet apart
7. #4 AWG Copper Electrode Grounding Conductor
Provisions and Exceptions:
1. Any work not specifically listed above is not included and will be charged as an extra
2. Any work not specifically listed above and required by the inspector is not included and will be extra
3. Ditch will run along the road and turn south to run just on the East side of the fence
4. Backfill of ditch will be as neat as possible, but does not include sod.
5. Correlate with WREC and Pasco County to assure a timely completion
6. This Panel can be used in the future for landscape lights, Christmas lights. ete
Louis Smith Electric, Inc. does propose to do the above listed work for a price of Four Thousand dollars
($4,000.00). Terms will be 2,000 down for mobilization fees, and the balance to be paid"immediately upon
completion, a finance charge of 18% per annum will be charged 0 II overdue invoices.
?I~'()J
Date.
The signing of this proposal will create a lega and binding contract between louis Smith
Electric, Inc. and Ameritech Management, Inc, who's signatures on this contract indicate he
and/or she is in fact the owner or agent for owner of the above mentioned property and will
personally guarantee funds for this contract
..........."
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Ole
Owner or Agenl lor Owncr
DalC
1 008 15 45
8139350709
NEIGHBORHOOD INS
PAGE 01/01
09/09 2 : -
AC-DB.Q" CERTIFICA TE OF LIABILITY INSURANCE I DATE rMMIDD/yVYvI
09/09/2008
PROOUCER (8U)93S-H61 FAX (813)935-0709 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NeighborhOOd. Insurance Services ONL V AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
14949 N Florida Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Talllpa, Fl 33613
INSURERS AFFORDING COVERAGE NAIC#
INSUFlED louis 5mitn Elec'trlc Inc American Reliable "
INSURER A:
6329 Mangrove Dr INSURER B:
Po Box 7181 INSU~EA c: I
Wesley Chapel, Fl 33544 INSURER 0:
INSUFtER e:
COVERAGES
THE POI_ICrES OF INSURANCE LISTeD BeLow HAVE Br::EN ISSUED To THE JNSURED NAMEO ABOVE FOR THE POLICY F'eRIOD INDICATED. NOTWITHSTANDING I
ANY REQUIREMENT. TERM OA CONDITION OF ANY CONTRACT OR OTHER DOCUMeNT WliH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I
MAY PERTAIN, iHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POlICIES. AGGREGATE LIMITS SHOWN MAY folAVE BEEN REDUCED F.lY PAlO CLAIMS. .
II~~ im9J TVI"E OF INSURANCE POLICY NUMBER POLICY EI'FECTl--wi'" PO\.ICY I:l(PIRAT~ LIMITS
~NEAAL L1ABILIlY IGlO03604 12/2g/i~7 12/29/2008 EACH OCCURRENCE $ 1,000,000
X COMMeRCIAL GENERAL UAlIlllTY ~~~'~!!~!?p~~~~_u, $ 100 , 000
~tJ CLAIMS MAOE 00 OCCUR '"
-_.~-.. MED ElIP ("11)' one pe,.o;on) $ !i,OOO
A PERSONAL a ADv INJUqy I: l,OOO,OO(j
GENF;AAL AGGFlEGATF; $ 2,000,000
- l,OOO,~
Tj'L AGG~n ~~ An PEFt: PRODUCTS - COMP/OP AGG $
X POLICY JECT LOC
~OMOBlI.E LIABILITY COMBINEO SINGLE LIMIT $
ANY AUto (Ell 'lCC~I)
-
- ALl. OWNED AlIrOS BODILY INJURy $
SCHEDllLED AUTOS (P(II' Per.on)
-
- HIRED AlJ1'OS BOCIL Y INJURY $
(p",. acclol!l'ltJ
-- NON-OWNED AUTOS
- PROpERTY DAMAGE $
(Per aCCldF.lnO
RFlAGE LIABILITY A.lJ1'O ONLY - EA ACCIDENT $
ANY AlJ1'O OTlofeA tHAN EAI>.CC $
AUTO ONI.. Y: AGG $
:SESS/UU8RELLA l.'AB/UT'r EA,CH OCCURAENCE $
OCCUR 0 CI.AIMS MADE AGG~EGATfl" $
$
R OEDUCTIBLE S
RETENtiON $ $
W~~ERSCOMPENSAnONAND r. we STATU. T TO~-
EMPLOVERS' LIABILITY E.L F.ACH ACCIDENT $
ANy PROPA1ETORIPARTNERJEXECUTIIIE E:.I~ DISE1\SF; - EA EMPLOYEF. &
OFFICER/MEMBER EXCLUDED?
~~~~I~~'~~~~6NS below E.L DlSe~E - POLICY LIMIT $
OTHER
DesCRIPTION OF OPERATIONS / L.OCAnONS / VEHICLeS J ElCCLUSIONS ADDED 8Y ENDORSEUeNT / SPECIAL PROVISIONS
City of Zephyrh;lls
!i335 8th St
Zephyrhi'ls, FL 33S40-4312
~ACORO CORPORATION 1988
ACORD 25 (20D1108) FAX: (813)780-0021
State of f (crr{ d~
County of -? '^- ~ r /I
~2fl6
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. ?v-.-< fI-; H hc/ .3lr (p ~ u
2..cJ-;?' hyv h, 'f/~ PL- 3'"7.0-f 0
(Legal description of the property and street address if available)
2. General Description of Improvement (,.., faUt;' 0.. {'(.o __!t-'f'v ~OA t...oulsu~ prU\.t.l
(t.OV
IliA /"' L1 (9. A r -A._ · ~'
l (f-Q1I l.9 PI rc..e.c.Eflf...o:.. ~ G)' p~(' e...tt-OA..1r TW 'ift\~ (tt.\.tr
I
Owner Information: Name dUi/l /710l-'r/5
,
Address 1JS-3 ~ mr ~V""I@ity ~~hJ v ~i/~5
State
J:""L
3.
Interest in Property:
C-P t4t ~ 0 ",., ~V"O IA ~4' _r
Name of Fee Simple Titleholder:
(If other than owner)
111111111111 11I111111111111 11111 111111111111111 1111111111111
2008140822
If Address
(C . f \
. . Contractor: Name ---'""., \L.la.
Address (0 B ~(~ f
5. Surety: Name~ 1\
Address
Amount of Bond: $~A
6. Lender: Name ~(A
Address
City
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City ~(ey e"'-t;)Q.1
State
State-tl.
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City
State
Rcpt : 1205474 Rec: 10.00
os: 0.00 IT: 0.00
09/26/08 Dpty Clerk
City
State
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