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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 ,.,1.,..........111..11..11111.11"'.'.'.11""""","""""'1""1"11111111"""""111111""""'"1""'11'1"""'111""111111""'11' 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. .._l... J ..-.' ..,~ ---'''-~- .._"._..~.i- 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 ..........." ") ~~l i~G -,,<.D \.JD 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 ~~.({ r::(<<,tt"~c..1 (k~. . City ~(ey e"'-t;)Q.1 State State-tl. rrs'f'1; City State Rcpt : 1205474 Rec: 10.00 os: 0.00 IT: 0.00 09/26/08 Dpty Clerk City State )fl:l31~