HomeMy WebLinkAbout08-8514 CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020 8514
ELECTRICAL PERMIT
Permit Number: 8514 Address: 7788 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: MAY ELECTRIC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-000
Improv. Cost: 2,300.00
Date Issued: 11/24/2008 Name: PRIMERICA GROUP ONE
Total Fees: 45.00 Address: 3629 MADACA LN
Amount Paid: 45.00 TAMPA FL 33618
Date Paid: 11/24/2008 Phone: (813)933-0629
Work Desc: ELECTRICAL PANEL WIRING FOR NEW METER LIFT STATION
as o. .. ,. -x. .. .....
ELECTRICAL FEE 45.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL -O
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are
necessary due to any one 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 i accordance with City Codes and Ordinances.
CONTRACTOR PERMIT OFFI R
PERMIT E RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FO SPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Applicati _ o Fax-813-780-0021
Building Department
Date Received 1 w I - J ��
Phone
IJV Contact for Perm ting /
I •_I_1111
Owner's Name a wner'Phone Number
4 /iIi,IIIlIIIIIIIIIIIIIIIIIH'LIIIII
Owner's Address O er Phone Number
Fee Simple Titleholder Name P one Number
Fee Simple Titleholder Address I 3I
JOB ADDRESS 6C>C_X 1 Y Y\\ -- y 'LOT# I
SUBDIVISIONI_I PARCEL ID# 5 oZ 5 -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM � OTHER
TYPE OF CONSTRUCTION/_ BLOCK 0 FRAME Q STEEL Q OTHER
DESCRIPTION OF ORK
BUILDING SIZE SQ FOOTAGE I_IHEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ C?O AMP SERVICE r LIII PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING
? Ili J Q�
MECHANICAL $ VALUATION OF HANICAL INSTALN
LIII GAS 0 ROOFING SPECIALTY OTHER / t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
(IIIIIIJIIIJl 11111111111111
BUILDER I COMPANY
SIGNATUREI_I REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY �G t`i✓ I I
SIGNATURE (A REGISTERED Y/ NI F CURRENT Y/N C
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL I COMPANY
SIGNATURE REGISTERED Y INI FEE CURRENT Y/N
Address License#
OTHER I COMPANY
SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N
Address License#
11111111 IlIlIllIlIll
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 subdivisions/large 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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 A/C Fences(Plot/Survey/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 regulation*. 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 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. 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'SIOWNER'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 the 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 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 IMPROVEENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT
WITH YOUR LENDER OR AN A
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT &C X- t (��� �' CONTRACTOR
SubscPbed and swo or affi ed)bejpre me this !r f()9 r/ Subscribed and sworn to(or affirmed)before me this
•t/ Ud'r by ' by
Who is/a�r personally nown to me or has/have produc Who is/are personally known to me or has/have produced
as identification.
ho fJ / as identification.
Notary Public
bile
Commission No.
Commission DD 734408
Name of Notary typed,printed or stamped
a typed
Fain kru nee e0o-3BS7o18
LV
MAY ELECTRIC WILLIAM MAY INC.
OFFICE 727-819-2862
FAX 727-279-2808 LIC#ER 13013758
MAYELECTRIC.NET
I give permisson to Rachel Fernandez to apply and pick up permits
as an authorized agent of William May Inc. Computer ID 016480
Rachel Fernandez is an employee of May Electric and will be in
charge of permiting. Drivers LIC # F655-724-73-878-0
DATE 11/04/200,
William May
President
P .
TRANSACTION REPORT 01/01
NOV/08/2007/THU 03 : 22 PM
FAX( TX)
# DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE
01 NOV/08 03:20PM 817278157000 0:01:26 3 OK ECM 7816
�C�ty of. ephyrhills: x:,
7; i. r4 r—"+ =x%c, rock �i'Eii :.�, •'� ::�,g::;::::::
Building Department �yx��:�. �;•,,�,:.
Phone: (813)-780-0020
.Fax: (813)-780-0021 ��
\TG.•�
Tli
TO: Gail FROM: Jackie
FAX-#:727-815-7000 FAX#:
DATE:11/7/08 #OF PAGES including cover sheet: 3
MESSAGE:
Gail I have.attached the previous address map that you gave me and the site plan given tofu s
by the electrician for the lift station. �dlo �a) lived. R _ &`h.tr
Thanks Jackie
I
, ,
1
1 1
•1
I
1
1 )
1 1
I
,
1 1
1
1
1
1 1
1
1 1
1
1
1 1
4 1
1
I-----...-T---------_---- ---------- ------------ ------------------J
City of Zephyrhills: /�"'
Building Department
Phone: (813)-780-0020
Fax: (813)-780-0021
TO: Gail FROM: Jackie
f €
FAX#:727-815-7000 FAX#:
DATE:11/7/08 #OF PAGES including cover sheet: 3
I E
H €
H €
MESSAGE:
Gail I have attached the previous address map that you gave me and the site plan given to us
by the electrician for the lift station . €
�� fl'2..P� �- ��� s�t�-f �-,i
Thanks Jackie
1 H
H €
y €
g i
€ H
1 €
i E
H H
I €
H €
H H
E €
E €
i H
H €
f €
f €
1 H
1 €
H H
I €
E €
€ H
1 €
E €
[ H
i H
F €
E S
CITY OF / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
ADDRESS DATE PERMIT#
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
Q l5-Th - fcc s LT � �nst�h tM h-T
_l AG i u r - -r \S i 1 1=�44�6`kc a tic` 10i <Ti r((,.
a'çSriJlui:
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTORY�j
I` ''
JLIr 7\\�
J II i I I I i—1—� � i � i,
..
�J _Vii_
== — ------------
FUTURE
` o CONNECTION
rrNw TO DAIRY
`l I ROAD
)-_U4w oc■�r STC i I . .
54,3405F
R AI
1L1L1]_ _ _
9 SF- ----- - r _____
( " TT pal
i
I I, I I I I I I I
— _ - —wC— SITE FEATURE
13
�.%: DR EEASEMEENPfT I
PARCEL PARCELIILEflPARCEL I
U8.H*WAY 301
-�-m=460+SOAK �,r,>•^ —.z s .�-- _ — —---r---=— as_
rt_ tl ypy�m e9.no �__ _—�—
GAS MAIN
CONNECTION ■ - -
P . 01 /01
TRANSACTION REPORT
NOV/08/2007/THU 11 : 21 AM
FAX (TX)
# DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE
01 NOV/08 I1:20AM 817278157000 0:00:58 2 OK ECM 7815
City of:Zephyrhills. ,
...............
.............
Building Department ,
Phone: (813)-780-0020
,Fax: (813)=780-0021 *•
• �z
-- Gail.------------------------------------- ----- Jackie--- - ----
1
FAX#:727-815-7000 FAX#:
DATE:11/7/08 #OF PAGES including cover sheet: 3
1 �
MESSAGE:
, 1
Gail I have attached the previous address map that you gave me and the site plan given to us
by the electrician for the lift station. A0P*eJaQ 4e
• 1
Thanks Jackie
1 r
r r
1 1
1 1
1 1 •
r ,
1 r
r r
. r 1
1 r
, 1
r r
r 1
, 1
, 1
1 1
1 1
1 r
------------------- ---------------------------------------------_.1