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Home My WebLink About09-9421 CITY OF ZEPHYRHILLS 5335 -8th Street (813)780 -0020 9421 ELECTRICAL PERMIT Permit Number: 9421 Address: 5521 23RD ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: ELECTRICAL CONTRACTING INC Book: Page: Square Feet: Subdivision: YINGLING ADDITION Est. Value: Parcel Number: 12-26-21-002A-00600-0040 Improv. Cost: 200.00 - a'�'. ..` Date Issued: 8/12/2009 Name: BM(.; OF ZEPHYRHILLS INC Total Fees: 35.00 Address: 5521 23RD ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid 8/12/2009 - hone: Work Desc: CHANGE MAIN BREAKER /6 F ELECTRICAL FEE 35.00 r r Y + ROUGH ELECTRIC CONSTRUCTION POLE PRE -METER , FINAL :S`IG�r INN yip 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 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perforne in accordance with City Codes and Ordinances. -- CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 -780 -0020 City of Zephyrhills Permit Application ` Fax -813- 780 -0021 Building Department q ii Z 1 Date Received v ` t 2 -0 '1 Phone Contact for Permitting -- Owner's Name a j..J / 1/ 01 AMIE Owner Phone Number Owner's Address 5 SZl 2 J ra S7' Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS '�� tP 0 2 -3 5 ± 7 LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR [ COMM I I OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK ( 1 FRAME I 1 STEEL I 1 OTHER DESCRIPTION OF WORK C Ai k '1 ' 32 _ ' ` RA e.'` ; +�") / � t k_o / /� " BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1& ELECTRICAL $ Z d 6 r O v AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. /fJ I I PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS 1 I ROOFING 1 I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I Address License # ELECTRICIAN C -'L' '-&-- COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address License # n 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. (NC 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 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 Tots 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 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) - �- i OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subsc'bed d s m to r affirmed) before m ttii� by Y Who is /are personally known to me or has/have produced o Is/arviempally.known to me or has /have produced as identification. as identification. Notary Public { : � � of A 6 t S Notary Public 1 * ?R *= Commi on DD 621833 Commission No Cgfnmis ion . .ti R :'M' r- '' Af Tnn Tr*, Fain Inpumnar+ 80P416.70 Name of Notary typed, printed or stamped e of Notary typed, printed or stamped Pasco County Parcel: 12- 26- 21 -002A- 00600 -0040 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Parcel Cards: 1 1 2 Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: II Weekly Archive - Saturday, August 08, 2009 Parcel ID II 12- 26- 21 -002A- 00600 -0040 (Card: 001 of 002) I Classification 71 - Churches Mailing Address Property Value BIBLE MISSIONARY CHURCH OF Ag Land $0 ZEPHYRHILLS INC THE Land $25,737 5521 23RD ST Building $107,324 ZEPHYRHILLS, FL 335426811 Physical Address Extra Features $462 5521 23RD ST Market Value $133,523 ZEPHYRHILLS, FL 33542 -6811 Assessed (Save Our Homes) $0 Legal Description (First 4 Lines) YINGLINGS ADDITION TO Taxable Value $0 ZEPHYRHILLS REVISED PB 2 PG 16 TRACT 6 IN THE SW1 /4 OF NW1 /4 EXCEPT SOUTH 100 FT AND EXCEPT Land Detail (Card: 001 of 002) Line 0 Use IIDescriptionll Zoning U Units II Type II Price U Condition 0 Value 1 I 7100 11 CHURCH 11 00R2 0 7,500.00 II SF 11 $2.43 11 1.00 11 $18,225 2 11 7100 11 CHURCH 0 00R2 1117,884.6011 SF II $0.42 11 1.00 11 $7,512 Additional Land Information Acres (1 0.58 11 Tax Area II 30ZH 11 FEMA Code H X I Residential Codell ZHLGLP2 l Building Information - Use 71 - Churches (Card: 001 of 002) Year Built 1970 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Average Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line II Description (1 Sq. Feet 11 Repl. Cost New 1 1 11 BAS 1 1 2,212 I 1 $126,283 I 2 11 FOA 1 I 84 I 1 $971 Extra Features (Card: 001 of 002) Line 11 Description 11 Year 11 Units 11 Value 0 1 II CLFENCE II 1975 11 800 1 $282 2 II UDl1 II 1996 80 II $180 Sales History Previous Owner II BIBLE MISSIONARY CHURCH Year 11 Month 11 Book /Page II Type 0 Amount 1991 II 11 II 2072 / 1642 II 2c 11 $ 1977 II 08 II 0902 / 0560 I 1 $32,000 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes http : / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 12 &twn= 26 &rng=21 &sbb= 002A &... 8/12/2009 08/12/2009 15:54 8139350709 NEIGHBORHOOD INS PAGE 01/01 AC N?P ' CERTIFICATE OF LIABILITY INSURANCE 8/ OONYVVl �' _ 8/12/2009 PRODUCER (813) 935 -1561 FAX: (813) 935 -0709 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Neighborhood Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Neighborhood Insurance Service ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 14949 N Florida Ave Tampa FL 33613 INSURERS AFFORDING COVERAGE I NAIC # INSURED INSURER A AmArlcan Strategic Insurance James E. Chambers Jr ,Electrical i INSURER R Contracting Inc INSURER C. • 8349 Heather Dr INSURERS: I Zephyrhills FL 33540 -6816 I INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INSR IA00•L I PDUCY EFFECTIVE • POUCY EXPIRATION i - • L,T,L INSROI TYP1Af_ INSURANCE POLICY NUMBER DATE IMMO) r YYY • • T „ I. • AA • LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 COMMERCIAL GENERAL LIABILITY I DAMAGE EMI TO RENTED X 1 j PREMISES (E90ccurronco) S 100,000 A 1 !CLAIMS MADE : X I OCCUR FLB370B5 6/6/2009 6/6/2010 . MED EXP (Any one person) 3 5,000 PERSONAL &ADVINJURY 3 1,000,000 • 1GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER : PRODUCTS • COMPIOP AGG I 3 1 , 000 ,000 X • POLICY JFCT I 1 LOC , AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ` $ ANY AUTO (Ea aCCIOenl) ALL OWNED AUTOS : BODILY INJURY S SCHEDULED AUTOS • (Par parson) I 1 HIRED AUTOS ROPILY INJURY I $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE i • l I I (Par Abr:IrrNNI I GARAGE LIABILITY AUTO ONLY • EA ACCIDENT 3 ANY AUTO I OTHER THAN EA ACC . 1 AUTO ONLY: AGG ; S I EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE Is OCCUR CLAIMS MADE • , AGGREGATE S I$ DEDUCTIBLE if ; RETENTION S j I S WORKERS COMPENSATION WC STATU• .OTH- i AND EMPLOYERS' UABILITY Y r N I TORY LIMITS I 1 ER i i ANY PROPRIETORIPARTNERIEXECUTIVE D E.L. EACH ACCIDENT 5 • OFFICER/MEMBER EXCLUDED (Mandatory In NH) E.L. DISEASE . EA EMPLOYEE 3 I1 yos, doscribo 1ln0er SPECIAL PROVISIONS OBIOw , , E.L. DISEASE - POLICY LIMIT I 3 OTHER _ • I I I DESCRIPTION OF OPERATIONS r LOCATIONS $ VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 013)780-0021 SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 714E EXPIRATION City of Zephyrhills Building Department DATE THEREOF. THE ISSUING INSURER WILL ENOEAVOR TO MAIL 10 DAYS WRITTEN 5335 8th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Zephyrhills, FL 33542 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE L ACORD 25(2009/01) C)1988-20 CORD CORPORATION. All rights reserved. INS025 (30090,) The ACORD name and logo are registered marks of A RD