HomeMy WebLinkAbout10-10486 CITY OF ZEPHYRHILLS
5335 -8th Street
(813)780 -0020 10486
ELECTRICAL .PERMIT
m 7 ar ffiy a 7'.g ,,a ~: $ 0.r,'" _rw; inirm
Permit Number: 10486 Address: 38250 A AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Contractor: ADS TELECOM INC. Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14- 26 -21- 0010 - 01300 -0010
Improv. Cost: 10,126.09 a „
Date Issued: 5/20/2010 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 127.50 Address: 38250 A AVE
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542
Date Paid: 5/20/2010 Phone: (407)975 -3000
Work Desc: LOW VOLTAGE VOICE AND DATA
ELECTRICAL FEE 127.50
Yt6LO
ROUGH ELECTRIC
CONSTRUCTION POLE r,,
PRE -METER - l(J
FINAL
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 perforrle
in accordance with City Codes and Ordinances.
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d '1
Co RACTOR PERMIT OFFI
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - S HOUR NOTICE REQv!REO
PROTECT CARD FROM WEATHER
• 813 730-0022 City of Ze.phyrhiiis Permit Appfication Fait 813.730..0G21
B4ifdrIg• '...)area
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Date Received i 5-/ 3.- t 0
1 Phone Contact for Perm Iting I v i i ,,I," ,...,- -- 4' .,- ..,-• k.:,'• '
Owner's Name - ',' ,., , ::: ,, •••;.- , '- L ''''' .• ' "..' ' ' " 4 ' ,. clwner .hone Number •,..,-;,.. i ...•,, i ....„- •s- --
Owner's Address ki. , ,•= ... 1 i •,, '...,.„ kA . 1 :2 , ; -t-,.c ,:,...;,... ;.. ]!,,...; 'e- ,,, owher Phone Number ,
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Fee Simple Titleholder Name i Owner Phone Number
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Fee Simple Titleholder Address 1 —
JOB ADDRESS ,, , . „: •-, LOT I
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SUBDIVISION 1 PARCEL ID# i -=•-<•4 ' r' I - t. -.. i L • '
(OBTA.1140) FR= PR CPERTY TAX NOTICE)
,..,. _
WORK PROPOSED 1 NEW CONSi _•,<•?..".•=° .A:'.,32dAL7 I, i S4GN 71 MOVE 1 ; DEMOLISH
1 1 . iNSTALL REPAR 0; \o„, i -, ,
PROPOSED USE L j SR I CO:! r...74 OTHER I rt [ ik:' , , .....;n ::"...":,-, I 1-4-,L.:1 . .. , - ,- , I
TYPE OR I:DNS I BL.00,K, 1 i ,,' AME .17 S l'EEL = CI HER I I
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DESCRIPTION OF WORK 1 v •-• = `-•,--- L ,-.., , -6 -1 - 4- , ; t.:- %.-- i V ' • ' - ,k." , - ' -.- ""'"` ' ,
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BUILDING SIZE ___,1 SQ FOOTAGE I ; HEIGHT
fl BUILDING ig
VALOATiON OF I C.TAL OONSTRUCTIOIS :
•
CZ ELECTRICAL IS , ,.-, .. , ..„ ., 1 AMP sERv] 0E 1 I PRCGRESS ENERGY 11 W.R E C
r--- PLumeING ' 0
1 MECHANICAL .S VAL. lATlOtS OF MECHANICAL INSTALLATION
ED GAS = ROOFING 1 .--- 1 SPECIALTY = OTHER
FINISHED FLDOR ELEVATiONS i FLOOD ZONE AREA 1 [YES L _INC
I
BUILDER I COMPANY
SIGNATURE I REGiSTERED 1 01 N 1 FtFE CURRENT l Y I N I
Address I boeme 4 1
ELECTRICIAN 1 COMPANY 1
SIGNATURE i 317155 I a` l q 1 FEE CURRENT 1 0 I N I
Address I 5<1 533
PLUMBER 1 COMPANY
SIGNATURE REGiSTERED LY . ,.... 12 . S j FEE CuRRENT 1 1 j
Address
1 License 4 I
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MECHANICAL 1 .. • PANY I
SIGNATURE 1 1 s,' I N f TEE CdAIKEST - 1 'ON i
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Address I A i Tall License # .
ANY '
SIGNATURE — OTHER COM
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.IIIIL R. RED - * 1011111 r•EE coke ENT 1 YIN I
Address f' 3 ti: `• --‘, 1 ',..',:-`, :s.i. • : ::2: 1 C.= :,...- 3 .- 1 ; :1 - 1 ..4 •i :• ', fi, 31....: License #
RESIDENTIAL Attach (2) Plot Piens.: ;2) sets of Ballain Plains; •(1) set ct Energy FoFms. R.OAV Permit "or new construction.
mum ten (10) ve553res3 05y5 after sabmittet date Resumed onsite ConMfoction Plans, Storrawater Plans str Si : I Installed,
Sanitary F•actlites & 1 dtrep•stet; Site 'Work Pa<s for subdtvis;onsi:arge orolec
COMMERCIAL Attan (3) c serz of Lai:ging Pens talus a Lee Safety Page, (1) set 53 3<20230 Forms R-O-W Permit for new consa=ion
Miril mum fen 0) ya.ssing days after submittai date. Regidred cnsXe, Coistuston Pans, Stormwater Pars , si Silt Pentad installed,
Sanitar,r Facilis 0 1 eumpster Site Work Permit for all qeds All corrmercial requirements must meet compliance
SIGN PERMIT Attach (2) sear of Engineereg Piens
... "PROPERTY SURVEY required for A:i ..iEV
FR out appi..kation compleref):
Owner Er. Contractor sign 100 of itippl4stion, solarized
If over $2500, a Notice of Commencement is regsnred. (AIC upgrades over $0000)
" Aoeht (tor <11<1 conetictc,t or Rower nt Attorney (for Me owner) ant:mkt be someone with norized lettef from owner sethotizitv, same
OVER THE COUNTER PERMITTING (From of Applicator Coy;
Reroots Sewers Semine Upgrades A/C Fences (Pins(SeNeyfFootage)
Driveways-Net 053 r Counter 1 (x public itr.:) seeds ROW
`
NOTICE n�� be "=/ su"deed" restrictions"
which trey »e more restrictive than County egulauo"s The undersigned assumes responsibility for cm=n/iamz with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR xsnpomSIomnss. If the owner has hired a contractor or
contractors to undertake work. they may :e required wue licensed m accordance with state and local regulations. If the
contractor is not licensed v` required *u°, both the owner a "d contractor may be":eu for " misdemeanor violation
under state aw. f the owner or nter.ded contractor are ncertain as to 'Mat cnsin requirements may apply for ne
intended work. they are advised m=,o the Pasco County Building Inspection oiviu"°—u"e,mnonectiu"ator*wr'
none. pu,memore, it the owner has hired a contractor or °^"uracevm, advised to have the contractor(s) sign
portions m the "contractor Block" ^, this vnn^ u for /u� n the ="n , they responsible. you, owner sign =The
contractor, that may be an ndicatioa that hmis not properly licensed and isnot entitled m permitting nn,aoneomPasco
Coum'
TRANSPORTATION MPACT1UTtLmES MPACT AND RESOORCE RECOVERY FEES: The understned understands
that Transportation Impact Fees and Recourse Recovery Fees rry appiy to the aonstruction of new buHdiags, change of
use m existing buildings, "r expansion m existing buildings, °""n°unem Pasco County Ordinance number 89-0rand
90-07, as amerded. The undoragned a.c understands, that such fees, us may u°due, will ue identified ,t tie time v/
oermitting. It s further understood that Transportaton rnpact Foos an Resource nr"".pre Fees must be paid prior to
receiving a"certificate o, occupancy' v,noai vm°-,myn,e nomp�� um involve m� of does not
nn°/power m/°""".�em m �m
°"�" County Water/Sewer lmpact
feas are dos, they muet bm paid prior be permit issuance /"accordance with appdcable Pssco County ordinances.
CONSTRUCTtON LIEN LAW (Chapter 713, Flortda Statutes, as amended): n valuation ", work isoo,oa.00n, more, /
certify that I, the anp/uont, have been provided with a copy of the "Florida Construction Lm" Law—Homeowner's
Protection Guide" prepared oy the Florida Department of Agriculture and Consumer Affairs 8 the applicant is someone
other than the ^"wne, certify the abov described document and promise m faith �
good
deliver 1 to th "ovmer' prior poor to commencemenL
cowTnucroR'smvw«sa'uxFr/oxvn: 1 certify that all the nformation in ttns appitcation m"cc"mmanuthataop*m
Mt be done n comp4anco with at appt'cabo taws regulating ~,nstutno,z=mm and land development. Application is
hereby made to obtain a permit to do ,=m and /r,stao"u"n as indicated. / certify that no wcrk or /nst,/m«nn has
comrnenced prior to issuance t a pem'it and that ail work 'ill be perforrned ta meet standards m all laws regulating
.."otructm".coum'a"uCurcode,,zcn/no regulations, and land development regulations in the jurisdiction. / also
certify that I understand that the reguiations of other government agencies may apply to the intended work, and that e is
my rcsponwbhty to identfy what actione mus take to be in compliance, Such ager,cies inctode but are not limited to:
Department m Environmental Protection-Cypress Sa*oeyo,. Wetland Areas and Environmentally Sensitive
Lands, n�wn�m*°,=m,. Treatment.
Southwest Florida Water Management District-Weim. Cypress eayhm"o° Wetland Areas, Altering
wmw,
Army Cores ofs"om°ers-Swa=o/ls. Docks, Navigable wVate/xmys.
Department Of Health & Rehabilitative Services/Environmental Health Unit-Wees Wastewater
Septic Tanks.
' '
US Environmental Protection Agency-Asbestos abatement.
'
Federal Aviation
/ understand that the following restrictions apply to the use mtill:
Use m fill ° not allowed mFlood Zone "V' unless expreowpemined.
'
If the m/ material is to be used in Flood zone "r, it is understood that a drainage plan addressing a
"compensating volume" will u° submitted "t time °,p,mitino which =prepared u'" professional engineer
licensed
�vm State
'
If the fill material is to be used in Flood Zone "K in ce"nect*^ °tis a permitted building us/"n stem wall
construction, / certify that fill will ue used only to itt the ares wrthn the stem wail.
x fill material is to be used 0 ar.y srea certify that usa af such itt witJ not adversety affect adjacent
properties 11 uso el 1111 s found to adverseiy affect adacent properties the owner may m, cited for violating
the conditions ./ the building permit issued under the attache m ov°,"anv/icu for m •s
="".,��m n'
than
acre wtich aro elevated by fill, anenmm� drainage
1! am the AGENT FOR THE OWNER, promise in good fadh to inform the cwner of the permitting 000dltiaris set forth in
this affidavit prior to commencing construction. / understand that a separate permit may be required for electrical work,
plumbing, signs, °e/� p".�, air conditioning. ��". or other installations not specifically included in the application.
n°m��so°ummom,wr°�"°om license authority.
"�smeany r nor sxaoxa perrrit
requiring °°",m,u"no/ errors /n plans, nunst"t/"n",./"/yo""vv/ any codes, Every permit issued shall b,="neinvalid
unless the wark authorized by such permit is=mnne"md within six months of permit "aua^m,",n°mmaumunzeouv
merm�m� suspended or abandoned �r An extension
may u"=n""m"u./"°"m"o,o~mm°o"�monffiu for not to exceed
justifiable cause for the extension. n work ceases for ninety (9w==xmmmy days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTTCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TW!CE FCR IMPROVEMENTS TO YOUR PROPERrI. /r YOU INTEND noOBTAIN /wAwom000wsuLr
WITH YOUR LENDER onAwxrronw v BEFORE RECORDING YOUR '
~o`"/o^ fFs ,,,v3)
Subscribed and se.orn �on^os�."�'°°.'_°�n������ — CONTRACTOR li
n°w
• '1010 stare by »�=*����,�=* � —
_-_ ��~. x.°�'. �� identification
w.=~ Pubic pubi*
Commission m° c=.71=iGS,S1n"
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Name of Notary typed, printed °"*imped w^="of Notary ,tol or arr.peti --- �
6k1OXY N/A.
CYNTHIA L SMELSER
* �mr����oDD�1(m
ts, 4e
EXPIRES: July 23, 2012
* °cp. , Bonded ."" Budget Notary Services
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I CODE, NATIONAL ELECTRIC CODE AN . CI • ZEPHYRHILLS.,
1 CITY OF ZEPHYRRELS ORDINANCES
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l-REVAILLNG CODES, FLORIN. A . .,T, - '": ..,
I CODE, NATIONAL El_ ECTUIC CODE AN PLANS EXAMINER •
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ati„,:k &x ,kk 1 w k Svc
Date Received: _ 1 0
Site: 38 Z S d / A-
Permit Type: 2/v i cs-. &mil atop J ad o < ,
Approved wino comments: Approved w /the below cXm J nts: ❑
--P \(`-pik S
QhQ ct r ( S
This comment sheet hal be kept with the permit and/or plans.
/ */()
Kalvi Swi er r . s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
1111111 IIIII HIII 1111111811111111111111111111111111 IIII 1111
51�,_ _._ ) . � ii ayi 2010071036
� ✓ Rcpt:1306136 Rec: 10.00
DS: 0.00 IT: 0.00
05/20/10 K. Garcia, Dpty Clerk
NOTICE OF COMMENCEMENT PAULA S . O' NEI L , Ph . D . PASCO CLERK & COMPTROLLER
05/20/10 09:04am OR BK 8336 of 1 845
Permit rte.
Property identification No. 1 .1 '(r" ` � (;'L'.' I( ' v ` cc, !i:%
THE UNDERSIGNED hereby give Warms you that the improvement will be triode to certain real property, and in accordance with
Section 713.I3 of the Florida Statutes, the fallowing infinnatioe is provided in this NOTICE OF COMMENCEMENT.
l.Deseription of property (leget den:rip/Mr/0 Ti.: {, } 3 } 14 a lt l r ' / rib ft i ! V> l . s c _.k. 1 =` tc r=-1 is'y
a) Street Address: Z�i/e / r te / SCSI stn es i •
t
2.General descripti,m of improvements. i{ .eta { 1� l ( , i h i J: i ;. J i .'✓ : ti L r:
3_Owner Information
a) Nume and address:c�6. t t3 t { ; . _ ftt� € g '► . ~ ;.. [t s 7 S t- /e' > fi: f . .3 , _ ;
b) Name and address of fee simple titleholder climber than owner)
e) Interest is property
4.0 ontractor Information j t t 7
a) Name and address: 31t.,� (kEirtve* � »f-' N. �' ie2vv2 ! `E t .. tf ' . '?xy i�!Fete 1dG+1� FL_ 3x.75f
b) Telephone Na. Fax No. (Opt) Ltir1 cltfi� — 5 M.:5
S.Surcty Information
a) Name and address:
b) Amount of Bond: _
c) Telephone No.: Fax Nc. (Opt)
ci.Lender
a) Na=me and address:
Phone No.
7. Idantiry of person within the State of Florida designated by owner upon whores ootiees or other downier= er= mey be served:
a) Name and address •
b) Telephone Na.: FdXNO. (Opt.)
Bin addition to himself, owner desigaates the following person to receive a copy of the L'rennr's Notice tm provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No '— Fax No. (Opt.) _
?.Expitatloa date of Notice of Commencement (the expiation date. is one year tram the dote of recording unless a different date is
specified):
•
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE E3.U BAT1ON OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS PTS UNDER CHAPTER 713, PART 1, SECTION 77113,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVE,>r11=•i'Tl'S TO YOUR PROPERTY.
A. NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDE • iR A14 ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF i f • &4RNCEMENT. /
STATE OF FLORIDA
C012141 OF PASCO ,
S,enetcra afOwner • Ovmer's A161106=4 OffsccdDi,ectartPara,aiManascr
The forego ing instntment was ad/tow/edged before me this 1 day of 1 I lEIZ 20 t0 , by vt4i f Fi't a' Prim
Yypn tru he, Fti' y
as af a torit y, e g afltcc nCOrney �o ... CYNTHIA L. SMELSER
in fact) far - (name ofpurty an behalf o whont insttnmenc was executed). MY COMMISSION # DD 771672
Personally T:nmvn OR Produced Identification ` Noisy Sienatura t mi P EXPIRES: July 23, 2012
1T eof Foe Bonded Thtu Budget Notary Services
Type of Identification Produced Name (print)
V'crincation pursuant to Section 92.525, Florida Statutes. Under pennies of pe.rJury, I declare that I have read the foregoing and butt
the facts stated in it are true to the best of my LTtowiedge and belief.
Sie x,ae of t twv-a1 P, ,,. Sig:, ae Aba:e
•
FOi1Lt3tnae,rs '-Y.7
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STATE OF FLORA, COUNTY OF PASCO ,
THIS IS TO CERTIFy THAT THE F6REGOING
TRUE AND CORRECT COPY OF THE D'SCUMENT 7 ,
ON FILE OR OF PUBLIC RE.ORD kN THIS OFFICE
WITNES§ MY HAND AN OFFIC4 2 SALIKIS
f '•
c> DAY OE
PAULA S O'NEIL, .JERK & ,OMPTROLLER'
BY 1 // s DEPUTY CLERK
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