HomeMy WebLinkAbout10-10487 CITY OF ZEPHYRHILLS
5335 -8th Street
(813)780 -0020 10487
ELECTRICAL PERMIT
Permit Number: 10487 Address: 7350 DAIRY RD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: ADS TELECOM INC. Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35- 25 -21- 0010 - 06900 -0020
Improv. Cost: 5,118.05x. I
Date Issued: 5/20/2010 Name: ADVENTIST HEALTH SY
Total Fees: 90.00 Address: 7050 GALL BLVD
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/20/2010 Phone: (407)975 -3000
Work Desc: LOW VOLTAGE VOICE AND DATA
7,17 7 1 7 E 7 7:: :iMWrAGNMVZjiajMjTeaU'
ELECTRICAL FEE 90
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ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL (40 ��
�t)
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 perform(
in accordance with City Codes and Ordinances.
, f0 662- air 44 /11. -
RACTOR PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CODE, NATIONAL ELECTRIC COLE AN`' CITY OF ZEP HYRHILL
• CITY OF ZEPHYRHlLLS ORDINANCES •
P LANS EXAMINER
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(1"` )DE , NiY.L i'lli NAL ELECTRIC CODE Al.,7. • ' • PLANS EXAMINER /
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06136 Rec: 10.00
05/20/10 K. Garcia, Doty Clerk
NOTICE OF COMMENCEMENT
PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
05/20/10 09:04am 1 of 1
Permit No. OR BK 8336 PG 844
Prcnerty Identification No. i7 t 1
. #t i <,r F - ` t
THE UNDERSIGNED hereby give informs you that the improv emcat win be uncle to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCERiE'IT.
1.Descriptian of property (legal descriprinn) Lt Art ~ � .�, ,. e t y i f C (/1 { 1 7 , 7 5 ,t "`I 7 >:
a) Street Address: 7�rn {fin ' s,x�4 Z4 'f //L S / . 7 S yo i n : v .� SG _ °
2 General description of improvements: (10 is d Aka., g, {`�1',4 — i a �C t '�c 'y;4,
3.Owner Information } i� �.
a) Nana and address: N1iVe• � I • S i 13h t tl' I ,k c,, F-0 - t' � < t :3 � ',I 7=SC , „ct1a 1 �1 +�'
b) Name and address of fee simple titleholder Of other a ow= ) S I )
e) Interest in property
Contractor Information +�, • � j (. t jj
a) Name and address: S -10.ftiy )t; f lerseri. tv1 4+ ' �./ t t�`✓i.e: /''- . b it ,3 0 t t. t 64c1 ✓L 2 2 15.1
b) Telephone No.: } T F7s' -(;• 2,2 -I., :C/! j ,c ax. No. (C-TO yf2 t - "1 Y- J -
5.Surety Information
a) Name and raldress: •
b) Anzntntt of Bond:
c) Telephone No.: Fax No. (Opt)
fi.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Floridly des mated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
t1.In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)0), Florida Statutes:
*Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY irIADE BY THE OWNER AFTER T HB EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PPIT I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR ihIPROVEMENT s TO YOUR PROPERTY. -
A NOTICE OF COMMENCEMENT MUST DE RECORDED AND POSTED ON THE JOB STTL? T1EFORE THE FIRST
INSPEECTION. IF YOU INTEND 7'0 OBTAIN FL9ANCING, CONSULT YOUR LENDER O ' AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE Or 4 MMLNCEMEN T.
STATE OF FLOAD)A
COUNTY or PASCO '
• Sim..... .�rO+msu• a 6 Aa41 4.:,.,4 /Dirertathinnc,Mane,t
Prim Inc (�
The foregoing Instrument was acknowledged before ton this,, t or , 20.a, byC�fk +AkOra -'M
es type of authority, e.g. officer, woken, attorney
in fact) for (name of party on behalf o whom hutrameat wta executed).
\ �p p 1 l,RY PV CYNTHIA L SMELSER
Persnoatly Known )C 011. Produced id'atihcation Notary signature � e o ` L X RO � MY COMMISSION t DD 771672
,1 * ' ` n * EXPIRES: July 23, 2012
Type of Identification Produced Name (print) ei. 4 '1 LA L. Slm %, dom Sottderna Budget Natal Setvkes
OF FL
Verification pursuant to Section 92.525, Florida Stomas. Under penalties of perjury, I declare that Dave read the forego1ag and that
the facts stated in it are true to the best of my )niowiod ge and belief
Sign -ra r_ ni Nato! Pusan Sigarina AL•ave
v''
LATE OF FLORIDA, CO U'I Y•0P- �PA
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
• ON FILE OR OF PUBLIC RECORD IN THI OFFICE
WITNESS MY HAND AND OFFICIAL SEAL THIS
cy DAY OF ±
YC f
PAULA S. 0' EIL_, CLK & C U O 3' 1120U LER
BY / A ____ DEPUTY CLERI
13-7a0.c024 City of Zephyrhills Permit Appricatica._ Fax-,31:3-75o0021
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&dieing Department ,....-----
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Date Received 3 I 3 - i 0
i Phone Contact for PiiThittang i 1JL „ , • .... , ... 1 (,... J,....1:-..,,, .„ , : ' -
Owner's Narne ' ..,•.1. ; : ,11,1 , ' ..” ',.......,,, I '1.. 1._ t . v' , -,-' Owner Phone Number, ....,,f -,.^,;., '1' - ••-" -1 1 ' ," , " ,„' ,'
Owner's AddreSS I I..b"C1',.., i ! '-L„ -- t it .-.. ' '` r,14 , " '; '' ..1. : ,, -- ,i I 11 - r <- ' - Own. , Phone Number
I
Fee Simple Titleholder Name! I Owner none Number 1
otar_ Sample Titleholder Add
, .
JOB ADDRESS
_..
SUBDIVISION
)FAD FROM PROPERTY TAX NOTICE)
WORK PROPOSED R ,siE0i CONST R M ADCVALT = SIGN 1 1 MOVE r DEMOLISH
IN-STALL i
PROPOSED USE = SFR CCMV1 OTHER r C' tn '
. --,
TYPE OF CONSTRUCTION ni BLOCK ri FRAME 1 1 STEEL n OTHER1 I ,.
. 1 i , • -.1' i ,
DESCRIPTION OF WORK '1, '''::j -' '`'•,.."" '•.' ',....___, • 1 .. " '
BUILDING SIZE SC FOOTAGE t 1 HEIGHT 1 ,.
•-
, ., ..,. • , . . , _ . L.._ _ . .___. ... _ ,„ _......._ _....... ............., . .... ..... .................... . . „ . _, ___.
I I BUILDING /S
1 VALUATION "OF TCTAL CONSTRUCTION
r ' ..m.t., ...-:.,(-,,,-,.,
, ‘74 ELECTRICAL $ <1; .•'1, . ':, 1 '' -' '''-'-' F1 PROGRESS ENERGY I 1 W.R.E.0
/ L- v- 1 •„;. - . -- i - -•,; --' . : 11 :' ' •-- -,
1 I PLUMSNG
1 1
L MECHANICAL S 1 VALUAPON OF MECHANICAL INSTALLATION
= GAS = ROOFING f1 ow f ---- i OTHER
RNISHED FLOOR ELEVATIONS 1 ;Lr-i3O1.:`, ZONE ARE,A 1 1YES I IN0
BUILDER COMPANY
SIGNATURE REGISTERES 1 Y ' N 1 FEE CUERO:SE L J.: .
Address License e 1 I
I
ELECTRICIAN i COMPANY
SIGNATURE —f - REGG Y i N FEE (=RENT RIM
."
Address I License 5
PLUMBER COMPANY I
SIGNATURE REG:STEREO 1 Y i II 1 FAX aiRP ENT 1
_
I I
Address I 1 Laren.. 5
MECHANICAL COMPANY -
SIGNATURE
1_` 9' _i_ FAX CURRENT '41_:221_1
Address 1 / 1 / 1 1111/110 1 Pr i li - License 5
,
,
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OTHER dilh 1,.. p-,.. , , ,' i - - i, 4-1; 1 e. ii.--, -,
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SIGNATURE a 41. REM:STEREO, I .... , 2 . H . _ , L j FEE CURRENT L y,:l,I 1
'...i 1.■•••11111111.1111.......
Address 1 / '4 r 1-' .• . ,..... , .., • (-,... ...:-: -,-, 0 ,-: . i . i •,•; .. !. ' I ,.'„- ,.., ; 2 j -,.,..) (• -, -, • : 1 :
RESIDENTIAL A1:, (2 Plat Pels; (2) se4 of Building PIans, (1) set of Energy Forms; R-O-W Permit for new constructn,
Minicriorn ten (10) iniorking days after subrruttal date Required ore. de, Comarruction Plans, &tom:water Plans ire Silt Ferce nstalled.
Sanitary Padlities & 1 durripstar: Site 4.44 Perm: for subdir eionsdasge proje,ces
COMMERCIAL Attach (3) domptete set$ of Buieirc Plaits passe Life Safety Bags. (11 set of Emeray Ferns. R-0 iW Permit for new construction.
Minimum ten (10) working days utter ubrrattal date Required ens Genstrutticar Rams, Stormwater Pars =a Sit Fence irste4"ed
Sanitary Faciiities & 1 dumpstel .nte 'A/c-' Permit for al new P7C4ectz Ali commercial requirerrenls mbst meet cometiarce
SIGN PERMIT Atrach (2) sets ot Engineered Pens
"PROPERTY SUR :ego:Seri for aii NEW construction
Fill out applicator, malpiete) y
Omer & Contractor sign back of appitretidn, notanzed
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $50
".• Agent (fef the con/m.pto)) or Rowe 4 Attenney fl 7 /15 (_ be spmenrne with notarized letter from owner authorizing sane
OVER THE COUNTER PERMITTING (Front of ApoltIon Only)
Remota Sewers SeiYide Jogrades NC Fences i,Pfi;uiruey/Foctage
Driveways-Nol over C.";.,xpiter ,1 cm pc roaci,ays..r.eas 508/
j
NOTICE OF DEED RESTRICTpNs: The. undersigned understands that this permit may be subject to "deed' resbletions"
igthich may be more restrictive thee County regulaeons, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: af the owner has hired a contractor or
contractors to tindert ke. work, they may be requited to be licensed in accordance with state and local regulations. tf the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. 3 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—Lie,ensing Section at 727-847-
......
8009. Furthermore, 3 the owner has hired a contractor or centractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they well 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 privReges 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 =instruction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance nurreeer 89-07 and
90-07, as amended. The undersigned ease understands . that such fees, as ritzy 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 VVateriSewer Impact
fees are due, they must be paid prior to permit issuance in acoordance 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 thci "Florida Construction Lien Law--Homeownees
Protection Guide" prepared by the Florida Department cf Agriculture and Consumer Affairs. 3 the applicant is someone
other than the "owner, I certly that i have otatiried a e.,opiy of the above described document and promise in good faith io
deliver it to the "owner" prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the information in this application ira accurate and that at work ..
wit be done in compliance with ail applicable laws regulating c.enstemtion, zoning and and development Application is
..
hereby made to obtain a permit to do work and installation as indicated. i cerfify that no work or installation has
...
...
commenced prior to issuance of a parent and that alt work will be performed to meet standards of ell avas regulating ..
construction, County and Cite codes, zoning regulations, and Land development regulations in the jurisdiction. I also
certify that 1 urderstand that the regulations of other government agencies may apply to the intended work, and that it is ,
•
my responsibility to identify what actions 1 must take to be in compfrareee. Such agencies include but are not limited to:
Department of Environmental Proteion-Cypress Bayheads, Wieland Areas and Environmentally Sensitive.
•
Lands, WatertWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,. Altering •
VVatercourses.
- Army Corps of Engineers-Seawalls, Cocks, Navigable Waterways.
- Department of Health & Rehabilitative SereicesiEnvircaiirrental Health Unit-Walt, VVastewater Treatment,
Septic Tanks.
•
•
- US Environmental Protection Agency-Asbestos abatement •
•
- Federal Aviation Authority-Runways. •
•
I understand that the following restrictions apply to the use of frth
Use of fili is not allowed in Flood Zone "V"' unless expressly permitted.
•
- If the rill 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 w prepared by a professional engineer •
licensed by the State of Fonda. •
•
- 3 the fill material is to be used in Flood Zone "A in connection with a permitted building using stem wail •
construction, I cart that fill w& be used only to fiii the area within the stem vitae •
•
•
- If fili material is to be used in any area i certify that use of su 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 iots less than one (1)
..„•:.,-
,. ........ :1.'''!1 ....:
acre which are elevated by MI. 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 tc commencing =astructiori. I understand that a separate permit rray be required for electrical work,
plumbing, signs, weils, poois, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a ikaense to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, not 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 ss months of permit issuance, or if work authorized by
the perme 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 eeaaeia 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 YOU' NOTICE OF COM /ENCEMENT. .,.
FLORIDA jURAT (P S. 117 C:',:t
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.•••
OWNER OR AGENT CONTRACTOR ff A ..,
Subsotibeci and sworn to for atrrnerb -before me tilts aPaord, , - /kJ, ek - • • to for off .- ) before me ttYs •
t_64,i Ar lik ■ ' \ h. '
Vino is/are personaity known to me or hasrhave produced _Wtto :afar , bars ., ,atty Known s rnz hasibaye prodoceb
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as inertbrkttatton. as identitcation. .
• •
...
rdrikar, r=obito„ - ________tdotary Putatic
Commission Na_.__.__ Cs n No --- \ L 74
Nam of Notary typed, printed ot stantetni tiarne of t•lotory teii Or stamped
CYNTHIA L SMELSER
* * MY COMMISSION # DD 771672
• '74 EXPIRES: July 23, 2012
4 ›. e
4 re omc e. Bonded Tin Budget Notary Barytes
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at l
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: a) a uk Box Aki & SVC
Date Received: S 1 -1 0
Site: 7) S3 64-1 ( J4 L/J
Permit Type: V () ice 0. Q a a- .- l (lit) 0 o 1 d-
Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
K vin Switze — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)