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Home My WebLink About09-9641 CITY OF ZEPHYRHILLS 5335 -8th Street (813)780 -0020 9641 ELECTRICAL PERMIT Permit Number: 964 Address: 7540 GAL BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Contractor: CHAMPION SECURITY SYSTEMS I Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0130 - 00000 -0100 Improv. Cost: 2,000.00 ` A ° ° : ' °, s Date Issued: 10/16/2009 Name: NOM ZEPHYRHILLS LLC Total Fees: 60.00 Address: 3841 GREEN HILLS VILLAGE DR ST 4 Amount Paid: 60.00 NASHVILLE TN 37215 Date Paid: 10/16/2009 Phone: (615)269 -5444 Work Desc: INSTALLATION BURGULAR ALARM /LOW VOLTAGE ELECTRICAL FEE 60.00 p q & 3 k i`f . ix x-.• i�e�ss8 ,::n mss �� ° S � � „= _F ate dtl e � , t -v k } e a�' �€ a-� r :.�.� � t' v ROUGH ELECTRIC r CONSTRUCTION POLE n PRE -METER ' y l f, FINAL ' ' (7 /D 1--- 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. 6 ,...g..- ar 4/ /1 ,_ 4ii4TOR PERMIT OFFI i i#R 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 -44, -1 6 Y ( Fax-813-780-0021 Building Department Date Received / °- 1- , h Phone Contact for Permitting ' 11:7 0 . .--- 177% Owner's Name I I RE 141 NIC(DO WI Owner Phone Number Owners Address 1 159 V (A NIA.- P5L'V V7 z aP t'1►'I-1+t w5 Owner Phone Number Fee Simple Titleholder Name Owner Plane Number Fee Simple Titleholder Address JOB ADDRESS I 1 'D'-E 0 Ct ILL- BL-k) 0 z - 33 r j ` - l7-- LOT # I SUBDIVISION 1 I PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT in SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE SFR La COMM n OTHER I I TYPE OF CONSTRUCTION n '(� k'4 BLOCK n FRAME Q STEEL n OTHER I DESCRIPTION OF WORK T3' L' ( 41- Nr-Vil 1 L UUL/T PrC(E__ BUILDING SIZE I SO FOOTAGE I 1 HEIGHT I n BUILDING $L ` Z OC.) 0.00 VALUATION OF TOTAL CONSTRUCTION F ELECTRICAL $ ( AMP SERVICE n PROGRESS ENERGY In W.R.E.C. n PLUMBING $ I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS n ROOFING n SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES nNO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I ELECTRICIAN COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # 1 MECHANICAL t >• 'ANY ( SIGNATURE £ -TERED I Y 1 N I FEE CURRENT 1 Y/ N I Address Aillill I f ( License # 1 OTHER 2 / ' C' K COMPANY I P 1 0 1-1 cCf—l(I1'1Tk 1 5CiM" l l'�K' SIGNATURE REGISTERED N FEE CURRENT 1 l.Y7JN I Address 15 n 14. V 4-I-6 I;' E Il t�khi � ? ` Oo j License # l E7-000 J 31� I i 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/ SIR Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Foram. R -0-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 ad 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 badc of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) Agent (for the contractor) or Power of Attomey (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 NC 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 it 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", 1 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 govemment 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 indude 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 Tess 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 IMPROVEM NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A ' n RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER EN L i CONTRACTOR i O bscri mil ' J ' s Subscribed and sworn to (or affirmed) before me this bY i3 0 rr M �� - �' Who is/ nown to me or as/have '7 Who is/are personally known to me or has/have produced as identification. as identification. .:''r'!'4 1�1!rd!'u , e/ Notary Public - v Ci 11 N4t' Commission DI 734406 Commission No. ` c E xpires 'ruary y ' .. „ N: L.n':. " Name of Nota ry typed, printed or stamped Champion Security Systems, Inc. William E. Henry, Florida Operations Manager 13030 San Diego Woods Lane Orlando, FL 32824 (407) 841 -7505 Main Office (407) 841 -7502 Main Office Fax (321) 436 -7440 Mr. Melendez Cell (407) 452 -4555 Mr. Henry Cell (407) 888 -8328 Fax ORIGINAL DOCUMENT October 12, 2009 Re: Power of Attorney Sir or Madam, Please allow this letter to serve as POWER OF ATTORNEY on behalf of myself, William E. Henry, Certified Alarm Contractor I, allowing Nelson Rodriguez to pull Security system installation permits, fire alarm permits and low- voltage permits for our company, Champion Security Systems, Inc., Florida State Lic # EF20000318, in the City of Zephyrhills, FL, for the following customer: Tire Kingdom 7540 Gall Blvd Zephyrhills, FL 33542 This POWER OF ATTORNEY is limited to use ONLY for the purpose stated above And shall EXPIRE ON December 31, 2009. If you have any questions concerning the above or require any additional information, Please feel free to contact me at (407) 452 -4555 Sincerely, William E Henry Certified A arm Contractor I State of g_....e9- County of I -.-,,,a 1 Sworn„ (or affirmed) bpi* e me on this /d day of ■ year 0 .2 dQ , Signature of Notary P b .lic , $rte PETRA RODRIGUEZ �Oi �� MY COMMISSION # DD519276 ! EXPIRES: Feb. 16,2010 (407) 398.0153 Florida Notary Service.com z WRH. ti -,,-/t fJ / / i 4t\ � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS a 2 e Contracto omeowner: /�.,, ./ �lA / a.At _ a/ ./y - S" / Date Received: ,— 3 _ �Q -XJ • /` " -z Site: 7 d i ' Permit Type: A > (1 /�,�/ifinL - D ./ S/ 61-1 --- Approved w /no comments: J Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and /or plans. Kalvi Switzer - Pl. ' xaminer Date Contractor and /or Homeowner (Required when comments are present)