HomeMy WebLinkAbout11-11905 CITY OF ZEPHYRHILLS
� � 5335-8th Street ,�. �
(ai3)�so-oo20 11905
ELECTRICAL PERMIT
Permit Number: 11905 Address: 5327 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Contractor: REESE ELECTRICAL INC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13300-0010
Improv. Cost: 9,000.00
Date Issued: 5/24/2011 Name: THE COUNTRY KITCHEN ON 301
Total Fees: 80.00 Address: 5327 GALL BLVD
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/24/2011 Phone:
Work Desc: INSTALL NEW 40 AMP UNDER GROUND SVC W/NEW METER & FUSED
ELECTRICAL FEE 80.00
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ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
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 perFormed in accordance with City
Codes and Ordinances.
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�so-oozo City of Zephyrhilis Nermit Hppucauun -_
8uilding Department
Date Received Phone Contact for Permitting "
Owner's Name C �`S�� � �M.� << Owner Phone Number �� - 3S5 -� � 6 Z
..
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ��
JOB ADDRESS "�3 d�� b'^ ll '�3 V°� ' LOT #
SUBDIVISION � � PARCEL ID# I�' �-� ' �-� ' O � . -
(OBTAINEU FROM PROPERTY TAX NOTICE)
WORK PROPOSED e WSTA ONSTR e REPAIR � SIGN Q MOVE � DEMOLISH
PROPOSED USE �
SFR � COMM Q OTHER / �
TYPE OF CONSTRUCTION 0 BLOCK � FRAME Q STEEL Q OTHER — I
DESCRIPTION OF WORK el�t� �� ��' � G �� V''-� r'� V Se� � t f C.
BUILDING SIZE SQ FOOTAGE HEIGHT
� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
d ELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C,
��C�C�O.dJ
0 PLUMBING $ � I��O �
�
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS � ROOFING L� SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �I FLOOD ZONE AREA DYES QNO
�
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
ELECTRICIAN <� \I � � COMPANY ' S t � � t �.\ ✓ ..'� � f .
SIGNATURE •M" REGISTERED Y/ N FEE CURRENT Y/ N
Address � c� �C 7— Z-� t 3353� License # ��-- l�� � 53
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address Ucense #
RESIDENTIAL Altach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
M�nimum 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 subdivisionsllarge projects
COMMERCIAL ACtach (3) complete sets of Building Plans plUS a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon.
Minimum ten (10) working days afte� 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 Aitach (2) sets of Engineered Plans.
"""'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out appiication completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgredes 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 (PlobSurveylFootage)
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 vwner 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 undersigne understan s
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 0 11 d be dentf d at the �me
90-07, as amended. The undersigned also understands, that such fees, as may be due,
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 WaterlSewer 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. 1 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 40:
- 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, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater TreaEment,
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 Iots 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 pro nis ��u de�stan that a�separat permit may be requg ed for 1 electr c I�work,
this affidavit prior to commencing constructi
plumbing, signs, wells, pools, air conditioningse to oceed the work and not a author ty t�o aiolatee anp or
permit issued shall be construed to be a licen p
set aside any provisions of the technical codes,c on of any cod sp t is ed sh al becom inv I d
requiring a correc t i o n o f e r r o r s i n p l a n s, c o n s t r u
unless the work authorized by such permit 15 e od of s x(6) m a er the time the wo k is commenced An h extensi n
the permit is suspended or abandoned for a p
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstra e
the ob is considered abandohed.
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
W
ARNING TO OWNER: YOUR FAILURE TO RECORD A� T�F YOU INT TO OBTA N F NANC NG CONSULT
PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPER
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117 3 -- —
_ ( � (� �� � CONTRACTOR
OWNER OR AGENT Subscribed and swom to or affirmed) before me this
Subscribed and sworn to (or affirmed) before me this _ z _�� by
by Who ls/are personal� to me or hasas ide tifi catlon.
Who is/ ra e personally known to m as identifi aUon roduced
� � - Notary Public
Notary Public (
Com s'
Commisslon No. ; ,g;�..�� : JACQUEUNEBOGES
Name of °;�, � �8� , 2014
Name of Notary typed, printed or stamped �.�, �,.•' eo,�dnrutroyFaa+i��+c.eoo�esao�s �
� Reese Electrical, Inc Estimate
P.O. BOX 862
Zephyrhills, FL 33539-0862 oate Estimate #
5/25/2011 1537
Name / Address
Christopher & Madison Corporation
6107 Silver Oaks Dr
Zephyrhills, FL 33542
Project
Description Total
Country Kitchen
5237 Gall Blvd
Zephyrhills, FL 33542
Supply and Install:
New 400 Amp 3 Phase Underground Service
New 400 Amp 3 Phase Fused Main Disconnect
Tap and Refeed Existing Main Panels
Separate Grounds and Neutrals
Rough Estimate: $9,000.00
'�
�,
r
�
100% Due Upon Completion.
Total $o.
Signature
Phone # Fax # E-mail
(813) 788-0091 (813� 788-0781 reeseelectric@tampabay.rr.com
NOTICE OF COMMENCEMENT
Permit No. � � q C75
Property Identification No.
TI-IE iJNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description:) �, `'� c�-� � a�� d � ��-� � 3� 0 � r' Q 0� Q
a) Street Address: � 3 a� G o,. v
2.Cieneral description of improvements: _,�r � 1c. rr ���.. � 3 t e L{ fl�� /�, w��l
�.
3.Owner Information V YY� n
a) Name and address: \`1�. c.�no.�c� �5 l-, � 01 S�� \ V� (`�C�, �.S Qr 2 i ��,-�„" � is ,�'L
b) Name and address of fee simple titleholder (if other than owner) �
c) Interest in property p �,.r, ���.s;�.,,,,�
4.Contractor Informarion � � �
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
S.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a Nam and address: ��'rs �' N akb ro� ���- � � o
�� 31 � V S D � a `�,,� Phone Na o -�o� l— � 1 �
7. Identity of person within the S te of Florida designated by owner upon whom norices or other doc ents may be served:
a) Name and address: ' -1-'� �t t J� �� l���+� crf r 0 C, l.c t ^
b) Telephone No.: � 1�- 3 5 S-1 t lo � Fax No. (Opt.)
8.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)(b), Florida Statutes: n
a) Name and address: ���- S�, \.c s �� �Z �+��('� ��4. �tS VJ�
b) Telephone No.: �_�c��, �-�v� Fax No. (Opt.)
9.Expiration date of Notice of ommencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARIVING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYI�IG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P TED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUL OUR NDER OR AN ATTORNEY BEFORE
COMMENCING WORK pR RECORDING YOUR NOTICE OF COMME
STATE OF FLORIDA r'
COUNTY OF PASCO �
Si of Owner or O er's Author cedDiroctar/PaztnedManager
; c�lnor � �+i�ts � r-
Print Name
The foregoing instrument was aclrnowledged before me this Z.S�"` day of �^ 0. 20�� by K;r.��a�
' S r _� as d (type of authority, e.g. officer, trustee, attorney
in fact) for _� C�_ l� n. (name of on behalf of wh strument w ecuted).
Personally Known OR Produced Identification � Notary S ature
Type of Identification Produced � a�r� �a.�S � rC�nS� Name (print) � r�,
Verification pursuant to Section 92.525, Florida Statutes. Under penalries of perjury, I d lare at I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief. r
:
Signature ofNauual Person Signing Abo
FORMS/NOC,rvsd2007 ���
�4N:�?����.� OfIG1lfIW�VIIM�
:i�,� �:
:,; .: MY COMMISSION # EE 0233�
;s�., :a: EXPIRES: September 2, 2014
".;s oF ��d; � Bonded Thru Notary Public UnderNrtiters