HomeMy WebLinkAbout11-11981 CITY OF ZEPHYRHILLS �'��
. 5335-8th Street
� (al3)�so-oo20 11981
ELECTRICAL PERMIT
Permit Number: 11981 Address: 7317 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Contractor: LEE ELECTRIC INC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0090
Improv. Cost: 550.00
Date Issued: 6/09/2011 Name: AMERADA HESS CORP
Total Fees: 40.00 Address: ONE HESS PLAZA
Amount Paid: 40.00 WOODBRIDGE, NJ 07095
Date Paid: 6/09/2011 Phone: (727)548-7903
Work Desc: 120 V/20 AMP SERVICE FOR DEDICATED CIRCUIT FOR VEND MACHINE
ELECTRICAL FEE 40.00
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 faulry construction
c) repairs or corrections not made when inspection called d) work not ready for inspection when catled 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.
NTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
u,a-�au-uu�ru City of Zephyrhilis Permit Application Fax-813-780-0021
Buiiding Department
' Date Received Phone Contact for Permittin —
Owner's Name '/� Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 73 / 7 5 �t2L �� V� Z C�rl �`�I ✓J�c. L � J�� !� LOT # �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� /�Y ��" �imiGyQ- G/�`IL�//T �� V��✓D�.'t/6� r� �1tr//'v1,�
BUILDING SIZE �— SQ FOOTAGE �� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ �?� '� AMP SERVICE �(�}}�„�Q � PROGRESS ENERGY Q W.R.E.C.
1/� I-��
OPLUMBING $
�MECHANICAL $ VALUATION OF MECHANiCAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # �
ELECTRICIAN � COMPANY �-�� �LEL� t�
SIGNATURE REGISTERED N FEE CURRE� Y/ N
Address ��f �/ "`") �"L�� G � �"��i'�'�` � � Z / License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minlmum 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 Safery 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 8 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 constructlon.
Directlons:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A!C upgrades over 57500)
"" 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 if shingles 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 responsibie. 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 buiidings, 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. c�rtificate 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this appiication 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 p�ior 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 8 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 Z�ne "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 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 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 O C ENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR�
Subscribed and swom to (or affirmed) before me this Subsc�ibed and swor r a�frmed�befor��e this
by by ,.J, � 1// . (. ��L� �
Who is/are personally known to me or has/have produced Who isJare person�I y known to me or has/have produced �
as identification. as identification.
Notary Public Notary Public
,�n�'•`'�y'��,, JACQUELINE BOGES
Commission No. Commission� . : •
L =A' � Expires December 12, 2014
� '-�
Name of Notary typed, printed or stamped Name of No4a►y
Bobbie Swetland
From: Bobbie Swetland
Sent: Wednesday, June 08, 2011 11:22 AM
To: 'Teresa Terrill'
Subject: RE: Sketches for our DVD kiosk installation
Teresa,
Our Building Official Bill Burgess checked out the site and all is o.k. except that an electrical permit must be
pulled. My co-worker Jackie has spoken with "Lee Electric" and she will let him know it's good to go on pulling
the electrical permit. Once the permit is finaled we need you to pull a Business Tax Receipt for the kiosk. Our
applications are on-line on our web-site: ci.zephyrhills.fl.us — click on Depts then Building Dept — then Business
Tax Receipt then BTR application. We are now in'h yr proration so that fee would be $11.03 which would
cover the machine until Sept 30� of this year. If you should have any further questions, please do not hesitate
to give me a call, 813-780-0020, Ext 3512 or email me.
Thank you.
Bobbie Sharon Swetland
City Bldg Dept
From: Teresa Terrill [mailto:teresa.terrill589Calgmail.com]
Sent: Wednesday, June 08, 2011 9:18 AM
To: Bobbie Swetland
Subject: Sketches for our DVD kiosk installation
Bobbie,
Please find attached the sketch for our kiosk installation. The location address is:
Store #: 9535 Address: 7317 Gall Blvd, Zephyrhills, FL
Thank you,
Teresa Terrill
QP Consfrucfion
873 Fisd►er Blvd.
Toms Ri�.rr, NJ 08753
Office: (732) 288-0010
Teresa. Terril/589@gmoil.com
1
Bobbie Swetland
From: Teresa Terrill [teresa.terrill589@gmail.com]
Sent: Wednesday, June 08, 2011 9:18 AM
To: Bobbie Swetland
Subject: Sketches for our DVD kiosk installation
Attachments: 9535, Hess, Zephyrhills, FL.pdf
Bobbie,
Please find attached the sketch for our kiosk installation. The location address is:
Store #: 9535 Address: 7317 Gall Blvd, Zephyrhills, FL
Thank you,
Teresu Terrill
QP Construction
873 Fischer Blvd.
Toms Ririeer, NJ 08753
Office: (732) 2B8-0010
Tenesa Terrill5B9�omai/.com
1
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NCR Kiosk Survey
NI Locations
Location Information
ID Name 9535 Ph # PH136804
ID Number 17942 Address 7317 Gall Blvd
Manager Name 2ephyrhills, FL 33541
Build Options U nit Mdestone
Options
Option A �
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• Install kiosk 22' left of entry on brick 3' right of left corner
• Run a Dedicated Circuit
• Pour Slab Top Half of Hexagon 2'1 "x12'x6" Option A as stated, move sign higher, pour concrete slab,
move Bollards and Curb Stops. Install power.
• Move Curb Stops
• W ill allow space for box art panel: Yes
• The proposed install location is ADA compliant.
• The proposed install location slope is acceptable.
• The proposed install location cell test is acceptable.
• Electrical Panel Located Inside
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