HomeMy WebLinkAbout11-12338 . .
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 12338
ELECTRICAL PERMIT
Permit #:12338 Issued: 9/09/2011 Address: 7813 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 420.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 9/09/2011 Parcel Number: 34-25-21-0150-00000-0010
Name: ECON, INC Name: KOB PROPERTIES LLC
Addr: 730 S. STERLING AVE, STE 200 Address: 7813 GALL BLVD
TAMPA, FL 33609-4514 ZEPHYRHILLS, FL. 33542
Phone: (813)354-0446 Lic: Phone: (813)780-8673
Work Desc: REPAIR SIGN METER - CONDUITS DAMAGED BY VANDALS(METER #1545978)
ELECTRICAL FEE 40.00
� �
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ROUGH ELECTRIC
CONSTRUCTION POLE �� / 2 --_ /
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 � 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.
"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.
��=___"._�_----� � -
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Property Appraiser - Physical Address List for: 34-25-21-01... Page 1 of 1
Welcome : Records Search : P�rcel Details : Physical Addresses
Physical Address List for Parcel: 34-25-21-0150-00000-0010
Displaying 6 records View in groups of: 10 25 50 100 500
�treet Number Street Name • Unit
7813 GALL BLVD
7817 GALL BLVD
7821 GALL BLVD
7825 GALL BLVD
7829 GALL BLVD
7833 GALL BLVD
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 9/9/2011 3:33:09 PM
http://www. appraiser.pascogov.com/search/physadd.aspx?parce1=212534015... 9/9/2011
Pasco County Property Appraiser - Map http://rnaps.pascogov.com/maps/print.asp?im�/mapdata/44211050065...
Pasco County, Florida
2.7 miles NNW of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 9/9/2011 at 10:50:53 AM.
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INCORPORATED
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GRI?G A. �VILCOX ,
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Tampa. F7. 1161)��-1�1�1 FA7� (811)-15.1 �)352
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DEPARTMENT OF BIISINESS PROFESSIONAL REGULATION �
ELECTRICP,L CONTRACTORS LICSNSING BOARD SEQ# L11052400345 '
,. LICENSS NBR
05 24 2011 100390240 �C13004754
The ELECTRICAL CONTRACTOR
Nas�ed below IS CERTIFIED
IInder the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2012
WILCOX, GR$GORY ALAN '
BNCON, INC. �
730 S STERLING AVE SIIITE 200 �
TAMpA FL 33609
�
RICK SCOTT REN LAWSON
GOVERNOR SECRETARY
DIS PLAY AS REQ B LAW �
TAMPA, FL 33672-0920
� 2011-2012 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30-2012 Fo�roNO.
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CATEGORY CO'�?E BUStNESS TYPE SURCHARGE
090.Q08 CONTRACTOR - ELECTRICAL 36.00
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BUSINESS 730 S STERLING AVE 200 �-- 3 �r '�"t >> `-'`'° ""
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LOCATION TAMPA 33609 • �" -� �a � �' T� _� s;—
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NnnnE WILCOX, GREGQRY AL�N - : F ;, .fi`�� u+ --+ �ro o � -� �.-�;
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MAILING EIVCON INC -� �` � ���� �' -T-� Q
ADDRESS 730 5 STERL�NG AVE S'TE 200 '� � ` ' "f " �' ° � `�° a !
TAMPA FL 33609 � ° � `'" � u� �" `�' �
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iN austNESS, vaoFESS�oN o�i occuannoN saEaFleo nEaEOru. THIS BECOMES A TAX RECEIPT YVHEN VALIDATED. � a �= r' �*�
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A�oR° � CERTIFICATE OF LIABILITY INSURANCE °" 09�, �"'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEftS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS
CERTIFICATE DOES NOT AFFlRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERIIFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S� AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERIIFICATE HOIDER.
IMPORTANT: If the certificate holder is an ADDI710NAL iNSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such end s.
Sihl�e Insurance Group - Clrvvtr 72� P�E Mic �Iliams F �
2653 McCormick Dr 727-531-6855 � N , • 727-531-6800 � No : 727�31-6855
Clearwater, FL 33759 A�� mwiilja ihle.COm
Micky Williams PRODUCER
� a �_ ENCON�
INSURE S AFFORDMiG COVERAGE NAIC 0
INSURED Encon, inc. wsur�R �: Westfieid Insurance Grou 24112
730 S Steriing Ave, #200 ���R B: Brid eld Em lo rs Ins Co. 31267
Tampa, FL 33609 n�su�R c:
IMSURER D .
INSURER E :
MISURER F •
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED. NOTWITHSTANDiNG ANY REQUIREMENT, TERM OR CONDI7lON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDfTIONS OF SUCH POIICIES. LMA(TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
��� TYPE OF IMSURAMCE � �Y � POLICY EXP
POLICY NWIBER �g
GENERAL ilABII.ITY EqCFI pCCURRENCE S �,OOO,OO
A X COMMERCIAL GENERAL LIABILITY TRA5603065 'I 2/S1/'I O 1 TJ31H 1 pREMISES Ea ocairtence S � SO�OO
CLAIMS-MADE � OCCUR MED EXP (Any one person) y � O,OO
— PERSONAL & ADV INJURY S 1,000�00
GENERALAGGREGATE S Z,OOO�OO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ Z,OOO,OO
POLICY X � LOC g
AUTOMOBILE LIpB11JTY ( COM�NE�D t SINGLE LIMIT = � �OOO,OO
A X ANYAUTO TRA5603065 12131/10 12/31N1
BODILY INJURY (Per person) y
ALL OWNED AUTOS
BODILY INJURY (Per acddent) S
SCHEDULED AUTOS
PROPERTY DAMAGE
X HIREDAUTOS (Peracddent) $
X NON-0WNEDAUTOS PIP S 'IO�OO
E
X UMBRELLA W1B X pCCUR EACH OCCURRENCE S S,OOO,OO
EXCESS LU1B CLAIMS-MADE AGGREGATE S S,OOO�OO
A TRA5603065 12/31h0 12/31H1
DEDUCTIBLE
S
X RETENTION E O b
WORKERSCOYPENSATION WRYTATU- X OTR
AND ElY1P1AYER3' UA8ILITY X
B ANY PROPRIETOR/pARTNERiEXECUTiVE Y� N f A 83�6998 12/31/10 12/31M 1 E.L. EACH ACCIDENT E �,���,��
OFFICERfMEMBER EXCLUDED?
(Mandatory M NH)
t( yes, describe under
E.LDISEASE-EAEMPLOYEE E 'I,OOO,OO
DESCRIPTION OF OPERATIONS below E.L �SEASE - POLICY UMIT S �,OOO�OO
A Rent Lease Equipmt TRA5603065 12/31/10 12/31N1 Ded 5500 2s,00
A Installation Float TRA5603065 12/31H0 12/31/11 Ded s5pp 20,00
DESCWPT1pN OF OPERATIONS / LOCATIONS / VEHICLES (Atlaeh ACORD 107, Ad�ional Remuka SehW�Y�. N mor� a�pp ��1
License holder: Gregory Alan wlcox
License #EC13004754
CERTIFICATE HOLDER CANCELLATION
ZEPHY-1
SHOULD ANY OF THE ABOVE DESCR�ED POLICIES BE CANCELLED BEFORE
CI�/ Of Z@pll�/fI11IIS 77iE EXPIRATION DA7E THEREOF, N0710E WILL BE DELIVERED IN
Bldg Dept ACCORDANCE NlITF17HE POLICY PROVISIOIiS.
5335 8th Street pU7HORQED REPRESEMTATNE
Zephyrhills, FL 33542 ��/�
/1��� UV�..�
O 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009l09) The ACORD name and logo are registered marks of ACORD
si�-�so-oo2o City of Zephyrhills Permit Appiication Fax-813-780.0021
Building Department
Date Received � "— � Phone Contact for Pertnittin � � � I - c � � `p
Owners Name � i( TI � L Owner Phone Number
1 � O �
Owner"s Address 3 ��D$ � Z (r In � I J �0 Phone Number
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple TiUeholder Address
JOB ADDRESS LOT # ��
SUBDIVISION �-� � CQ� PARCEL ID# 3y - as-� � ` -(�( p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NSTALLSTR 8 REPAIR � SIGN � Q DEMOLISH
PROPOSED USE Q SFR Q COMM Q OTHER �( � �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK �r- S� n �"�j� �y�� �-� ; ,� z c l � ��c�'Z�S
BUILDING SIZE SQ FOOTAGE C� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ � 2Q �_ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
�
Q PLUMBING $ / � n � � � � � � � �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION __ ._\
��..,..�-, ..
QGAS � ROOFtNG Q SPEGIAITY � OTHER � �1 �j�
/ /
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES O
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEF CuRFtEn Y/ N
Address License # �—
ELECTRICIAN � � � �, I ` � COMPAAIY G t� �� L�
SIGNATURE �� `�J \ REGISTERED Y! N FEE CURRE� Y/ N
Address � , �' `�' � �N �- � 2� D T' o. License # 'EL.( �� Ll���
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,
Minimum ten (10) working days aRer submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sankary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. 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,
Sartitary Facilities 8 1 dumpster. SRe Work Pertnit for all new projects. Atl commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"*"PROPERTY SURVEY required for all NEW construdion.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over s2500, a Notice of Commencemer�t 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 'rf 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 contracto�s, 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", 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'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 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, WateNWastewater 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/Environmentat 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 watl
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 buitding 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 af the technical codes, nor shall issuance of a permit prevent the Building Official ftom 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F S. 117.03) - --" �` - -
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this r affirmed) e this '�
by -- by �y L ���'ZG
Who is/are personally known to me or has/have produced o is/are rs al known o rrr or has/have prod
as identification. r�� as iSlntification.
�— ) �, � � / C _ -I � �
Notary Public - � �� ublic
, �_ ,
Commission No. Com .
909 wej 1 N41 PeP�B
ZIOZ'Z'Ltieruqa� se��d �a:� ���:
Name of Notary typed, printed or stamped Nam of N MS 'S 3�Iggp��sr���;
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