HomeMy WebLinkAbout11-12502 CITY OF ZEPHYRHILLS ,,,
5335-8th Street
(813)780-0020 12502
ELECTRICAL PERMIT
Permit #:12502 Issued: 11/02/2011 Address: 5335 8TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,800.00 Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: �C� Parcel Number: 11-26-21-0010-13400-0010
Name: REESE ELECTRICAL INC Name: CITY OF ZEPHYRHILLS
Addr: P.O. BOX 862 Address: 5335 8TH ST
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL 33542
Phone: (813)788-0091 Lic: Phone: -
Work Desc: INSTALLATION OF 40 AMP POWER SOURCE n
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-M rER
F
l�� "
�.�-� ` y
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) woNc 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 pertormed in accordance with City
Codes and Ordinances.
�
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
` PURCHASE ORDER
. t,t��n4 5
�i�y �f Zephyrhills `� No• 00015348
�, V i .. ;
I $ I� wl����ii'
� I ��I
VENDOR: SHIP TO:
BILL TO:
Reese Electrical Inc City Hall City of Zephyrhills
PO Box 862 5335 8th St 5335 8th St.
Zephyrhills, FL 33539-0862 Zephyrhills, FL 33542- Zephyrhills, FL 33542
VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIRED DELIVERY DATE
ReeseEl ( ) - 0 10/19/2011
SHIPPING INSTRUCTIONS
(none)
ITEM QTY U/M DESCRIPTION / TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
� 1 �� Installation of Electric Vehicle O1 1-5900-559-6310 2,850.0000 2,850 00
Charging Station
SUBTOTAL. 2,850.00
TAX. 0 00
SHIPPING 0 00
TOTA L: 2,850.00
TAXABLE No
CONFIRMING� No
� i`�' ,��
AUTHORIZED SIGNATURE
SPECIAL INSTRUCTIONS.
IMPORTANT. OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upon the representation and guaranty of the manufacturer or seller that no breach of any State or Federal Law or Regulation has occurred in
connection with the manufacturing, processing, branding, labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any
legally constituted State or Federal authority, the buyer shall be entitled to rescind the order and return the unused merchandise and shall also be held harmless by the
manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor
' 813-780-Q02Q City of Zephyrhilis Permit Application Fax-813-780.0021 .
Building Department
Date Received
Phone Contact for Permlttin
Owner's Name -�\ � � � � �
Owner Phone Number
Owners Address Owner Phone Number �
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��
LOT #
SUBDIVISION PARCEL ID#
B (OBTAINED FROM PROPERTY 7AX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN
INSTALL 8 REPAIR � 0 DEMOLISH
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK O FRAME � STEEL �
DESCRIPTION OF WORK ��n�,��`� S�� ���� � e � `s ,� � i � �
l;
BUILDING SIZE SQ FOOTAGE�
HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ n�� � J qMp SERVICE
/- 0 PROGRESS ENERGY Q W,R.E.C.
QPLUMBING $
[�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS [� ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address �
License #
ELECTRICIAN �� COMPANY e�L� � � � �
SIGNATURE �C �C.c
REGISTERED Y/ N FEE CURRE� Y/ N
Address �d �6'� 'Z � S .� 7 �
License # FC���c� �353
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address
License #
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address
License #
OTHER
31GNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address
License #
RESIDENTIAL Attach (2) Plot Pians; (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 subdivislonsAarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittai date. Required onslte, 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 campliance
SIGN PERMIT Attach (2) sets of Enqineered Plans.
i"RANS�ORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC O V �E R const uStion of new b 9d ngsnc�hange oS
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existing sta such fees, be duey 011�be d ntif ed time
90-07, as amended. The undersigned also under ,
permitting. It is further understood that Trais oWer releasea the p ojecRdoes�no Rnvolve a certificate ooc pancy o�
receiving a"certificate of occupancy or fina p
ff Pasco County WaterlSewer Impac
final power release, the fees must be paid prior to permit issuance. Fu�thermore,
fees are due, they must be paid ha r ter 713, Statutes, as amen p valu ton of work is $2, 00 or more, I
CONSTRUCTION LIEN LAW (C P rovided with a copy of the "Florida Construction Lien Law—Homeowner's
ce�tify that I, the applicant, have been p
Protection Guide" prepared by the Florida Department of A of ' the t above d scr bed document nd prompsean good fa th to
other than the "owner", I certify that I have obtained a copy
deliver it to the "owner" prior to commencement.
lication is
CONTRACTOR'SIOWNER'S AFFIDAVI able Iaw s regulating const uction, zoning an land developmentn App t al wor
will be done in compliance with all applic
hereby made to obtain a permit to do W and that work wiil be perfoemed toemeettstandards of all Iaws�
commenced prior to issuance of a permit
construction, County and City codes, zoning re heat� overnment agenc es may apply to the ntended and thatat is
certify that I understand that the regulations of o 9
my responsibility to identify what actions I must t Ct on C e ess Bayheads,SWetland Areas and Enviro ment ly Sensitive
_ Department of Environmental Prote YP
Lands, Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Southwest Florida Water Management District-Wells, Cyp
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.
t time of ermitting which is prepared by a professional engineer
_ If the fill material is to be used in Flo a Zone "Ap it is understood that a drainage plan addressmg a
"compensating volume will be submitte
licensed by the State of Florida.
_ If the fill material is to be used in Flood Zone "Ai�e a �ea w'thin thetstem W mitted building using stem wal
construction, I ce rti f y t h a t f i l l w i l l b e u s e d o n l y t o f i l l
_ If fill material is to be used in any area, I certify that use of such f i l l wi l l no t a d v e r s e l y a ff e c t a d � a c e n t
P
roperties. If use o f fi l l is fo u n d t o a d v e r s e l y a �er the�attached per�mit app licat onr f oa l o t s l e s s t h a n O n e ti( j
the conditions o f t he b u i l d i n g p e r m i t i s s u e d u n �an is require d.
acre which are elevated by fill, an engineered drainage p
the AGENT FOR THE OWNER, 1 promise in goo d f n�a thatna�separat permit may be requ'tred for c al�n�r A
If I am licati
this a�davit prior to commencing construction. I und � er other installations not specifically included in the app
plumbing, signs, wells, pools, air conditioning, gas,
''ssued shall be construed to be a license to proceed u�nce a pe mitprevent the ding Officeal from the nval'd
perm�t i
set aside any provisions of the technical codes, nor sha iss codes. Every permit issued shall become
requiring a correction of errors in plans, construction or violations of any
unless the work
authorized by such permit is commenced within SS a er the t m the is commenced An extensioe
the permit is suspended or abandoned fot a per'wd of six (6) mont onsecutive days, the job is considered abandoned.
ted in writing, from the Building Official for a per�od not to exceed ninety (90) days and will demonstra
may be reques , �
justifiable cause for the extension. If work ceases for ninety �90 TICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD p► N� OUR NOTICE OF COMMENCEMENT.
�AYING TW�CE F
OR IMPROVEMENTS TO YOUR PROPERTY. IFY OU INTEND TO OBTAIN FINANCING, CONSUL
WITH YOUR T ENDER�OR AN ATTORNEY BEFORE RECOR�IN
FLORIDA JU ( CONTRACTOR
pWNER OR AGENT before me this Subscribed and � rn to (or affirmed) before me this
Subscribed and swom to (or affirmed) Y
by � � known to me or hasR � e aendficat on.
y� i personally known to m as lden ��a� �roduced
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary tYPed, Printed or stamped
Name of Notary tyPed� Pri�t� or stamped