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Home My WebLink About11-12527 CITY OF ZEPHYRHILLS ' S335-8th Street � (813)780-0020 12527 ELECTRICAL PERMIT Permit #:12527 Issued: 11/14/2011 Address: 5915 5919 5923 GALL BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 700.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 11/14/2011 Parcel Number: Name: ROGERS ELECTRIC Name: JOHN MARY ENTERPRISES LTD Addr: 33184 PORTAGE PATH Address: P.O. BOX 17072 DADE CITY, FL 33533 TAMPA FL 33682 Phone: (352)583-5611 Lic: ER0012229 Phone: Work Desc: REPLACE STOLEN WIRE @ JUCTION BOX $Q'bt. ELECTRICAL FEE 40.00 5� � �'` �` � � 2L ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL ` � � _ _ �/ / / f l � REINSPECTION FEES: Reinspection fees will comply with Florida tute 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recoMing 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 OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 11/14/2011 11:20 3525671159 PETERSON INS PAGE 01/02 V�� Page 1 55039 (11-8r) ISSUed 08-29-2011 INSUF7ANCE COMPANY TAILORED PROT�CTIQN POLICY DECLARAT�NS 6101 ANACAPRI BLVD., LANSING, MI 48917-3999 Renewak Effective 11-Q1-2a11 r PETERSON tRA INSURAIdCE LLC � 12-0902-00 MKT TERR 052 (352) 567-9771 POLICY NUMB�R 014612-20608899-71 iHSUREC DOUGLAS F ROGERS �BA RQG�RS ELECTRIC Company POLICY TERM AODitE99 33184 PORTAGE PATH B i f( 12 : 01 a. m. 7 2:01 a. m. DADE CITY, F� 83523-9114 11-01-2011 11-01-2012 conslderatlon of payment of the premium sflown Delow, this policy is renewed. Please attacn tllis �aclarations antl attaChmenis to your pollcy. I f you have any quastivns, plg8se co�ault with your egent. COMMON POLlCY INFORMATION S1151NESS DESCRIPTION: E I e c t r I c Work ENTlTY: Individusl PROGRAM: Premier Contractors THlS POLICY CONSISTS OF THE FOLL�WING COVERAGE PART{S). PREMIUM THIS PREMIUM MAY 8E SUBJEC7 TO ADJUSTMENT. COMMERCIAL GEN�RAL LIABILITY COVERAGE $227.00 COMMERCIAL ENLAND MARINE COVERAGE 136.00 SURTAX �•22 FLORIDA EMERGENCY TRUST FUND SURCHARGE 4.00 FLORIDA HURRICANE CATASTROPH� �UWb ASSESSMENT 4. CITIZENS PROPERYY INSURANCE CORPORATIaN EMERGENCY ASSESSMENT 2.27 FLORIDA fNSURANCE GUARANTY ASSOCIATION ASSESSMENT (2007) 0.94 TOTAL $374.43 PRSMIUM SHOWN ABOVE FOR COMMERCIAL GENERAL LIA�ILI7Y COVERA(3E IS AN ADVANCED PR�MIUM DEPOSIT AND MAY BE 8UBJECT TO AUDI7. FORMS THAT APPLY TO ALI. COV�RAGE PART SHOWN ABOVE (EXCEPT GARAG� LIABILITY, DEALEI2'S BL 5500 � (OM B ) �A`ILOOOMOBILE�S� APPI.ICABLE) Countersigned B : (]�:J�� v�� 11/14/2011 11:20 3525671159 PETERSON INS PAGE 62/02 Page 2 55040 (11/87) OWNERS IPIS. CO. Issued 08-29-2011 nneNCV PET�RSON LRA iNSURANCE LLC ComPany POLICY NUMBER019612•xOb08899-11 12-0902-00 MKT TERR 052 B i I I INSURED DOUGLA5 F ROGERS Term i 1 9 1 t o 1 1-01 012 COMMERCIAL GEN�RAL LIABILITY COVERAGE LIMITS Of INSURANC� General Agg regate �500,000 P�od�cta Com Ieted t/o s d te ate tions) 500.800 Pe�sonel Injupy And Advertising jury 500,000 Each Occurrence 500,000 Damage to Premises Rented to Yau {Fire Damage) 50,000 Any One Premises Medical Payments 5,000 A�y One Person Twice the "General Aggregate Limlt", Shawn above, is provided at no additionsl charge for each 12 month period in accardance wlth form 55300. AUDIT TYP�: Annual Audit FORMS THAT APPL.Y 'r0 rH�S cOVERAGE: 59350 (01-08) 55066 (OS-ss i�oaz� �� IL0017 11-85) 55146 (06-04 55188 09-04 55238 (06-04) 55300 (Q7•05) 55371 �{01-07) 55296 {09-093 55376 �04-11; LpCATIpN OF PREMI8ES YOU OWN, RENT OR OCCUPY LOC 002 BLDG 001 33184 Portag e Path Dade C(ty, FL 33523-9�14 TERRITQRY: OOS COUNTY: Pasco Premiunt Classification Subiine Basis Rates Premium CODE 21585 Total Costs Each 1U00 Premier Contractors Class PremlOp j f Any 1.409 Sub-Cont�aCtsd Work Prod/Comp Op CObE 22478 P a y r o l l Each 1000 Premier Contractors Class P�em/Op 15.000 11.738 g176.D0 Electric Work Within Buildings Prod/Comp Op 15,000 3.241 $49.00 T�RRORISM - CERTlFIED ACTS SEE FORM 59350 $2.00 LOCATION 002 PREMIUM $227.Q0 Pasco County Parcel: 10-26-21-0020-00000-0090 001 Page 1 of 1 Data Current as of: Weekly Archive - Saturday, November 12, 2011 Parcel ID 10-26-21-0020-00000-0090 (Card: 001 of 001) Classification 10 - Vacant Commercial Mailing Address Property Value JOHN-MARY ENTERPRISES LTD Ag Land $0 C/O CINDY GRECO Land $36,828 PO BOX 17072 Building $0 TAMPA FL 33682-7072 Phvsical Address - See All 2 addresses (First Extra Features $0 Shown) Market Value 5915 GALL BLVD $36,828 ZEPHYRHILLS FL 33542-3464 Assessed (Non-5 jhool Amendment �36,828 Leqal Description (First a �ines) See Plat for this Subdivision ,�" Taxable Value ;36,828 PINE GROVE ADDITION PB 2 PG 15 COM AT SE COR LOT 9 TH NO2DG 02' 10"W 65.00 Ff FOR POB TH CONT NO2DG 02' 10"W 60.00 Ff Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 1600 SH �R G OOC2 5,580.00 SF $6.60 1.00 $36,828 Additional Land Information Acres 0.13 Tax Area 30ZH FEMA Code AE Commercial Code M3012A0 Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value No Extra Features Sales History Previous Owner FIRST NATIONAL BANK Year Month Book/Page Type Amount 1994 il � 3362/0925 TR $0 1966 07 0332 / 0801 WD $0 http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21 &sbb=0020&... 11 /14/2011 813-780-0020 City of Zephyrhills Permit App ;cation Fax-813-780-0021 Building Department Da�te Received Phone Contact for Permittin -- Owner's Name �� - Owner Phone Number J� 3 ',� 3 � 7 C f g Owner's Address Owner Phone Number Fee Simple Titlehoider Name � Owner Phone Number � Fee Simple Titleholder Addre,�s-- -" Z R, �Drrv �-� °�/ '✓'✓ d/�� 4 �-�Z 3� JOB ADDRESS ` rr �� I �Z 3 ��t � t V � G'' � �" �/Z/�'� /�l. � LOT # � SUBDIVISION PARCEL IO# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR �- COMM � OTHER TYPE OF CONSTRUCTION �_ BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��G� S I�l�� ✓ � �,�L1��f - 7`(/y.i� ]-'� dv � U,7�- BUILDING SIZE �— SQ FOOTAGE�� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ ��7� AMP SERVICE �-- PROGRESS ENERGY Q W.R.E.C. (J QPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � ELECTRICIAN " COMPANY �G 6�f''� T�� PLIt �6,/ L. SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N Address �?�� d C License # �-��1 � 2 ZZ S � 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 I N FEE CURRE� Y/ N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding 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/ Silt 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 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 & 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 construction. Directions: Fill out application completely Owner & Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (AIC 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 5ervice Upgrades A/C Fences (PIoUSurvey/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" restrictidns" . 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 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 fu�ther 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 ce�tificate of occupancy or finai 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 permlt issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Fiorida 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'SlOWNER'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 ail 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 Environmentafly 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 tv be used in any area, I certify that use of such fill will not adversely affect adjacent prope�ties. 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 job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOE �OR ORN Y BEFORE RECORDING YOUR NOTI D T COMMENCEMENT.' CONSULT WITH YOUR LEND FLORIDA JURAT (F.S. 117.03 OWNER OR AGENT CONTRACTOR Sub�c� ed s m ffl �� e fou� me U G_ r , Subscribed and swom to (or affiRned) before me this f-/ by i � . , t b Y Who islar ersonall known to e or has/have produced Who is/are personatly known to me or haslhave produced �P�P�� as identlfication. as identlficaUon. Notary Public � Notary Public Commi �on N �� , Y ,H ��y JACQUELIN OGES : Commissfon No. � �: :� Expires pecember 12, 2014 ed, rinted or stamped Name of Nota , Name of Notary typ P