HomeMy WebLinkAbout12-12698 CITY OF ZEPHYRHILLS ✓
5335-8th Street
(813)780-0020 12698
• ' ELECTRICAL PERMIT
Permit #:12698/12344 Issued: 1/19/2012 Address: 7800 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: 14,942.00 Total Fees: 165.00 Subdivision: ZEPHYR COMMONS
Amount Paid: 165.00 Date Paid: 1/19/2012 Parcel Number: 35-25-21-0130-00000-0050
Name: ADT SECURITY SERVICE, INC Name: SF ZEPHYR COMMONS LP
Addr: 5471 W. WATERS AVENUE, STE 1000 Address: 2851 JOHN ST STE 1
TAMPA, FL 33634 MARKHAM ON CANADA L3R 5R7
Phone: (813)806-7000 Lic: Phone:
Work Desc: SUB PERMIT FOR LOW VOLTAGE SECURITY SYSTEM CHASE BANK
ELECTRICAL FEE 165.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL � �
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REINSPECTION FEES: Reinspection fees will comply with Florida` tatute 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 cons�truction c) repairs or corrections not made when inspection called d) work not ready for
inspection when called e) permit not posted on job site fl 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 OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Z� Fax-813-780-0021
Buiiding Department �
i
Date Received [ � !
� a /� Z Phone Contact for Permittin �� ��� �� �
Owner's Name �� i3�C�t� �c-���`- Owner Phone Number ��
Owner's Address i- � .�� l ,f !�.4✓i1'G�� � F/�� � Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS �� �° • • � �j � �t � �� F� �..�`'� LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN [� Q DEMOLISH
INSTALL REPAIR I
PROPOSED USE � SFR Q COMM C� OTHER ;
TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL �
DESCRIPTION OF WORK .-{�6'1�/¢`� L�� �,I���/� ��G:sJ'�f y���/��.s� l � ��
f ��"✓ �
BUILDING SI2E SQ FOOTAGE�� HEIGHT i _� I
J _��
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION I
DELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY [� W,R.F_.0
OPLUMBING $ i
I
�MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
I
OGAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N• I
I
„s�`"� •�' / �i ��
SIG�NATURE � � � COMPANY � k%t ��.�� � I
REGISTERED Y/ N FEE CURRE� Y/ N
Address 7 �/- 1n� �� �(,��; License #�- J
ELECTRICIAN COMPANY !
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address L(cense # �
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N !
Address �
License # �- I�
MECHANICAL COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
OTHER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N �
Address I License # �- ; �
fi-hi
RESIDENTIAL Attach (2) Plot Pians; (2) sets oF Buiiding 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 in� iled,
Sanitary Facifities 8� 1 dumpster; Site Worlc Permit fo; subdivisiors/large projects i
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructi�
Minimum ten (10) working days aker submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sill Fence ins ;led,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance �
SIGN PERMIT Attach (2) sets of Engineered Pians. �
""*PROPERTY SURVEY required for all NEW construction.
Directions:
��
Fill out appllcation completely.
Owner 8 Contractor sign back of application, notarized �
If over 52500, a Notice of Commencement is required. (A/C upgrades over �7500)
"" 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) i
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NC :.0 OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
wt, .� � ay be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
apt �i�u: �e deed restrictions. -
UR _;C NSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
coi:t; <{ ��rs to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
co� ��r ��, �r is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
unde� ,.ate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intendF i work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
80� �`: =urthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
po� t�or � of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contra� .�r, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRAN; 'ORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Tr<.nsportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in xisting buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-c), ,s amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
per � � ��; �g. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
rece�vi � a"ce�tificate of occupancy" or final power release. If the project does not involve a cer#ificate of occupancy or
final �� ,rer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees ar; due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONS :2UCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify �at I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Prc,l.:c• m Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
otf ,n the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
de„ , to the "owner" prior to commencement.
CC . ACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wil one in compliance with all applicable laws regulating construction, zoning and land development. Application is
he nade to obtain a permit to do work and installation as indicated. I certify that no work or installation has
co� ,: ;ced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
co� �; � tion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cer;; ,. �at I understand that the regulations of other government agencies may apply to the intended work, and that it is
my , �� �nsibility 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 & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I u.;:; r.and 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 vwner 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 1�_ � e AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
thi:, � avit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plu<<�� �, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
per+�;i� sued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set asi,. � any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiri� a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unl��5s' ie work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
thE �.: �it is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension
m�.� ' requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
jus ; : cause for the extension. If worlc cQases for rinety (9C�! co�secutive days, !he ±ob is considered abandoned
, �
W; t� JG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PA :�: TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WI JUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLC �� :� � JURAT (F 5. 117.03)
OWNEk �R AGEN CONTRACTO
Subscii:' 1 and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
i _b by
Whr� �;/ , personalty known to me or has/have produced Who is/are personally known to me or has/have produced
as identiflcation. as identification.
I � Notary Public Notary Public
Co�;�, , n No. Commission No
Nar �- _ otary typed, printed or stamped Name of Notary typed, printed or stamped
i iiiiii iiiii iiiii iiiii iiiii ii�ii iiiii iiiii iiiii iiiii i�ii iiii
2012003776
Tax Fotio No: 35-35-21-0130-0000-0050
Percnit No. � Rcpt :1408452 Rec : 1@ . 00
DS: 0.00 IT: 0.00
State of Florida NOTICE OF COMMENCEMENT 01 / 10/ 12 C. Cook , Dp t y C 1 erk
County of Pasco
THE UNDERSIGNED hereby gives notice that improvement(s) will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1 Description of property (legal description of pmperty g�n street address)Ch85E Bdfl k
7800 Gall Blvd. Zephyrhills FI. 33541
2. Generet descriPCior► ot'�mPro�eme�c: Install Low Voltage Security System in New Bank
3 Owner Information:
a> N�a,e ar�a comPiec� aaaress: JPMorgan Chase 712 8TH St. Wichita Falls Tx 76301
b) Interest in property� Owner PqULA S 0' NE I L, Ph D PASCO CLERK & COMPTROLLER
c) Name and address of Fee Simple Title Holder (if other than owner): "' 1/ 10/ 12 10 • 48am 1 of 1
� OR BK g�43 P � 1144
Contractor Information: Mazk Penzato
a) Company name and complete address: ADT 5471 West Waters Ave Tampa FL 33634
b) Phone number:8l3 806 7000 Fax Number• 813-806-7089
5 Surety
a) Name and complete address:
b) Amount of Bond: $
c) Phone number• Fax Number
6, Lendcr,
a) Name and complete address:
b) Phone number� Fax Number•
� 7 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by in
Section 713 13(1)(a)7., Florida Statutes:
a) Name and complete address
b) Phone number: Fau Number
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
7l3 13(1)(b), Florida Statutes:
a) Name and complete address:
b) Phone number Faac Number•
9 Expiration date of Notice of Commencement (the expiration date is 1-year from the date of recording, unless a
different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OVVNER AFTER THE EXgIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHPATER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE B�FORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTQRNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
S' o Owner o er's Autfiotizcd'O"ffi�e��Ma►iager
Signatory's Title/Office V � �
�n
The foregoing instrument was acknowledged before me this � day of ��1 �l �( AL� , 20 �.�
BY �n l ll � I�Q (name of person) as the �� l���,r'�'
type of authority ,e.g.
officer, trustee, attomey in fact) for 3 P � QQ(Th_e��_ �name of party on behalf of whom instrument was executed).
CATHERINE A. ZACKi4L /� n
MOTARY PUBUC — STATE OF FLORIDA `�CI� ��'+�� a yr�1C
COMMISSION # EE 119358 Signature of Notary Public — Sta of Flor da
MY COMMISSION EXPIRES A11G 7, �� $ Print, Type, or Stamp Commissioned Name of Notary
Public/Commission Number
Personally Known � or Produced ID
Vorification Pursuant to Section 92 525 Florida Statutes
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of m knowledge and belief.
nat �zed OfficedDire r
! Market Directcr af Construction
S7ATE OF �LpR�pq� COUNTY OF pqSCO
THIS IS Tp CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON Fi�E OR O� PUg�IC RECORD IN THIS OFFlCE
, 'dITNE$S My HAND ,ND OFFICIAL SE,4L THIS
_� ��+Y oF z �
F'A / LA S O'NEIL, �K & CO PTROLLER
B
C�E�i.;Ty CLERK
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745281 24 SOLID T PAIRS� 170" x.360" UfP video 8 power
ADT SCN NOM O.D. POSSIBCE llSE 16 19 X 29 2[OND� 1000' RL
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141010 BRAID 500' RL CMP
141010M 20 SOLID 95°6 BC 200" PLENUM ASTM Solid Bare Copper
BRAID 1000' RL LS PVC Insulation
608050 20 SOLID 95% B( 194 "x .365° C(N & Power Overall White LS PVC Jacket
143101 18/2( 7 X 26 BRAID 500' RL
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14/2C 19 X 26 �A D 500' RL ,
140201 18 SOLID 95%B( .230" CCI11 �
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45482SAWHA 18 SOIID 95%BC .225" x.395" (CIV 8 Power
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143141 18 SOLID B�D+ 1 0' RL Digital �deo Cable i
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9
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
_ . .__ �
� � �
/�Contracto�/Homeowner: ,� J
, �_._. --
Date Received: / - /d �>/�'
site: ���vG� ��e., �
� ��
Permit Type: _� f
*
m
;��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or plans.
� 1�3-1Z
Kalvi Swi ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)