HomeMy WebLinkAbout12-12701 CITY OF ZEPHYRHILLS
5335-8th Street
, , (813)780-0020 12701
ELECTRICAL PERMIT
Permit#:12701/12344 Issued: 1/20/2012 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: pa9e;
Cost: 4,000.00 Total Fees: 82.00 Subdivision: ZEPHYR COMMONS
Amount Paid: 82.00 Date Paid: 1/20/2012 Parcel Number: 35-25-21-0130-00000-0050
Name: CUSTOM CABLE INDUSTRIES (DBA) Name: SF ZEPHYR COMMONS LP
Addr: 3221 CHERRY PALM DR Address: 2851 JOHN ST STE 1
TAMPA, FL 33619 MARKHAM ON CANADA L3R 5R7
Phone: (813)623-2232 Lic: Phone:
Work Desc: INSTALL LOW VOLTAGE DATA CABLE CHASE BANK
ELECTRICAL FEE 82.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER /�
FINAL [ - .. I /
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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 t) plans not at job site g)work not accessibie.
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.
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CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
$��780�20 City of Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department .
Date Received ei / _� � —�O � �
�� Phone CoMact for Permitting �7 �[�
� � �e � � l C 6 1 Owner Pha�e Number —��—��_
Owner's Name —'�
Owner's Address '.Z,�S� � g� rf' Owner Phone Number ��
Fee Simpfe Titleholder Name Owner Phwfe Number ��
Fee Simple 7�tleholder Address �
JOB ADDRESS I V LOT# [�
SUBDIVISIQN PARCEL ID# 3�"�7`�-� " G J ,7�y--(}G'QC1 <��d G'
(OBTAINEp pROM PROPERTY TAX NOTICE)
WORK PROPOSEO B NEw ConsrR e ApD/ALT Q SIGN Q Q DEMOLISH
INSTAIL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER —�
TYPE OF C�ISTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � M g� � q'�-i av, G� pw �/O I 1�� C��
BUILDtNG SIZE SQ FOOTAGE�� NEIGHT � /�
QBUILD�NG $ VALUATION OF TOTAL CONSTRUCTION .'/ ���
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. _
QPLUMBING $
QMECHANICAL $ VAIUATION OF MECHANICAL INSTALLATION �lZ�� �
QGAS Q ROOFING � SPECIALTY � OTHER L�T W V�O C �I�� `
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �
Licer�e#
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y 1 N FEE CURREn Y/N
Address �
License#
PLUMBER COMPANY �
SIGNATt1RE REGISTEREA Y! N FEE CURREP Y/N
Address �
License#
MECHlWICAL COMPANY �
SIGNATURE REGISTERED Y/ N F�cutt�n Y 1 N
Address �
License tk
SI NATURE COMPANY ' CVS�l�i� Cq�J�l° Z L�`'����
� REGISTERED Y! N FEE CURREA Y/N �
Address License# �� P CCri ��,�—�
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIf11J
RESIDENTIAL Attach{2)Plot Plans;(2)sets of Buikling Plans;{1)set of Energy Fortns;R-O-W Pertnit fa nc�.v constniction,
Minimum ten(10)Krorlcing days after sutxnittai date. Required ansite,Construction Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL. Attach(3)complete sets of Building Plans plus a Life Safeiy Page,(1)set of Energy Fams.R-4W Permit for new construction.
Minimum ten(10)waking days after submittal date. Required onsite,ConsUudiai Plans,Stortnvrater Plans wf SiR Fen��installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.,q��commercial requirements must meet compliance
SIGN PERMfT Attach(2)sets of Ern�ineered Plans.
""PROPERTY SURVEY required for all NEW construcUon.
Directions:
Fiil out application compietely.
Owner&Corrtractor sign badc of application,notarized
If over 52500,a Notice ot Commencemerrt is required. (AIC upgrades over E7500)
" Agent(for the contractor)or power o{qgomey(for the owner)wouid be saneone v,�ith notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs i/shingles Sewers Service Upgrades A/C Fences{PbUSurveylFootage)
Driveways-Not rner 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 compiiance with any
applicable deed restrictions.
- iJNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. if the owner has hired a contractor or
contractors to undertake work,they may be�equired to be licensed in accordance with state and local regulations. If the
contractor is not ficensed as required by iaw, 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 coMact the Pasco County Building Inspection Division—�icensing 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�esponsible. If you,as the owner sign as the
corrtractor,that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESQURCE 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 specfied 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 ident�ed 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(Chapber 713,Florida Statutes,as amended): If valuation of wotic is$2,500.00 or more,I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Ftorida 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"owne�'prior to commencement.
CONTRACTOR'SfOWNER'S AFFIDAVIT 1 certify that al!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. Appfication 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 �e jurisdiction. I also
certify that I understand that the regula6ons of othe�govemment 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 iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
lands,WaterNVastewater 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 pertnitting 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 fitl will �ot 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 constructio�. 1 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 Buifding Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless tt�e work authorized by such permit is commenced within six months of permit issuance,or ff 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,fhe job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A N�TICE 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.
FLOR�DA JU�117.03) '\
OWNER CONTRACTOR' �
Subscribed and svrom to(or affirmed)before me this S bs and swom to r efore m � '
by _ by ��� I-,
Who is/are personally known M me or hasThave roduced ����L
P Who is/a per ally nown me or h av produced
as identification_
as ide � tion.
1 II � .
Notary Public
Commission No. Commissi j�t " �mmi�ion p0���:i
+ �� a e ruary 2� -����
11 d�fItLYATi�n T..u,rte.
Name of Notary typed,pnnted or stamped Name of Notary , �T"°'"�'^ g
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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C ontra /Homeowner: lG �
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Date Received: �--f����
Site: ��QU .�J�� �
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Permit Type: 1 ° ,iIJ-8i,,t�.�- GX� ��'-rr��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sh s 1 be kept with the permit and/or plans.
.�3��Z
Kal n S ' Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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Branch# 131998
Zephyrhills
7800 Gall
Zephyrhills,
Kossik
33541