HomeMy WebLinkAbout12-13287 CITY OF ZEPHYRHILLS
5335-8th Street
, ' (813)780-0020 13
ELECTRICAL PERMIT
Permit#:13287 Issued: 7/26/2012 Address: 38906 NORTH AVE
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: 1,929.99 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 7/26/2012 Parcel Number: 11-26-21-0010-04400-0140
Name: REESE ELECTRICAL INC Name: JJ PABLO INC
Addr: P.O. BOX 862 Address: 38906 NORTH AVE
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: 813)788-0091 Lic: Phone: (813)715-0560
Work Desc: ELECTRICAL REPAIR WORK AZALEA ASSISTED LIVING
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METE
FINAL " �f\ �
r � �
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 aorrections 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.
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CONT TOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
JUL-27-2012 01:43 From: To:8137800021 Pa9e:2�2
� � F��;�-� � City o� Ze�hyrhills
- �uild�g �e�artnae�xt
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5335 Eigh�Sb�e�t Z.e�hyrhtlls, �Iorida 33542 (8I3) 780-002Q Fax (8i3) 780-0021
June 2 8, 2 012 �����
W.A."B�''�tnrgess
�incooc oE Buitding �a��as AL�' INC.
[acensing&Zoning
38906 North Avenue
Zephyrhi.i.ls Floz�da, 3�35�2
RE: Spot Tnspection June 27� 201.2
To Wh�m It May �Concern,
Th� fol3owing v�ere identified as potential haxards
and shall be corrected.
Electrical outlets within bathroams, kitchen
° (�viLhin 6 feet of sink) and exterior shall be
grourrd fault circuit int�erruptez t,ype (GFCI) and
sha11 be in good workin.g cnnd'iti.on.
Extensi.an cord crossing doorway .to }�ower
refrigerator sh.all be �emoved.
Electric withir� pan�ry s�ed shal.l be grotected and
�.nstal�ed to code.
Hand�ail shal� 'be provided at west �mergency exit.
Xau wil� be xequired to h�.ze prr�perly licensed
contractors who shall obtain �SUilding pennits and
pass �inal i�spection within 30 days af receipt of
notice.
Sincerely,
(��'�` r �
8311 Burg. _
Buildi.ng f icial ..
City of Zephyrhills
CC: Minerva Arocho
Office of T�he Attorney General, State �of Florida
3587 E. Frontage Road Sufte 3Z5
7'ampa, florfda 33687
a�3aso-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Receia.d Phone Contact for Permitting �/3 � _ 0 �j'2 �
Owner's Name �ZG�Cti /�SS��S 1'� Li v��+ ��c.� �, �� py�ner Phone Number
Owner's Address � v ` � • ��� � Owner Phone Number ��� � �r �^ �>�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 O l Q 6 .,f� 1!e LOT# �
SUBDIVISION � , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R 8 ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK t (CC�i• C g v..c�r �9,��,^�, / -�,�s� � 4x bh
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ ��L� �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
t� �32� 7
[�GAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ,_ COMPANY SC °� '�.'� �O'�S�1�!'`-G J�.�
SIGNATURE ��-' REGISTERED / N FEE CURRE� /N
Address g� 4� �s� �C License# �� 0� � g 1
ELECTRICIAN � � COMPANY 1 'Q-eSe Fl�.c..`��c..
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �— ��- � �3�j License# ��c3t��t3 S 3
PLUMBER COMPANY
SIGNATURE REGISTERED Y J 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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary 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-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Siit Fence installed,
Sanitary Facilities 8 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 requfred for all NEW construction.
Dfrections:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over;2500,a Notice of Commencement is requfred. (A/C upgrades over a7500)
" 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(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" restrict,,i,pns"
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 appiy for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if ihe 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 IMPACTIUTILITIES 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_cerkificate 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'SIOWNER'S AFFIDAVtT: 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 pertormed 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, 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 8� 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 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 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 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 CONTRACTOR
Subscribed and sworn to(or aflirmed)before me this Subscribed and sworn to(or affirmed)befare me this
by bY
Who is/are personally known to me or has/have produced Who Islare personally known to me or haslhave produced
as IdenUflcation. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
JUL-z6-z�12 22:31 From: To:813782386� Pa9e•Z�4
�` , }�'��.� .SC���'� or�str�u�c '
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• 8944 G41)Boulevard, Zephyrhills, FI 33541
� PH: (813) 782-092Q $� (352J 567�580 Fax: [$13� 715-4875
STA.TE CERI'IfIED BUILDING AND ROOPING CONTRACTCJR#CB-0059$17 and#CC-Cp58134
SERVINC FLORIDA'S F�NESx�OlwiES& BUSI�V��S��SINCE 197G vYWw.sChaperCOD3tl�uCtip�a.spm
C�N�fiRU�'T'ION �'It�P03AL
Date: 7/26/1.2 Phane: $13-7 a 5-0560 F�x:
Name: ,p�,�,A,X,�.�,Z,����`ACLITX Coutach
,Address: 3$9pfi NORTH AVE
City ZEP,I�'X�ILLS F�Q�A Zip 33542
We �ereby propose to supply rx�at�rials and I�bo�r as necess�ry to:
zI�TST,A�LL'�WO G.F.C.I OL�'LE�'S
�... QNE IN KITCHEN.
2.... ONE IN HALL BATHRt�OIVV�.
3.... RE�'�.�►,CE Q�D�J��SWITCH PLATE IN�TCI�EN.
REWt7RK.ELEC�'RIC,A.�..1N��IlrTG W�`�iTN PANTRY SI�D TQ CODE.
�TS�',A,�,�,M.A��.E �T�R,A.�L , BO'��SZ��OF WEST EMERGENCX E�'I'.
Sc��per C4�t1'qtti4�w,11.1 W��D#ee qu.r Workman�hiP aIIi� basA��u�d1�E 1�AateA'xa�,S�OA' veara
(manufactured nraducts a�ad�'iuctuxes a�re war�anted by tn$�.u�actux��s)(mo wanra�atv availabie for
��ed rJ,a�.$)and issue any m�nufacture�s fva�rra�utee an al���tu�res ef�'ective from installation date,
a�ter full uayment fo�r all work or services.
AZA,I..EA ASS�S3"�D LIVIN�'.r.doc �� �q�;
JUL-26-2�12 22:31 From: To:813782386�� Pa9e:3�4
- �`,�`�� ,,�C�.,/��.� �'D?ZS��'''�LCtZO t
l�, �Z, 11C.
Constru�ctior� ��-oposal cont��uued . . .
Our[�upte dqes rlqt ir��lude; pL,L7MBING,T,RIM S�RVTC� WZ$,ES,
Swrvey, Site
�lan, P�ot P�an Q�t,,A,,�1`S(wpR�,NUT SPECIFICALLX�IV'IIUNED A,�OVE
NOTE:OUR QUOTE Dp�S NpT iNG[.UD��Ot�C'�lON OF ANY EX1S'['i1v�AEI�aClENCIES,REPA�RS REQLJIREd Dl��'�'Q y�DEiV
DAMAGE,OR UPGRADES REQUIRED BY GpYE[WING AC�NCtEg,
G�'�TE�.2,A.L C0�1��'�'�ONS; ,AI�work shall be c,arefully sapervised and cppnp�eted by work�opie�a skilled
and knowledgeable in raethods u�eeded ta px-oduce high quslity wurk.The job sha��be kc�t ctesn�ip�r tlie
duratio�a o�the job and the grounds shall t�e le�'t c�eau of a8 retated deb�"i�s after com�letioi�.Collectian
�oste,if any,together with inter�st shs#! be gdded to the contract�rite it ps�yment de�'an�t occurs. The
Con#raetor shsll�rovide Perpaat,Workmen Compensation ap�d Ceneral Liability��surance.Autlrorized
change orders artd work, wkiek es nat cov�red under th�scops of work orrtli�eed hereiK,sleatl be perfor�ed on
a tiine and materiul basis unless vtherwj,se agree[t�pon.
�'�CE: 1 929.99
'�'��S O�'PAYMENT: %2 D(JWN BAL A'�CQM��LTIC}N
(Price is v�lid[or thirty{3Q)d�rys)
��cte�t the abov�orice aod terms You are aut�iorized to ' work,
SIGNI�n: �� �l�te: �I�l r a
ner a nerss�ept�eseqtative
�
SIGNED: bate:
Schaper Canstruetion,inc.Representative
YOU TFIE BWER ACCORDING TO FEDERAL I�AW MAY CANCEL THJ.S T�t.A�TSACT�t)N A�iY T[ME
.PR10R TO M�DNI�WT OF Tf1E TH1RD BUSINESS DAY AFTEI2�'l�i�DATE�F'�'.��S'�'�t,�,k1T$,A,C'I'�Ql1i,
�A�.RN�S'�'EXPENDITURES OCCU1tREa BY TNE CONTRACTOR PR10R T()CA1�TC��.,�.,;�'z'�p�T�,A,X��
DEDUCTED FROM MUN�YS TO BE RETURN�i)'�'O TH��UYER
AZA�,�,A ASSi51"ED LlVING_doc page 2 0�2