HomeMy WebLinkAbout12-13507 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1�07
ELECTRICAL PERMIT
Permit#:13507 Issued: 10/03/2012 Address: 5139 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: 200.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 10/03/2012 Parcel Number: 11-26-21-0010-18500-0010
Name: J�C �� n �� � e � Name: VILLAGE BUTCHER SHOP INC
Addr: f�� Address: 5735 DOGWOOD ST
Phone: ZEPHYRHILLS, FL 33542-4462
Lic: Phone:
Work Desc: MOVING ELECTRICAL FROM ONE LOCATION IN WALL TO ANOTHER
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER _�
FINAL�(Z- ' �
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)wndemned work resul�d'ng
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 f) 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 ro
may be found in the public records of this county, and there may be additional � 9 P PertY that
entities such as water management, state agencies or federal agenci�esfrom other overnmental
"Warning to owner: Your failure to re�rd 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
Com lete Plans S �fOre�O°��ng your notice of wmmencement."
P , pecifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
�•--t�.
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-�nu-uu�u c;iry ot Lephyrhills Permit A lication
PP � Fax-813-780.0021
Building Department
,� I35�
Date Recefved
Phone Contact for Permittin
Owner's Name
Owner Phone Number
OdvnePs Address J� 3 9 ��� �1�� �------
Owner Phone Number
Fee Simpie Titleholder Name
Owner Phone Number
Fee 3imple T(tieholder Addresa
JOB ADDRESS /j -^� ��, ���� �
LOT�
SUBDIVISION
PARCEL ID�k
1MORK PROP03ED e (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR 8 ADD/ALT � SIGN
INSTALL REPAIR 0 C� DEMOLISH
PROPOSED USE Q SFR Q COMM
TYPE OF CONSTRUCTION [� BLOCK � OTHER
Q FRAME �� STEEL Q
DESCRIPTION OF WORK I.v�1�-�,� �,r,7� ,� �� /
JE�. ( '�,� �l.�LCK•cn,/ •
BUILDING SIZE 3Q FOOTAGE
NEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL $ AMP SERVICE
c+�d�. �c� �] PROGRESS ENERGY [� W.R.E.0
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Addreas
License#
ELECTRICIAN �f�� � � COMPANY
SIGNATURE °�z �% ,.���"�"�""'� REGISTERED
Y/ N FEE CURRE� Y/N
Address ��$3L �v� 2, ����
License# �
PLUMBER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURREA Y/N
Address
License#
AAECHANICAL 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)Piot Plans;(2)sets of Buildfng Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Fadlitles b 1 dumpster;Stte 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 Permtt for new conshuction.
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stortnwater Plans w/Silt Fence instalted,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY requ(red for all NEW construction.
Directions:
Fill out applicatfon completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is requtred. (A/C 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 Appllcatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
�►iveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned The undersigned aissumes esp nsibilbty for compl ance w�i h any
which may be more restnctive than County regulations
applicable deed restrictions.
UNLICENSED CONTRACTORS /�1ND CONTRAe�TOo e E en�edS�Ba���Eaancef th s ate and local egul onsc Ifrthe
contractors to undertake work, they may be reqw � for the
contractor is not licensed as required by law, both �hare unce�ta n asnto what�l censingi r qu�em n'ts may app y'�I 847
under state law. If the owner or intended contract guilding Inspection Division—Licensing Section at 727
intended work, they are advised to contact the Pasco County
8009. Furthermore, if the owner has hired a on for which they will be espons ble.elftyouaas the owneasign as he
portions of the "contractor Block of this applicat rivile es in Pasco
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting g ned understands
County.
7RANSPORTATION IMPACTIs a'ndTRecourse Reco ery Feesmay apply�to t�heRconstruction of new b gdings, change of
that Transpo►tation Impact Fee
use in existing buildings, or expansion of existing ban d's9that such fe e,'as may be due, wi��dbe dentified at he�me of
90-07, as amended. The undersigned also unders ,
permitiing. It is further understood that Transporta`ioQ1ea ea�f the p ojecRdoes notRnvolve a certificatetof occ pan y o0
receiving a "ce�tificate of occupancy or final powe
if Pasco County Water/Sewer Impac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be paid priorter 713,iFlorlda Statutes,ras amenided)pllf valu Uon of wouk is$2,500 00 or more, 1
CONSTRUCTION LIEN LAW(Chap of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copY
Protection Guide" prepared by the Floride bta ned ancopy of thetabove described documfent and promPse ntgood fa th to
other than the"owner", I certify that I ha
deliver it to the"owner"prior to commencement.
CONTRACTOR'S►OWNER'S AFFIDAVIT: �e law's reaulatinge onst uction i zoning andc land dev opmentn Appli a�tion is
will be done in compliance with all applicab 9
hereby made to obtain a permit to do wand that'alltwork will be perfoemed to meettstandards of all Iawsll etgulatng
commenced prior to issuance of a perm
construction, County and City codes, zons ofrotheat'overnment ag nc es may pply to the ntended�workiCand thatatSs
certify that I understand that the regulation 9
my responsibility to identify what actions al Pr tecfon Cypress Bayheads SW tlandnAreasn nd Envi o mentlally�t Sensitive
- Department of Environment
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Sou t h w e s t F l o r i d a W a t e r Mana gement District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- 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 al�owed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used��mitted at time ofpermitting whch�s p eparedrby a9professionalrengneer
"compensating volume" will be s
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 wa
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 ae se1� affe�adjacent propert esf Ithe�'owne� mayrbel cit d for vaolat ng
properties. If use of fill is found to adv y
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.
tf I am the AGEN7 FOR THE OWNER, I promise iunderstandhthatna�s pa at permit may be requ�ired for felectr cal work�,
this affidavit prior to commencing construction. I
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specrfically included in the application.
permit issued shall be construed to be a license t�or shall issua'ncehof a pe mitpr vent thehBu ding Officeal from therteafte�r
set aside any provisions of the technical codes, n ermit issued shall become inval
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work authorized by such permit is com of s x 6Wmhonths after the t me the work iscco�mmenced Anhextension
the permit is suspended or abandoned for a period ( )
may be requested, in writing, from the Building Offi(in'ner a�p��con ecutive days,the job is�cons de ed band nedstrate
justifiable cause for the extension. If work ceases fo tY� .
WARNING TO OWNER: YOUR FAILURE TO RECROPERTI(.TIF YOU NTE D TO BTAIN'FINANCING CONSULR
PAYING TWICE FOR IMPROVEMENTS TO YOUR P uiuFN�EMENT.
W17H YOUR LEf�DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO
FLORIDA JURAT(F S. 117.03)
CON7RACTOR "���-�-
OWNER OR AGENT Subscribed and swom to(or aHirmed)before me thls
Subscrlbed and swom to(or aftirmed)before me thls by
by yyho i— s/are personally known to me or hasRiave produced
Who isl rea p rse onally known to me or has/have produced as identlficatlon.
as idenBficatlon.
Notary Public
Notary Public
Commission No.
Commisslon Na.
Name of Notary typed,printed or stamped
Name of Notary lyped,printed or stamped
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