HomeMy WebLinkAbout12-13688 _ �,.
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 ._ 688
ELECTRICAL PERMIT
Permit#:13688 Issued: 12/07/2012 Address: 5519 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: 12/07/2012 Parcel Number: 11-26-21-0010-09000-0030
Name: FIRST CLASS ELECTRIC INC Name: KWIATKOWSKI MARIE&HAYFORD DAVI
Addr: 7141 BERRY RD. Address: 6807 HAMPTON CRK WAY
ZEPHYRHILLS, FL 33540 SPRINGFIELD VA 22150-4600
Phone: (813)782-7861 Lic: Phone: 8133632066
Work Desc: CREATE ONE METER TIE TWO PANELS INTO ONE
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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� plans not at 'ob site
) g) work not acaessible.
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 pertormed in accordance with City
Codes and Ordinances.
� ,
w
CONT R PER OFI
PERM E IRES 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 Fax-813-780-0021
Building Department
Date Received
Phona Contact Tor Permittin __
Owner's Name ' � �Q `� Owner Phone Numb�r � � - � ��
�
Owner's Address � �i.�'� � Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number �
Fee 3imple Titleholder Address
JOB ADDRESS `7 ��� ��(� ��
- LOT�
SUBDIVISION PARCEL IDN
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONSTR 8 ADD/AL7 �— SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM ��� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �'��ct_°(' � C� C�� �C° �'�- �'� ��f
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING � VALUATION OF TOTAL CONSTRUCTION
ECTRICAL s D� �� AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C.
/(� C�
QPLUMBING �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( �`���
I
OGAS �] ROOFING Q SPECIALTY C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY � G� L.(� `�C-7
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � c f� ��- License# ��--C��� -�j���
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! 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 Pertnit for new construction,
Mfnimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater 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 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.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgradea 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 Appifcatlon Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/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" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iicensed 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 unce�tain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectfon 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 owne� sign as the
contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that T�ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildi►►gs, or expansion of existing buiidings, 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 certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due, they must be paid prior to permit issuance fn accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Flocida Statutes, as amended): If valuation ot 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'S/OWNER'S AFFIDAVIT: I certify that ali 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 all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify 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, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Heaith Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Fede�al Aviation Authority-Runways.
I understand that the foilowing 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 Fiood Zone "A" in con�ection with a permitted building using stem wali
construction, I certify that fiil 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
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 iots 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 fo�th 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 spec�cally 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 OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINT, CONSULT
WITH YOUR L N R R TTOR Y RECORDI G Y R NOTI E OF O
FLORIDA JURAT( S.1 7.03 '-------
OWNER OR AGENT "�/ C�NTRACTOR � e is
Subscribed and swom to(or afttrmed)
Subscrfbed and swom to(or affirmed)before me � by
by Who Is/are personally known to me or has/have produced
Who is/are personally known to me or has/hav produced as idenBfication.
as identlficatlon.
Notary Public
Notary Public
Commissfon No. Commissfon No.
ed, rinted or stamped Name of Notary typecf,Printed or stamped
Name of Notary typ P
' Pasco County Parcel: 11-26-21-0010-09000-0030 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, December 01, 2012
Parcel ID 11-26-21-0010-09000-0030 (Card: 001 of 002)
Classification 11 - Retail Stores, One Story, All Types
Mailing Address Property Value
KWIATKOWSKI ROSE MARIE & Ag Land ��
HAYFORD DAVID ALLEN &ET AL Land
6807 HAMPTON CREEK WAY $18,375
SPRINGFIELD VA 22150-4600 Building $14,969
Physical Address Extra Features $135
5519 GALL BLVD lust Value #33,479
ZEPHYRHILLS FL 33542-3930 Assessed (Non-School Amendment 1) $33,479
Leaal Descrintion (First 4 Lines)
See Plat for this Subdivision Taxable Value #33,479
CITY OF ZEPHYRHILLS
PB 1 PG 54 LOT 3 BLOCK 90
OR 8221 PG 65
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
C� 1100 STORE iFLR OOC2 3,500.00 SF $7.00 0.75 $18,375
Additional Land Information
Acres 0.08 Tax Area 30ZH FEMA Code ��Commercial Code M3012ER
Buildina Information - Use 11 - Retail Stores (One Story) (Card: 001 of 002)
Year Built 1978 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Plywood Panel Interior Wali 2 None
Flooring i Aspha�t Tile Floorin9 2 Carpet
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
���e Description Sq. Feet Repl. Cost New
1 SPA
— 616 $25,152
2 SDA 880 �---
3 CAN � �42,240
— 66 $960
Extra Features (Card: 001 of 002)
�— Line Description Year Units � Value
1 PAV ASP 1978 667 $135
Sales Flistory
Previous Owner HAYFORD MARY E TRUSTEE
Month/Year Book/Page Type DOR Condition Amount
Code
11/2009 8227 / 0065 T�p e��5 li Improved $p
05/2000 8?]5 / 0406 Quit Claim��
Deed Improved $p
09/1987 1644/ 0657 WDeedtY C� Improved � $p
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 12/7/2012