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Home My WebLink About13-13794 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 13�� ELECTRICAL PERMIT �. � ,. ,",a: �° Permit#:13794 Issued: 1/23/201�3 �} Address: 40047 CR 54 E 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: 40,000.00 Total Fees: 235.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 235.00 Date Paid: 1/23/2013 Parcel Number: 06-26-22-0000-01500-0000 .,; . �;,w,,, Name: WINSTON D CLARKE LLC Name: SKYBIRD PROPERTIES INC PROFIT SH Addr: 3106 LAURESSA LN Address: 40047 CR 57 E ORLANDO FL 32805 ZEPHYRHILLS, FL. 33540 Phone: (321)277-5660 Lic: ER0015412 Phone: Work Desc: 3- 75 KVA TRANSFORMERS 600AMP SVC �:. . ELECTRICAL FEE 235.00 °;:,r �+�`,� ,s�.« �.z�,�� ,��",, ,v, ��! Tq��,'lE�� , �, �"'�e� . .8�- "� „�., a "r"��aY ROUGH ELECTRIC CONSTR�l.CTIOht POtE� PRE-METER AL .� /� � � a/ � � \ ..� �� 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 foilowing 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 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. uC � CONTRACT PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�3-7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � Buiiding Department Date Received �3 �j��j phone Contact for Permittin •� / _ �p �.. Owner's Name ,7�/ $'�� Owner Phone Number �� 7�(.� �`j Owner's Address � �9CGl �`z� �c�� Owner Phone Number � "2j� Fee Simple Titleholder Name Owner Phone Number p /`�- Fee Simple Titleholder Address JOB ADDRESS �� ic/ �all(� � � ZP ,7 /�//S� LaT# � SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR 8 ADDlALT '� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �� ,6�o-i`G/c2 � �75—j6Cl�� s' � ��/S' BUILDING SIZE � SQ FOOTAGEC� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION ' ELECTRICAL $ � �� AMP SERVICE � PROGRESS ENERGY Q W.R.E C. OPLUMBING $ r/�j� �� 7� �"'� �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��?�/ 9 �GAS Q ROOFING Q SPECIALTY � OTHER � I �? ��Y/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N Address ' License# � ELECTRICIAN � COMPANY-� /�C�N � �l��kt, �- SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N �/�Address ��`�� TT��'o¢�G� - L � �}cense# ' p � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Add�ess 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities 8 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 wl 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 ail NEW construction. Directions: Fiil out application completely. Owner 8 Contractor sign back of application,notarized If over i2500,a Notice of Commencement is required. (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 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" restrictions" which may be more restrictive than County regulatlons. 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 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 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 IMPACT/UTILITIES 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. Fu�thermore, 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'S/OWNER'S AFFIDAVIT: 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 & 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 requi�ing 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 �� l.,-�lL��'�[� Subscribed and sworn to(or affirmed)before me this Subscrlbed and s to afFirmed)before me this by /-23-/3 by C " ' Who islare personally known to me or has/have produced Who islare pers9na known to me or has/have produced as idenUfication. c�L� C.�ZPs,SsL as identificatfon. � - Notary Publlc �-- Notary Public „ Jq�QUELINE B�ES � � Commission No. Co 52() _•� res pecember 12, �e ypp.3ns.'o! Name of Notary typed,printed or stamped Na � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iii��iiii ii�i 2013013334 Rcpt:1491141 Rec: 10.00 DS: 0.00 IT: 0.00 01/23/13 K. Garcia, Dpf,y Clerk PqULA 5 0'NEIL�Ph D PASCO CLERK & COMPTROLLER 01/23/13 10��a� iPGof_1�� OR BK $ �, 1 NOTICE OF COMMENCEMENT Permit No. Property Identification No.d� 'Z�l Z�00(�Q��$�j'jd_ d�d TI�LJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF MMENCE NT. Lo� sv c.a�2 o,c scv I��f �F � ��. e�°S'EC 6� -- 1. Description of property(legal description:) � '� ,�' / � � �/ �, � �-� a) Street Address: _ ,r, � 2. General sc 'ptio of improvements d � ' �t � 3. Owne formation � a) Name and address: � e � � � �5�O �b) Name and address of fee ' ple titleholder(if other than owner) c) Interest in property „ 4. Contractor Information ^,�/ N � ��L a) Name and address: !V/M 4rN �� L A} /�= /�'7U5 C'�� c� � y � � ��", F s _°a „ b) Telephone No.: '��-/ a Z� �—�� a Fax No.(Opt.) 1.�n 7 �/2 7�,<G C� 5. Surety Information � � a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERT�.A� NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. STATE OF FLORIDA i� COUNTY OF PASCO S' OF er or Owner's Authoriz O �er/Director/Partner/Manager Print ame The foregoing`rnstrum t was acknowledged before me this 23 day of� 2p�3 �bY (il�r�'lS'M��o as type of authority,e.g.officer,trustee,attorney in fact)for (name of party on behalf of wh instcument was exec Personally Known_OR Produced Identification_ Notary Signature � �f,* Type of Identification Pmduced �� U�C e/�SSL Name(print) �- Q,�i � '" Verification pursuant to Section 92.525,Florida Statutes.Under enalties of n�� "� '� p perjury,I declare that I have read the foregoing and s '`,.= in it are true to the best of my knowledge and belief. ,,,,,, FoxMSrnroc.rvgazoo� Signatme of Nat�rtal Person Signing Above ��. ��I �j► • � � RC� � G�� c��q�� ;.t�Rt�A, COUNTY OF PASCO TM�S IS+G�W�T�FY THATTHE FOREGOING ISA ', ,� TRUE AND CC)RRECT C�°Y OF THE DUCUMENT * � ��'"'er"�` • ON FILE OR aF PUBLIC RECORD IN THIS OFFICE * ''� # WITNESS D.�Y HAND A QFFICIAL SEA2 THIS r�- � � '* a�^DAY OF �CO PTR LLER � ��7 PAUL/� O NEIL, CLE K � � � aY � pEPUTY CLERK � � From:Sylvia A.Johnson CIC,CPIW FaxID� Page 2 of 2 Date:1I23/2013 10:12 AM Page2 of 2 �'�+1 OP ID:SJ '`�`...�.°ROW CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDOlYYW) 0112312013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CER7IFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy�ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain poHcies may require an endorsement. A statement on this certiflcate does not confer rights to the certiflcate holder in lieu of such endorsement s. PRODUCER Phone:407-830-7827 �E: HIG Insurance Commercial Fax:407-260-0216 PHOrE Fax 880 East SR 434 rc No Ext: A1C No: Longwood,FL 32750 E-Mai� Chase Herbig '4D��ss� CUSTOMERID i:W�NST-� INSURE 3 AFFORDING COVERAGE NAIC/ INSURED Winston Clarke LLC INSURERA Allied P 8�C Insurance Company 42579 DBA Clarke Electric 3106 Lauressa Lane INSURERB Orlando,FL 32805 INSURER C INSURER D INSURER E INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER�OD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �7R TYPE OF INSURANCE POLICY NUMBER MMlDDlYYYY MM1DD/`/YYY LIMRS GENERALLIABILITY EACHOCCURRENCE $ 'I,OOO,OO 14 X COMMERCIALGENERALLIABILITY ACPGLZ05904953630 �6��6120�2 06/06l2013 pREMISES Eeotturrence $ �ODr00� CLAIMSMADE �OCCUR MED EXP(Any one person) $ 3,00 PERSONAL&ADV INJURY $ ��OOO�OOO GENERAL AGGREGATE $ Z�OOO�OO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/0P AGG $ ��OOO�OOO POLICY PR� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acaden[) $ BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per acadent) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accidenq $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ g WORKERS COMPENSATION W C STATU- OTH- ArD EMPLOVERS'LIABILITY Y�N TORY LIMITS ER ANY PROPRIETORIPARTNERlEXECUTNE E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED� � N�A (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ If yes,destribe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ �ESCRIPTION OF OPERATIONS 1 LOCATIONS!VEFACLES (Altach ACORD 101,Additfonal Rsmarks Schedule,if more space is required) Electric Work - within Bldgs CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH TNE POLICY PROVI810NS. 5335 8th Street q�{►p{�ZED REPRESENTATNE Zephyrhills, FL 33542 �� O 1888-2008 ACORD CORPORATION. All rights reserved. ACORD 25(2009l09) The ACORD name and logo are registered marks of ACORD , ��'� Q�i ��p� ,.'f}!!S$ECEIPTQAILYEVlDElJGESPAYMENTafTi1EL�GAI �. �� '8USINI�SSTAXP�lii5UA1+1TTACH.245.f�tORIbASTATUTES.ITDOES , � E�U N ID M I C D E V E LO P M�NT` �.'�� ':•" �� `�'��E�ol#��'o+uP�AT��►p Y1ptnTipr��oF�v��ar, " ' P E R M I T.T I N G S E RY I�C E S : ` , {��x �'�'°' ��F�o��.n�„�ITII��RId►1TiNG MUST��NU71F�ilF_ ; r � ; ,� �� ,;`�-'�. , -� �� '(��N= 1,� �l�ElAt--. ' �ViJI#�� 47� �" �� a ' � � � , � � � �r�'":'' .�� 5�11� � y � (Far►neMy icnown as"61��si3cetise, "*L � ""'� �" �'' s ,� , , �. w. �,y��,� �* �, � �,� i� �� e ':�, ��sx'�r+� �•<*• .�� '�,�,��'u.'�s . ' �t+�'p P�C'- �. ;^�+f+�.e^,� @��{' - ��4.,�'�':�q1 N+zf* . t - � � • � r n .: , e ... ..-.. . Z` f� �h.f � #:k� .•`� ��wty ,�I .l.Jn .— } .� ;'', �' ��` t $.'.}'t� j� P ` �'� . . _, �. 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