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Home My WebLink About13-13821 CITY OF ZEPHYRHILLS �� /��, ��,r-�� 5335-8th Street S S 3 o C�' ) ` - ' (813)780-0020 13821 ELECTRICAL PERMIT JC�� cCj A,I l �j` �I{Q Permit#:13821 Issued: 1/31/2013 Address: 4 GALL BLVD Permit Type: ELECTRICAL MISC �ZE HYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 600.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 1/31/2013 Parcel Number: 11-26-21-0010-05700-0250 Name: PATTIE ELEC. & REFRIGERATION Name: WELLESLEY DEVELOPMENT CORP Addr: 39111 PATTI RD Address: 34619 SR 54 W ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33541-2132 Phone: (813)782-3319 Lic: Phone: Work Desc: REENERGIZING EXISTING METER ELECTRICAL FEE 40.00 �{�- `'C�Q t- ��5� `'�,�� 3;� ROUGH ELECTRIC '" CONSTRUCTION POLE� PRE-METER �^ FINAL Z/ � Gf'� � �l� 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 job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicabie 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. � � , ,�' CONTRACTOR PER OFFI ✓ PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �an, �1. 201� 3: lOPM No, 4904 P. 1 , '��°� C�RTt�IC/�TE OF LIABILITY INSIJRANCE DATE�MMIDpIYYYY) THIS CER7IKICA7�IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI(iHTS UPON THE CERTIFICA'�HOLDER.THI3 CERTIFICATE DO�S NOT AFFIRMATIVELY OR WE(iATiVELY AMEND, EXTENO OR AtTER TNE COVERAGE AFFORDED BY TME P0�(CIES sEI.OW. THIS CERTIFICATE 0� INSURANCE DOES N07 CONS'11TUTE A CONTRACT BETWEEN THE 198UIN0 INSUR�R(S�,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND TH�CERTIPICA7�HOLDER. IMPORTANT: If lhe ceRlflcete holder is an Abb1710NAL INSURED,ti�e policy(ios)lnust ba andorsod. if SIIBROGATiQN 19 WAFVEC,subject W ina torms and condltlons of the pollcy,certaln polklas may re4ulra an endors.msnf. A statemenl on Ihls certificak doas not eo�Nar dphls to lho certlflcafe holder In Ileu of such endorsemenl s. ' PR�� Alliahce Insurance SoluUons,LLC. ID:(birectHR) c1010A 1855 West State Road 434 E Longwood, FL 32750 EJiWL ADDRESS: W /1F pN COVERA�f � I AFRA: �NSURED INSUREiI b: Direct HR Services, Inc. PO Box 1367 u+su+�/ec: • • • Holmes Beach Fl. 34218 � a�ao: • • • 1NSURER E• 1p$ RK• COVERAOES CEItTiFICAY�NUMB�R: �� ItEVIS10N NUMBER: 7HIS 15 TO CERTIFY TFIAT Tf1�POUC��S Of INSURANCE LISTEO BELOW HAVE BEEN ISSU�P Tp 7HE INSURED NAM{EO ABOVE FOR THE POLICY p�R10D INDICATED. MO'fWITHSTANOMG ANY RBQUIREMENT,TERM OR CONDITION OF ANY CONY'RAC7 OR OTHER DOCUMENT WITH RESPECT TO WHICH 7NIS CERtIFICAYE MqY B�1$$UED OR MAY PERT/11N,THE INSURANCE AFFORDEd 8Y 7HE POLICIES DESCRI8E0 HEREIN IS 5U9J�CT TO AL�7HE TERMS, EXCLI)$IONS AND CONDITIONS OF SUCH POLICIES.LIMITS SMOWN IuAY MAVE BEEN IiEDUCED BY PAID CLAIMS. IN N TypE OF M9URANCE � p�y N wO�A P �E F P LICY M LIMITS aEHERA6 Wsum E s cotiw�CUU lse►�ni.Lw&�.nY I 000urrww S CUUA�S•MAOE ❑OCIJUR MEOExP oneDersaU S PEA50NN.dAdVIWURY 5 GFNERALAGGREGATE S GENLAC(iREdATEUMR/WPLI�SP�R; PRODUCTS.COMPOOPA6G S POI,ICY WC S AVTOMOEIIE WBIIITf i 1 S ��O fiODILY1NA1flY(PMpNSp�) S N.LOVIMED 6CFIE ULfO Aur03 � 80DIl.YM�,MIRY(PKaa�denQ s HIREOAUr05 ��ED E S S S UMBRELUILIAB �� EACMOCCIIRitENCE S E1�CESb�us r,W�e,J�E AGCREC�ATE ,4 p�0 RE7ENipNS S s a q wowcEas co�weNSnnou WCpE0000�109 01 5/2012p12 512012013 ST�T�' � ANC£MPLOYEkS'WBp.ITY Y!N O�f� IF�6A�E�EkG,UDE�� N/A ELrrACH11CCIDEI�R S 1 O K�e�a�,OewWer ELWSEASE-EAEMPI.O S 1 00 0-�S'CwatlOw OF oa� f.G oaE�S�-pOUCV uuR S 1000 B Wor�cers CompensaUon This is For informBUone1 p�rposes � ��0��e and nol�Ing shall cr�le arry ri�hl DESCRIPTtOH OF OPERASIONSf LOCATOH8/YEMICLE9(M��oh ACON010/,Add[Uonal Remarks 8eheluls,if mon e0ec�N nqukr0) , Cove►'8ge provlded(or all leased employeas but not subconlractors of; DaVid N.Paqte dba PaRle Eleclrlc� Refrigeralion Locatbn Etfedive: 1!ll20S3 CBRTIF(CATE HOLDER CANCEL T 771 SHOULD ANY OF THE AeOVE DE9CRISEb pOLIC1ES 8E CANCELLED BEFORE Clfy of zephyrhills�guilding dept THE EXPNtAT10N oqTF 7HEREOF, NOTiCE WILL BE DELIVERED IN 5335 Sth StreeE ACCORWINCE WI7N tHE pOIICY PROVF610NS. ' zepnyrnnrs F� �s5a2 �„��,�o�R��„� .'G� Glen J Distefano � �� 1996-2010 AGQRD CORPORATION, All rlghts reserved. ACORD 25(2010/05) The ACORD name and logo are re$Islered ma�lcs of ACaRD C¢RT lf0.: 1539149B L�6f�G Xlal 1��1�=OLa La1��J b11 D�9'i 1 OC 1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received ` Phone Contact for Permittin OHrner's Name ' � � �S � � Owner Phone Number Owner's Address � � Q 5� � Owner Phone Number � � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS I ' LOT# C] SUBDIVISION PARCEL ID# I !'��p'� � l �Q Q f b —�j �-7 � 2�d (OBTAINED FROM PROPERTY TAX NOTICE) 1MORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN � Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM C� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q DESCRIPTION OF WORK .Q r � 'z � � BUILDING SIZE �---1 gQ FOOTAGE�� HEIGHT �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION �LECTRICAI. $ /,,,� AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 �� OPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' � OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � ELECTRICIAN �� G��'�- n COMPANY °`� (G�/ SIGNATURE C�i�.. �� REG�STERED Y/ N FEE CURRE� Y Address / License# L C p/�Q �� p � 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 Permit for new construction, Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciBtfes 8 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 da!e. Required onsite,Constsuctior,Plans,Stormwater Plans w/Silt Fence installed, Sanitary Faciiities 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 required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (/UC upgrades over ET500) " 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(Plot/Survey/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" r_es#rictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance witFi'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 misdemyan�oPyiolation under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s 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 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(Chapter 713, Florfda 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with atl 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 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 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 witl demonstrate the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, \j 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 NOT CE OF MENCEMENT. FLORIDA JURAT(F.S. 117.03) ,�"�' ' - � , , OWNER OR AGENT CONTRACTOR ' Subscrlbed and sworn to(or affirmed)before me this Su scri ed and sworn t (oraffirmed) efore me this by r / by Who islare personally known to me or has/have produced Who Is/are personal own to me or has/have produced as identification. � as identl8cation. � � � � (�—. Notary Public Notary Public _ ��,N�' =;�,tm�n�,. JACQU NE BOGES co ' sion • Commission No. - a.: ExpIf2S D6C�1�,�2 20�4 Name of No1ary typed,printed or stamped Name of Notary ty . Pasco County Parcel: 11-26-21-0010-05700-0250 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, January 26, 2013 Parcel ID 11-26-21-0010-05700-0250 (Card: 001 of 012) Classification 11 - Retail Stores, One Story, All Types Mailing Address Property Value WELLESLEY DEVELOPMENT CORP Ag Land �p C/O NYE COMMERCIAL MGMT INC Land 34619 STATE ROAD 54 W $233,915 ZEPHYRHILLS FL 33541-2132 Building $517,045 Phvsical Address - See All 12 addresses (First Extra Features $5,769 Shown) 5524 GALL BLVD �ust Value #756,729 ZEPHYRHILLS FL 33542-3958 ASSE'.SSeCI (Non-School Amendment 1� $756,729 Leqal Descri�tion (First 4�ines) See Plat for this Subdivision Taxable Value �756,729 CITY OF ZEPHYRHILLS PB 1 PG 54 PORTION OF VACATED RR R/W DESC AS COM SW COR OF BLOCK 89 TH S63DG 28' 30"W 60.00 Ff TH Land Detail (Card: 001 of 012) Line Use Description Zoning Units Type Price Condition Value �� 1100 STORE 1FLR OOC2 7,000.00 SF $7.00 1.25 $61,250 �� 1100 STORE 1FLR OOC2 51,160.00 SF $2.7p 1.25 $172,665 Additional Land Information Acres 1.34 Tax Area 30ZH FEMA X Commercial Code M3012D � Code R � � �❑ � Buildina Information - Use 11 - Retail Stores (One Story) (Card: 001 of 012) Year Built 1989 Stories Exterior Wall 1 1.0 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Shed Roof Cover Interior Wall i Drywall Min Roof(Corr. or Sh M) Interior Wall 2 None Flooring i Carpet Floorin9 2 None Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New � 1 BAS 1,360 $94,656 2 CAN 160 $3,341 Extra Features (Card: 001 of 012) Line Description Year Units I� 1 PAV ASP l Value 1989 � 13,632 $2,760 �----2 SWC 1989 448 $336 I � —� WIFENCE 2009 �-540 $2,673 Sales History Previous Owner N/A Month/Year Book/Page Type DOR Condition Amount Code � ��r—�� http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 1/31/2013