HomeMy WebLinkAbout13-14250 CITY OF ZEPHYRHILLS
� 5335-8th Street
(813)780-0020 14 0
ELECTRICAL PERMIT
Permit#:14250 Issued: 6/05/2013 Address: 4920 AIRPORT RD
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: 249.00 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 60.00 Date Paid: 6/05/2013 Parcel Number: 13-26-21-0010-00000-0010
Name: ADT LLC Name: BOLENDER INVESTMENTS INC
Addr: 5471 W. WATERS AVE STE 1000 Address: 38461 CR 54
TAMPA, FL. 33634 ZEPHYRHILLS FL 33542
Phone: (813)806-7000 Lic: Phone:
Work Desc: INSTALLTION LOW VOLTAGE ALARM SYSTEM
ELECTRICAL FEE 60.00
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ROUGH ELECTRIC
CONSTRUCTION POLE -� �
PRE-METER • �
FINAL +7- i) 'I_ ,
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 cons�truction 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 acxessible.
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 rewrding your notice of commencement."
Complete Plans, Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
ONTRACTOR PER OF I
PERMIT EXPIRES 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 Phone Contact for Permittin �� J --� l.J'�d
Tl-I�I-fT - n
Owner's Name L - Owner Phone Number
Owner's Address `r�� � t '�� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � Z, (. LOT# ��
SUBDIVISION 'L /L PARCEL ID# '" �j ^j, - �Q —O�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK /\,J� L L Q ` �' J� � � , T�
�
BUILDING SIZE SQ FOOTAGE � J HEIGHT
T�� PTI"1'T� TTr
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ L �o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
��� ���-C !�l;T�Tf�T�I�T�rTT��TWTlTr�� �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICI O tCOMPANY I'�D� �-'�'� �'L�.�V'�, /�D
SIGNATURE ' EGISTERED Y/ N FEE CURREN Y/N
Address �J�("tl '� �A-T�'l2S ��E ST� �e�`� License# �F'Z��� �0'�'3�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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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&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!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.
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Directions:•
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
*' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with�otarized 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
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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 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 apply 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 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, 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 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 Watzr 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 flll 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 �onstruction. 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 �fter 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���MENGEM T MAY RESULT IN YOUR
PAYING TWICE TS TO YOUR PROPERTY. ' U1f0 INTEND TO OBTAI NANCING, CONSULT
WITH YOU NDER OR AN ATTOR Y BEFORE RECO G YOUR NOTICE OF COMMEN EMENT.
FLORIDA J AT(F S.117.03)
OWNER O GENT CO CTOR
Subscribed an o r affirmed�b re me this Subscribe an sworn to ffirmed)befo e this
.�'YlA�bY i�L Lir+9 /I��r ZS' by �si K e� v m
�o islare personally known to me or has/have produced Who'is/are personally known to me or haslhave produced
L� as identification. � L as identification.
� Notary Public Notary Public
Commission No Commission No.
/�O�r/`T /;f2rliS�DN9 /�B�rT�!L/*t57.E��e�
Name of Notary typed,printeii br stam � ,, Name of Notary typed,printed or stamped'
�i'^G:•,, ROBERTARMSTAONG z4=�"'°—"'°° .._ �_.,,.�w..r
:i�• �o: tikir;�.°"''•., ROBERTARMSTF::i��> �
:*: t: MY COMMISSION#EE 872714 �,��' �=
EXPIRES:February 10,2017 += MY COMMISSION#�:��` '�
•`a: �-' .
''�%s oi�;�4'�'� Bonded Thru Noqry Public Undarxriters °�••�,o, EXPIRES:February , �
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05/29/2013 10:13 813-806-7089 ADT SECURITY SERUICE PAGE 05/11
Pasco Couasty P�aperty Appraaser�Physical�ddress L�st foz: 13-26-21�0010-00000-0410 kaBe �i c�r !.
W�lconte ; Reco s Sear_ch ; p��l Dete,�S : Physlcal Addresses
Physical Address List#or Parcel: 13�26-21-0010-00000-0010
pisplaying 17 records View in groups oF; 10 2,5 �Q .i�Q .5d�
Street_tlumbel� Street Nante w ��
4918 AIRPORT RD
�4920 AIRPORT RD
qg22 AYRPORT 1�D
4924 AIRPORT RD
4926 AIRPORT RD
492$ ATRPORT RD
�F930 AIRPQRT RD
4932 AIRPORT RD
39240 SbUTH AVE
39Z42 SOUTH AVE
39244 SOUTH AV�
392A�6 SOUTH AVE
39248 SQUTH AVE
39250 SOUTH AVE
39252 SOUTH AVE
3925�4 SOUTH AV�
39256 SOU7H AVE
Pasco Gounty ProperCy Appralser
Page Laycut Mndified: 2/�7/2009 1:10:37 PM
'Y'he I,.oCal Time I5: 5/28/2013 2:27:01 PM
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BUILDING PLAN REVIEW COMMENTS
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Approved w/no comments: Approved w/the below mments: ❑ enied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalv' witz Examiner Date Contractor and/or Homeowner
(Required when comments are present)