HomeMy WebLinkAbout13-14376 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14376
ELECTRICAL PERMIT
Permit#:14376 Issued: 7/19/2013 Address: 7242 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,000.00 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 60.00 Date Paid: 7/19/2013 Parcel Number: 35-25-21-0010-07200-0000
Name: DAVID HARVEY ELECTRIC CO INC Name: KIM-MP MULTI STATE LLC C/O KIMCO
Addr: 17410 HWY 41 Address: 3333 NEW HYDE PARK RD STE 100
LUTZ, FL 33549 NEW HYDE PARK NY 11042-1205
Phone: (813)949-3713 Lic: Phone: (610)677-5800
Work Desc: LOW VOLTAGE FOR PANERA BREAD
ELECTRICAL FEE 60.00
/ �/�
C
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER / �., I
FINAL (�
�
, �
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 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 'ob site
7 g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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.
CONTRACTO PER OF I
PERMIT PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ais-�eo-oozo City of Zephyrhills Permit Appiication Fax-813-780.0021
Building Department
Date Received � �
Phone Contact for Permittln _
Owner's Name 1 Ql�t Y 4 � �C� (D Owner Phone Number
Owner's Address !/� y� (p Ct � � V� p�er Phone Number
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address
JOB ADDRESS 7 L Z �PG�I �U� ��
LOT�
SUBDIVISION PARCEL ID�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CoNSTR ADD/ALT � SIGN Q Q DEMOLiSH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �Q� l7 O I 4 �{ G��/Y/1�1,
BUILDING SIZE SQ FOOTAGE[-—� HEIGHT
OBUILDING a
VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL $ ���Q�J AMP SERVICE
[� PROGRE NERGY Q . E.C.
QPLUMBING a
QMECHANICAL $ l ,� �L
VALUATION OF MECHANICAL INSTAL TION (- �
.
QGAS Q ROOFING Q SPECIALTY � OTHER
FiNISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �
QYES NO
BUILDER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
ELECTRICIAN � COMPANY C/ �'{Y V P �'I L-CJ I j'l
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllit(es&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�ays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Englneered Plans.
""""PROPERTY SURVEY required for alf NEW construcdon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgrades over s7500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appflcatlon Only)
Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: Th�fe ulat9ons. The undersigned a'ssumes esp nsibilbty for compl ance tw'ih ny
which may be more rest�ictive than Coun y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS Ama beNeRu ed�o be E ense SiBac'coEdancef,with s ate and lo,cal�eg�lationsc Ifrthe
contractors to undertake work, they y q
contractor is not licensed as required by law, both the owner and contractor'r1iay,be cited for a mi�demeanor'�if�lat�he
under state law. If th e adv sed t ncontact the Pasc�o County Bu IdingSlnspectioni Div s on—L cens ngtSect on at727-847-
intended work, they ar
he is advised to have the contractor(s) sign
8009. Furthermore, if the owner has hired a cont�actor or contractors,
portions of the "contractor Block" of thisa�hei is nlot properly Iicensedl�a d is not enttled t permittingepr v leges9n Pasco
contractor, that may be an indication th
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REC�ovh R onst�sti n of nedw b 9di gsnchange of
that Transpo�tation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existing stand's9that such fees,'as may be due, w Il�be identified at he_tmenof
90-07, as amended. The undersigned also unde .
permitting. It is fu�ther understood that TnalS ower'eleaseaClf the p ojecRdoes no Rnvolve a certificatetof occ pancy o�
receiving a "certificate of occupancy" or fi p
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 applfcable Pasco County ordinances.
500.00 or more, I
CONSTRUCTION LIEN LAW(Chapte�713, Florfda Statutes, as�fmhe d��risia Eonstractb� L en Law—Homeowner's
certify that I, the app licant, have been provided with a copy
Protection Guide" prepared by the Florida Depa�tment of Aof thetabove desc ibed document and prompseantgood fa th to
other than the"owner , I certify that I have obtained a copy
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIcable law's regu alting const uction!zoning an'd aand developm ntn Application is
will be done in compliance with all appli
hereby made to obtain a pe�mit to d°nW and that'alltwork will be perfoemed to meettstandards of al) laws'Iaegulat ng
commenced prior to issuance of a pe
construction, County and City codes, zons ofro heati overnment agenc'es may pply to t e ntended,workl and thatat is
certify that I understand that the regulation 9
my responsibility to identify what actions � Pf tecfon Cypress Bayheads,SWetlagd A�eas and Env�o mentla lyt Sensitive
- Department of Environmenta
Lands,Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, CYP y
Watercourses.
Rrmy 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.
1 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 Zo�o filAthe area w th�n thetstem W mitted building using stem wall
construction, I certify that fill will be used on y that use of such fill will not adversely affect adjacent
If fill material is to be used in any area, I certify
prope�ties. If use of fill is found to adssu d unde� thelattached per�mit pplicat onr oa Iots less thanvoneti(j
the conditions of the building permit
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise �n derstan'd that a�s parat permit tmay be required for lelectr cal work�,
this affidavit prior to commencing construction. I un
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the appl�cation
P
ermit issued shall be construed to be a license to P hall ssuaincehof a pe mitprevent thehBu ding Official from therteaf ie�r
set aside any provisions of the technical codes, nor s ermit issued shall become inva
requiring a correction of enors in plans, construction or violations of any codes. Every p
unless the work authorized by such permit is commen X sWmhonths after the t mpe the work is co�mmenced Anhextens oe
the permit is suspended or abandoned for a period of s ( )
ma be requested, in writing, from the Building Off+cininer a90)rconsecutive days,the job is�c ns�de ed blandonedst
Y
justifiable cause for the extension. If work ceases for tY
WA
RNING TO OWNER: YOUR FAILURE TO RECORD A�T�F YOU INTOENDETO OBTA N FI�NANC NGTCONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP
WITH YO R LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF O NCE NT.
FLORIDA JURAT(F.S. 117•03)
- Cpr1TRJ(CTOR
OWNER OR AGENT Subscribed and swor to(or a rmed)before me s
Subsc�ibed and swom to(or afflrmed)before me thfs by
by Who Islare personally known to me or ha as identlRcat oen
Who isjare personally known to mas Id ntlflcatl�roduced
Notary Public
Notary Public
Commfssfon No.
Commission Na --
Name of Notary typed,prfnted or stamped
Name of Notary tyPed.Printed or stamped