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Home My WebLink About13-14401 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 144�'° . � ELECTRICAL PERMIT /� Permit#:14401 Issued: 7/29/2013 Address: 38010 MEDICAL CENTER AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 8,420.00 Total Fees: 80.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 80.00 Date Paid: 7/29/2013 Parcel Number: 35-25-21-0070-00000-0010 Name: ALSPA H CONSTRUCTION & ELECT CO Name: C G M HOLDINGS TRUST Addr: 4020 W. CAYUGA STREET Address: 38023 MEDICAL CENTER AVE TAMPA, FL 33614 ZEPHYRHILLS, FL. 33540 Phone: (813)354-8530 Lic: Phone: (727)484-1142 Work Desc: UPGRADE ELECTRICAL FOR LINERA ACCELERATOR ELECTRICAL FEE 80.00 7 '� 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 f) plans not at 'ob site ] 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 o6tain 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. O RA OR PER OFFI PBRMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�s-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin _ Owner's Nane 'r � - � t Owner Phone Number Owner's Address � �3 e i\ �- Owner Phone Number �— Fee Simple Titleholder Name Owner Phone Number Fee 3imple Titleholder Address JOB ADDRESS ��f � V !L� f�GL '�-'� i/� LOT# � SUBDIVISION PARCEL ID# (OBTIVNED FROM PROPERTY TAX NOTICE) WORK PROP03ED e NEW CONSTR B ADD/ALT [J SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM [� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK Y � e ��C � �� e� e ra BUILDING SIZE SQ FOOTAGE�� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ i1� qMP SERVICE g 7' Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING a QMECHANICAL $ � /C� ��f VALUATION OF MECHANICAL INSTALLATION ( OGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � - Ucense# ELECTRtC1AN COMPANY $ SIGNATURE REGISTERED / N FEE CURRE� Y/N Add�ess ._ License# PLUMBE COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP 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)wo►king days after submittal date. Required onsite,Construction Plans,Stortriwater Plans w/Silt Fence installed, Sanitary Facllit(es&1 dumpster;Site Work Permit for subdivfsions/large projects COMMERCIAL Attach(3)complete sets of 8uflding Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilittes 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Englneered Plans. ""'PROPERTY SURVEY required tor all NEW consVuctfon. Directions: Fill out application completely. Owner&Contractor sigM back ot application,notarized If over 52500,a Notice of Commencement ia requlred. (AIC upgradea over s7500) '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERNAITTING (Front of ApplicaUon Only) Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Cownter if on publiC roadways,.needs ROW NOTICE OF DEED RESTRICTION C unt re ulat9ons. The undersign d a's umes esp nsib li�ty for c mpl ance tw'th any which may be more �estrictive than Y 9 applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS{BILITIES: If the owner has hired a con rae or or contractors to undertake wo�k, 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'vif�lat}he under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the o�w kp�of this applicationtfor which theyrwill�be respons ble.�lftyoua s the owntea sign as the portions of the "contractor B rivileges in Pasco contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p County. TRANSPORTATION IMPACT/UTnL�TRecou'rse R co ery Fee�may appECOVh RY�ns ES{' � of neweb 9denysnchange of that T�ansportation Impact Fees a use in existing buildings, or expansion of ex�sni�erstalndls9that such fees,lasPmay be d etyw Il�be dentified at he tmenof 90-07, as amended. The undersigned also permitting. It is further understooc t�ho`finais owerl eleaseaclf the p ojecRdoes no Revolve a ce�tificatetof occ pancy o� receiving a "certificate of occupan y 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 applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as�fmhe aF orida Construcfon L en Law��H meowner's certify that I, the applicant, have been provided with a copy 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in comptiance 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 developmen PP y ulations in the jurisdiction. I atso ce�tify that I understand that the regulations of other government agencies ma a I to the intended work, and that it is my responsibility to identify Wnv�ontmental Pr tecfon�Cyp ess Bayheads SW tla9d A�eas and Enviro mentla lyt Sensitive - Department of E Lands, Water/Wastewater Treatment. �ess Ba heads, Wetland Areas, Altering - Southwest Florida Water Management District-Wells, Cyp Y Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays. - Department of Health 8 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 appty to the use of flll: Use of fill is not allowed in Flood Zone uV"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage ofessionalreng neer "compensating volume" will be submitted at time of permitting which is prepared by a p 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 wa construction, I ce�tify that fill will be used only to fill the area within the stem wall. _ If fill material is to be used �� o�adve sell affect adjacent propert esf Ithe'�owner mayrbel cit d for v�olat ng prope�ties. If use of�II is found t Y 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 promis��nderstan'd that a�separat permit may be requi�red for'electr c I work�, this a ff i davi t prio r t o c o m m e n c i n g c o n s t r u c t i o n plumbing, signs, wells, pools, air cond'a'lice nse to p oceedewith the work and not as cau lt or{y to violate ecanc let aalter, or permi t i s s u e d s h a l l b e c o n s t r u e d t o b e set aside any provisions of the technical cod{uct on oalviolations of any codes p rEvery permit is ued shall become inval'd requiring a correction of errors in plans, cons unless the work authorized by such permit is CO,o� of six 6)mhonths after the t mpe thetwork is commenced Anhextensi n the permit is suspended or abandoned for a per � gp da s and wi11 demonstrate may be requested, in writing, from the Building Official for a90�consecutive days,the job is cons dered abandoned. justifiable cause for the extension. If work ceases for ninety( ) �, WARNING TO O WNER: YOUR FAILURE TO RECORD A NOTICE OF COMMETO OBTA N'FINANCSN LT fN SULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE Jf{; WITH YOUR LENDER OR AN ATTORNEY BEFO E ECORDING YOUR OTICE OF O NCEME FLORIDA JURAT(F S. 117 03) CONTRACTOR ro� ��' �� g pWNER OR AGENT Subscrfbed and ,_ Subscribed and swom to(or affirmed)before me thls - ro me agmave p uced by Who Is/are e na Q� Who is— �are personally known to me or haslhave produced � , � as idenUfication. as Identlflcatlon. �. /, �a �G�i(�Q � Notary Public Notary Public U�•C� � �B S Commi on N �� , Commission No. ;�1 ��. Commission �12 201A :*: "= �� .., Name of Notary typed�Printed or stamped Name of Notary . i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2013130815 � Pertnit No. Parcel ID No 35-25-21-0070-00000-0010 NOTICE OF COMMENCEMENT State of Florida r�� Counry ot P2SC0 �„� THE UNDERSIGNED hereb p N � y gives notice that im rovement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, ��,;, the fdlowing infortnation is provided in this Notice of Commencement: r�� 1 DescriptionofProperty ParcelldentificationNo. 3S-ZS-21-O0�0-O000O-OOLO W B W so-eetaddress: 38010 Medical Center Ave Zephvrhills FL 33540 n � 2. General Description of Improvement_ M0d1C31 Eqll1pITleRt C�13I12e OUt with new flooring and naint s � r• 3 H � �� 7 •• 10 3. Owner Infortnation or Lessee infortnation if the Lessee contracted for the improvement: . ft �.. Florida Cancer Specialists p. 4371 Veronica�mghoemaker Blvd., Ft Myers FL �c�� Address Interest in Property Tenant ��ty State A � ` P C G M Holdin gg ~ Name of Fee Sim ie raienoide�� _ gs Trust McTa ertL&Cheema PS � 38010 Medical Center A�fe ifferent from Owner Iisted above) Zephyrhills FL Address precise Construction,II1C. ��ry State R Contractor 5026 Tren�on Street T�na FL Address City State Contractors Telephone No. 813-241-2403 5. Surety N/A v L a c Name �N D (O N Address � Amount of Bond: $ Te ephone No. State �w Z 6. Lender N/A �m� Name !O� �N� � Address City State ��o Lender's Telephone No. �3 � a 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by N n Sedion 713.13(1)(a)(7),Florida Statutes: ,�t+o Name � � O m �� /�N� Address Cdy State y■ c� Telephone Number of Designated Person: -♦ o �V � 6. In addition to himself,the owner desi nates M.Tate � g of A Precise Construction,Inc. — ° to receive a copy of the Lienor's Notice as provided in Section 713.13(1�(b),Florida Statutes. rr- Telephone Number of Person or Entiry Designated 6y Owner H 13-241-Z4O3 � 9. Expiration date of Notice of Commencement(the e�iration date may not be before the completion of co trudion and final payment to the contractor,but will be one year from the date of recording unless a differe date is spe'e �: 1 Ye WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER ER THE P TION O TH N I OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 3 ART S T10N71 13, L ID STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y PRO ER A N ICE F CO MENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST ECT N. I YOU I END BT N FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING K 0 REC RDIN YOUR ICE F COMMENCEMENT Under penalry of peryury,I dedare that I have read the foregoin oti of inencem n d that the facts sta d therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OFPASCO Signat of Owner or Lessee,or Owners ar essee's Authorized OfficerlDirectoNPartner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this�day ofr��,20�,by_ �-R Q,P..� (�Ay�(.E' as T�4✓'r e of authority,e.g.,officer trvstee,attomey in faU)for (name rty on h of o strume was executed). Persontlly Known�produced Idendfication❑ Notary Signature Type of Identificahon Produced Name(Print) ��;�:..°'�, sue a Pna�R *��* Mvco�Missiar��orrr�a� �JtPIH�3:Mey 30,2017 M'��a BaKNdThrv9utlpHNa�ryAwvlon wpdata/bcs/noticecommencement�c053048 . 3�i��+t��P STATE OF FLORIDA,COUNTY OF PASCO '�`� � • � � �' THIS IS TO CERTIFY THAT THE FOREGOING IS A aj�, G�J► TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ,* • Iri y„��,��r,.,,�t ' ♦` JJITNESS MY HAND ANp OFFICIAL SEAL THIS =�:•�.. � * ��' DAY OF�U� 2 �1� 'k • �} . PAULA S O'NEI CL " &COMPTROLLER � 1$$� � B DEPIiTY CLERK �`��q�pF�p�4P