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Home My WebLink About13-14598 CITY OF ZEPHYRHILLS ,. 5335-8th Street (813)780-0020 14 ELECTRICAL PERMIT Permit#:14598 Issued: 10/02/2013 Address: 38544 5TH AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: COMMERCIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 10/02/201 Parcel Number: 11-26-21-0010-16900-0080 Name: M ELLIS ELECTRICAL INC Name: JAPAGE PART C/O 7/11 Addr: 4234 S BLUFF LAKE RD Address: P.O. BOX 711 MASCOTTE FL 34753 DALLAS, TX 75221 Phone: (352)400-5635 Lic: Phone: Work Desc: INSTALL & RELOCATE 4 ELECTRICAL OUTLETS IN 7ELEVEN ELECTRICAL FEE 45.00 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER �, u�� FINAL �-�!/ , � � � � � � � � � ��G � r � REINSPECTION FEES: Reinspection fees will comply with Statu . (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a)wrong a re�b)condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d)work not ready for inspection when cailed 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 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 properly. 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. CONT OR PER OF I PERMIT EXPI S IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL F R NSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 81��0°2° City of Zephyrhills Permit Application F�-s��eaooz� Building Departrnent Dah Received Php�y CoMact fw PemiiW Ownera Name v� � ►� : Owner Phone Number Ow�els Address J S 7 Owner Phone Number � Fes Simple TidehoWsr Name � Owner Phone Number —� Fee Simpie 71Ueholder Address JOB ADDRESS °'y � e' � ° � �',( 3 y!� LOT# �� SUBDIVISION __ PARCEL IDk I ' ' �I� �� —O� (OBTAMED FROM PROpERTY TAX NO710E) WORK PROPOSED B NEW CONSfR 8 ADD/ALT � SIGN Q O DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q '� DESCWPTION OF WORK �" � � e S (� �� `_,` ��a�'�� SQ FOOTAGE�� HEIGHT �� QBUfLDING S VALUAT�ON OF TOTAL CONSTRUCTION �ELECTR�CAL $ OD AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING �� QMECHAN�CAL �� VALUATION OF MECHANICAL INSTALLATION � /�� ! 0�'�`S Q ROOFING Q SPECIALTY � OTHER � �J FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �` 7( BWLDER COMPANY SIGNATURE REGISTERED Y! N FEE cuRRen y/►� Address V��# ELECTRICIAN � COMPANY I ► � 1 C I\�S � C� r 1 C�� SIGNATURE � GIS Y/ N FEE cURrtEn Y/N A�.� �1 S 1 ��,�� (' . , � � G PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHAMICAL COMPANY SIGNATURE REGISTERED Y! N FEE CURREf� Y/N Address uc�,se a OTHER COMPANY —� SIGNA7URE REGISTERED Y/ N FEE CURRE� Y!N Address License# � IIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Pl�s;(2)sets of Build�g Plans;(1)set of Energy Foims;R-O-W Pertnk for new constn�ction, Minimum ten(10)w�kinp days after submittal date. Required onsite,Construction Plans,Stamwater plans w/Sift Fence inatalled, SanMary FaGlitles 81 dumpst�;Site Woric Permit fa subdivisiansAarge projects COMMERCIAL Attach(3)comp�ete sets M Building P1ana pius a Life Safety Pape:(1)set of Energy Forms.R-O-W Permit for new construcfion. Minimum t�(10)working days aft�s�mittal date. Required onsite,Constructlon Plans,gtomiwa�er plans w/SiN Fence installed, S�it�y Facilities&1 dumpater SRe Wa1c Pemet for all new projects.AJI commerciat requiremeMs must meet compliance SIGN PERMIT Attach(2)sets of Engineered pians. ""PROPERTY SURVEY required for all NEW conatniction. Direcdons: Fill out application completely Owner&Contractor sign back of application,notarized If over s2500,a Notice of Commencament Is required. (A/C upyrades over s7500) " Agent(tor the conVacta)a Power of Attomey((a fhe owner)would be someone with ratarized lelter from oNrt�er a�thonzing same OVER THE COUNTER PERMITTNG (Prorri p(qpp�icatlon p��y� Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotape) Driveways-Not over Counter ff on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perrnit 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. UNLICEN3ED CONTRACTORS ANO 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 regulatlons. 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 Divisior�—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign portions of the"corttractor Blodc"of this application for which they will be responsibie. If you,as the owner sign as the coniractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACTNTILITIES 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 dces not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CON3TRUCTION LIEN LAW(Chapter 713,FloNda 3tatutas,as amended): If valuation of work is$2,500.00 or more,i certiTy that I, the applicant, have been provided with a copy of the "Florida Constnicction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of,�qriculture 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 informaGon in this appiication is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Appiication 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 pertomied to meet standards of all laws regulating consiruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso ceftify ihat I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to iderrtify what actions I must take to be in compliance. Such agencies indude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Heatth & Rehabilitative Services/Environmerrtal Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authorit�r-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not atlowed 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 connedion with a permitted building using stem wall construction,I certify that fill wiil 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 infortn the owner of the pertnitting conditions set forth in this affidavit prior to commencing constnaction. I understand that a separate permit may be required for electrical work, plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically inGuded 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 Bui�ing Official from thereafter requiring a correction of errors in pians,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 ff work authorized by the permit is suspended or abandoned for a period of six(6)months aRer the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exoeed ninety(90)days and will demonstrate justfiable cause for the eMension. �f 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 IN ND TO OBTAIN FINANCING,CONSULT T Y UR L D R AN ATT RNEY FORE R C RDING Y U TIC f C C E T. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT $�TRACTOR 4'� Subscribed and swom to(or affxmed)pe(ore me this nd swom o(or pe%re me this by Who is/are personaHy known to me or hasRiave produced iNho fy naly kn to me or heshiave produced as identfication. as Wentification. Notary Public ��' �� Commission No. �� Notary Public Commissbn t. . Name o►Notary lyped,printed or stamped me o(Plo ery typed,printed or stam �' HARRIET E BEACH �� ''c MY COMMISSION#�EE223174 '•�, ��,• EXPIRES August 07,2018 (4071398-0151 FlaitlallotaryS«vfw.00m --- ------- ------- -- � ------- -- -- -- - - - - tiSEE �� Sil►ya�( -------I---- -- -o i; � l�E�b Z ° udaZ �,--- ,--I -�, , li � T. 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Eilis F/ectrica!Inc. 4234 S. B/uff Lake Rd Mascotte, F!34753 To: C�c� D� � � �ate: � %L �D,� Re: e S�F6Jk� } .`f To Whom It May Concern: I,Michael Etlis,as the qualifier for MS Electric,fl License EC3003559 hereby authorize US Permit and its employees to act as agents of MS Electric for the purpose of abtaining elect�ical and any other required permits for the 7-Eieven project located below: US Permit Agent: �'`��/v/�.1� �(,�,ij�.f Project Address: � �� h� '� � Ptea e contact us with any questions,thank you. . �. � Michael Ellis M.Ellis Electrical lnc. 4Z34 S Bluff twke Rd MacscoKe,FL 34733 Phone:(352J 400—5635 Fox:(3SZJ 557—4645 Emall:Peggy�rr�elJis Notary Name:� m' Signature: NQtariaed this�_day of'R�7�� in the yea��_ Nofiary Seai: _��, "��, H.'��g�T E BEACH 4 �.s`' �titMISSION#EE?�1T4 . „:.•' �_.�,+�iRES Au9uat OT.2018 N0�13sA__•5a._._.`.F;ondaNp�rygMNW.o011�