HomeMy WebLinkAbout14-14895 , . , CITY OF ZEPHYRHILLS
. 5335-8th Street
(813)780-0020 1489�
ELECTRICAL PERMIT
Permit#:14895 Issued: 1/13/2014 Address: 36841 CLUBHOUSE DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Townshi
Proposed Use: COMMERCIAL p� Range:
Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 40.00 Subdivision: SILVER OAKS
Amount Paid: 40.00 Date Paid: 1/13/2014 Parcel Number: 04-26-21-0000-00100-0020
Name: JAMES O MORTON ELECTRIC CO.,INC. Name: S & R DEVELOPMENT LLC
Addr: P.O. BOX 1537 1055 GEIGER RD. Address: 36841 CLUBHOUSE DR
ZEPHYRHILLS, FL 33539-1537 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Work Desc: ELECTRICAL REPAIRS
ELECTRICAL FEE 40.00
%
ROUGH ELECTRIC �y :' "' °
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CONSTRUCTION POLE
PRE-METER • ��
FINAL -
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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 job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this ro
may be found in the public records of this county, and there may be additional � 9 P PertY that
entities such as water management, state agencies or federal agenceesfrom other overnmental
"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.
���� , �' � /
CONTRACTOR PER OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�780�0020 _r� /,/ City of Zephyrhills Permit Application Fax-813-780-0021
� ��/ � �;, � Building Department
Date R�r,e'r✓ed �
Phone Contact for Permittin
Owner's Name � � - Owner Phone Number �j^Z � `-j j q�-
Owner's Address �` t�, 2 �s Owner Phone Number �
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS r �, ��; ` ,/-�,� � ��
� � �-- LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONSTR ADD/ALT �� SIGN Q O DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q �LOC F ME STEEL � r
DESCRIPTION OF WORK (i l ` � � �
BUILDING SIZE 3Q FOOTAGE HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTIOAV
[�ELECTRICAL /
$ � AMP SERVICE Q� PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL ($ - � VALUATION OF MECHANICAL INSTALLATION
�_
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE�
Y/N
Address
Lice #
ELECTRICIAN � � � COMPANY �` � `
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
RESIDEN7IAL 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 Perm(t 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 appflcation complete�y.
Owner 8 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 someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Serviee Upgrades A/C Fences(Plot/Survey/�edteg�) .
,
Driveways-Not over Counter if on public roadways..needs ROW �f �� ;�b „ �'
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NOTICE OF DEED RESTRICTIONS: The u ed ulat9ons. The undersigned alssumes resp ns b Ibty for compl ance tw th ny
which may be more restrictive than County g
applicable deed restrictions.
UNLICENSED CONTRACTOR heA ma beN q�ed o be E enOedsi BacfcoEdance th s ate a d locale egulations c Ifrthe
contractors to undertake wo , y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor�vifo�t{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 cont h�edea contractor orBcolntrag torsp he'�s ad ised o'have he cotnt actor(s) s�gn
8009. Furthermore, if the owner has
portions of the "contractor Block" ofn that hel is nlot properly I censed'�a d is not enttled t permitting prrvileges9n Pasco
contractor, that may be an mdicat
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ER onst usti n of new b gde gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing 6uildings, or expansion of oXUnlderstalnd'sgthat such fees,'asPmay be d ety�Il�be d ntif ed at the_t�'�menof
90-07, as amended. The undersigned als
permitting. It is further understanc thor final power'ele seaclf the p ojecRdoesrnotRnvolve a certifi atetof occ pancy o�
receiving a "certificate of occup y
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
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 ce�tify 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 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. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- 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 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 b I be submitted at t me of permitting which is p epared rby a9professionalreng neer
"compensating volume" wi
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 certify that fill will be us ade nl�tcertify that u e't oIf such tfilrl w Illlnot adversely affect adjacent
If fill material is to be used in any
properties. If use of fill is foun erm't�ssued under thejattached pertmit applic t on, for lots less thanVOnet'( )
the conditions of the bwlding p
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, � P�o n�s I'u de�stand that a�s pah at permit may be req u d for Ielectr cal work,
this affidavit prior to commencing constructi
plumbing, signs, wells, pools, air conditiocense to � oceedewith the work and not scauthority to violateecancelaallter, or
permit issued shall be construed to be a li P
set aside any provisions of the technical codes, nor s�halviolations of any cod sPrE erytperm t iss ed shall become inval d
requiring a correction of errors in plans, construction
unless the work authorized by such permit is commenced W�honths after he ti pe thetworkas commenced Anhextension
the permit is suspended or abandoned for a period of six(6) da s and will demonstrate
may be requested, in writin n�sion. f work Icelase�or'ninety(90)r onsecutive days, the job is�cons dered abandoned.
justifiable cause for the exte
WARNING T� OWNER: YOUR FAILURE TO REPROPERTI(.TIF YOU ICTE M TO BTAIN FA AN�NG CIONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR NT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE O OM
FLORIDA JURAT(F.S. 117.03) �
—���.� CONTRACTOR
OWNER OR AGENT Subs�1�e� d swom (or affirmed)before me this
�'Subscrib and swom to or affimle�,before me this j
. � ��� W h o i s�ar ersonall kn wn to me or has/have produced
Who isla ersonall known to me or has/have produced as identification•
as identlficafion.
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,�-: Notary Publfc-State ot F�O15 ed, rinted or stamped
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Name of Notary typ P�� ommission#EE 84958
'��'%�O,`,;;d`� Bonded Through N�tional Notuy Aasn.