HomeMy WebLinkAbout14-15683 �
Li
,� `. , CITY OF ZEPHYRHILLS
o r 5335-8th Street
(813)78�-0020 15683
ELECTRICAL PERMIT ��
i
� �.PERMIT INFORMATION LOCATION INFORMATION
Permit#:15683 Issued: 9/26/2014 Address: 7921 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: 2,400.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 9/26/2014 Parcel Number: 34-25-21-0010-00100-0010
CONTRACTOR INFORMATION OWNER INFORMATtON
Name: LIN R ROGERS ELECTRIC CONTRACTOR Name: LOWES HOME CENTER
Addr: 2050 MARCONI DR STE 200 Address: 7921 GALL BLVD
ALPHARETTA GA 30005-5202 ZEPHYRHILLS, FL. 33542
Phone: (813)829-8154 Lic: Phone:
Work Desc: TEMPORARY POWER FOR CHRIST AS TREE TENT
APPLICAT ON FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL 1� � �
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REINSPECTION FEES: Reinspection fees will comply wfth Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re�sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n t made when inspection called d) work not ready for
inspection when called e) permit not posted on jo site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther 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 managemen , 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 ob�ain financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes an Ordinances.
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C NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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+ 813-780-0020 City of Zephyrhills P�ermit Application Fax-a��-�eo-aozt
� ' Building De rtment
` � �-1 � x�3 - �a� _ ��s�
Date Received — L phone Contactfor Pettnittin
. . . �
Owners Name LoW2S Owner Phone Number
Owner's Address Hvuy 268 East N Wilkesboro,NC 28659 pWner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �921 Gall Boulevard Zephyrhilis �oT# �
3425-21-001 Q00100-0010
SUBDNISION PARCEL ID#
(OBTAINEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW cANSTR e ADDlALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK provide temporary power to Chri tmas Tree Tent
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATIONOF TALCONSTRUCTION
QELECTRICAL $ ���•�(l� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ����
QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION ��
QGAS Q ROOFING Q SPECIALN Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO
1—i—:—: ' '�:—r
BUILDER COMP NY
SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMP�Y Lin R Rogers Electrical Contractors
SIGNATURE REGIST�rtEa Y/ N FEE CURREN Y/N
address Zd50 Marconi Dr suite 200 Alpharetta,GA 30 �icense# EC0�0740
PWMBER �mP Y
SIGNATURE �rte�isr�REO Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMP�Y
SIGNATURE REGIST RED Y/ N FEE CURREN Y/N
Address License#
OTHER COMP Y
SIGNATURE REGIST REO Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Storrtnvater Plans w/SiR Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Permit for subc�ivisions/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. Requ red onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit For all n�w projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'•PROPERTY SURVEY required for all NEW constructi n.
Directions:
FiII out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of CommencemeM is required. (AIC upgradCIs over$7500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be$omeone with notarized letter from owner authoriang same
OVER THE COUNTER PERMIITING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
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' � NOTICE OF DEED RESTRICTIONS: The undersigned under�tands 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. I
UNLICENSED CONTRACTORS AND CONTRACTOR RES�ONSIBILITIES: If the owner has hired a contractor or .
contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are unc�rtain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County wlding 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 BIocK'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 I
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES�URCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fee may apply to the cdnstruction of new buildings,change of
use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-d7 and
90-07,as amended. The undersigned also understands,tha�such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impa t Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release.�lf 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 WateNSewer Impact
fees are due,they must be paid prior to permit issuance in acc�ordance 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 c py of the "Florida Construction Lien Law—Homeowner's
, Protection Guide"prepared by the Florida Department of Ag�iculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy o 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 th information in this application is axurate and that all work
will be done in compliance with all applicable laws regulatin� construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to
- Department of Environmental Protection�ypres Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Attering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navi able Waterways.
- Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use o fill:
- Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
- If the fill.material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 ill the area within the stem wall.
- If fill material is to be used in any area, I c rtify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued un�er the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered dr�inage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good fa th to inform the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 is uance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced � ithin six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6 months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) ,
a
OWNER OR AGENT C NTRACTG�F��� ' I /�
Subscribed an bsworn to(or affirmed)before me this �u�iscril I�9��bworn�o',or�aff�me �C�`e�t}is
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Who is/are personally known to me or has/have produced Wf�o i are personally k n to me or as/have roduced
as identification. I as identification.
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