HomeMy WebLinkAbout14-15706 CITY OF ZE HYRHILLS
5335-8t Street
�� f ' (813)78 -0020 157
ELECTRIC L PERMIT
�s �`� "m_.'�PERIVIIT�INFORMATION � �"r`'" � .�LOCATION?INFORMi4TION: `'"�' "�33:���`
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Permit#:15706 Issued: 10/03/2014 Address: 5059 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME Township: Range:
Proposed Use: CHURCH Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 300.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 10/03/201 Parcel Number: 11-26-21-0010-19100-0010
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��;.�;,�'�-:;�i;�..,�.��CONTRACTOR.INF:ORM`ATION� i ° .�OVVNER;INF�.ORMATI.ON���'�r�����'��:e'x;�°��.;:���
Name: REESE ELECTRICAL INC Name: EAST 54 MINI STORAGE INC
Addr: P.O. BOX 862 Address: 38461 COUNTY ROAD 54
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone:
Work Desc: REPLACEMENT RISER- DAMAGE
_. , . . � - --
�_'` ,APPLICA ION FEES. ' -
ELECTRICAL FEE 40.00
� INSPECTION 'REQUIRED ' -
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-M TER �� '
Flf��
� ' � �.
�. �
REINSPECTION FEES: Reinspection fees will comply w th 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 t) 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 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 managemen , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans, Specifications and Fee Must Accompany Ap lication. All work shall be performed in accordance with City
Codes an Ordinances.
�4
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
e�s-�eo-oo20 - Ciry of Zephyr ills Permit Application Fax-813-780-0021
Buil ing Department
Date Re�sived Phone Contact for Permittin --
Oxvner's fdame ��,�, ,r Q�rner Phone Number � _
� ,
Owner's Address ��� Q Owner Phone Number
Fee SPmple Titleholder f�ame Ovuner Phone tdurnber
Fee Simple Titleholder Address
. JOB ADDRESS SOS � �, LOT# �
SUBDIbISION PARC L ID#
(OBTAINED FROAA PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD! T � SIGN � Q DEMOLISH
INSTALL REPAI
�ROPOSED USE Q SFR Q COM Q OTHER
7YPE OF CONSTRUCTION Q BLOCK Q FRAM Q �STEEL Q
DESCRIPTIOtd OF NVORK ►('� l!V� at wt� .¢ .
BUILDIIdG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
QELECTRICAL $ . �Oa AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION ! / '� ' �
QGAS Q ROOFING Q SPEC LTY Q OTHER
FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
BUILDER C MPANY
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
t4ddress License#
ELECTRICIAN ��in - C MPANY e e �L J.L
SIGiNATURE �^'�`''`" R GISTERED Y/ N FEE CURRE� Y/N
Address 2 Z— ' L�53 ��cense# �C�3ool3'S3 �
PLUMBER C MPAfdY
SIGfNATURE R GISTERED Y/ N FEE CURRE� Y/RI
Address License#
MECHANICAL T " � �� � C MPANY
SIGR�ATURE � R GISTERED Y/ N FEE CURRE� Y/M
Address License#
OTHER OMPANY
SIGMATURE R GISTERED Y/ IV FEE CURRE� Y/N
I Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster;Site Work Permit fo subdivisions/large projects
COAAMEFtCIAL 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 aiter submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of..Engineered Flans. __ __ . � -
••'•PROPERTY SURVEY required for all NEW cons ctton. - `
Directions:
Fill out application completely.
Owner&Contractor sign back.of application,notarized
ef over 52500,a Motice of Commencement Is required. (A/C up rades over�7500)
' •• Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING ' , ;(FronYof Application Only)
Reroofs if shingles Sewers:• �, Service.Upgrades;ALC �' Fenc s(Plot/Survey/Footage) .
,
Driveways-Not overCounter•if�on public.roadways..needs;ROW
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PI�T1C� O� CII�(�D Rf���'RiC�'IOiV�: The undersigned understands that fhis permit may be subject to"deed" r'astrictiGns"
which may be m4re restrictive than County regulatians. The undersigned assumes responsibilify for compEisnce wifh any
applicable d��d restrictio�s.
�J�9L.iCI�FiSEID �ONYf���YOR� �iRf� ���1T�1��'�� Ii�f���'flR����1�.9Y'9f�5: If the owner has hired a contractor or
I contracfors to undertake�vork, fhey may be required to be (icensed in accordaRCe writh state and bcal regulations. If the
� contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
under state law. If fhe ouvner ar intended canfractor are uncerfain as #o uvhat licer�sing requirements may apply for the
intended work, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Seckion at 727-847-
8009. FurEhermc�re, if the auvner has hired a contractor or contractors, he is advised to have the cantractar(s} sign
portions of the "conkractor Block" of this application for which they will be r�spo�sible. (f you, as #he ovvner sign as the
contractar, that may be an indication #hat he is not �roperly licensed and is not �entitled to permitting privileges in Pasco
i Counfy. ' • '
�'B�Pd��Oi�T'ATIOIV I�i��CYlU1'�'ILI�'IfE� I�i��►C7�Rl� �E�t�U�C� Rf�Gt�VE�3Y F��S: 'The undersigned understands
' thaf Transportafior� (mpacE �ees and Recourse Recovery Fees may apply to the canstruction af newr builciings, 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 suctt fees, as may be due, wil! be idenEified at the time of
permitting. It is further unders400d that Transpo�#ation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" ar fina) povuer rel�ase. !f the project does not involve a certi�cate of occupancy or
finai po�nrer release, the fees must be paid prior fa permit issuance. Furthermc�re, if Pasco Gaunty Waterl5auver Impact
fees are due, they rnust be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
C�Pd�T�tF1C`C1O� �.IIE�I �.�i�{�h��4�r 7'�d�, �t��o+������u���, �� a�m�nd�e�}: !f valuation of work is $2,500.00 or mare, 4
certify lhat I, 9he applicant, have been provided vvith a capy of tlie "Florida Constructian Lien Law—Homeowner's
�'rotection Guide" prepared by the Florida Qepartment of pgriculture and Consumer Affairs. !f the applicant is someone
ather than the "owner°, t certify that 1 have obtained a eopy of the above described document and promise in good faifh to
deliver it to the"owner" prior to commencement.
C4�PdT'�2��TO�t'S/0Vi«3�F�'��l���C}�,�/IY: 1 ce�fify that all the information in this apptication is accurate and #hat all work
will b� done in compliance with all applicable lawrs regulating construction, zoning and land develapment. Application is
hereby made to abtain a permit ta do �nrark and instatlation as indicated. i cerlify .Ehat no work ar instaflation has
commenced prior to issuance of a permit and that all work vvill be perfarmed to meet standards of all laws regulaking
constructian, County and City cod�s, zoning regulations, and land development regulations in the jurisdictian. I also
cerfify that 1 unders#and thaf the regu{ations of other government agencies may apply to the intended wark, and that it is
my responsibility fo idenkify vvhat actions I must take to be in compliance. Such agencies include but are nat limited to:
- Department of Environmental Protec#ion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewat�r Treatment.
- Southwest Florida Wafer �l}anag�ment District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Ensineers-Seawalls, Docks, Navigable Watentvays.
- Department af Health � Rehabilitative 5ervices/Environmental Heaffh Unit-1Nells, Wastewater Treafinent,
�eptic T'anks.
- US Environmental F'totecfiion Agency-Asbestos abatem�nt.
- Federal Aviation Authority-Runways.
! understand that the follov�ring r�estric#3ons apply to the use af fill:
- Use of fill is not allowed in �lood 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
"compensatirig vblume"vvii4 be submifted at fime of perm3fting �nrhich is prepared 6y_ a professional engineer
licensed by the State of Florida.
- If fhe �11 material is to be used in Flood Zone "A" in connection;tnriEh.a permitfed build9ng using stem wrafl
construction, I certify that fill will be used only to fill the area within tfie°stem watl. � '
- If filf material is to be used in any ar�a, ! certify that use of such fil! wrill 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 applicatian, for lots less than one (1)
aere which are elevated by fil[, an engineered drainage plan is required.
If I am the�4��IV�' �O�1f�Yf� ¢��`ll�l�l�, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit priQr to commencing construction. I understand that a separate permit may be required for eEectrical work,
plumbing, signs, we(Is, pools, air conditioning, gas, or ofher installa#ions not specifically included in the application. A
permit issued shal! be construed to be a licepse ta proceed uvith the work and not as authority to.violate, cancel, alter, or
set aside any provisions of the technica{ codes, nar shall issuance af a permif prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
unless the work autharized by such permif is commenced v�ithin six months af permi# issuance, oe if work authorized by
the permit_is suspended or abandoned for a periad of six(6) months after#he time the work is commenced. An extension
may be requested, in �,rriting, from the �uilding �fficia! far a period tiof to euceeci-ninety (90) days and vui11-demonstrate –
justifiabls cause for the extension. If�vork ceases for ninefy(90}consecutive cfays, fhe job is considered abandaned.
�l��2R1d�9� i'C9 �liill���t: Y�L�(i� (��1���� �O ��fCt��ID � f�#��'i�� Q�F ��ii��H�i��E�ii�F19�' Iit�1r�Y 92��11LY It�# lCCD41R
B�AYING 'T1iiIIC� �C1� Ii�1�fftOVf�f�i�l�'�� TO YOIY�t �'f�O�ER7Y. YfF YOU IP➢Y�PI� YO O��'f�IN i=1PlaifVtCiP1G, tCOW�43�.Y
VittYH YQ�R ��N�EFt��.a►N��0��1(EY�tE�C7�� G���O�ID�(�C�lf�[!�2�O�'IC�O�r COIVft�i(ENGIE�f1�E�tY.
FLORIDA JURAT(F.S, 117 03
ouv���t o���� �,�_.V��� ca�T�acrS� ��
Subscribed and swom to(or affirmed)before me this S bscribed d sworn to(or affirmed)before me�
by ���x:�'�by
Who islare personally known ta me ar haslhave produced Who IsJar per n krtawn to me or ttaslhave produced
as Identification. as identification.
/
Notary Public :�. G��=��� PJotary Public
( �IttiE �
Commisslon No. CommPssi n PJo. ,.�oti��P�:e4., JACG2UELiN OGES
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:,y ta�,^' ��1«S L�'r����t 12,2414
Name of PJotary typed,printed or stamped fVame of Notery typ "r�i ar