HomeMy WebLinkAbout14-15741� .
�
. CITY OF ZE HYRHILLS
' S335-8th Street
(813)78 -0020 157 1
ELECTRIC L PERMIT
_...... , .. ...� .._ --
` ` `� '-��- ��iPERMIT INFORMATION � � LOCATION INFORMATION `�'s`
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�Permit#:15741 Issued: 10/24/2014 Address: 7321 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 15,000.00 Total Fees: 110.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 110.00 Date Paid: 10/24/201 Parcel Number: 34-25-21-0000-00300-0020
A � .,_,�.� -..._ _ - --� - - -- - - - - . ._ �;�,�.,,;. :.w
�� �` "��'��;��CONTRACTOR�INEORMATION :`�_ '�. :,t ;OWNER'.INFQRMATI'ON .�. :.~`�H�- ��ti-,::-- .
4Name: ALLBRIGHTR MANAGEMENT PROFESSIC Name: RCG-ZEPHYRHILLS SPE LLC
Addr: 7818 PROFESSIONAL PLACE Address: PO BOX 53483
TAMPA FL 33637 ATLANTA GA 30355-1483
Phone: (877)267-7644 Lic: Phone:
Work Desc: PANEL REPLACEMENT 800 AMP, D E TO FIRE DAMAGE
, _ APPLICA ION-FEES ' _ .
ELECTRICAL FEE 110.00
' � INSPECTION REQUIRED � �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL �� � t( - I
l- i ��-L
i r�,3
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 made when inspection called d)work not ready for
' inspection when called e) permit not posted on jo site fl 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 f 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 n tice of commencement."
Complete Plans, Specifications and Fee Must Accompany Ap lication. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building epartment
Date Received Phone Contactfor rtnitting
, -Tf I-I- 1�
Owner's Name �C� y� � �^��I 5 S�E� Owner Phone Number
Owner's Address 73a i �f�� �!l�� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS ���� C��'i.II . I✓ � LOT# � �
SUBDIVISION PARCEL I � /r�S-� `DODD '-DO;DD^���
(OB7AINED FROM PROPERTY TA%NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
/ �"'� �7 -1 ' ) 1
DESCRIPTION OF WORK �v✓t-2� ,�,� /'�Q�n.�I /�--Z. Q C4�w`T !� IL� r
BUILDING SIZE SQ FOOTAGE HEIGHT �
�BUILDING $ VALUATION O TOTAL CONSTRUCTION
�'ELECTRICAL $ / ��0� oD AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �D� ��
��
OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION � �
�GAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
�-I��...r.--r�..-•-•--r�...r..-.�...r..-•--•-•..rr. ....�...r.-.�;..i �-.T.�-..-....-^_'.-.--r..-r..-r�
BUILDER COM ANY
SIGNATURE REGIS RED Y/ N FEE CURREI. Y/N
Address License#
ELECTRICIAN COM ANY �r�. �-`+' /'"(a^�' ✓�� 7 ' �SS� 4�S �tiC
SIGNATURE REGIS RED Y/ FEE CURRE� Y/N
Address License# G� �_..1 v(7��p G
PLUMBER COM ANY
SIGNATURE REGIS ERED YJ N FEECURRE� Y/N
Address License#
MECHANICAL COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COM ANY
SIGNATURE REGIS ERED Y I N FEE CURREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIII11111111111111 11111111111111111111111111111111
RESIDENTIAL Altach(2)Plot Plans;(2j sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal dale. Req ired onsite,Gonstruclion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisions/large projects
COMMERL'IAL Attach(3)complete sels of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permil for new construction.
Minimum ten(10)working days after submittal date. Raq ired onsite,Construction Plans,Stortnwaler Plans w/Silt Fence inslalled,
Sanitary Facilities 8 1 dumpsler Site Work Permit for all ew projects.All commercial requiremenls must meet compliance
SIGN PERMIT Attach(2)sels of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructi n.
-�F4-�7�-.--r�.-.�.�-.�-L-F�1-�--f-FI-G�-�-.-�I-�-�1-C-3-.-.-�• .-r..-r��1-4-1-�1-�1-i-1-4��1-4�4�1--F�F�{-F�
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A1C upgrad s over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be omeone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(P oUSurveylFootage)
Driveevay,-NOt over Counter if on public roadways..needs ROW
° NOTICE OF DEED RESTRICTIONS: The undersigned unde stands that this permit may be subject to"deed"restrictions"
which may be more restrictive than Counry regulafions. The ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended conVactor are un rtain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco Coun Building Inspection Divisior�Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor o contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they will be responsible. If you,as the owner sign as the
contractor, that may be an indication that he is not properly icensed and is not entiUed to permitting privileges in Pasco
County
TRANSPORTATION IMPACTNTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s 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,th t 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. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit is uance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in a rdance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a py of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of A riculture 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'SIOWNER'S AFFIDAVIT• I certify that all t e information in this application is accurate 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 wor will be performed to meet standards of all laws regulaUng
construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govem ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in mpliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Dis 'ct-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navi able Waterways.
- Department of Health & Rehabilitative Servi s/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 pertnitted building using stem wall
wnstruction,I certify that fill will be used only to II the area within the stem wall.
- If fill material is to be used in any area, I 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 d 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 affidavit 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 correcfion 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 wmmenced. 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 COMMENC MENT.
FLORIDAJURAT(F.S.'�,17.0 ) � �-�2eP� ,�/'�1 l�S �'+�
Nln
OWNER OR AGENl�_�J( co rRacroR
Subscribe and swo 0(o�r a�rmed)b fore me lhis Su scri6ed and sworn to(or affirmed)bef re me t is
1l��by �G1�eCCG� ��ll`�'� bY
Wh isla personally known to me or haslhave produced Wh islare personally known to me or haslhave produced
,,e e�A 1 1 i��� as idenGficaGon. ��" as identificafion.
!
�`5��,�<.��,,�y��p��d ?°t.;:�'.8��°
JOHN MA7ZOLA
� •'��� ��•����. Notary Public �� MY COMMISSION d FF 044498
: EXPIRES;August 11,2017
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. 2014169636
Permit No. P cel ID No � � �v 'Z1� OVOO -Go��a- oa�
NOTICE OF COM ENCEMENT
Stateof S lU 1 4�� C untyof ��1✓vV �v�
THE UNDERSIGNED hereb ives notice that im rovement wiil be made to c rtain real ro e pter 713,Florida Statutes, ' � N n
y g p p p rty,and in accordance with Cha � „ �
the following informaGon is provided in this Notice of Commencem nt: � N e•
1. Description of Property: Parcel Identification No. �� ���� Q fl��Q � �' @"
� • r-.
StreetAddress: � � -J� � �A O W
VIC� � (� J
2. General Descrip6on of Improvement , �
� N W
i S
3. Owner Infortnation or Lessee infortnaUon if the Lessee contracted fo the improvemenk � �,��
�C - �rh�ll s�E � C ' � �� �
�oiao c a e cc Nw oo P��an'1�, G—�c �` �..
Address 'A r City State I���
Interest in Praperty: Y V � '
�� B
S�m� m
Name of Fee Simple Titleholder. � n
(If different from Owner listed abo e) I �-
N
Address ' Ciy�� State � �
4. Contractor. I IV� D /°��7`�e-u' pN�4 N �
�Se Y�d e -C/D rv .4- I f C� T/� ►'�'I�/�- �r
Address P ' �p ���� Ciry �� State
Contractars Tele hqne No.:
5. Surety: �
Name �
�D
C
Address City State � � N r
D
Amount of Bond: $ Telephone No.. � .A,n
\
6. Lender j R�o
Name � z
� m
��,,..
Address City State N�
Lenders Telephone No: I��"'���
I�B o
7 Persons within the State of Florida designated by the owner u on whom notices or other documents may be served as provided by �
Section 713.13(1)(a)(7),Florida Statutes: I�� �
�
i c�
Name � i �''°
I � c�
� r
O m
Address City State ;J ,��
Telephone Number of Designated Person: �/����N�
8. In addition to himself,the owner designates of_ I� 3
to receive a copy of lhe Lienors Notice as provided in Section 713.13(�)(b),Florida Statutes. �
I� A
Telephone Number of Person or Entity Designated by Owner. ! � _
� r
9. Expiration date of Notice of Commencement(the expiration date ay not be before the completion of construction and final payment to the , A
contractor,but will be one year from the date of recording unless a ifferent date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OW ER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP R 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FI ST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCI G WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalry of perjury,I declare that I have read the foregoing n tice of commencement and that the facts stated therein are We to the best
of my knowiedge and belief.
STATE OF FLORIDA My Dj, � / ��� l��,y. LLC
COUNTY OF PASCO /`'"`�V� M �
Signa ure of Owner or L s e,or Ownefs or Lessee' Auth zed
Offic lDirectorlPartner/ nager
�.Ge,
�Signa ory's Title/Office •
The foregoing instrument was acknowledg\ed before me this�ay o 20�,by� �C'�P�, `�"a�fa..rt�
as �l�C�� � � (type of authority,e.g.,officer,trustee,attomey in fact)fo,,',���/�se,
�1 �. � (name of party on behalf of whom instrument was ex���o�PNE pE �,s''
Personally Knovm OR Produced Identification❑ Nota Signature ' � v� ��Z�nk��.� s
• �►
Type of Identification Produced Nam (Print) _� �p�R�S � �
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