HomeMy WebLinkAbout14-15751 CITY OF ZE HYRHILLS
5335-8th Street
(813)78 -0020 1575
` � � ELECTRIC L PERMIT
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Permit#:15751 Issued: 10/30/2014 Address: 37943 EILAND BLVD LIFT STATION
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: 2,350.00 Total Fees: 0� Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 10/30/ 01 Parcel Number:
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,;���°.O;NTRA'�CaTOR�INFaOrRN1A ION��� :�.�>�. �=��`'� 'OWNER�INF�O.RM�A�TION
Name: Name: CITY OF ZEPHYRHILLS
Addr: Address: 5335 8TH ST
ZEPHYRHILLS FL
Phone: Lic: Phone:
Work Desc: REPLACE ELECTRIC SERVICE EQU PMENT & PUMP CONTROL PANEL SEE METER#
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�; _�_ �o���°��`-ti. .,° ��APPLICA� OIV�FEES L��:��~� ° ���;:�� �_�:.��__ �'s�.�3�
ELECTRICAL FEE 40.00
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� - �°`���'n;`�°� '-�., ' - - . • � INSPECTI N � . . .�- � � ��__-
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL�(JU
li - 6 --i�/
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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� 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 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 pe�formed in accordance with City
Codes and Ordinances.
� ��
C RACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
, �
-��
Tim M�Iville
From: Scott Purvis <spurvis@utili echnicians.com>
Sent: Monday, October 27,2014 :52 AM
To: Mike Perry
Cc: Weston Hartwright; Dave reco;Todd Lealy,John Bostic III(jbostic@ci.zephyrhills.fl.us);
'Melville,Tim (getwired94 embarqmail.com)'
Subject: RE: Lift station 19
Thank you Mike,you are the Man!!!
Thanks,
Scott
H.Scott Purvis,Vice President �
Utility Technicians, Inc �,.�
Celebrating 25 Years
630 Goodbar Ave, Umatilla, FI. 32784 �
Office(352)669-5822 Fax(352)669-6037 J
Cell (352)267-0150 �
s urvis utilit echnicians.com<blocked::mailto:s urvis ut lit echnicians.com> �
www.utilit technicians.com<htt : www.utilit echnicians. om > �
/
From: Mike Perry[mailto:MPerrv@ci.zephvrhills.fl.usl �
Sent: Monday, October 27,2014 7:34 AM ��
To:Scott Purvis
Subject: RE: Lift station 19
Acct#62794-20367 Pole#B59059 Meter 002630893 Address=37943 Eiland Blvd.
Lift station panel is ready.
Thank you,
Mike Perry .
Wastewater Superintendant
Utilities Department
City of Zephyrhills<http://www.ci.zephvrhills.fl.us/>
39825 Alston Ave.
Zephyrhills, FL. 33542
0: 813-780-0000 Ext. 3556
C: 813-714-5480
F: 813-780-0613
M err ci.ze h rhills.fl.us<mailto:Tshotts ci.ze h rhills. I.us>
PLEASE NOTE: Florida has a very broad public records law. Electronic communications regarding most City of
Zephyrhills business are public records and available upon quest. Your e-mail communications may therefore be
subject to public disclosure. If you received this message in error, please do not read,forward, copy,etc.and delete
immediately.
1
"� ' 813-780-0020 City of Zephyrhills ermit Application Fax-813780-0021
�� Bulding D artment
Date Recelved Phone Contact for Pe itting —
�. � 1 1 t 1 1 1 1 1 1 1 1 I �
�
, Owners Name �� {� Owner Phone Number
Owners Address Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS LOT# ��
SUBDMSION PARCEL ID# �
(OBTAINEO FROM PROPERiYTAX NOTILE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLJSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK R AC^� �I�I�(�- �J �� UI � V' �7N��� ��°+'
BUILDING SIZE SQ FOOTAGE HEIGHT
• �BUILDING $ VALUATION OF OTAL CONSTRUCTION
QELECTRICAL $ ��� AMP SERVICE � � PROGRESS ENERGY Q W.R.E.C.
i��la�c 3 d
QPLUMBING $ �^�j
1 � .0
QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO �
BUILDER COMP
SIGNATURE r�GiS Y/ N �E cuRr�n Y/N
Address License#
ELECTRICIAN � / �i'�� COMP Y � V'I�Ie � I'�CA1 S '��.5 <'G
SIGNATURE r�ci rx�o Y/ N �cuw�n Y f N
Address /��S"SG � �.� �' IG�a) ����� License# `�O�$ '(
PLUMBER COMP Y
SIGNATURE aECls REO Y/ N FEE CURREA Y/N
qddress License#
MECHANICAL COMP Y
SIGNATURE aECI Y/ N F�CUw�n Y/N
Address License#
. OTHER COM
SIGNATURE r�cls r�o Y/ N �cuaaen Y/N
qddress License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillltllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms:R-O-W Pertnit for new consWction,
Minimum ten(10)warking days after submittal date. Requ red onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster,Site Work Permit for sub ivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(7)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Req red onsite,Construdion Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Pertnft 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 consVucti .
Directions:
Fill out appliration completely.
Owner&ConVactor sign back of application,notarrzed
If over$2500,a Notice of Commencement is required. (A/C upgrad over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Fronl of Applicalion Only)
Reroofs if shingles Sewers Service Upgrades AIC Fences(P ot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,�'.
NOTtC�OF DEED RESTRtGTtQNS_ "Fhe undersigned unde tands that this perrttit may be subject to"deed°restrictions°
which may be more restrictive than Couniy regulations. The ndersigned assumes responsibility for compliance with any
, „ applicable deed restrictions.
' UNLIGENSED GONTRACT�RS AND CQNTF2ACTOR RE PONSlStL1T1ES: 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 focal regutations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under sfate taw. If the owner ar intended cantractor are un rtain as to what licenssng requirements may apgty for the
intended work,they are advised to contact the Pasco Caunty Buitding tnspection Division—Licensing Section at?27-847-
8009. Furthermore, 'rf the owner has hired a contractar o contractors, he is advised to have the contractor(s) sign
podians af the"coatractor B[ock°of this applicafion(or whi they wiSi be responsibie_ if yov,as the owner sign as the
contractar,that may be an indica6on that he is not properly icensed and is nat entitled to permitting priviteges in Pasea
Gounty.
TRAP]SPORTATIQN IMPACTIUTtLET1ES lMPACi'AND RE 4URCE RECOVERY FEES: The undersigned understands
that Transportation tmpaot Fees and Reaourse Recovery Fe s may appty#o the consiruction of new buiidings,change af
use in existing buildings, or expansion af existing buildings, s specified in Pasco County Ordinance number 89-07 and
SQ-d7,as amended. ihe undersigned aiso nnderstands,th t such fees,as may be due,wifi be identified at the time of
permitting. it is further understood that Transportation Impa f Fees and Resource Recovety Fees must be paid prior to
receiving a°certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
finat power release,the fees must be paid prior ta psrmit is uance. Furthermore,if Pasco County WaterlSewer Impact
fees are due,they musf 0e paid ptiar ta petrnit issuance in a rdance with applicabie Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter T13,Flarida Statut s,as amended): If valuation of work is$2,500.00 or more,I
certify that E, the applicant, have been provided with a py of the "Florida Construction Lien Law—Homeownec's
Pratection Guide"prepared by the Florida Depar#ment of A riculture and Consumer Affaiss. lf the appficant is sameane
o#her than the"awner�,I certify that I have obtained a capy o the above described document and promise in good faith ta
deliver it to the"owner"pnar Yo commencement
CONTRACTOR'SfOWNER'S AFFIDAVIT: 1 certify that all e informatian in this appi'scafion is accurate and fhaf all wark
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 aIl wo witt be perfarmed to meet standards af all Eaws regutating
construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
certify that I understand that the regulatians of other govem ent agencies may apply to the intended work,and that it is
my responsibility to idenEify what actians 1 must take ta be in mpliance. Such agencies include but are not timtted to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management t7is ict-Welts, Cypress Bayheads, 1Ne#and Areas, Altering
Watercourses,
- Army Corps of Engineers-Seawalls,Docks,Nav gable Waterways.
- Department of Fteatfh 8� Rehabititative Servi slEnvironmental Heatth Unit Wetls, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement
- Federal Aviation Aut3zo�sty-Runways.
1 understand that the following restrictions apply to the use fill:
- Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
- tf the filt materiai is to be used irt Ftoad Zo e "A", 'st is understood that a drainage pian addressing a
"compensating votume"wilf be submitted at ti e of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fiil material is to he used in Flaod Zan °A° in conneckion with a permitted buitding using stem waU
construction,1 cerfify thaf fiit wiil be used onty to fiiI 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 affiect adjacent
propertiss. If use of fif!9s found to adversety a ect adjacent properties,fhe owner may be cited for violating
the conditions of the building permit issued un er the attached permit appiicatian,for[ots{ess than one{1}
acre which are elevated by fill,an engineered d ainage plan is required.
if I am the AGENT FOR THE OWNER,I promise in good ith ta inform the owner of the peRnitting canditions set forth in
this affidavit prior to commencing constructian. !understa d#hat a separate perm'st mey be reqesired for electrical warlt,
plumbing, signs,wells, pools, air conditioning, gas, or oth r ins#allations not specifically included in the application. A
permit issued shall be construed to be a license to procee with the work and nat as authority to violate,cancel,alter,or
set aside any provisions of the technicat codes,nor shal[is aance of a permit prevent the 8uiid'sng Officiat from thereafter
requiring a correction of errors in plans,construction or vial tions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin six months of pertnit issuance,or if work authorized by
the permif is suspended or abandaned for a period of six{ )manths aBer the fime the work is commeraced. An e�ctension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demanstrate
justifiable cause for the extension. If work ceases for nine (90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NpTICE OF COMMENCEMENT MAY RESULT(N YOUR
PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO R�BTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATT4Ri+�EY BfFORE RE QRDlNG YOUR PlOTIGE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.08j
QWNERpRAGENT C N7RACT0 '�
Subscribed and swom fa{or affirmed}before me this 5 bscribe� sw a� ore e 's +
by 30'...... by • L}
Who is/are personally known to me or haslhave produced W o i�/ar�,personall o,�ne or ha.' iave produced
as identificaHon. L� �/N�F-+as identifiqtian.
f
Nqtary Public '�- Notary Public
,�
Commission No. C mmi ' n
,•� .�y�.,� JACQUEt
�, :�� mmrssion#EE Qqp5�0
Name of Notary typed,printed ar stamped N me of No2 ��' ed� 'j�
"� �ol'Fam�' 1��,7019 �