HomeMy WebLinkAbout15-16043 CITY OF ZEPHYRHILLS
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=�` (sis)�so-oo20 160
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 16043 Address: 37411 EILAND BLVD
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS ,
Est. Value: Parcel Number: 03-26-21-0010-05300-0000 �
Improv. Cost: 700.00 OWNER INFORMATION '
Date Issued: 3/10/2015 Name: SABRA HEALTH CARE HOLDINGS III '�
Total Fees: 60.00 Address: 37411 EILAND BLVD �
Amount Paid: 60.00 ZEPHYRHILLS FL 33542 I
Date Paid: 3/10/2015 Phone: (813)783-8100
Work Desc: INSTALL WALL SIGN 70 SF X 6 'X 16 WIDE-
CONTRACTOR S APPLICATION FEES
REESE ELECTRICAL INC SIGN 60.00
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Ins ections Re uired - �
F OTER
ELECTRICAL ROUGH ,i
FINAL � - � - l �
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 w�en inspections 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 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 management, 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 obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �EES E E�Ecc i 2�cA L , �NC
Date Received: Z- - !�r �y
site: 3 7 'I!1 ��'/a.�d �3�vd.
Permit Type: �S T/4 L� �A�L �I QA�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This commen heet shall e ke with the permit and/or plans.
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Kalvin Switzer-P a xaminer Date Contractor and/or Homeowner
(Required when comments are present)
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ASSISTED LIVING FACILITY#AL11257
70 s.f. 6' high by 16' wide aluminum face sign 1/4" lag boits to wall via angle iron brackets
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8�saeo-oozo City of Zephyrhills Permit Application Fax-813-78D-0021
Building Department ,
I�ate Receieec9 Phone Contact for Permitting ��'� . 7r6g -- Od \
Ouvner's fdame �q, ! P�.� .�,/t, v� �nrner Phone Idumber
Owner's Address Ovdner Phone Number
�ee Simple Titleholder Mame � O�nrner Phone Riumber
Eee Simple Titleholder Address
Jo��o���ss 3���� c;�...� Q �o�# p
susDidisiob �A�c��io� c�3-26- \ -pp 30 - o
(OBTAINED FRORA PROPERTY TAX NOTICE)
lflI0Ed6f PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
_ �RO�OSEp USE Q SFR Q COMM � OTHER
TV6'�OF COIdSYRUCTIOM Q BLOCK Q FRAME 0 STEEL Q
D�SCRIPTIORI OF H!!OR!( „J.�K�h�` J �v•M�t� �V ��� S� vv� ` �uwti
IBl71LDIfdG SIZE Sed FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�LECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
7C�U.J J
QPLUMBING $ � �
QMECHANICAL $ VALUATIOM OF MECHANICAL INSTALLATIOfV �
� �
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OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZOME AREA QYES NO
I�IDI�.��R COl�9�AI�Y
SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/M
Address License#
IELECTRICIAM �� � � COMPANY 2.�2�i� ��`��'��G� . �G.
�IG(dATURE �J REGISTERED Y/ PI FEE CURREP Y/N
64ddress (�C� 2 z - ( �. ti ' License# �� I�Dt�{3 S'�
�LUMIBER CORAPAMY
SIGM�►TURE REGISTERED Y/ M FEE CURRE� Y/M
Address License#
MECHAMICAL COMPAIdY
SIGId6iTURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
O'�'HER COiNIPAfdY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/nI
c4ddress License#
fftESIDE1dTIAL 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. Required onsite;Cons'uuction Plans,Stormwater Plan"s"w/�Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
CORAMIERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(t)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&1 dumpster.,Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGId PERAAIT Attach(2)sets of Engineereif Plans. • _., ' - .. , , _
"'"'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Idotice of Commencernent is requlred. (A/C upgrades oeer�7500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
O!/ER TIiE COUMTER PERfMI�'PING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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P10TIC� OF �f�f�D �[�STf�ICYlOR9�: The undersigned understands that this permit may be subject to"deed" restrictions" �
which may be more restrictive than County regulations. Th� undersigned assumes responsibility for compliance with any
applicable deed restrictions. T . ' _ � :. . - -
11WLICfEf�SED COf�T93d�CT0�� G�Fd� CORY�'��'�'�� ����ORI�I�YLIYV{E�: �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 lavu, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the ouvner or intended contractor are uncertain as fo what licensing requi�ements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the ovvner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which 4hey will be responsible. If you, as the owner sign as the
contractor, fhat may be an indication that he is not properly licensed and,is not entitled to permitting privileges in Pasco
County. � � � '
�Q26�RlSPOi�T'A�IOR! i�fi�AC71l1YO�ITI�� Ii���Clf�W� �tf��Ol1�C� ��C�VE�Y�f�f��: The undersigned understands
that Transportatiori Impact Fees and F�ecour5e"F2ecovery Fees 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, that such fees, as may be due, wrill be identified at the time of
permitting. It is further understood that Transportation Impact 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 issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COP1ST�l1G�'IO�d LV�R� L�►liN_.(Ch�p�er Y�G3, 4�9oPida����a��a���, a�,aenended): If valuation of work is $2,500.00 or more, I
certify tHaf 1, th'e applicant, have been �provicied with a�' 'c'opy of tFie "Florida Construcfion Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone I
other than the"owneP", I certify that I have obtained a copy of fhe above described document and promise in good faith to I
deliver it to the"owner" prior to commencement.
' CORlY�l��1f0�'Sl�9�9R1�R'� la►�I�d�WVLY: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify fhat no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
� construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of ofher governm�nt agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must 4ake to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
Lands, VVaterMlastewater Treatment.
- Southwrest Florida Water i�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
� Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waferways.
- Department of Fiealth � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental f'rotec$ion 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 materi�l is to,be used in Flood �one "A", if is understood that a drainage plan addressing a
"compensafing volume" will be submitted at time of permitting which is prepared�by a professional engineer
licensed by the State of Florida. �
- If tfie,,fll 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 fill the area withinufhe stem wall. '
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affecf adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGfE�Y I�OR�9i� Ol�ilN9�Y�, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A I
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 issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, cons4ruction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) monfhs after the time the work is commenced. An extension I
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90)consecufive days, the job is considered abandoned.
li11P��2�➢OP➢� 11"O OIRPR9f��i: YOf.➢R f��9�19R� �O-9��C��D !s� ���@�� Qf� ��6�lf�ifl�P1C�R�iIf�Pl�_flflAY I��Sl9LT I�9 �Ol1R _ �
�AYI�!(°s �i4ifICE �O�d IB1��'9�OV�IViI�R9Y� YO�(0�91i� F�V�O���dl�"Y. If�YOl1 9Y�1f�iVl�TO 0�7Ei1�9 �IPI�ilIC9i�G, C�P➢�CJ�.Y
IIi11YH YOU�L�NDI��Of��►Rl/�lfY0��9�Y �����f� �t�COW�fDYFO(�Y�U@Z R10vIC�Of� COflHHNfEfNC�bUi�i�Y.
FLORIDA JURAT(F.S. 117.
O{filP1ER OR�G Vl��+- COR9Tf�ACTOR =
Subscribed and sworn to( affirmed)before me thls Subscribed and swor to(or affirmed)before me this
by by
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identification. as identificaGon.
Notary Public Notary Public
I Commission No. Commission No.
Name of Notary typed,printed or stamped iVame of Notary typed,printed or stamped
I