HomeMy WebLinkAbout15-16057 , CITY 4F ZEPHYRHILLS
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, �� BUILDING PERMIT I
PERMIT INFORMATION LOCATION INFORMATION ��
Permit Number: 16057 Address: 5530 GALL BLVD
Permit Type: SIGN ZEPHYRHILLS, FL. �
Class of Work: WALL SIGN Township: Range: Book: ,
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: I
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0250
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 3/16/2015 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 150.00 Address: 5524 GALL BLVD
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/16/2015 Phone:
Work Desc: ILLUMINATED WALL SIGN
CONTRACTOR S APPLICATION FEES
AS AL S N INSTAL T ON LLC SIG 90.00 ELECTRICAL FEE 60.00
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Ins ctions Re uired �
FO TER
ELECTRI R GH
FINAL � �
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 when inspections called d)work not ready for
inspection when called e) permit not posted on job site� 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO CTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
: 3
: f113-780-0020 City of zephyrhills Permit Application Fax-813-780-0021
Building Department
, • Date Received � (_X�, � )"�'��� L_�_JLJ
2 ZZ Phone Contact for Permittin �
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• Owner's Name �1�.{ � " . l (T Owner Phone Number
Owner's Address � ��`-( � Owner Phone Number �
Fee Slmple Titleholder Name Owner Phone Number
Pee Slmpla TBUeholder Addrese
JOB ADDRESS ) d LOT# �
SUBDIVISION PARCEL IDrY ' ��`��-�OIO` Q j�G1O " O�-5-�
(OBTl�INE�FROM PROPERTY TAX WOTICE)
WORK PROPOSED B NEW CoNSTR� ADD/ALT 0 SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR ,� COMM � OTHER
'FYPE OF CONSTRUCTION Q BIOCK 0 FR.AME 0 BTEEL Q
DESCRIPTIONOFWORK f�il�.�I/�7MfK!{/0���/ ��- � (/�*S���V%}/�El- �Cc3Hq�j /p �/$����CZ�(L•
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BUILDING SIZE ��X Ia a �!'p SQ FOOTAGE 70 HEIGHT
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BUILDING $//C�rQ G� VALUATION OF TOTA�CONSTRUCTION
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QPLUMBING $ ,y}�j 2 7il �
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QMECtiANICAL $ VALUATION OF MECHANICAL INSTALLATION ' � �`is!-D.� /� „�y',Q,
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�GAS Q ROOFING Q SPECIALTY 0 OTHER � �I V `� � �C�f
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FINISHED FLOOf?ELEVATIONS FLaOD ZONE AREA �YES NO �^
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BUILDER �'�' � � �� � �COMPANY �S� 3�✓� ���� � `V
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y I N `�
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ECTRIClfi� � � �� CO AN �
SIGNATURE REGI EREO Y/ N FEE CURRE� Y/N
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PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y!N
kddress License#
MECHANIC{1L COMPANY
SIGNATURE REGI57ERE0 Y/ N FEE CURRE� Y/N
Address License# � �
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SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
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RESlDENTlI1L Attach(2}Plot Plans;(2)sets of 6ullding Plans;(1)set of Energy Fortns;R-O-W Pertnil for new c�nstructien,
Minimum ten(10)worY.ing days after sabmittal date. Required ensite,ConstrucGon Plans,Stortnvrater Plans w!Silt Fence install�d,
Sanitary Facililies&'I dumpster,Site Work Pertnit tor subdivisionsllarge projects
COPAMERCIAL Attach(3)complete sets of 8ullding Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pemiit for new construction.
Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Fecitilies&1 dumpster.Si[e Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineerad Plans.
""PROPERN SURVEY required for all NEW construction.
.�
Dlrectlons:•
Fill out application completely.
Ovmer&ConVactor slgn back of application,notarized
If over$2500,a NoUce o/Commencement Is requfred. (AIC upgredes over$7500)
" Agent(for the contrec[or)or Power of Attomey(for the oKmer)would be=_omeone with notadzed lett_r from owner autherizing same
OVER THE COUNTER PERMITTING (Front of Applicallon Only)
P.eroofs if shingles Sewors Service Upgrades A/C Fencos(PIoUSurvoylFootago)
Driveways-Not over Countes if on pub!Ic roadways..needs ROW
, �
� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
' which may be more restric4ive than County reyulations. Tfie undersigned assumes responsibiliry for compliance with any
, ' applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPOAISIBILITIES: If the owner has hired a contractor or
contractors to undertal<e work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not ficensed as required by Iaw, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or i�tended contractor are uncertain as to what licensing requirements 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 owner 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 they will be responsible. If you, as the owner sign as the '
contrector,that may be an indication that he is not properly licensed and is not entitled to perrnitting privileges in Pasco
County.
TRANSRORTATIQN IM�'ACYIUTI�lTI�S IP�i�ACT AIV�RESQURCE REC4N�RV�EES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buiidings, 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,will be identified at the time of
permitting. It is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc�'or final power release. If the project does not invoive a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fuithermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COtdSTRUCTION LIEM LAW(Chapter 713,Fiorida Sta4utes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construc6on Lien Law—Homeowner's
Protection Guide"prepared by the Floridz Department of Agriculture and Consumer Affairs. If the applicant is someone
I other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
COt�TRACTOR'S101lIINER'S AFFIDA!/IT: I certify that ail the information in this application is accurate and that all worl<
wili be done in compliance with all appiicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do vrork and instaflation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all wori<will be pertormed to meet standards of all laws regulating
construction, Counry and City codes, zoning regulations, and land development regulations i� the j�arisdiction. I �Iso
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identlfy what actions I must take to be in compiiance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
' Lands,WaterlVllastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Em:ironmenta!Protection Agency:4sbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use offill is not allo�:ed in Flood 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
"compensating volume"will be submitted at time of permitting wFich is prepared by a professional engineer
licensed by the State of Fiorida.
- If the fill material is to be used in Flood Zone "A" in connection with a oermitted buiiding using stem wall
construction,I certify that fill will be used only to fill the area within the 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 affect 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 fili,an engineered drainage plan is required.
if I am the AGEN`C FOFt THE OWNER,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 appiicaGon. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,aiter,or
set aside any provisions of the technical codes,ner shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shaii 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)months after the time the work is commenced. An sxtension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for tl�e extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARPIIRIG TO OWRlER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING"T►IVICE FOR IMPROVEMENTS TO YQUit PRO�ERTY. IF YOU INTEND TO OBTAIPI FINAf�CIPlG,CONSULY
WITH YOUR LENDER OR AR!ATTORiVEY BEFORE E2ECORDING YOUR NOTICE OF COMMEPJCEMENT.
FLORIDA JURAT(F.S.117.03) ��^ �� �
�
OWNER O�AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirtned before me[his
by u�-OLS/S by i32+r�r� ��1(/c'/c�'�
Who islare perconally known to me or has/have produced Who islare personally known to me or has/F�ave produced
as identification. as identificalion.
Notary Public � � �Z'/� 7i7il�Ci Notary Pubiic
Commissio�No. Commission No. � �70 6 ( O
Name of Notary ryped,printed or stamped Name of Notary typed,printed or stam ed
;=o�'"�"'°��;. STEPHAhDIE ARCE
_+ _ MY COMMISSION#FF170898
'�-��.,'�,���d°`' EXPIRES October 22,2018
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �^ ��J'\
Date Received: 2 � 2 / � `�
slte: v�r 7`r�0 ��l^/ �1�� _
Permit Type: [1�s�� lc�) G��.G( �`t�-n 2 � �� �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This commen heet a be ept with the permit and/or plans. �
,
n�i�'
Kalvin Swi er— lan xaminer Date Contractor and/or Homeowner
(Required when comments are present)
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