HomeMy WebLinkAbout15-16149' CITY OF ZEPHYRHILLS
- � � 5335-8TH STREET
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16149 Address: 6834 GALL BLVD BLD A 104
' Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: MONUMENT SIGN Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-02400-0010
Improv. Cost: 2,158.00 OWNER INFORMATION
Date Issued: 4/16/2015 Name: SYNC II LLC
Total Fees: 135.00 Address: 18608 AVENUE MONAC J
Amount Paid: 135.00 LUTZ FL 33558-5316
Date Paid: 4/16/2015 Phone: 813-780-8774
Work Desc: RELOCATE MONUMENT SIGN 11.0 W/ ELECTRIC (FLORIDA MEDICAL)
CONTRACTOR S APPLICATION FEES
GI LETTE S GN&LIGHTIN INC SI N 75.00 E ECTRICAL FEE 60.00
GILLETTE SIGN&LIGHTING INC
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Ins ections Re uired
FOOTER
ELECTRICAL ROUGH ,�
FINAL Q1'�-2'Z-' ,,
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 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 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
.!
RACTO SIGNATURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
7 s,s-�au-�uzu City of Zephyrhills Permit Application Fax 813-780-4021
Building Depertment
Date Receivad' �j f t�"'� one Contact for Permitting -
Owner's Na ` Owner Phone Nucnber .� '' �►� �����
. �,3� � �„� f� ' � ` Owner Phone Number
Qwner s Addre —
Fee Simple Titleholder Name �� ,,,,_,� � Owner Phone Number �! ��
Fee Simple Titleholder Address
�o��aooR�ss �'l.� �G� G i. �LY� , �Hi�i�S LOT# Q
j su�o�v�s�o� C� � PAl2CEL!D# �'�--�� ��-�a'��}�,e"����7 °t'l�,�
(OBTAINEQ FROM PROPERTY TAX NOTICE►
WORK PROPQSED e NEw CONSTR 8 ADDlALT �] SlGN � Q DEMC?LISH
INSTALL REPAIR
�� PROPOSED USE [� SFR [� CbMM �� OTHER
� TYPE OF CONSTRUCTION [� BLOCK �] FRAME [� STEEL Q
. �" �„ '
� DESCRIPTiON OF WORK f..C� /�� �! +$QI�T SO�a-�V � �✓ A,7�-- �"A � �� `�
� BUI�DtNG SIZE � � SQ FOOTAGE�� HEiGHT [�.—�
QBUI�DING � ���.�.,� �/AI.UATfON OF TOTAl.CONSTF2UCTION
[�ELECTRICAL (9i� AMP SERVlCE Q PROGRESS ENERGY Q W.R.E,C.
� �
QPLUMBING $ �� ����f�
l
[�MECHANICAL $ VA4UATION OF MECHANICAL INSTALLATION �� ��2 K--
L/
QGAS Q ROOFING Q SPECIALTY 0 OTHER �} C�'""���
l_..'
FINISHED FLOOR ELEVATIONS �_� FLOOD ZQNE AREA QYES NO
BUILDER COMPANY
SiGNATURE REGISTERED Y/ N FEE CURRE� Y!N
., ..,_...,___�,_
Address License# � �
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, ELECTRICI �p��` COMPANY t�Rt Cr1
SIGNATURE -� W REGISTERBD Y/ N FEE CURRE►� Y/N
Address License# �` �
PLUMBER �� COMPANY
SICCNATURE REGIS7'EREp Y/ N FEE CURRE� Y/N
Address License# r— ' �
� MECHANICAL COMPANY
�, SIGNATURE REGIS7ERED Y/ N pEE CURREP Y/N
Address Licen ��--i �
OTHER iF���`�p�� � �COMPANY �
SIGNATURE `� REGiSTERED N FEE CURRE� Y/N
Address /�i�C'L�9�i��'���i� License# � � �
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'_ R�SIDIER�TI�4L- - AFtach�2}P!ot P[ans;(�)sets of Huildir.g Plar.s;-(1)set of Ersrgy�Fa�s;R-Q-�"J Perni:for naw cans4ructio�r, �- - - - -- ----
Minimum ten{10}woricing days after submtttat date. Required onsite,ConstruccEion Plans,Stormwater Pians w/Silt Fence instailed,
San(tary Facilttles&1 dumpster,Site Work Permit for subdlvisfonsAarge proJects -
COMMERGIAL Attach(3)compiete sets of Buflding Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permlt for new consfruction.
Minimum ten{10}working days after submtttal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciUties&1 dumpster.Site Work Permft far ail new projects.Aq cammeraiai requlrements must meet campitance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURI/EY required for ali NEW construction.
Directlons:
Fiit out appiication completely,
Ownet&Contra�tor slgn bacK of apptfcatlan,»otarized
If aver 52500,a Nottae of Commencement Is required. {A/C upgradgs over�754Q)
" Agent(for the contractor)or Power of Attamey{for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING {Front of Application Only)
Reroofs if shingles Sewers Servlce Upgrades AiC Fences(PIoUSurvey/Footage)
Drlveways-Not over Cuunkenif on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands�that this.petmif.may be•subJect to"deed"restrictions"
which may be:more_restrictive.than County regulatlons. �The undersigned assumes responsibiltty for compliance with any '
applicable deed rest�ictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required.to be:licensed in accordance.with state.and•local regulations. If the
contractor is not I(censed as requiced by law, both the owner and contractvr may be cited for a misdemeanor violation
under state law. If the owner or Intended=contractor are uncertaln as to what Ilcensing.requirements may apply�for the
intended work, they are advised to contact the Pasco County Building Inspectlon Division—Licensing Section at 727-847-
8009. Furthe�more, tf the owner has hlred a contractor or contractors, he is advised to have the cont�actor(s) sign
portions of the "contractor Block" of thfs application for whlch they will be responsible. If you, as.the owner sign as the
contractor, that may be an indication that he Is not.properly licensed and is not entitied to permitting privileges in Pasco
County.
TRANSPORTA710N IMPACTIUTILITIES IMPACT AND RESDURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Recourse RecoVery-Fees may apply to the construction of new buiidings, change of
use in existing buildings, or.expansion�of ex(sting'.buildings, as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,.that:such fees, as;may_be due,.wiil be (dentlfied 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 flnal pow►er.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 WatedSewer Irnpact
fees are due, they must be�pald prior to permit issuance-In accordance with appllcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�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 Constructlon Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"ouvne�", 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:
CONTRACTOR'SIOWNER'3 AFFIDAVIT: I.certify that all.the Information in�this appltcat(on is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zon(ng and land development. Application is
hereby made to obtain .a permit to do work and installation as indicafed. 'I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standa�ds of all laws regulating�
construction, County and City codes, zoning regulatio.ns, and land development regulat(ons�in the jurisdiction. I al'so
certify that I u�derstand that the regulations of other government agencies may apply�to the intended work, and that it is
my responsibility to identify what.actions I must take.to be,in.corrlpliance: Such agencies.include bwt are not limited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Envfronmentaily Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Wate� Management :District-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawaiis, Docks, Navtgable Waterways.
- Department of Health 8 Rehabilitative Serv(ces/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. � _
- US Environmental Protection Agency-Asbestos abatement.
- Federal.Aviation Authority-Runways.
I understand that the following,restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressiy permitted.
- if the fill material is to be used in Flood Zone "A", It. (s understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
Iicensed by the State of Florida.
- If the fiil material is to be used in Flood Zone °A" in�conneclion��with.a �permitted building using stem wall
� construction, I certify that fill�.wlll.be used only to fill the area wlthin the stem wall.
- If fill materlal is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of flll 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)
acr�which are elevated by flil;an engtneered drainage plan is required. .
If I am the AGENT FOR THE OWNER, I;promise�in good falth to fnform the owner of the permitting condit{ons set forth in
this aKdavit prior to commencing construction. I understand that a separate permlt may be required for electrical work,
plumbing, signs, wells, pools, air conditioning,.gas, or other Installatfons not�specifically included in the appiication. .A
� permit issued shall be construed to be a Iicense to proceed with the work and not as authority to.vtolate,cancel, alter, or
set aside any provisions of the technical codes; nor shall Issuance•of a permit prevent the Buildirig Official from thereafter
requiring a correction af errors in plans,, construction or violat(ons of any codes. Every permit issued shali 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#or a:period of six(8)months after the time the�work ts commenced. An extension
may be requested, In writing, from the Building.Official for a perlod.not to.exceed ninety(90) days and will demonstrate
justi�able cause for.the extension. If work ceases.for ninety(90)consecutive�days�.th�job�is considered abando�ed.
WARNING_TO__OWNER; YAIJR.FAILl1RE T�,-REGOl3L� e4.�l�TSG�:OF=G�".41lI�'l�9��f�L'.".EQdT-�l��Y=�rB��U�.T yPv-��iDr� � �
PAYING TWICE,FOR IMPROVEMENTS TO YOUR-;PROPERTY. IF YOU�INTEND`TO�OBTAIN FINANCING��CONSULT
WITH YOUR L NDE O AN ATTORN B FORE RECO DI G:YOU 'O O E ENT
FLORIDA JURAT(F.S.117.03) � -!'`''' _.
-•�''�r.�zt� /
OWNER OR AOENT CONTRAC�Q
Subscribed and swam to(or afflrmed)before me this $ubscrlbed and'swom to(or,ai�im),ed)��efa,ry�me thls
by ►t�lu.rCl��3„aDiSby 1�aV�C9 C=�� e-N'G'
Who is/are personally known to.me.or has/have produced Who fs/are Personallx known to me or-hasmave produced
asidentlflcatlon. Cwrrec�.$FloYr�la.C�►�-ivz�s��cpr�se asidentlftcatlon. ,
Notary Public `� �r�wt�l Notary Public
Commisslon No. Commission.No. �� 1 ����C
�Q((11 �1.� ' .
Name of Notary typed,printed or stamped Name of Notary typed,prin ed or stamped
':��Fy''-., DENI BANDY
°'� �'�� MY COMMISSION#FF 107109
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�,: ' Q; EXPIRES:March 27,2018
'J,'�,''• �� 8onded Thru Nofary Public Undeiwrilen
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�Florida Medical Clinic
Parcel ID# fj/L- �- 21—Q�IC�-02�1��—��1/U
Address (p��� (D9,�`t' (�'��, le�l U(� .
Z�,�hur ,� s . F�. ����Z .
To whom it may concern:
As the owner of the above referenced property,I hereby authorize Gillette Sign&Lighting to
apply for permits and to install signage at this property.
Owners Signature Owner
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Print Owners Name Owners address
5� Nc �t �-��
G (� �� �(2L�1'l�t S'�-Prc?°9� I ��o g' ���Jcf �Il�t�n�l�t 0
M �r�(xG�� � �1I�2 , �- � ��� -
Owners City/State/Zip code
�1�-�1�0 - �`l�l�
Owners Telephone Number
' Sworn to and subscribe before me this�day of "� , 2015
��c��,�- ���-
,,�\I�v P�����
a� �; PAMELA GOULD
Notary Public ;. .= N�ary Public•State of Florida
r="M$r Comm.Expfre8 M�y 14,2016
r'��,o��t�.•� Ccmmt��bn+�EE 198300
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Print Notary's Name Notary Sea1
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
A �IC� �� � �, ' `
Contractor/Homeowner: i
Date Received: �J -- ��— �S
Site: �� �J� -� �p C�JD ��-�� U� V�
Perrnit Type: �DC.Lt�.. �1�t 0�'�(,e i'Vt C,1,� S'!C� �� � +P �r
�7�
A roved w/no comment A roved w/the below comments: Denied w/the below comments: ❑
PP PP
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This comment sheet shall be kept with the permit and/or plans.
— -�� �. ... ..
Kalvi Swrtze ans Examiner Date ntr ctor and/ r Homeowner
uired w n comments aze present)
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� Interiar Bulldout/or.
D- � � �, � � FLORIDA MEDICAL CLINIC 1 - � �
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� � ' � Zephyf Ploea JurphL0lnMAIA yi
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Zaphrrhille,R Si542 �
MAP OF SURVEY
i SECAON 02, TOWNSHIP 26 SOUIH, RANGE 21 EAS7 PASCO COUNIY, FLORIDA CHAINLINK FENCE
I 1.2'NORTH y°.
� u
NORTHWE3T CORNER NORTH LINE
I OF TRACT 24 ZCCL END OF FENCE TRACT 24 NOR7HELS�CORNER �
i5',W� ZCCL OF 7RACT 24 ZCCL a�
I N89'57'S6 E 547.54'
2
: "a► �}.�.t,, saa
�.,- FcM 4xa•
� .:�',Q:.,�^ '"-
I 4 Q -4� p° Pusnce�vice
O.B'FASf
� � "'`��� � IMPROVEMENTS EX/ST
i ;r°�' W
W �' : �. NOT SNOWN HEREON o
I .,J�� � NORTH 2 5 . N o
ASPfLLLT PAVEMENT ' ,J� �:; � � THERE IS A BLANKET EASEMENT FOR UTlLITIES RECORDED
coN7iNUes , G•O=� �� OF TRACT 24 ZCCL IN OFFlCL4L RECORDS BOOK 7825, PACE 742 W�
� ..,a�ry,����i',�, 2.- OF THE PUBUC RECORDS OF PASCO COUNR; FLORIOA. .� ¢
�J �V�a � +THERE IS A BLAIVKET EASEMENT IN FAVOR OF PROCESS ENERCY �*1 O
� 1 �°�'�q�' � � ASPHALT COMINUES � IN OFFlCIAL RECOROS BOOK 7586, PACE 708 �
�2'a3 I ,�,�J�'y� . �'� �/ OF THE PUBLIC RECOROS OF PASCO COUN71; FLORIDA. 0
���� I "J `t���` oa ASPHALT CON7INUES �
�h � I FlR 1/2' �
��� saR S89'S6'S9"W 548.65' � j
�j�N$ I INGRESS/£CRESS
3 CROSS ACCESS AGRE£MENT FENCE �W O
N� � OFFICIAL RECOROS BOOK 7976, 0.8'SOUlH y (� V
aa � ��xc� PAGE 754, PUBUC RECORDS OF � � O
PASCO COUMY, FLORIDA INCRESS/EGRESS �
� � CROSS ACCESS AGREEMEIVr
��� OFFlCIAL RECOROS BOOK 7976, O h �
� ASP H A L T C O N A N U E S P A G E 7 5 2, P U B L I C R E C O R D S O F ~
�_ �5.00' PLAITED PASCO COUNTI; FLORlDA �U N E � O O
TRACT 24
RIGHT OF WAY �u � Zca � � p� Q
I �M ,( co°o, c� ti �
I °� \ REMAINDER OF TRACT 24 ZCCL �° S O
i o� NOT INCLUDED �w a W
o -c,+ �
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I wESr uNe �
� rnacr za �
ZCCL EAST RICHi OF WAY LINE SOUTH LINE
I OF GALL BOULEYqRO TRACT 24
(PER DEEDS TO NORTH AND SOU1H) ZCCL SOUiHEASI CORNER
� OF TRACT 24 ZCCL
�
� S89'S8'00"W 550.16'
iGRAPHIC SCALE SURVEYORS NOTES
SOUIHWEST CORNER 10 ° t0 10 °0 10° 1. Rie Survey ahown herenn was prcpared without the 6ene(t
oF TRACT 24 ZcCC a/a IItle searoh.
J.�GEND OF�BOL�AND ABBREi�TlOhs �IN�� 2.For the use o/this Swwy an Assumed beanng of South
1 lnan=Io tt 89'59'S7'East was used a(ong!he North llne o/the Narihwest
1/4 of Section$ Tornship 1fi SouN, Range 21 East. Pasca
FlR�FOUND IRON R00(NO lOENlIFlCA770N) Caunty, Rorida.
FCM=FOUNO CONCREfE MONUMINT
SGR�SET I/2'/RON ROD STAMPm LS 60f7 DESCRIPTION J. No underground lnstolfat7ons of lmprovements hwa baen
ZCCL�ZfPHYRHILLS COLONY COMPANY LW0.S locotad except as notad.
—oHw—�OVERHFAD WIRfS The North 2/5 of Traet 24, LESS raad right-of-way, in SecUon 2, Township 26 South, 4. No inatruments o1 reeord ro/lecting Easementa, Setbacks,
O �P�T PA�� Range 21 East, Zephyrhilis Colony Company Lands, according to the map or plat thereof Restrictions, Rights o�Way, and or Ornersnip wem�umished
`'o.,m w000t7�unurv po� as recorded in Plat Boak 1, Page 55, of the Public Recards of Pasco Caunty, Florida. to thls Surve}ror exeept as shown.
eu =Wi1TER YALVE
=CHAIN UNK fENCE 5. Easement rororded in Oi�eial ReeaMs Baok iJ17, Page 7725
—�PlASAC FENCE of the Public Records of Posco County,Flondo doea Not a/fect
Subject pmperly.
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GERTIFlCA710NS �x,K'�`"iA6�O1 Aq9JIBIMSt/iYt)7WMDINfFlIpI1C
- TYPE OF SURVEI: BOUNIIARY ���u� �1 1l7WY Q4NE ��f
THIS SURVEY IS CERAFlED TO: � �
-SYNC ll, LLC F100D ZONE INFOR1NTlON: ����� PETER J.L£MAY,PSM 86017 �8/�'n'xy'�jjp�
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