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Home My WebLink About16-17462 CITY OF ZEPHYRHILLS I ; 5335-8TH STREET ' (813)780-0020 1 62� BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION '�. Permit Number: 17462 " Address: 6851 WIRE RD � 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: 02-26-21-0010-01200-0000 Improv. Cost: 3,050.00 OWNER INFORMATION Date Issued: 6/14/2016 Name: ZEK INC Total Fees: 135.00 Address: 6851 WIRE RD Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/14/2016 Phone: (813)782-4604 Work Desc: INSTALLATION MONUMENT SIGN 30.47 W/ELECTRIC-ELKS CONTRACTOR S APPLICATION FEES LOTT SIGN SERVICE, INC SIGN 75.00 LOTT SIGN SERVICE, INC ELECTRICAL FEE 60.00 . n � � - ,� �G � . � Ins ections Re uired - FOOTER ELECTRICAL ROUGH FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the � local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or , first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � NO OCCUPANCY BEFORE C.O. I CONTRACTO ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS : 5335-8TH STREET ' (813)780-0020 17462 BUILDING PERMIT PERMIT INFORMATION. - - � � LOCATION.INFORMATION Permit Number: 17462 Address: 6851 WIRE RD 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: 02-26-21-0010-01200-0000 Improv. Cost: 3,050.00 OWNER INFORMATION Date Issued: 6/14/2016 Name: ZEK INC Total Fees: 175.00 Address: 6851 WIRE RD Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/15/2016 Phone: (813)782-4604 Work Desc: INSTALLATION MONUMENT SIGN 30.47 W/ELECTRIC-ELKS CONTRACTOR S. APPLICATION FEES LOTT SIGN SERVICE, INC SIGN 75.00 LOTT SIGN SERVICE, INC ELECTRICAL FEE 60.00 DOUBLE M ELECTRIC ELECTRICAL FEE 40.00 � r V � � - ' Ins ections Re uired - FOOTER ELECTRICAL FINAL FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with-Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. �� CTO SIGNA URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � -I�J °� �h � � �r� ' ,� , ` . ZEP�IYRHILLS ELKS LODGE NO. 2731 Benevolent and Protecfive Order of Elks P.O.Box 1406 Zephyrhilis,F133539 Phone: 813-782-4604 July �9t'', 2016 Mr. Bob Stephens Skywatch Signs - 5016 Airport Rd. Zephyrhills, FL. 33542 Bob, Please be advised that we have read and understand the Regulations for Electronic Message Center (EMC� signs, as it pertains to the sign that we have purchased and agree not to violate the ordinances pertaining to same. Sincerely; ' ��1�`�'�f�, Do na Moyer �� Ex lted Ruler Zephyrhills Elks Lodge #2'731 _ Zephyrhills, Florida Copy: Jay Klamer — Trustee File Exalted Ruler—Donna Moyer Email: cobbmo@hotmail.com 1 t� � � _ � � a�aaao-ooza City of Zephyrhills Permit Application Fax-813-780-0021 Buitding Department • Dete Recalvcd —� phone Contact for Pertnitti�a 1 - � � 'C""iTC"ti 1 f t s-r-e--c-rt-r-se--r�x-r'rrr•e-�T-r �� .. j-r--e-=-e...:--r�-:� OwnePs Name � Owner Phone Number Owner's Address 1��.�¢��1y�� Owner Phone Number � � Fee Simple Tltleholder Neme �� Owner Phone Number Fee Simpla Tltleholde►Add 5 I� JOBADDRESS ( -- lOT�I �� SUBDMSION �i�� PARCEL ID# - (09TNNE0 FRbFA PitOPER7Y TAX N6TtCE) WORK PROPOSED � NEW coNSTR 8 ADD/ALT [_] SIGN � Q DEMOUSH INSTALI. REPAIR ARpFO5Eq USE Q SFR � COMM � GtTHER TYpE OF CONSTRl1CTION � BLOCK Q FR,4ME C,� STEEL O - - - -_ _ - -DESCRtPT10NOFWORit s��.� �ra�+�e Scrl� �o�tatwf S,�w ar� "z..r'rr, ie hi�tfl�ECw.��-v'� h'� �° F�js �/"�c�+^�c- 8UlLQtN6 SIZE � � SQ FQQ7ALRH 3�a��t � tlEt6FtT �r� �BUILDING � QQ d_Q a VALURTIOFI OF TOTAL CONS7RUCTION �]ELECTRICAL $ S-O,�� AMP SERVICE 0 PROGREBS ENERGY Q W.R,E,C. / QPl.UMBiNG �> � � �� QMECHAtSlCA� $ VALUATlQN OF MECHANtCAL INSTALLATIOtV QGAS Q ROOFING � SPECIAL'fY � O7HER fiNtSFiEf3 f{.00R ElEVATION� �� F�t}OD ZONE AREA QY£S NO � �� BUILDER � �-_--___�� COMPANY � SIONATURE � RE�IsrertEo Y/ N FEE CUftRE� Y/N � Address �---. �— �'� License# � ^ _ e��crr��c�ara �pn�v La Srqh f 4'�r e� SICiNAT(tRE � REGISTERED /N FEE CURREA Y 1 N Address ��! , 4�, Licsnse#� 2�-j'�� [��(�,"j�[� PLUMBER � � COMPANY � SIGNATURE � REGISfERED Y! N FEECURREP Y!N Address Llcanse# �� MEGNANICAL � � COMPANY �� SIGNATURE REGIStERED Y I N �E CURREA Y/N ( Address 1.3cense# �� l'�,:.,�/�C i�CL� .�s- coiararJr C'J U�L� �_ ��,N `'��' $IGNATURE [�clsrEa� Y( N FEe curu�en Address License# I �� IIMIIIIIIIt111111111111111111111111111111l1 / lt1111111 / e / 11111 / ! 1l11 RESID8h1FlAL Attach{2}Plat Plans;{2}sets of 8upding Plans;{i}set of Energy FQnns;R-O-W Pecmit for r�ew constructlon, Minimum ten(10}working days after submiUal date. Required onsite,Cons6vction Plens,Stortnwater Plans w!Silt Fence installed, Sanftary Facililies 8 1 dumpster,Sike Work Permit for subdivisionsAarge projects COMMERCtAL Attach(3}comp{eta sets pf 8uilding Plans plus a Life Safety Page;(t)set of Energy Forms.f2-4-W Permii fpr new canstruc6an. Minlmum ten{i0)waticing days aftet suhmitkaf date. Reqaired�site,Canstructton Ptans,Storsnwater Plans wl Sift Fence installed, Senitary Fecilities&1 dumpster.Site Wor1c PermR for all new prajects.All commercial requirements must meet compiiance SIGN PERMIT Atta�h(2)sets of Eng(neered Plans. ""PROPERTY SURVEY tequired fpr aR NEW co�sGuc6on. Dlr�ctlans: Fill out application completely. Ovmer&Contractor sign 6ack of apptication,natarized if over 52500,e Notice of Commeneement Is raqulrad. (A/C upgrades over$T500) " Agent(for the contracWr)or Power of Attomey(for the ownerj tvould be someone wiCh notarized letter hom owner authorizing same BVER T?iE COUNTER PERM#T'f1NC, jFrpnt of Appficafion Qnty} Reroafs if shingles Sawers Service Upgrades AIC Fences(PIoUSurvey(Footage) Orlveways-Nat over Counter if on pubfic roadways..needs f20W � _ �� 14 , � tdQTICE OF DEED RESTRICTlONB: The undersigned unders:ands that this permii may be subjzct io"deed"restric:ions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance wi[h any applicable deed restrictions. UPILICENSED COPITRACTORS APID COWTR�4CTOR RESPOPISIBtLfTtES; 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 iicensed as required by iaw,both the owner and contractor may be ciYed for a misdemeanor violation under state law. If the owner or intended 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 Biock"of this application for which 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 entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AtdQ RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery 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,will be identified at lhe time of permitfing. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'or final power release. I the project does not involve a certificate of occupancy or - fin�l-powerrelease, the fees must be pald prior to permit iss nce. Furthermore, if.Pasco County Water/Sewer Impact- fees are due,they must be paid prior-to permit issuance in ac rdance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes as amended): If valuation of work is$2,500.�0 or more,I . � certify that I, the applicant, have been provided with a co y of the "Florida Construction Lien Law—HomeowneYs - --- -- --Protection-Guide"prepared by the Florida Departrnent of Agri ulture and Consumer Affairs. If the applicant is someone � - other than the"owne�',I certify that I have obtained a copy of t e above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informafion in this application is accurate and that all work will be done in compliance with all applicable laws regulating onstruction,zoning and land development. Anoiication is hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or installation has commenced prior to issuance of a permit and fhat all work iil be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, an land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govermm �t agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in co pliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Distri -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Naviga le Watervvays. - Department of Health & Rehabilitative Services nvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos ab tement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fil: - Use of fill is not allowed in Flood Zone"V"unless e. ressly 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 f permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fili material is to be used in Flood Zone "A in �onnection with a permitted building using stem wall construction,I certify that fill will be used only to fill�he area within the stem wall. � - If fill material is to be used in any area, I certi, that use of such fiil 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 underlthe 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 AGENT FOR 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 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 provislons of the technical codes,nor shall issuance of a permit prevent the Bullding Official from thereafter requiring a correction of errors in plans,construction 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)months after the time the work is commenced. An extension may be requested, In wriUng,from the Building Offlcial for a period not to exceed ninery(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)conse�utive days,tha job is considared abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A PIOTICE OF COMMENCEMENT MAY.RESULT IN YOUR - PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN i'IPIANCIPIG,CONSULT o ,;'�is�"��va�: � co WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDtNG YOUR NOTICE OF COMMENCEMENT "�` �:o; '��= � � FLORIDAJURAT(F.S./11s7.03) �:�; .}c; � � N t Lt� /�+l 1J(� �/ /_"�f` �b `;°qo � �co;: � � N u OWNER OR AGENT Q CONTRACTOR_(�/� � �, "'••.4 Q v- N � $ub§cri ed and swo (�y�f�rm befo me thi� Sy 6scribe�J and swo to(or affirtned)before me[his r' �� , � 6^!- � by �q�/Vs�1'u�� (�-1-(� by �'d /�QN�ff �...�...� � Z � .�a' Who is/are personallv knownln me ar has/have produced IA�ho is/are oersonallv known to m or has/have produced � � � � U � as idenOficatlon. as identificat(o�. � 37 O m g � � � Q � � 'L7 ��J1� ��/�� I � � � O � � ��"^MbtaryPublic "w"`+ W� NotaryPublic � o cI� � " a � /7a ��l � / �j Q �, o (/) � x Commission No._� . Co�nmission No. FF r 7� �/�(/ r � Z � IlJ S'f''So�.r9�h i�e G�i''c•P S e i9vi �e <¢/`G e � N T D T �4�i � � ,,,0j� ' >o bo_ �I Name of [a ry ry p ed,printed or stam ped N a m e o f N t a ry ty p e d,p ri n t e d o r s t a m p e d o N � � _°.�_: �F� 3 ; O C) :�� o=� °' m ; � =:;oN . S��r;; o ou °' ....,.. e a��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-78Q-Q021 .. Buliding Depactment Date Recelved � PhonaContact�for PermittM ' . Owner's Name �, L- � �.-G G�Z �` �..7� Owner Phone Number �l �� t � Owner's Address (o � Ll1/ ��—l(a �-�. Owraer Phone Number � � Fee 8lmple 7ltleholder Name �` � Owner Phane Number �- � ;t .. Fee 5lmple Tltl�holder llddrass JOB ADDRESS ��/ �' � � ��' /�� /� L-� = L� LOT# �� SUBDIViStON �— � � PARCEL ID# ' � L Z. ��„/ � - . (OBTAINED F OM PROPERTX AX NOTICE) W4E2K PROPOSED •NEw CONSTR RDDIA�T Q StGN' � Q DEMOE,tSH �. INSTALL 8 REPAIR PRQP4SED=USE [� SFR [� CQMM Q OTtiER TYPE OF COWSTRUCTION � Q� 'BLOCK " Q FRAME � STEEL [� DESCRIPTtON OF WORK [ ��?C �r �5'I G-N �S r t1/�IZ �-G�.,* Ji!.%� ,;.�+ �- � Btlii.DtNG SIZE �� S,Q`FOOTAGE�� HEIGHT�� .,. � .+F'^V . ,_ BUtCDiN� $ � VALUATIONxt3F�TOTAL CONSTRUCTION ,„ � J - �'EI.ECTRICAL � �� AMP SERVIGE Q PROGRESS ENERGY [� W.R.E.C. QPt�UMBING $ '- � � OMECNANlGAL $ VALUATION OF.MECNANtCAL INSTALUITION {/ �� _, „ �'. �c�s Q ROQFING -Q s�ec�a�.nr � OTHER - FINISHED FLOOR ELEVATIONS �'-__� FLOOD�ONE AREA QYES NO BUIl.DER COMPANY� , SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N Addre�s License#'� � F��c�r�ciar�: . ..coM��a�nr ��r.�/�L,� t �i.L-�� j �1 SIGNATURE � RECrI$TERED Y/ N FEE CURRE� ' 'Y/N �Iddress 7�r' /D ��1 tf 1L r I� �f�J�7� �J `� � License#. �.�� 13 aU3 ,oQ� ,. � PLUMBER, . COMPAt+IY ° SIGNATURE ` REGIS7ERED Y•./ N FEE CURRE� '' Y-/N, Address License# �u - I MECNAl�lICAi. COMPANY SIGNATURE � REGIS7ERED Y,/ N FEE CURFtE� Y/�N Address' • , � � ' License# � � OTNER - . ' . . � `,GQMPANY SIGNATURE � � ' � � ' " REGI37ERED Y/ N . FEE CURRE�' Y/N Address� ( ., . . - � License# � � RESIDEN31tAt:: � Attach�{2)�Pto#=Platis;(2)"sefs:,of�BuEF�I�g}Plaiis;(1)set af-Energy Faiir�s;`�R-0=W'Peiinit for new construction, :Ml�imum�:ten.,(�1,0),worlcing;days:ai#ec;"submithal date.:�Required onsite,_Construcdan=Flans;�Stormwater'Plens w/Slit Fence installed, ' �'Sanitary FardlfUes;&�;1;,dumpster-Site.Worlc�Permit.for,subdivisionsAarge projectst ` _ GONlM�RC1AL At#ach{3)�compteie`set`s�of Buitdlrig Plans plus a Life Saf�fy Page;{1)set af Energ}t Forms.R-0-W Permit far new canstructSon. Mi�imum ten(10)working days after submittal date. Requfred onstte,Construcdan Plans,Stortnwater Plans w/SNt Fence fnstalled, Sanitary Fardlides&1 dumpster.81te Work Pemrit for ap new:projects:.All commercial requlraments must meet campliance S1GN P�RMlT Attac�{2}"sets of Eiiglriee�red{Platis.: �_. :^.: . , ••'"PROPERTY SURbEY reyuired for all NEW canstructlan.. OFre�on�: , ... _ ,. Fill out applicatlon completely. Owner 8 Contractor sign back af appltcaBan,notarized If over�2800,a Natice of Commencernent is required. {A!C upgrades avar 37500) . " Agent(for the contractor)or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same DVER THE Ct�UNTER.PEldMITfiNG�. - - �(Front of Application Only)- Reroof�If shingles Seuvers Service Upgrades A/C Fences(PIoUSurvey/Fookage) - -- -- -- -i- . Drlveways-Nat aver Counter tf on pubtic roaduvays:.iieeds R8W" .� . NOTiCE OF DEED RESTRICTIONS: The undersigned undergtands�.;th�t:this��r:mif.may;be:subJect_to.,"deed"restrictlons" . which may°be=more��r.estrictive=tha�t County�regulat�ons: 'The uroderslgned��assurries respon9lbility for`compllance with any applicable deed reshictions. � UNLICENSED CONTRACTORS AND CON�RACTOR RESPONSIBILITIES: -�If the owner has �hired a conhactvr or contractors to undertake work, they may:be;r,e�qulred�to.be-ltcensed in accordance.with state.and•Iocal,regulatlons. �if•the� • contractor ts not l(censed as�requlred`by law, both�the owner and�conti�aatorrmay�be�cited-for�a-misdemeanor violatlon under state law. If the owner or Intended..contcaetor are,;uncertaln as to what Ilcensing.requlrements;may=�apply�for the Intended"work, they are advised to contact the'Pasco County Bullding'Inspection Dlylsion--l.icensing Section at 727-847- 8009. Furthernnore, If the owner has��hi�ed a cont�actor or contractors, he�Is advlsed to have the conUactor(s), sign portions of the "contractor Block° of this_appllcatlon.for which they wlll be.r.esponsible.- If you, as..fhe own'er�'sign`'a§'�tlie contractor, that•may be an indication that'he ts not.properly flcensed and�is not entitled to permittfng privileges In Pasco County. - ' � TRANSPORTATION;IMPACT/UTIUTIES:IINPAC'�AND RESOUItCE RECOVERY•FEES: The undereigned understands ___ _ -�-�=tha�Transporta-tlon Impact Fees�and.Reco.urse Recovery.Fees m�y;apply:to�the construcdon of new bulldtngs�-change�of` use in existing bulldings, or.,expansion�of-�ezlstiri,g�builitirigs, as spec�led.in Pasco County Ordinance number 89-07 and 90-07, as amended.�,�he under�igned also;understands, thaE:such fees��as,may:be:�dne;;:wlli atie identi�ed at the�time°of� permitting. It is iurtFier understood that Tra�sportation Impact Fees and;Resource�Reco�ery�Fees.must be paid prlor to rece�ving a "certificate-of occupancy" or flnal-power�:release. :If-Ehe.proJ�ct�.;does:not.Involve,ay.certfficate of occupancy..or� flnal power.release;the fees mu�t be pai�.pcior to permit Issuance. F��thermore;If.Pasco,C,ounty 1Nater/Sewer��lmpact fees are due;they.must be-pald.prior to permit�<Issuance�in.accordance with appllcable_Pasco�County ordinances. • CONSTRUCTION'LIEN'LAW(Clispter 713� Florlda Statute��aa�amended): If valuadon of work is$2,500.00:or more, I • certify that I, the appiicant,_ have�been provided with a copy of the "Florida° Constructton� Lten .Lav�Homeowne�'s Protectfon Guide" prepared by the Florida Department of Agric.ulQure and ConsumerAftairs. If the appllcant is someone other than the"owne�', I certify that I-h�ve.obtainedza`copy;of..#he:abava.described doaiirtient-and.pr�mise�in,good faith to - deliver It to.',the:'ownec"�=pi9or;to:commencement: ' � -_ : - - • . CONTRACTOR'S10WNER'S AFFIDAVIT: 1 cert,ity.�th:at�all the Inf.ormetion In�thl�appltcatlon is accurate and that all work will�be done in compliance w(th all.applicable laws regulating constructlon, zoning and:•land development. Appitcation is hereby made to obtain .a permit�,to .do..work..and 'Instatlation as indicafed:- .:I certffy that no work_or Installation has commenced prtor to Issuance of a permiE and`that.all work will be pertormed to meet standards of all lauvs regulating� construction, County and City codes, zoning regulatians, and land development cegulattons�tn the jur(sd(ction. ( al'so certify that I understand that the regulatlons of other government agencies may�apply�to the.intended work, and that it is my responsibility to identify.what.actlons I must-take:M be,in:.corr�pllance:.S.uch agencles Include butare:not�limited�to: - Department of E�lvironmental�Protectton"-Cypress.�Bayhead�, Wetland Areas and Ernfronmentally Sensittve Lands,WateNWastewaterJreatment. s'� - � - Southwest Florida Wate� 'Management-.DisUict Wells, Cypress. Beyheads;- Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seaw+alls, Docks, IVavigatile Waterways. - Department of Health�'8 RehabiNtattve Services/Envtronmental Health Unit-Well.s, Wastewater�Treafinent, Septic Tanks. _ - US Environmental Protection Agency-Asbestos abatement. - Federal Avlatton_Authocity;:Runways. I understand that the following;restrictions apply to tHe use of flIL•� - Use of fill is not allowed in Flood�Zone"V"unless expressly permltted. - If the flli materlal is to� b.e used:in Flood Zone. "A", tt. Is understood that a drainage plan addresstng a "compensating volume"will be submilted at time of.permiftJng w6ich is prepared by a profess(onal engineer Iicensed by the State of"Flottda: � . - If ihe flll material Is�to be used in Flood Zone "A" (n�connect(on�with�a �permitted bailding using stem waii construction, I certify that flll�::wJll:b.e used only.to#ill the area-withln�the�ste�n•wall: - If flli �materlal is to be used in any area, I �certify that .usa of such flll will �ot adversely affect adjacent propertles. If use of flll is found_to adversely..affect ad)aEent��pcopertfes�.the owner may be clted for violat(ng the cond�ions of the buildtng:permit i§sued�under the�attached,permit��pplfcatlon�.for:lots-less.than.one (1) acre inrhtcii are elevated`tiy f111,��t engineered drainage plan(s required. If i am the.AGENT.FOR THE OWNER;.I�prorrilse In good fatth to inform the owner of.�the permitting conditlons set forth in this a�davtt�prior to commeacing construction. I understand that�a:separate permlt may be requtred for electMcal work, plumbtng,,.sfgns,.welis,.pools; alr conditioning,,.g$s�-.or:other Install�tions not.speclflcally included�in.the�application. .A permit issued shall be construed to be a�Itcense#o�,proceed with`the work_and,not as:authocity,to:violate;�cancel, alter, ar set aside any provistons of the technical codeis; nor shall issuance�of a.permtt.prevent the Bulidirig O#licial from thereafter � requiring a corcection af:eRors in.pfans; consfiuction or,vlolations of any�codes.-.Every:p�ermlt=lssued"shail°�become�invalid unless the work autho�ized�by such permit:�ls-coEnmenced�with(n.sUc,.months of permlt issuance, or if work authorized by the permit.is.suspended.or,:aba�doned�for.a_;period:.of�six:(6)�montfis:after the:time the�wotk�fs commenced. An extenslon may be requested,.in wriNng;_from ttie:�Building,Offlcial for a period.:not..to.exceed ninety�(90)'-d"ays-a�d virill demonstrate justifiable'aause for�the extens(or�. If work-ceases.for ninety.(90)cons.ecutive day.s,..the Job�is considered aba�doned. WARNING TO OWNER: YOUR.FAILIJRE;T4,R�ECO.t2D,A.:(�OTIGE,OF:COMMEMCEMENT.MAY RESULT IN YOUR PAYING TWICE;FOR�IMPROVEMEN�S Tfl YOUR:PRI�PERTY:��IF'.YO.U�IN��EWD�T�'OBTAIN�FINNI�EiNG;'C.ONSULT WITH Y�UR LENDER OR AI�ATTORNEI�$EFOR��RECORf71NPs''1�OUR'MOTICE'OF�� ENC�E�'f�NT' FLORIDA JURA�_(F.S:11T.03}.. . . - • � ' � � � - � OWNER OR AOENT. •� � CONTRACTO '- � � Subscrlbed and swom lo(or afflrmed)betore me fhl� Subecribed and' ed)�b` "me ttils . by .b ,. . . . , IMio Is/are personally knovm.to.me.or:has/have.produced -Who.ls/are personellyknown•to.me-or.haslhave.•produced ae IdentlBcatlon: ' � as Identlfication. Notery Public . Nofary Publlc Commisslon No: Commisslon�No. , I Name of Notary typed,printed or stamped Name of Notery typed,printed or atamped I Date: �� ` � To Whom It May Concern: License Holder: Steve Lott State License: ES-12000355 Firm Address: 4141 Mowrev Road,Weslev Chaqel, FL 33543 Telephone Number: 813-907-8000 I hereby authorize the following individuals to act as my agent in all areas of permitting and licensing procedure with the municipality to which this is presented. _� This authorization is for sign permits at various locations and to register the contractor �_ This authorization is for the followingiocation: Brian Kelleher,West Center Florida Permits Cindy Evangelista,West Central Florida Permits Jim Russell,West Central Florida Permits Edward Krauss,West Central Florida Permits Theresa Krauss,West Central Florida Permits . Date 6" �' l� Signed: Contractor CONTRACTORS SIGNATURE NOTARIZED: State of Flori a County of �S Co � Subscribed before me on this � � day of Jcnx�e .20 by � (�o Who is personallv known to me. Notary Signature Commission Number F�17� ��a My Commission Expires: /o_a�_/8 r,r�s�,��B�n:- 5�� 1�',_�Q� ;'; MY COMMISSION#FF170898 "`�,,�9�o; ''�.'�oFc�.�p�' EXPIRES October22,2p1g �aa��ass-oiea �I�rI�f�N�taryService.com � - - _ ;e��`� ��ss Illllll llllllllllllllll11111111111111lIlilllllllllllllllllll - a�� -�r�� a �� v� 2016092309 � �-s �r �� .t-� ��r� , -�� Pertnit No. parcel ID No V G r �� -z� - �° � n - ° �z o o- d Q S' (� NOTICE OF COMMENCEMENTn Stateof ��a2� C�(w� Countyot ! �1�',A THE UNDERSIGNED hereby gives notice that improvemenl will be mad to certain real prqpeAy,end in accordance wilh Chapter 713,Floride Statutes, the tollowing In(ortnatlon Is provided in this Notice of Cammencement: ��PLa �f1�Y�� 1� r�/� 1. Descriptlon of Praperty: Parcel Identificatfon No,�� u nN MM Q�[�-S ,�r.J � �� (p (�p ��3�SVeet Address: �Q 6 � � �.��'.P_ 2� �/Jj'1�./�� 1�L- 2. Generel Description of Improvement�p 4 � 3, Owner Informelion or Lessee infortnation ft the Lessee conVacted for the improvement: �I �S ��-� v „��y_— „ . ✓�.d,._ / ;W V r�G � v t—L �P&5( �'�1-:� 2� ?.�,phUe.�,- s � Address Ciry Slate Interest In Property: ��SS C.� Name of Fee Simple Tftleholder: ��K� i.Cit'�C. /�, � �� (�f d_if{ere�t fjam Owner lisled above) /� y(/ � c.f�v (p _�-�O��IL��`��S ,rL Address � ` Ciry State 4. ConUador /v� �� CiY}1 �Qi12-�jG$ 'I'I �f ame O W t.�rn � V J Pi's�•Qit,-i �� s�../��P/� ..i- F� �3s�s Address p�,�_ n��,9�3 3 Ciry State ConUadors Telephone No.: 0 y 5. Surety: Name Address City State Amount of Bond: S Telephone No.. 6. Lender. Name Address City State Lenders Telephone No.: 7 Persons within the State of Florida designated by the owner upon whom notices or other dawments mey be served as provided by Seaion 713.13(1)(a)(7),Florida Statutes: Name Address Ciry State Telephone Number of Designated Person: 8. In addition to himself,the ovmer designates ot to receive a copy of Ihe Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number af Person ar Entlry Designated by Owner. 9. Expiration date of Notice o(Commencement(the expire6on date may not be before the campletion of consWction and final payment to lhe contrador,but will be ona year from the dele of rewrding unless e diiferent date(s specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OLVNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEN7 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 09TAIN FINANCING,CONSULT WITH YOUR LENDER OR AN AITORNEY BEFORE COMME ING WORK OR RECORDIN •NOTICE OF COMMENCEMENT � Under penalty of perjury,1 dedare that I have read lhe forego g otice of commencemen nd thet facts stated therein are We to the best of my knowiedge and belief. , STATE OF FLORIDA COUNTY OF PASCO igna r ssee,or Ovmers or Lessee's Authorized Office/D c rtner anager Signatorys Title/Office The foregoing Instrument was ecknowledped befora me this23 dey of�A�l,20 I�y by J AV ��Wv�n t!L as ��1.0 S�C.E (typa of authority,e.g. , ttomey in fad)for ��►'��+�� L e�q � 41 Z'�Z� (name of party on be of whom insWment was e wted). Personally Knovm�OR Produced Identification❑ Notary Signature � Type of IdenUfication Produced Name(Prinl) - ^ N E:LSo�� J� �o�..W O� Rcpt:17786Z1 Rec: 10:00 ,�n�r,,.,•. NELSONP.SCFM'OB D.S::: 0:00 IT: 0.00 , =;: �`'" vCOMM�sSION�FFo2o7s2 06/14/2016 K. D. K. , Dpty Clerk �•. +P; XPIRES:Augusi 20,2017 :, ' � - '•?,'"F' '� ru Notary Pubtic UnQem@e� -'; PAULR S 0'NEIL,Ph.D.PR5G0 CLERK & COMPTROLLEF wpdata�bcs�noticecommencemen��co53o4s . -06/14/2016 03:20 m,, 1 of 1 -'OR BK 93�� G 2�6 , , ... , � STATE OF FLORIDA,COUNTY OF PASCO ��e� THIS IS TO"CERTIFY THAT'fiNE FOREGOING IS A �.�+, • • B �'� TRUE P.,ND CORRECT COPY OF THE DOCUMENT � _ od. ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � • . � � WITN MY HAND A OFFICIAL SEALTHIS � s jny��e'��' � ' ��DAY OF 2� a � �} PAULA S.O'NEIL, CL RK&COMPTROLLER �� " ,, � • � � '�• BY DEPUTY CLERK � � . Y88� s��oF�� - � � I e . Q - ' _ � i t�;. _ C� ,.3 r��t �i City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ' Contractor/Homeowner: ��(/� �j S I� Date Received: —Z� � i . I . ��3 �� G1 Site: , �\ � Pe�anit Type: �Pr � lj r��Pp i�j��C%�� i Approved w/no comments:❑ Approved w/the below coffiments�� Denied w/the below comments: ; , 6 S l�, a��d�l a � Cca S� � ' l�a�f� � � � I � ' S E'I,t � � 'li � ��-i' � . 6''�`csr � � �q � f! U-�s � � � `�a o r,� � l,Z� �`�s t-ric �c�b��.��.�i,Ce�� s f✓�.�-� s�l 6� �.��- J This comment sheet shall be kept with the pennit andlor plans. � `��t Kalvin 'tz —P s Examixier Date Contractor andlor er . (Required when comments are present) . �� i. „ , .. ZEPHYRHILLS ELKS LODGE NO. 2731 Benevolent and Protective Order of Elks P.O. Box 1406 Zephyrhills, Fl 33539 Phone: 813-782-4604 May 23rd� 2��6 Mr. Bob Stephens Subject: Letter of Consent This letter will serve as consent to install a new sign at: 6851 Wire Road Zephyrhills, Florida 33542 Sincerely; Nick Schwob — Lodge Secretary Zephyrhills Elks Lodge #2731 Zephyrhills, Florida 33542 Secretary Nick Schwob Email: bpoe2731@tampabay.rr.com , `" " a Page 3 of 5 ; - - ,'-5?f�3' _ - `" ,- �_�� ?y,.I��.. ,� �, .� r'�I�< � � ' ��k� - ��,;�. -y`�� - � � � � � � � � � � _ _ .�.. - _ �� (.�.�_ - - r - _ 4 . � ... __ . - - - � . - _ � , mailhtml:mid://00001052/ 4/26/2016 c, 'u ti � C fi fi � c: 4� Q~i .� q O � d Y / � ��,l�r�� }i� , yr � � 1Nire Ro� . �#`�!��:.. ; , .�'�' , � �� _ . r^,; .*�� s. .� � . ti �� , �� . ��,. �.�� ;,, t��i� � � . ��,. . �.� . - ' ; . } , �� # � . #� �V.�- � '�►lr7 ��' �: � �t �� : .�, • , ' � �� ` � � � # . ;. '�,� � ,�. .. �• j Y � � �. � ��' ` � � � �w� �Ir', w • 1 . � f �� d �;: r..�. # � . ` .,� x.�._. �. � � i r j�'�k' � �r '��!� ., �� *•+. • � � � • r , � � � , ; * , • . Encon Services, Inc. FL EB#9394 2272 Jaudon Road,Dover FL 33527 (813)655-3373 Job Description ' Elks Lodge _`Q. ��1./�`� 6851 Wire Road �� 9 Zephyrhille,FL � LICENSE �y 7'-0"Monument Florida Building Code, 5th Edition (2014) #52949 � ASCE 7-10, Load Case=0.6W+D �I �{k Category II 1 ,o STATE OF � Exposure B ��i�'�. - <�R��P Kii 0.85 ss Kz 0.57 VULT(MPH) 140 ' VAs�(MPH) 108 Date Signed: 5/3/2016 Cf 1.45 G 0.85 Wind Pressure(ULT) 1 30 PSF - Sign Area Distance to Center P= Force Moment s ft) (Ib ft-Ib Can 1 42.00 3.85 754 2904 Totals 754 2,904 ', Required Flexural Strength (kip-ft) 2.90 Provided Flexural Strength (kip-ft) 3.83 3.50"O.D. (.216 wall) Grade A53 B Steel Pipe 0.758265 Ruger Foundation Design Per Support Diagonal B(F� 2.00 Base Size Required Lateral soil pressure(LB/SF/FT) 150 4.5 FT Deep Depth(Estimated) (FT) 4.5 2.0 FT Diameter S1 450 Design Depth (FT) 4.01 Ft Elks Lodge Zephyrhills 7-0 Monument 5/3/2016