HomeMy WebLinkAbout16-17012 i
CITY OF ZEPHYRHILLS
I 5335-8TH STREET
` (813)780-0020 7012
f . BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 17012 Address: 6815 GALL 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: 03-26-21-0010-01700-0020
Improv. Cost: 1,000.00 OWNER INFORMATION
Date Issued: 3/01/2016 Name: QUALITY INN
Total Fees: 120.00 Address: 6815 GALL BLVD
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/01/2016 Phone: (407)520-4649
Work Desc: INSTALL (1) SET ILLUMINATED SIGN W/ELECTRIC
CONTRACTOR S APPLICATION FEES
COX ELECTRIC SIGN 60.00
COX ELECTRIC ELECTRICAL FEE 60.00
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' Ins ections Re uired
FOOTER ��
ELECTRICAL H
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 properly. 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
g�saso-aozo Ci#y of Zephyrhills Permit Application Fax-813-780-Oq21
BuiEding Qepartment
c
D�ie Received Phane Contact fac Permltting $�� 62� — 1161
Owner's Name Shree Sai LLC Owner Phone Number 407-520-4649
owner�s Address 6815 Gall Blvd.Zephyrhills FI 33542 owner Phone r�umber �
Fee Simple Titleholder Name � � Owner Phone Number �� �
Fee Simple Titleholder Address
JOB ADDt28SS 68'i 5 Gali Blvd. Zephyrhiils FI 33542 LOT# ���
SUBDiVISION �� � PARC8I.ID# �3-�i�-2�-��'��-����{�-(j�2(}
(OBT M PROPER7Y TAX NOTICE)
W012K P120P�SED tdEW CONSTR ADDIA�T � i iV X � C?EMQLISH
e INSTAL.L 8 REPAIFi
P[20POSED U5E 0 SFR Q COMM [� OTHER
TYPE OF C01tiS'1'FtUCTiQN � BLOCK Q FRAME �`��� s�eE�. �
n�se����a�a o�w��xK Installation af{�}building sign.
Bll1LD1NG SlZE 2 StOt'Y � SQ FOOTAGE 3�,529 NEIGNT C______�
CJBUILDING � �� VA�URTI4N QF TOTAL GdNSTRUCTlON
DELECTF2ICAL $ �t��� � AMP SERVICE � PROGRESS ENEf2GY � W.R.E.C.
OPLUMBING �i �
�MECHANICAL $ VALUATION QF MECMANICAL INSTALLATIQN ��(��✓� �
OGAS 0 ROOFING Q SPECIAI.TY � OTHER
F1i�IIS}iED FLOOFt ELEVATIONS �� FLOOD Z{}t�3E AREA �YES NO
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BUILDER f ������ CC�DMPANY �
SiGNATURE �;r' 32EG1STEREt} Y 1 N FEE Gt3t2RER Y I N
Address License# �� —�
V
ELECTRICIAN t COMPANY COX EI@CtCIC
SIGNATUI2E REGI5TES2ED Y 1 Ed FEE CURREA Y I N
Address 11611 E. CJId Hillsborou h Ave 5effner FL 33584 �icense# EC0002106 �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ I�I FEE Ct1l2REi� Y 1 N
Address License# �— �1
MECHANICAL � � � CONiPAI�1Y
SIGNATURE � REGI5TERED Y! N FEE CURREA Y/N
Address License# �� —�
OTNER �� � COMPAPtY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/IV
AdBress License# �— —�
� � it � M � � � � � tN � � � � � ot � � � � � � � � � � � iey � � eo � , i , � � � � i � � � � � e � ir � s � � s � e � ' ti
42ESIDER}'ftAL Attach{2}Plot Ptans;{2}sefs of Building Plans;{1}set of Energy Fonns;R-O-VIt Permit for new constructian,
Minimum ten(1q)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/8ilt Fence installed,
5anitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects
CQMifl1ERC1A� Attach{2}camplete ssts af Buitding Plans plus a�ife Safe#y Page;{1}set af Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/8ilt Fence installed,
5anitary Facilities&7 dumpster.Site Work Permit for all new projacts.A!I commercial requiremenis must meet compliance
SJGN FERMIT Atfach(2)sets af Engineered Plans.
"*"PROPERTY SURVEY required for all NEW canstruction.
-•i_, ■_. , . . . , . . . , . ti� i . . . . . . . . . . . . . . . . . . . . . .
Directians:
Fill out application completely.
Owner 8�Contractor sign back of application,notarized
if aver�2500,a htafice of Cammencement is required. {AtC upgrades aver$7500)
•' Agenk(for the contractar)or Pawer of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same
i OVER THE COUNTER PE12MI�TIPIG (capy of contracE required}
� Reraofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Na#over Counter if on public raadways..needs f20W
NOTSCE OF DEED RESTR(CTIONS: 7he undersigned understands thaf this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulatians. The undersigned assumes respansibility for campliance with any
� aPPlicable deed restrictions.
UNLICEP9SED CfJNTRACTORB AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or
cantractors to undertake wark,they may be required#o be licensed in aecordance with state and laca} regulations. If#he
contractor is not licensed as required by law, both the owner and cantractor may be cited for � misdemeanor vialation
under state law. If the owner or intended contractar are uncertain as to what licensing requirements may apply for the
intended work,#hey are sdviset3 to contact the Pasco County Suitding Inspection Division---Licensing Section at 72?-847-
8009. Furthermore, if the owner has hired a cantractor or contractors, he is advised to have the contractor(s) sign
poctions of the "contractar Blocic" of#I�is applica#ion 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 iicensed and is not entitled to permitting privi(eges in Pasco
County.
'�RANSPOR7A�lGt�!iMPACTIUT1�tT1�S tMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpartation Impact Fees and Recourse Recavery Fees may apply to the canstruc#ion of new buildings, change of
use irt existing buiidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-Qfi and
90-d7, as amended. The undersigned also understands, that such fees, as may be due, wi(I be identified a#the time of
permitting. It is further understood that 7ransportation lmpact Fees and Resaurce Recovery Fees must be paid prior to
receiving a"ce�tifieate af occupanc�' or final power release. If fhe project does not invalve a certificate of occupancy or
final power release, the fees must be paid prior ta peRnit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasca Gounty ordinances.
CONSTRUC7iOtd LiEN LAW(Ghapter 713,Florida Statutes,as amended): If vaivation of wark is$2,500.QQ or more, 1
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Af€airs. If the applicant is someone
other than the"owne�", I certify that I have obtained a copy of the above described document and promise in good faith to
detiver it to the"owne�'priar#o commencement.
CON7RACTOR'S/OWNER'S AFFIDA'i1/1T: I certify that all the informa#ion in this appiication is accurate and that all work
will be done in compliance with alf applicable laws regulating construction, zpning and land development. Applicatian is
hereby made to ob#ain a permi# fo da work and installation as indica#ed. I certify ti7at no work or installation has
commenced prior to issuance of a permit and that all wark will be pertormed to meet standards of all laws regulating
construc#ion, Caunty and Gity cades, zoning regulations, and tand developrnent regulatians in the jueisdiction. 1 also
certify fhaf I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility ta identify what actions(must take to be in compliance. Such agencies include but are not limited to:
- Depa�ttnent of Environmental Protection-Cypress Bayheads, We#land Areas and EnvironmentaEEy Sensitive
Lands,Water/Wastewater Treatment.
- Sauthwest Florida Water Management Dis#ric#-Wells, Gypress Bayheads, Wetland Arsas, Altering
Watercourses.
- Army Corps of Engineers-5eawalls, Docks, Navigable WatErways.
- Depa�tment of Health & Rehabilitafive ServiceslEnvironmental Nealth Unit-Weils, Was#ewater Treatment,
�eptic Tanks.
- US Enviranmental Protection Agency-Asbestas abatement.
- Federat Aviation Authority-Runways.
I understand that the following restrictians apply to the use of fill:
- Use of fill is not altowed 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 volurtze"wilf be subrrtitted at time of permitting which is prepared by a professional engineer
licensed by the State of Fiorida.
- If the fill material is to be used in Flopd Zone "A" in connection with a permitted building using stem wa!!
consfructian,l cettify that f II will be used anly to f�li the area within fhe stem wa]I.
- If fill ma#erial is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fil! 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 tMan one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If 1 am the AG�FlT FOR TNE 4WNER, t prornise in gaod faitt�to infarm the owner of the permitting canditions set#orth in
this a�davit prior to commencing construction. I understand that a separate permit may be required far electrical work,
plumbing, signs, wells, poois, air conditioning, gas, ar other insfaElations not specifica[ly inciuded in the applieation. 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 provisions of the technical codes, nor shall issuance of a permit prevent the Building Officiaf from thereafter
requiring a cacrection ofi errors in plans,constre�c#ian or viafafions of any codes. Evety permit issued shaEi 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 ar abancloned far a periad of six{6)months a€ter the firrte the work is cammenced. An extensian
may be requested, in writing, from the Bui(ding Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the e�ctensian. If work ceases for ninety(90)consec�five days,the job is considered abandoned.
WARNING T� OWNER: YOUFt FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TINICE FOR lMPROVEMENTS 3'O YOUR PR�PERTY. IF YC?U INTEND 30 4}BTAtN FlNAE�CItVG, Ct3NSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER Oit AGENT���������, CONTRAGTOR�/I����.�D f.��
5ubscribed and swom o or affirme befare me iis Subscribed and swam to ar affirmed before me thia
�-[ f��j�t by [�L�14 try
Who istare personatty known to me or hasJhave produced Who isJare personally icnown to me or has/Mave produced
as identification. as identification.
�a�'�� �� '°���� �/- ` Natary Public � Natary Ru61ia
Commission No,_�F I��� (� Cammission No. �/'" I� 1:J � (O�j
Name of Notary#yped,printed or stamped Name of Notary typed,printed or stamped
Michaet Atian Siegter
NOTARY PUBUC M(chaef Allan Siegler
STATE dF Fl.OREDA � iHOTARY PEfBI.iC
� � Comm#FF188792 o STATE GF FLORIDA
Explres10/151201� " . Comm#FF1s8T92
�`'�� Facpires 10/151281$
� The(;teatrr,Bcanclon
Chamber of C:ommeice`
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E L E C T R 1 C .. -�_ �.��1� ��
11611 East Old Hillsborough Avenue Seffner, Florida 33584-3356
(813) 621-1161 / (800) 272-1713
www.coxelectric.com
City of Zephyrhills
Building Department January 18, 2016
5335 8th St.
Zephyrhills FL 33542
AUTHORIZED SIGNER
Please add Melissa Sa1vo as an authorized signer in regards to License#EC0002106. I authorize this
individual to obtain permits on my behalf.
-�y aal6
The foregoing instrument was acknowledged before me this��day of� z�3 by
_ Lawrence T. Cox.
Personally Known_�Produced ID
Type of ID produced
G��
Signature—No ry Public
AAichael Allan Slegler
NOTARY PUBUC n�./V�C�I'
STATE OF FLORlDA
. . Comrr�FF168792 Lawrence T. Cox
Expires 10H 5/2018
Electrical, Lighting and Sign Service Page 1
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �O�C ���C ( 2,� �
Date Received: � �— 2 5 '—" � �
Site: ��'S l S GAI.L. 13�v"�J
Permit Type: ��-�.l[t�'(� � 1G1� ���l�L�-
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or plans.
_ � �/
Ka in Swi —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Tl•,;G�e��er lir_nu�t�
C.'hamirt ut i:.n:�i�n'r
1
�-.malI Busines�
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E L E C T R 1 C �� 1�
LETTER OF AUTHORIZATION
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills Florida 33542
Re: 6815 Gall Blvd
I Parcel ID#03-26-21-0010-01700-0020
Please accept this as authorization for COX Electric to act on behalf of
Shree Sai LLC to apply for Electrical and/or Sign permits for the above location.
� ""„"_ � i� KAN At�i i �!s�nc,���"�
.�. 5���
(Property Owner's Name) ��
Signed and dated this�_day of�Gn by�UJ.► v ���'�G�YI�
,
who is personally known to me
or provided proof of identity�L
Stateof: ��o��G�G
County of�Gs c �
Notary:��c�r�GN � ���
Seal: ��s'
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,;��'�;: BRANDY NtETO
'�' '� MY COMMISSION it FF907199
�� EXPIRES August 05,2019
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• GRAPHIC DETAIL
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N'OTE: Elevation drawings are for customer approval only,drawings are not to be used as any installation guide,all dimensions must be verified before installation.
C�stomer Date: PreparedBy: Note:Cdaw�pucmaynocbe�anwhenhe,nngapnnwytlusdawi,gAocoiorsusedarePMSarAecbsestchtvic DISTRIBUTEDBYSIGNUPCOMPANY
RAMADA 12/16/15 PKE/PKE =a�����s���tF���F�'dethecmmPMSm�t�handarev�acnrotlisdaxryx;9hemat: 70021s[StreetSouthwest
Location: File Name: � Eng: ��r��n� PO Box 210
ZEPF�RYHILLS,FL 142292-R1-ZEPHRYHILLS,FL - SIGNS�LIGHTING�IMAGE Watertown,SD 57201-0210
1.800.843.9888•www.personasigns.com
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EXISTING PROPOSED
GRAPHIC DETAIL
SCALE.1/4'=1'-0"
R�OTE: Elevation drawings are for customer approval only,drawings are not to be used as any installation guide,all dimensions must be verified before installation.
Cystome�• Date: P�eparedBy: NOtC:Colaaucputmaynotbe:zactwhenn�nngapnntngthsdravnngNlcolarsusedarePMSortheclosmCMYK !� DISTRIBUTEDBYSIGNUPCOMPANY
RAMADA 12/02/15 PKE eq�rvalentlfthesecolasaremrorrecCpleasep�midethecorrectPMSmatchandarew7cntothsdra�mgvn'Ibemttl=. ����� 70021stStfEOtSouthwBSt
PO Box 210
Location: File Name: E�9� Watertown,SD 57201-0210
ZEPi�RYHILLS,FL 142292—ZEPHRYHILLS,FL - SIGNS�LIGHTING I IMAGE 1.800.843.9888•www.personasigns.com