HomeMy WebLinkAbout15-16804 CITY OF ZEPHYRHILLS
. � 5335-8TH STREET ,r'���
(813)780-0020 16804
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16804 Address: 5527 GALL BLVD
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09000-0020
Improv. Cost: 1,600.00 OWNER INFORMATION
Date Issued: 12/15/2015 Name: EISENBERG, DEBORAH S
Total Fees: 97.50 Address: P.O. BOX 326
Amount Paid: 97.50 LAND O LAKES FL 34639-0326
Date Paid: 12/15/2015 Phone: 813-263-7689
Work Desc: INSTALL CHANNEL LETTERS 18'
CONTRACTOR S APPLICATION FEES
FAITH SIGNS& RAPHICS N SIGN 67.50 CONTRACTOR CERTIFICATE 30.00
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' Ins ections Re uired
FOOTER
ELECTRICAL ROUGH
FINAL w? -I� ^(�
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.
U
CONTRACTOR SIG RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CA�tD FROM WEATHER
s�s-yso-oozo City af Zephyrhills Permit Application FeX-a��aaaoa2�
` Bufiding Qepattment
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DateReceived Phone�Contactfar�Perntittin t^�1� �� � —�����
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, Owner's Name Ownar Phane Hunnber
Owner's Address ° Owner Phane Number � '.j�
Fee Simple Tltleholder Name � � Owner Phone Number �' �
Fee Simple TIllehold�r Address
JOB ADDRESS 02� (�`'!�i"Ll /UI LOT# ��
SUBDIViSiON �� � PARCEL ID# / l� ��—' �� " b�1� �'�����"""G0�-�
(OBTAINED F.ROM PROPERTYTAX NOTICE)
WORK PROPClSED � NEiN CONSTR ADDJALT �� S1GN � Q pEMOLISH
INSTALL REPAIR
� PROPOSED:USE Q SFR. Q GOMM [� OTHHR
TYPE OF CONSTRUCI'IOW �� Q BLOCK " Q FRAME �� STEEL Q �
pESCRIPTION OF WORK �S�G( �"� IC� -
BUILDITtG StZE �� �`SQ FOOtAGE�__�, HEIGHT�.. S�t _�
�$U«;��' $��o(`).ts 11 I ' VALUATION"{SF�TOtAI CONSTRt1G1'ION � ` '
.�
QEI.EGTR1GAl. � � AMP SERViGE Q PRt3GRESS ERIERGY Q W.R.E,C.
QPI:UMBING �p�� .
QMECHANICAL $ VA�IJATiON OF MECliANICAt.INSTALIAT!{aN.
��� ' � A' .
I QGAS Q ROOFtNG .Q SPEGIALTY � OTHER
FINISHED FLOOR ELEVATIONS ��� FI.00D ZQNE AREA QYES ,NO
au��Q��z /� .�s/ /� i� � �con��;a��r � Sj��s' £ ����;C.1'
SIGNATURE `�/ ���'�'C �'"'�'� '�-- �� REGISTERED Y/ N �eE cuaREn .Y/N
Address ��f �N� fi%�G i�+ ��� r"Y �G" •" L"(cense# � �
ECECTRlCIAN: . GOMPANY � ` - -
SIGNATURE !' REGISTERED Y/ N FEE CURRE�'� ' �Y 6 N'
Address ' ' Ucense#.��, �
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I PIUMBER - COMPANY , --
� SIGNATURE , ;REGI5.TERED , Y./•N•, � FEE�CURFtE��� Y/N.
� Address � License#�� . N - . ���
MECHANIGAL` . . GOMP�WIC
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� SIGNATURE� REGISTERED .Y/ N FEE CURRE� Y/N'
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, Address.` , - � ` ' ' � License# � I
071iER ° ,':GOM�PANY �
SIGNATURE - � � � ` �ReGiS7Er�� Y/ N..> " �e CUR�n Y/N
Addre�s , . . * license# � :�
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REStDENf1At:` -Attacti`{2�,,P..Iot=P,laos,..t2)sets�af�Buililing�Plans�{'!}sefaf'Energy�Fo�s;.R=O=W:Perinit far new cons#ructFon,
. , Minimum�ten�(•1,0)?workingydays`a(ter,:subinitfal'date.=.R'equlred onsite;�ConstiucNon�Flans;Stortnwater'Plans w/SIIt Fence installed,
� �~� Sanitary Facllldes:&�1,dumpste_r,�Site•Work:.P,,ermitfersubd(visionsllarge�proJecfs, . � � �
_ CdMMERCiAt. Attach�3)compie�'se#`s"of Bu1l�irig Pians pius a�E.t€e�8afefy Page;{4}set af Energy Faims.R-Q W Permit for neW const+ruction.
Minimum ten(10)warking days�after submlttal date. Requlred onsite,Canstructlan Plans,Stortnwater Plans w/Silt Fence instsilled,
Sanitary Facilitles&1 dumpster._Site Work Pem►!t fer all new:projects:.Alt commercial requirements.must meet compflance
SIGiV PERMIT AttacFi(2}"sets of�Eiiglneared=P_lans.:-:-.; - . "
"`"PROPERTY SURVEY reyuireci for all„NEW cansfnictlan.
Dlreattans: � .- -- -. _
� FIII out applicatlon completely.
�� Owner&Cantractor stgn back of appi[catton,notatized
If over�500,a Nottce af Commenceme�t 3s requirsd. {A!C upgrades over 57500)
.. �_ .. � ,...,,:,. {-_.,.,�.�,...<.;.....r.,.:.Y�:.�-�.
Agent(for the contractor)'or>Power of Attomey;(far t�e�owner)'would,be'someone wlth notarized letter from owner autharizing same
k •;... ;. : .,.; � . .�,,. 4 , , �
OVER THE COUNTER-PERMi'i'fifNG��``.��:"��jFror�t�ofiAppitce8an Only).�;;, •
Reroofs if shingles Sewers� � 'Se'rvice Upgradi�s��NC � ,�Fences(PIoUSurvey/Footage)
_ _ � �-.._..., : .._. E:. _ , . � : ....r
Drlvewaya-Not over Counter if on pubNcroadways:.needs`ROW�`•�-" `
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NOTICE OF DEED RESTRICTIONS: The underslgned undergtands�;th�t.this,;p�rmi�,may,b,e:subJect to."dE�ed"restrlcttons".,_ � _"_
which may�:tie�more=rest(r:ictive-th�n County-r�sgrilattons:`�The��undecslgned��a§sumes responsibillty'for"com�piiance with anyy � "'- ' �
appNcable deed restrictions. .>. : : „ .:. . . '-. • , .. -. _.' � `. -�
UNUCENSED CONTRACTORS .AND CONTRACTOR RESPONSI�ILITIES:� =�If�tlie owner has��hired`�a contractor or
contractors to undertake work, they may�,be:r.equiredtto:be;licenssd ln:accordance.with state.and_•local,re��ulatlons:�.If�the•• �' �
contractor Is-not licensed_as=requlred',tiy law, botir the owner and=conVactor=�may be-�cited for a�misdemeanor violation
under state law. If the owner or Intended�,contractor,�are;uncertain as to what Ilcensing.requirements{m��y��apply<•foc�the• •
�I intended�inrork,they are advised fo contact the�Pasco�County Buiiding��Inspection.Division-Llcensing 3ecllion at 727-847-
8009. Furthermore� if the owrier has'hlred a�conli�acto�-o� contractors, he ts advtsed to have the c:a�ntractor(s).,sign ,
,:.,:. ,.
portions of the "contractor Block° of.thls.application.for which they wlll.be.r,esponslble.- If.:you,�as-:#he ow�ier`'sign''as tFie` �
contractor, that�may-be an indicatlon that'he�is`nof�.properly licensed and`is�r'iot en8tled�to permitting privlleges In Pasco ,
County. �� ���
TRANSPORTATION=IMPACTIUTILITIES�rMPAC7 ANb RESOU�tCE RECOVERY•FEES:-The undersigned-understands
that Transportation Impact Fees and.Recoucse Recove.ry.Fees mey�,apply:ta the construction of new_bulldlings,?change�of j�� `�'�- '=� .
�. _ _.
use in existing buildings, or.,expar�si�n��of��ezisti�i�;;buildings, a§ specffied.in Pasca County Ordtnance number 89-07 and �
90-07, as amended.•;,Th� undersigned also.understands, thait"such fees;:as<mayr_be::due;;.w10�be.identified at the�time�of��' �5•�'' -'
permittfng. It Is fu"rther understood that Transportatlon Impaat Fees and�-'Resoucce::Recovery�Fees.must be paid prior to
� receiving a'certificate:,of�occupancy" or flnal�.power;�elease. :If��the proj�ct,does-not involve�:a�.certi�cate of occupanay o�������� `' �
flnal powec.release;�the,fees�must be paid`p�1or to.permit Issuance. Ft��thermore;•�if Pascc;County`1Nate�rlSewer��lmpact - .. .
fees are due,.they.must be>pald p�lor to permit.:Issuance=:in.,accordance with�appllcable Pasco'County ordinances. •
COtVSTRUCTION"LIEN'�LAW(Chapte�713� Florlda Statutes�as amendad): If valuaHon of work is$2,5i70.00�:or�more, I�� - - ..._
certify that 1, �he applicant,--have�.been proyided�wlth- a=copy-of the "Flor(da� �onstructlon� Lien .Lavu�—Homeowner's
Protection Gu(de" prepared by,tfie Flo�lda Depertment�of Agriculture and Consumer,Affairs. if the appltcant is someone , ,
other than the"oNvner", I certffy-that:l.-.have,opteined�a-copy;of.the abova.described:�docuii�ent;and.promise:tn,good"failhto .. _
deliver It to.the.'ownec":,prior�to:-commericement:'' " � ' ' ` � - .' ""
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certtij►,:;tti�t.all:�the�lnf.ormation.in�thi�appllcation is accurate.a�nd that all work
, ,.,,
will�be done in compliance with all.appltcable laws regulating constructton� zoning and:land�development. Application is
hereby made to,obtain .a.permit to:do,:,work.:.and •instatlation as indt�afed:-..-:I: certliy that no work nor Installation has '
commenced prlor to I'ssuance of a permtt"and that.all work will be performed�to meet.standards-of all laws regulating-_
construction, County and City codes, zoning regulatiQns� and land development cegulattons�tn the Jurl;;dtction.- 1�aiso ,
certify that I understand that the regulations of other government agencles may�apply�to the Intended woi�k� and that it is ,
my responsibiNty to identify�what.actlons I must take:M be�in:.carrlpliance:.S.uch agencles include but-are.rn�t Ilmited to:
- Department of E�vironmental�Protectton=Cypress.'Bayhead�; Weaand Areas and Envtronmentally Sensltfve .
Lands,WatedWastewater Treatment. �
- Southwest Florida Water Management: .I�tstrict-1Nelis, Cypress.�+Bayheads;� Wetland /�reas� Altering �
Watercourses. �
- Army Corps of Engineer§-Seawalls,`Docks, Navigable Waterways.
- Department of.Health:�,8 ReMabilitativ.e. ServiceslEnvitonmental Health Unit-Well.s, Wastev��ter-Treatment, ;
Septic Tanks: � _ -
- US Environmental Protection Agency-Asbestos abatement. , ,
Federal Avlatlon:Authoriiy.=Runways.� � �- �" :
I understand that the following:.restrlctlons apply to th'e use of flll:•
- Use of flll is not allowed in',Flood Zone"V"unless expressly permitted. • � ,
- if the :fill mateNaf"is �to-�be used::'In.:Flood Zone. "A", It is underatcod that a drainage plan addresstng a '
"compensating volume" will be submitted at#ime of.permitting wfiich ts prepared by a professional englneer
Iicensed bythe State of Florida: � � • � . '
- If ihe flll material .is�to be�used tn Flood Zone "A" In�connection•with�a•�ecmitted buflding using stem wall., ,
' construct(on, i certify that flil�:wall�b.e�used only.to flil the area w(thin�the�stem�wall. •
- � if flll material is to be used in any area; I"�certffy that .use. of such flli will not adversely affect adjacent �
properties. If use of flll Is found,to adversely..�ffect adJaEent�pr�pe�ties�.the owner may be cl�ted for vtol'ating
the condl#ions.of the buildtn :permit-Issued�under the attaohed_�ermtt applica(ion, for._:lots le,ssihan.one (1)
9
acre which ere elevated�6y flll,an engineered dralnage plan is required. •
If I am the AGENT FOR THE OWNER,,,I;promise In good faith to inform the owner of the permitting cond(tlons set forth in ,
this aitidavR prtor to commencing constructlon. I understand that a-separate permlt may be required for elecMcal work,
plumbing,.signs, wells,.pools;, alr condttioning,.gas,-or-.otMe� Install�tlons not•spec�fically included-tn.the�application. .A .
permit issued shall be constcued to be��a'license to��proceed with`t11e work and�not as:autho�ity to.violate,`��ancel. alter, or
set aside any provistons of the.technlaal c+odes;�nor shall issuance�of a.permlt.pcevent the Bulldirig Official from thereafter
requfring a conection af ercors In plans;constiuction.or violaUons of�any codes. Every p�ermlt issued"sfiall become invalid
unless the work authorized.by such permit:�Is-commenced•within sfX.,months of�pertnit Issuance, or if worlc authorized by
the permit is suspended�or.aba�doned-for a:period,of�six:(8)�montf�s:aRer the time the�work�(s cornmenced'. An extension
may be requested, In writing,,from the�Bullding,Official for a period-not.to exceed ninety(90) days a�d H�II demonstrate
)ustiflable cause for�the extension.. If work ceas�es�for ninety.(90)cons.ecutive:days,..th�Job is.constdered at�a�doned:
WARNIfdG TO OWNER: YOUR..FAILWRE.Tt1,R�EC.ORD,A.;MO�TIGE�:OF�COMMENCEMENT;NFAY�RES�ULT IN�YOUR
PAYING TWICE,I=OR�IMPROVEMENTS�TO YO.UR:PR�OPER-7Y.�-�IF�YO.0�I�TEND:TQ��BTAIN-�FINAt�E�NG;'C.ON�ULT
WITH YOUR L,END�R�OR AI�i4'�TORNEY�$EFOitE�RECOR�Eiiw�'YOUR'NOTICE'�Cd � NfENCftlii 5�;.
FLORIDAJURA'��(F.S:11T.03) •- ' - ---�-_.-� - _ --- --- --
�WNER OR A�EN7 - - - CONTRA4TOR"�����G G��
Subsatbed and awom to(or afflrmed)before me this Subec�i ed and'swom�to ot afflrtned)�before me ftil� ,
by �z:�,�y-n�� c �,���� �
Who Is/are pe�sonally knovm to.me.or haa/have produced o Is/are p.e��wn•to me oc has/have�produced • -
� as IdenBflcatlpn. as IdentlftcaQon.
' Notery Publlc . l� I Notary Public
Commisslon No:"" Comml on•No. .,•��*es%a�., -JACQUELINE BOGES
:�; •;.: ommissi ,
.�. :;: Expires December 12,2018
Name o(Notary typed,printed or stamped Name of Notary iype ' �Dr s� �!'°r
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�`'����' �� ������� Letters are A 4mm PVC lami �(ith .�� , Alumir�um on bofih �ides.
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Each letter has bonded tabs �r1� .� ._s�c��d�s�en the back.
Each letter is attached to bui�c��'��r� � f�� h es at lacations of studs
and epoxied in�o the bldg. ___...�_ :__�
CODE �DES,F�ORu}A BUII,DING
,NATIONAL ELBCTRIC�ODE AM}
t 41'�'0#ZEPHy��.LS QRDINANCES