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Home My WebLink About15-16821 CITY OF ZEPHYRHILLS -� 5335-8TH STREET (si3)�so-oo20 16821 � BUILDING PERMIT � PERMIT INFORMATION . - LOCATION INFORMATION - Permit Number: 16821 Address: 5050 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: 11-26-21-0000-01400-0000 Improv. Cost: 1,450.00 OWNER INFORMATION Date Issued: 12/10/2015 Name: DOMINOS PIZZA Total Fees: 127.50 Address: 5050 GALL BLVD Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542 I Date Paid: 12/10/2015 Phone: (352)428-2411 � Work Desc: INSTALL ILLUMINATED WALL SIGN ( DOMINO'S ) CONTRACTOR S � APPLICATION FEES FLOR DA SIGN C ANY SIGN 67.50 ELECTRICAL FEE 60.00 FLORIDA SIGN COMPANY � A � 1 � - Ins ections Re uired FOOTER � ELECTRIC�L f� � 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. /,�� /Le__ CONTRAC R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER eta-�eaoozo City of Zephyrhills Permit Application F�$��-�8o-ooz� •,ti Building Department f., . Date Reeeived Phone Contact for Pertnitting �l(! �j�7 -/ODr7 Owner's Name .� �e(�Q- O< <-l. j Owner Phone Number c3rF1�-�-�LO—d"�� Ownefs Address ��"1��-W\�h �j(�� l, Owner Phone Number Fee Simple Tideholder Name Owner Phone Number Fee Simple TiUeholder Address JOBADDRESS ��1J�.£: l��l� ��IC.� ZP�h��llf5 ��L• LOT# � _,� SUBDIVISION PARCEL IDI� 1 I-��- I OO l�D ` ��)� - ��iC a (OBTAINED FROM PROPERTYTAX N0710E) WORK PROPOSED e NEW CONSiR� ADD/ALT Q SIGN � Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK ,.L{-IcS�G.I` Q(1 �� l C�� OO� l) `Q-�S�*1� EC�`�C . BUILDING SIZE oZ O/dTV�C��`CX1T, SQ FOOTAGE� HEIGHT �� ` BUILDING $ �a�� ,�, VALUATION OF TOTAL CONSTRUCTION 4� I, �' � �ELECTRICAL $ �LQ`�� AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. d QPLUMBING $ /� � ��"�f�'� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��53`w,J.��'2 `� �N� QGAS Q ROOFING Q SPECIALTY � OTHER ��4l�.Q FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �';] ` `J r BUILDER �( COMPANY ��D�i�� Jr' n Ca. 1�� - SIGNATURE aECISTEaFn Y/ N F�cuatx�n Y/N Address I O I 7� �_ �(' /1 T�1n License� �=�5�o v�/9 ELECTRICIAN � �1 � COMPANY '�Or i CYG� �i /�J �O•.Li�C o SIGNATURE �GiSiEREo Y!N r�E rutEn Y/N Address /f/ �-�, jQ �n �• License# 7y y r/!U�L� � PLUMBER COMPANY SIGNATURE r�cister�o Y/ N �cuw�n Y/N Address License# MECHANICAL COMPANY SIGNATURE r�cis�aEo Y!N �cuaaEn Y/N Address License� � OTHER COMPANY �/D//�C � ��/'/� L�c�-1/JC. SIGNATURE aEc,�slEaEo Y/N �cu Y/N Address � � � C. License# �J/i d Ot�� 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 RESIDENl1AL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Permit for new construction, Minimum ten(10)working days aTter submittal date. Required onsite,ConsWction Plans,Stortnuvater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large p�jeds COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. Minimum ten(70)worlting days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 7 dumpster.Site Waric Permit for all new projeds.All commencial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• FiII out application completely. Owner&Contractor sign badc of application,notarized If over Sz500,a Notice of Commencement is required. (A/C upgrades over E7500) " Agent(for the contrador)ar Power of Attomey(for the owner)wauld be someone with nofarized letter hom owner authorizing same OVER THE COUNTER PERMIll1NG (copy of contrad required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) DrivewaysNot over Counter'rf on pu6lic roadHrays..needs ROW ,� . NOTiCE OF dEED F2ESTRtCTiQNS: The undersigned understands#hat this permit may be subject to"deed"restrictions" wriich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UN�iCENSED GONTRACTORS AND GOriI'i'RACT4R RESPOidSIBELITfES: tf the owner has hired a contractor ar contractors to undertake warlc,they may be required to be licensed in accardance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state!aw_ Sf the awner ar intended cantrac#ar are uncertain as to what Iicensing requ9rements may appiy far the intended work,they are advised to contac#the Pasco Couniy Building Inspection Division—Licensing Sectian at 72T-847- 8009. Furthermore, if the owner has hired a contractor ar contractors, he is advised ta have the contractor(s) sign , portions af the"contracfor Black"of this application for which fhey wili be respansible_ If you,as the awner 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. � TE2ANSPORTATIQN IMPACTNTILt2iES IIktIPAGT AND RES4UE2CE RECOVEi2Y FEES: The undersigned understands that Transportation fmpact Fees and Recourse Recovery Fees may appiy to the cons#ruction of new buitdings,cfiange of use in existing buildings,or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89-07 and 90-47,as amended. Ttse undersigned aiso ursderstands,that such fees,as may be due,witt be identified at the tirrie of permitting, it is further understood that Transporta6on impact Fees and Resource i2ecovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or finai pawer release,the fees must be paid priar to permit issuance. Furthermore,if Pasco Gounty WateriSewer impact fees are due,they must be paid prior to permit issuance in accordance with appticabte Pasco County ordinances. CONSTRUCTION L.IEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certiiy that I, the appticant, have been provided with a copy of the "Ftc�rida Construction lsen Law—Homeowne�'s Protection Guide'prepared by the Florida Department of Agricul#ure and Consumer Affairs. if the appticant is sorneane 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"grior to commencement. G�NTt2ACTOR'SIC3WNER'S AFFIDAVIT: 1 certify that aIi the infarmatfon in this application is accurate and fhat aiI work will be done in compliance with all applicable laws regulating construction,zoning and land develapment. Application is hereby made to obtain a permit to do work and installation as indicated. ! certity thaY no work or insta!lation has commenced grior fo issuance of a permit and that ail work will be perFcrrrned to meet standards of at1 laws negulat9ng canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that!understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibitity ta iden6iy whaf actians 1 must take to be in compliance. Such agencies include but are not tirnited to: - Department af Environmental F'rotection-Gypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Nlanagement District Welts, Cypress Bayheads, iNetland Areas, Altering � Watercourses. - Army Corps of EngineersSeawalls,Docks,Navigable Waterways. - Departmenf of Health & Rehab"siitative ServiceslEnvironmental HeaSfh Unit-Vltetls, Wastewater Treatment, Septic 1'anks. - US Environmental Protection Agency-Asbestos abatement. - Federat Aviatian Authority-Runways. I understand that the foilowing restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fi11 rrtateria! is to be used in Ftood Zone "A", it is understaod thai a drainage p(an addressing a "compensating volume"will be submitted at time of permifting which is prepared by a professional engineer licensed by the State of Florida. - If the fiil materia(is to be used in Flood Zone A° in connectaon with a pemtitted building using stem waU constntction,1 ce�tify that firi wil!be used aniy to filt the area within the stem watt. - 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 ta adversely affiect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the atfached pesmit application,for to#s Iess than one{1} � acre which are elevated by fill,an engineered drainage plan is required. ! If t am the AGENT FQR THE OWNER,I promise'sn good faith io inform the owner of the pertnitting conditions set forth in this affidavit prior to cammencing constructian. t understand that a separate permif may be required for electrical wark, plumbing, signs, wells, paols, air conditianing, gas, or other installations not specifically included in the application. A permit issued sha!!be construed ta be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any pravisians of#he technical codes,nor shalt issuanc.�;of a permit prevent the Building tJffiaal trom thereafter requiring a correction of errors in plans,construction ar violations of any codes. Every permit issued shall become invatid unless the work authorized by such permit is commenced within six months of permit issuance,or'rf work authorized by the permit is suspended or abandoned for a periad of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and witl demonstrate justifiable cause for the extension. If work ceases far ninety(90)cansecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTtCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,COIdSULT 1MTH YOUI2 LENDER OR N AT'�'ORNEY SEFQF2E RECdRDlt1G YQUt2 NQT1G OF G0IVIMENGEMENT. FLORIDA JURAT(F.S.117.03) . ut•y * N�� — OWNER OR AGENT CONTRACTQR $ �:� S scri6ed and swa�}a{or�rmed},�efo[e me th3s Subscxihed nd swom tq{or affi e�}befor�me thEs ? .��c '�bY S �G.�'fS El4'!� �1�bY �-�.�_�5 �?4�1e �a� �fi Who is/are qersonallv known ta me or sfhave produced Who is/are qersanalhr knovm to me or h ave produced �. as ideMfica6on. as identiflcation. m � �� ,,,h.�.'...� i� LI'�� V Nafary Pubtic �\U�-'L.�-Z+'"` "'�'"l/y�""'t�•..��1 Notary Public w tis�� { )2 t �� Commis ion No. �� L � Cammissian No. � � i J ^� ��.Q,��•��v4 Q.��- v � �j-�',�� Name of Notary typed, rinted or stamped Name of Notary p' r stamg • �o ��s �aS�+�oN iob�MB N4L PaD�B �,.�°"jo�r MY COMMiSSI0N;1 PF 191311 �o� 6tOZ'�Z�BW�S3HIdX3 �' f�' � * EXP1flES;M8y 2f,2019 t tEt$t��#NOISStINWOa I�Nt � �` '�'',rF�,F F�e.�Q�" B�led Tha�B��Nw+No�ro tarvkes �JNIHQ'f�N�HMI '''�o�;"'�•^� ---� , . , �:;a' T . :� '�. �__�.s . `-�.�,..r � City of Zephyrliills BUILDING PLAN REVIEW COMMENTS Contractox/Homeowner: 7 /c�f �1 �� `� �c� Date Received: C�� / - � � � • Site: ��D C'.�'�,I/ Pernn.it Type: S� �11� Approved w/no comrnents� Approved w/the below comments: ❑ Denied w/the below comments: ❑ I � This comment sheet shail be kept with the pemut and/or plans. i ��, �� _� _r�,- Kalvxn S ' er- lans Examiner Date Contractor and/or Homeowner (Required�vhen comments are present) 11-18-2015 � City of Zephyrhills Building Dept Re: 5050 Gall Rd Zephyrhills, FI � To whom it may concern, � As owner or authorized agent for the above address please let this serve as my authorization for Florida Sign Co Inc. to install signs and pull permits for the above address. Sincerely, � ` � r �� 5��-��y �� printed name and date State of Florida County of Sworn to and subscribed before me this Z��day of C� k� ,2015 Signature of Notary , ,•ir""°�e�.,� CORI MUNROW =�� : Not�ry Public-St�b ot Florld� �= Comml::lon#�Ff 211441 ��%�oFf,,d;;°'` My Comm.Explres M,r 1S,2019 �„��,.•. f � � �� ' �e�� i 20'STOREFRONT i -- —•,.gc^�-�--�t��:...�i�t ---..�+[-•_��w.�.-�"°� `.�,,=�'_:;t�r:uY r-. '., - � � � s� � � an,. �.�te'�Islan� �� a�ts'�,'Islan�' 3• ,�u.� - ,.T u:� -_ - � . --� � _ - `�E1/ - _ _: .�� - _ � � ;W-= ; w� - , � - �� _.. � � � - - ��= - . �� — — — � � - - ,o _ - =�=•—�_---=�.:��-�..� ��..�. — �,.�.__ �..� _�..._.____=.�,�._- � _��_ ' ALL��ORK SHALL COMPLY WITH ALL pKEVpILING CODES;FLORIDA BUILDING ' � '�`�� 9D��NATIONALELECTRIG CODEAND , � LS 0 ANCES � i CITY OF ZEPHYRHII- � �O � 30" 28" � O O 7�� 14" I I I I U� � 28„ I �oa„ �vam FABRICATE ONE SET OF CHANNEL LETTERS.LETTERS TO HAVE WHITE FACES WITH APPLIED 3M VINYL(INTENSE BLUE).LEAVE SMALL WHITE BORDER AROUND BLUE VINYL.WHITE � TRIM CAP AND BLUE RETURNS.LOGO TO HAVE A WHITE FACE WITH APPUED 3M VINYL,(INTENSE BLUE/RED). WHITE TRIM CAP AND RETURNS.ALL TO HAVE WHITE LED ILLUMINATION.SUGGEST THAT A WHITE BACKER , BOARD BE BEHIND LETTERS FOR CONTRAST,MUCH LIKE HOLMES BEACH This drawing is for illustration purposes only. Colors and scaling in drawing may vary. PROJECTNAME: DOMINOSZEPHERHILLS DATE:9/15/15 I DESCRIPTION: �I ABOVE i I have carefully reviewed and hereby accept the drawing(s) as shown. All ��E,85, additional changes must be in writing and approved by both parfies. �_;FLOR/DA SIGNCOMPA/VY r- '•�j INNOVATIVE YiSIGNAGE �s�: � !1101 29th Avenue West Bradenton,FL 34205 signature date Phone:941.747.1000 Fax: 941-746.5689 SINCE 1951 � � . FLOR/D,4 S/GN COMPANY � � � November 30,2015 City of Zephyrhills Department of Permitting Re:5050 Ga(( 8(vd Zepherhi(ls, FL To Whom 1 t May Concern, � � �� P(ease let this (etter serve as my authorization for��lQ�-� to pic up permits and submit or si�n any documents necessary to obtain permits for the above. Sincerel y, ._. �-•� Char(es F. Ogle Partner � STATE OF FLORIDA COUNTY OF MANATEE SWORN TO AND SUBSCRIBED BEFORE ME THIS .�_ DAY OF JUOVem�7c�, 20 !� . � � • ��;."•�°;a�% KARENO.DRING MY COMMISSION Y FF 191311 51 GNATURE OF NOTAR � * EXPIRES:May 21,2ois �r9rFOFF�ac.�O`� BondedThruBudgetNamryServkes i 1 f 0129TH AVE. W. BRADENTON,FL. 34205 PH.(941)747-1000/FAX(941)746-5689 Vl5lT OUR WEBS/TEAT FLOR/DASIGN.COM "From Conception to Complet�on"