HomeMy WebLinkAbout15-16854 ,'
CITY OF ZEPHYRHILLS /
. 5335-8TH STREET �
� � (8�3)78o-oozo �854
BUILDING PERMIT
-PERMIT INFORMATION� ` � LOCATION INFORMATION -
Permit Number: 16854 Address: 38135 MARKET SQUARE DR
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: 02-26-21-0010-03900-0030
Improv. Cost: 2,500.00 � . OWNER INFORMATION
Date Issued: 12/28/2015 Name: FLORIDA MEDICAL CLINIC
Total Fees: 105.00 Address: 38135 MARKET SQUARE
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33540
Date Paid: 12/28/2015 Phone: (813)780-8440
Work Desc: WALL SIGN - 102 X 31 HEARING CENTER
CONTRACTOR S . � APPLICATION FEES �
PRECISION DIGITAL SERVICE SIGN 75.00
CONTRACTOR CERTIFICATE 30.00
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� Ins ections Re uired -
F ER
ELECTRICAL U H (�
FINAL �'��� K7
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
i PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
1
s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 I�
Building DepaAment l 1 0.���� • 0 0.��0� •
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~ Date Received Phone Contact for Permitting o'� ( 1 � T� ZS v
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Owners Name Florida Medical Clinic pWner Phone Number 813-780-6693
owners addre55 38135 Market Square,Zephyrhills FL 33542 Owner Phone Number
Fee Simple Titleholder Name Florida Medical Clinic Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS 38135 Market Square,Zephyrhills FL 33542 �or# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW CONS7R e ADD/ALT 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
I TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Channel Letter Sign with LEDs-Red face �, n
(�
BUILDING SIZE SQ FOOTAGE� HEIGHT �.
� V
�BUILD[NG $ VALUNTION OF TOTAL CONSTRUCTION �N
I ���'�� ^�
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DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �J
QPLUMBING $ ��V"�� �\ "��� ��C
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�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �l �
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Q G, � �\ i
QGAS Q ROOFING Q SPECIALTY 0 OTHER
`1-o-
FINISHED FLOOR EL ONS FLOOD ZONE AREA DYES NO � V
i r.
' �V
' BUILDER � COMPANY ��
SIGNATURE c REGISTERED Y/ N FEE CURRE� Y/N
Address License# ��'(��/�
ELECTRICIAN COMPANY ��
I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N /Y7
I �/�v,
ilAddress License# bF'
� PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address Li�ase�
OTHER � COMPANY Precision Digital Services,Inc.
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address 2726 W.Waters Ave.Tampa,FL 33614 License# Not Required
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl1111t111111111111I11111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcUon,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Ene�gy Forms.R-O-W Permit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,ConsUucGon Plans,Stortnwater Plans w/Siit Fence instalied,
Sanitary Faciiities 81 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construclion.
_ •-'• • • �l�i i 0 1 ➢ hi 4-0�5 i-f 1 i 7 1 i-f {-1-i i-i-{ i-7 ' S-d 9 F-7 S-i t-1 ' '°1-i ' FI '
Directions:•
Fill out application completely.
Owner 8 Conlractor sign back of applicaGon,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Age�t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter'rf on pubiic roadways..needs ROW
, � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
'' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 licensed as required by law, both the owner and contractor may be cited 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 Block"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 IMPACT/UTILITIES IMPACT AND 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 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 final power 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 Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida 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 Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs.. If the applicant is someone
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'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
� construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand 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 compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental 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 fill:
- Use of fill is not allowed 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 volume"will be submitted 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 Flood Zone "A" in connection with a permitted buiiding using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fiil 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 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)
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 provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter ,
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
u��le�s the wo�k.a�iharized 5y such permit is commenced withi�six mo�ths of permit issuanc�, or if wor1:authcrized h,y
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. M extension
may be requested, in writing,from the Building Official for'a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 LE AN ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JUR.4T(F.S. 1 3)
OWNER OR AGENT v� CONTRACTOR
Su scri�t�ed and swom t irme�)b fore me th�s Subscribed and sworn to(or affirmed)before me this
,1�j$�,�by "J L� �l� A�'Y� by
Who is/are personallv known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identifiqGon.
/NU�(r W�O� �VW�B� Notary Public Notary Public
Cam 'ssi N Commission No.
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Name �� r 'nted or sta Name of Notary typed,printed or stamped
? Notary�u�ic•State of Flarida
" '�F My Comm.Expires May 14,2016
'�;�oFf��`'',` Commission�EE 198300
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: p(�E C l$t 0 N �J 1 G tTa l. ��V R I CcS � 1 (�C
Date Received: ( 2 — � d -- / �
site: 3 g l 3 S III�ar K�.,l- S Q.cra�e
Permit Type: C I'1a�111e-( �. �.TTt 0. ` �4�1J
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
C�/YI,�� �taS n� s`�`� "�s� �e��s G<f �1� �G�e��r%�.
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This comment sheet shall be kept with the permit and/or plans.
o� ' �` ��
Kalvin witzer lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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Project : HEARING CENTER CHANNEL LETTERS Sign Type: Channel Letter Face: Red
Client : Florida Medical Clinic Raceway: No Trim: Red '
, Location : 38135 Market Square, Zephyrhills, FL 33542 Electric: LEDs 12/24vdc Return: Black- 5"��
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' Notes: o `�' o � '�` ` Date : 11/05/2015 '
� �' d � � Responsible : M. Marton
� d � x Approved by:
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