HomeMy WebLinkAbout17-18071 CITY OF ZEPHYRHILLS
` y� I �� � 5335 8TH STREET
(813) 780-0020 18071
� TEMPORARY SIGN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit f�umber: 18071 Address: 5522 GALL BLVD
Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL.
Class af Work: TEMPORARY SIGN PERMIT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa're Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0250
Impro�v. Cost: OWNER INFORMATION �
Date�lssued: 1/13/2017 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 40.00 Address: 34619 STATE ROAD 54
Amo�nt Paid: 40.00 ZEPHYRHILLS FL 33541-2132
Date Paid: 1/13/2017 Phone:
Wo�•k Desc: TEMPORARY SIGN FROM JAN 13, 2017 - JAN 27,2017 (15 DAYS 1X)
CO�NTRACTOR S APPLICATION FEES
I TEMPO R I N PERMIT 40.00
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' Ins ections Re ui d �
F OTE I
ELECTRICAL ROUGH
FINAL I
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips �re necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from�lfaulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible.
Noticer In addition to the requirements of this permit, there may be 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.
"Wa¢�ning 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
�� Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
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h ONTRACTOR SIGNATUR PER OFFI
PERMIT EXPIRES IN 14 DAYS . PLEASE BE SURE TO POST STICKER WITH PE IT. CALL
�1FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER
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s�s-Tso-oo2o City of Zephyrhills Permit Application Fa�c-813-780-0021
a Building Department
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Date Rece(ve�l �Phone Contact for Permitting ' --
Owner's Namb j /Z �L sC�G h�� /C Owner Phone Number
Owner's Addross Owner Phone Number
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Fee Simple Til leholder Name Owner Phone Number
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Fee Simple Tii leholder Address
JOB ADDRESS �5 vzZ- � ��T�-- �L U � LOT# �
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� SUBDIVISION� PARCEL.ID#
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED .. NEW CONSTR' ADD/ALT Q SIGN Q � Q DEMOLISH
I e INSTALI B REPAIR
PROP,.OSED USE Q - SFR � COMM Q OTHER
TYPE:OF CORISTRUCTION Q BLOCK •- Q FRAME 0. STEEL Q
DESCRIPTION OF WORK � �� � S��� _ l✓-� ! �^ �Z�I 1 I S !/t� S �,
BUILDING SIZE SQ FOOTAGE� HEIGHT ,
QsUILDING $ VALUATION'�OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $ , � f �T���
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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Q,GA i Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
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-BUILDER � � COMPANY ����2� %�x S��V f G�
SIGNATURE REGISTERED Y'/ N FEE CURREt� Y 7 N
Address Llcense.#
�ELECTRICIAN . COMPANY
SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N
Address� - License# '�
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PCUMBER.; . . COMPANY -
SIGNAi'URE� •REGISTERED Y•/�N. � FEE CURRE� � Y/N
, Address Licerise#`
' MECHANICAL' ' � � COMPANY �
` SIGNATURE`" '� � � REGISTERED , Y,/ N FEE.CURREA Y/N
Adii�ess: - "- License.#
"�i:,�.,.,. :
, _OTHER:: �:'': . COMPANY
"'SIGNATURE�,; :� .• - - - � REGISTERED Y/.N. FEE CURREK Y/N
_ Aaa��s� - �; � � ' License�#
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��;.RESIDENTIAL^:;'�Attacfi4(2)':PIot�Plans;'(2-)':sefs�ofBuilding�Plari's;(1�)°set of�Ene�gy;Forms;R;O=W Pemift,for new.construction,
�-��t,f-������ ��-.Minimum�•ten�(,10).working��day`s''afte��"sutimittal•dafe.�-Requ'i�ed onsite;Construction Plans,Stormovater Plans w/Silt Fence.installed,
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;:ti� i Sanitary,�,Facilitiest&,•1�;dumpster;�Site,Wor.lcPermitfor:subdivisions/large',proJe.cts� �" 'r ' � �
p�.�.. , , -
;�.:.C.OMMERCIAL Attach�(2)`complete'sets of Building"Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
- , Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
;•� - _ ` , Sanitary Facilitles 8 1 dumpster.,Site Work Permit fo��all new projects.All commercial requirements must meet compliance
���:SIGN:PERMIT� "Attaah(2)sets;of-,Engineered P_lans:��� _•; . �
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"'`:= � '•"'PROPERTY SURVEY required for.all.NEW constructfon.-
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;`�;Di�ectlons: ._:.>;:-, .:, ., .
.- `` �Filf:out application completely.^,
. _ Ovime�`&�Contractor sign back of appllcation,nota�ized
7f over$2500;a Notice�of:Commencement is required. (AlC upgrades over$7500)
-,�,:-•,....�;..:::.
."'" AgenY(foq the°cont�actorpor°Power'of'Attomey'(for tlie owner)would be someone with notarized letter from owner authorizing same
i'`,;OVER�;THE;COUNTERuPERMITTING, ._ (copy_of contract required)
�:=;Re�oofs.if shfngles Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage)
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DrlVeway's-Not over Counter if on pu6lic roaduiiays..n'eeds ROW
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NOTICE 4F'DEED RESTRICTIONS: The undersigned understands,that.this-:permit may be;subject:to".deed"rest�ict�'ions";`';'.,
_ which:.may;be:�more_r,estrictive.�than�Courity regulations:"�The•uniiersigned.assuifies�cespa�isibil�ty'for�catYtplian`'ce witfi:any`-`t��„�
applicabie deed"restrictions. , ''- :r_�,;{:�_�:_;;:;.:��.,�
UNLICENSED� CQNTRACTORS AND CQNTRACTGR RESPONSIB!l:ITlES: "!f-tlie-owner�has4�liired�a»�contractor ar -
contractor5 tfl undertake work, they,may:be required ta be:ticensed in accordance wi#h state.-and;:�local_�egulatians::�='Ifw.tlie:��:�;�;
contractor is.not.licensed.as�required'by`�aw`; botti�the owner=and'conf�acfor-=may<=be;:cited==forva rnisderneanor violation .:��.?
under state 1aw. If the awner ar intended.;con#tactac are unce�Eain as to what !'rcensing requireii�tents:,rnay<<appiy:for:.;f}i;e=f;�';�.;
- Y�'�>f'd .r'�,.,.z�t ..: .r< -,�
intended wack,.they.are�advised to contact'�tFie'Fasco County'Buitding Inspecfion,d'ivision;=';Licensing Section at 727�84:7-
8049. Fur#hermore, if the owner has"firred��a contractor or contracto�s, he�is advised to�?have_the^confcactar,,{s.},..sign-.:,���z
portians of#he "contractor Blackn of this applicafion for which.they.will be responsible:---If.you, as�the:�owrier`sign as�'tFie°'"��{,i
contractoc, that may be an indicatiorrthat�he is nat properly�licensed antl is not�eri'titled�to permitting privileges.;in.,Fas.co,;�h�;�
Caunty. • _�_:�h::..<<,.��.:t... i
TRANSPORTATIQN IMRACTl.UTILI7IES:IMPACT AND RESOURCE RECOVERY FEES:�Tlie undersigned understands i s'
. A.,r, ^
tha#Transportation Impact Fees and f2ecaurse Recovery Fees,:may�appty to the canstr,uction.of.new;btaifclings,-changeYofi�:`�'i�
use in existing buildings, or•expansian,of::existing buildings, as specified in Pasco Caunfy Qrdinance r�umber�89=07 and ���
9�-07, as amended. The�undersigned also understands, that such fees,{as;may,;be,due, will::be°ider�tified=at`rttie<:tiiirie�.of-k�a��:;R�
permitting. �I# is further understood titaf Transportation impac# Fees°��and Resource��Recovery Fees must be.paid prior�to ,`;;
receiving a "certificate af occupancy"�or�final�,power release. If fhe project does not involve a ce�tificate of oceupancy�or?:::-��.�
final power release,_the fees:must be..paid prior to permi# issuance. :Furtfiermare,_if Pasca:Caunty WaterLSew,er;�tmpact.�„-� ',
fees are due,they must be paid prior,to�permit`issuance:in accordance with'applica6le,Pasco Coun#y ordinances. � �`
GONSTRUCTlQN�LIEN�LAW{Ghapter 713;Florida Statutes,as amended}: If valuation of work is$2,500,OQ.or rr�or:e;.,l;_�f_� ��
certify that i, the. applicant,. have. been. provided-with-a copy_-of #he °Florida Construction L'ien..Law-�-Homeowner`s "
Protection Guide° prepared by tlie�F'lo�ida Department af Agriculture and Consumer.Affaics. If the applicant�is someone;�,.� `.�
other fhan the"�wner°, I:certify..fhat t.have abtained a copy-of the above c3escribeii documen#-and.promise�in_good'fait(i`fo4�`:,,, :
deliver:it.to:the.°owner".�prior.to:�commeneement'� "� � ` ` �
CONTRACTQR'S10WNER'S A�FtQAU1T=:. �;I;certif�r that a11 the infor:rnation in this appEication is accurate and`#liat alI`work
will be done in campliance with all appl'icable laws regulating construction, zoning�and land�development. Applicatian;.is
hereby made ta obtain.fa permit_to ,do;,work-and instalfation as:indicated. t cerfify #haf no=wark or �nstallationu has �
commenced prior to issuan`'ce of a permit and-that aIl work will be performed to_meet-standards of all laws regulating �
construction, County and City codes, zoning regulations, and land development�regulations�in:.the jurisdiotion. d°also .
certify that 1 understand thaf the reguiations a#other government agencies may apply to the intended work, and that it is '
my responsibility ta identify what actions I must take to be in compliance. Such.agencies include,but are not limited.to:
- „Departrr�ent of Envlranmental.Ptatection-Cypress Sajrtieads, We#land Areas and Env�ronmentally Sensitive
Lands,WaterJWastewater Trea#ment. �;
- Southwest Florida Water Management District-We!!s, Cypress Bayheads, Wetlanci Areas, Altering �'
Watercaurses. �
- Army Corps of EngineersSeawalls, Dacks, Navigable V1laterways.
- Department af Health 8� Rehabilitative ServiceslEnvironmental Health Uinit Welis, Wastewater Tceafinent,
Septic 7anks. '
- US Environmental Protectian Agency-Asbestos abatement. i :_;.
- Federal Aviation Aufhority-Runways. �
I understand that�the follawing restric#ions apply to the use of fill:
- - Use af filt is not atlowed in Ftood Zane"V"untess expressly permitted.
- If the fill material is to be used in. Flood Zone "A", it is understaod that a drainage plan addressing a
"corrtpensating volume° wil! be submitted at#ime of permitting which is prepared by a prafessional engineer ''
licensed by the State of Florida. � �
- !f the fill material is to be used 'in Flood Zone "A" in connection with a permitked building using stem wall
construction, I certify that ftlt wili be used only to fitl the area within the stem watl.
- If fill material is ta :be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use o€fill is found to adversely affect adjacent properties, the owner may be ci#ed for vialating '
the conditions of.the building.permit issued und"er#he attached permit.application, for.lots_less than one (1) � '
acre which are elevated by fi!!,an engineered drainage plan is requ��ed.
If I am the AGENT FOR THE UWNER;�i•pramise in good faith to infarm the owner of-the permitting condi#ions set forth in
this afFidavit.prior to commencing construction. _I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poals, air conditioning, gas, or ottie�instal#atians not specifically included in the application. A r
permit issued shall°be construed to�be a license-ta proceed with the work and not as authocity..to Violate. cancel, alter, or �
set aside any provisians of the�fechrticat codes, nar shall issuance of a permit prevent#he Buitding Qffic9al from #hereaf.ter '
requiring a correction of errors in plans,:constructian or violafions of any codes. Every permit issued shall become invalid
unless the wo�k authorized by such permit is commenced withln six months of permi# issuance, or if work authorized by �
fhe permit is suspended.ar abandoned for a period>.of six(6}manfhs after the time the wark i�`commenced. An e�ctension
may be requestetl, in writing, fram tlie Building Official for a period nat to exceed ninety (90) days and will demonstrate �'
Jusfifiabte cause for the ex#ensian. If work ceases for ninety{90}cansecutive days,the job is considered abandaned.
WARMNG TQ OWNER: YOUR FAlLURE;TO R�CORD A.NOTIGE OF CO,MMENCEMENT�MAY�RESULT IN YOUR
PAYING TWICE F.QR tMPROVEMENT$,.TU YOUR:PROPERTY. 1F YOU.:,iNTENDYTO•.OBTAIN FINANCING; CONSULT
WITH YOUR'LENDER OR AN A7TORNEY BEFORE RECORDING YOUR NOTICE OF�COMMENCEMENT. �
FLORIDA JURAT{F.S.117.03) � � �'
t7'UUFI�fr f5R AC°a�NT�"" �p. "�.aFiTrcAC1'OR — _ _ �._-- - ----. _ _ - . _- —___-_
Subscribed and swom to{or affirmed}be#ore me thls Subscribed and swam to(or affirmed)before-me this �
by �Y
Who is/are persanally knawn to me or has/have produced ', ` Who is/are personally known to me or haslhave produced �
as iden88aation. � � as ident3flcation,
Notary Public � Notary Public
Commisston No. Commission(Va,
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Name of Notary typed,printed or stamped . Name of Notary typed,pt€nted or s#amped
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� CITY C�F ZEPHYRHILLS - CODE ENFORCEMENT
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, 5335 EIGHTH STREET, ZEPHYRHILLS, FL 33542
' 813-780-0020
�IOLATION NOTICE
BY ORDER OF CODE ENFORCEMENT OFFICER
IT SHIALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A
RESIBENTIAL/COMMERCIAL BUILDING OR STRUCTURE, OR
PRO�'ERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR
THE �PEN STORAGE OF ANY:
i UNLICENSED VEffiCLE ❑ INOPERABLE MOTOR VEHICLE
;
I) ffiGH GRASS & WEEDS ❑ I)EAD TREES OR TRIIVIlVIINGS
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� FURNITURE ❑ TRASH
� UNKEMPT ALLEY ❑ UNSECURED REFRIGERATOR
� APPLIANCES ❑ UNSECURED SWIlVIlVIING POOL
�
II BUILDING MATERIAL LJ OTHER:
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ADDRESS: ����. G �1 L� /�Li!� : 1 �- � 3 ' l �
� UPON �JOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTY AND
RESP�NSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH
PROPERTY CLEAN �4ND TO RE�f10VE FROM THE PREMISES ALL ITEMS USTED ABOVE. ,
��
FAILUI�E TO COMPLY MAY I�ESUL� IN FINES ASSESSED UP TO $500.00. I
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CODE �NFORCEMENT OFFICER DEADLINE
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- CITy p 5 3Ep HYRHILLS- � --
TH STRE�,-CODE ENFORC
813- ZEPHY}�H��LS,FL 33�42
780-0020
BY o V���ATfON NOTICE
RDER OF CODE ENFpRCEMENT OFFICER
IT SHALL BE UNLqVVFUL FOR THE OWNER OR II
RESIDENTIq�/COMMERCiq�
PR�PERN TO IJTILIZE THE PREM S�ES OF SUCW pRUPANf OF A
THE OPEN STO �R STRUCTURE, OR
RAGE OF qNY; OPERTY FOR
� ��I.ICEl�'SED��EgICLE I
� 1NOPERAgI,E DIOTOR VE��
� HIGH GR�SS&�VEEDS
❑ DE_4D TREES OR TR1I�ILVGS
� FURNITURE
� TR-ASH
� UI\'KE�IPT ALLEY ❑ Ul\SECiSRED REFRIGERATOR .
❑ �PPLL4.NCES ❑ UI�;SECUItED S«'Il!]i�il�i'G POOL I
❑ BUII,DI�i 1G MATERIAI. ❑ OTHER:
f��',,H t��t�C!=S C
ADDRESS: --� � r�? � ` r`��` � DATE: � - �� ' f l
UPON NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTK AND
RESPONSIBILfTY OF SUCH OWNER OR OCCUPANT TO KEEP TIiE PREMISES OF SUCFI
PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS USTED ABOVE.
FAILURE TO COMPLY MAY RESULT!N FINES ASSESSED UP TO 5500.00.
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CODE ENFORCEMENT OFFICER DEADLINE
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