HomeMy WebLinkAbout17-18245 � �_
CITY OF ZEPHYRHILLS
5335 8TH STREET
.
�!°' (813) 780-0020 1 5
TEMPORARY SIGN PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18245 Address: 5240 GALL BLVD
Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL.
Class of Work: TEMPORARY SIGN PERMIT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15300-0260
Improv. Cost: OWNER INFORMATION
Date Issued: 3/09/2017 Name: ROBERTS YVONNE C REV LIV TR
Total Fees: 40.00 Address: 5240 GALL BLVD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/09/2017 Phone:
Work Desc: BALLOON TEMP FOR 15 DAYS MARCH 9TH - MARCH 24TH 2O17 (TIRES PLUS) �
CONTRACTOR S APPLICATION FEES
O NER TEMP RARY SIGN PER IT 40.00
j �� ; l�e.
� � J � �p'� ��� `�
� � � - Z
�� �i
� C �
Ins ections Re- ired
FOOTER
ELECTRICAL ROUGH
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
' from faulty 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 f),plans not at job site g)work not accessible.
Notice: 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.
"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 lans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
CON RACTOR SIGNATURE PER OFFI
PERMIT EXPIRES IN 14 DAYS . PLEASE BE SURE TO POST STICKER WITH PE IT. CALL
FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER
s��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
�-�
Date R'eceived phone Contact for Permitting �� �1� ��� - ��
Owner's Name � ���� 1V� - Owrner Phone Number
Owner's Address ��4 U �"1�'� � � �vJ ' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e � NSTALLSTR B REPi41R � SIGN Q � Q DEMOLISH
PROP,OSED USE Q SFR Q COMM � OTHER
TYPE':OF,CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q I
DESCRIPTION OF WORK ����'Fi S l�h I
BUILDING SIZE SQ FOOTAGE� HEIGHT •
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVAT O S FLOOD ZONE AREA QYES. NO
BUILDER CONiPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
� Address -Lieense#
, 'ELECTRI,CIAN COMPANY —
. SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N.
AcJdress - License# "
, A
P.CUM,BER;,. , COMPANY �
SIGNATURE REGISTERED Yr/ N � FEE CURRE� Y/N
Address License#
�- .MECHANIGAL � � COMPANY
'- SIGNATURE�' � REGISTERED Y/ N FEE CURRE� Y/N
Add're"s's�" ' � " License.#
�:c;y•: -
,:.OTHER" �"`'= = COMPANY
.;' SIGNATURE:>,.:<<. .�' ` ' - RE�ISTEREo Y/ N FEE CURREK Y/N
�a ... � , �
�Address�-, F,; - - � °License#
'; . . „ , .
���`'RESIDENTIAL��:;�'�Atfacli;(2)sPIoY P.lans;'(2)�sefs•of_Building�Plans;(1-)°set of�Energy,For`ms R=O-Vi/,Permit for new.construction,
"�-;u:1:�•=;Minimum 3en„(�10),working;days afte�submittal.date. :Required'onsite;Gonstruction Plans,�Stormwater Pla�ns w/Silt Fence installed,
- �,:,�:' , ���'�"" ��8anita..ry,,Facilities,&r,1,,dumpster,Sife�WoricPermitfoc;subdivisions/large'p'roJects` � - �• �
, .:COMMERCIAL Attach`(2)�complete sets of'Building Plan"s�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
- - Minimum ten(70)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,installed,
:�x;,_,
;;,_- Sanitary Facilities 8�1 dumpster..Site Work Permit"fo�'all new projects.All commercial requirem.ents must meet compliance
;,-.SIGNPERMIT "Attacfi"(2)sets:of;Engineered,Plans.�� � . � �
, "'"PROPERTY SURVEY,required for.all.NEW construction.
,r� a
',Di�ecttons: .. >:�t== . .. x
---, Fill:out application completely.
' �� 'Owner:&Contractor sign back of application,notarized
�� If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500)
i '�Y,., � .�..,.; .,.«.� �
. _ Agent�(for'th'e•cont�actor)�orPowerof Attomey(for'tlie�owner)would be someone with notarized letter from owner authorizing same ,
;_;OVER.THE COUNTER_PERMIT:tING,_ (copy_of contract-requlred) � � I
��'Re�oofs if sfiingies Sewiers Service Upgrades A/C Fences(Plot/Survey/Footage) ',
Driveways-Not over Counter if on public roadways..neeils ROW �
I �
— , _..,
. -. — - , .�.�---�,� �r.�,;�..�'�
. � ;�
.��.n...�ri'=t
NOTICE tJF-DEED RESTRiCT10NS: The undersigned;unde,cstands:that.this;permit may be.:subject.to°.deed�;cest�ictions°a;��,�_i
. F.:. , , c.. 1.•_n:x�. ��......:ro. ' ..: : ;
which;►iiay�be;more-.r.es#rictive�than'G.ounty regulations: `The�und'ersigried�assumes'�cesponsibil�ty=for coriip6ance�`with ar:iy �
appticabfe'deed restrictPons. - .`. " :�°�'"�.';
_..�:.�:. ,- ,:r,,_
- :. -.
UNGCENSED CONTRAGT�?RS AND CON'.T'RACTOR RESP:ONSIBII.;lTIES:� ff-tFie�-owner=�:has�li'ired���a'��contractor or '=a
,... .
cont�actors ta undertake work, they..may`'be required to be;licensed in accordance with-sfatesand-locaF:regulatiofas.:-'lf:tlie�'�: ;
contractor is not:licensed�as`requi�ed by law;both.�the ovimer�and'cantractor may�6etcited for a:�misdemeanorviolation- ,. "�3
under state 1aw. If the ownec ar,intended.contFagtoc are uncertain as to wha#.licensing requi�ements:,rnay�apply_:foe�:<th�e�:�`��',��:�
, ..:.�,�.,,.���;.�,,. .�., ...
intended work,.they-are adVised to contact�the'Fasco County�Buiitling`tnspecti6n'Division,==Licensing Section at Z27=847= ;z
, •_ - .� �
8009. -Furthermore, if the owner�l�as"�hired`'�a cont�actor ar conti�actars, he is advised to.;have the contractor(s},Fw,sign.,�;;_�
portions of the "contractar Block" of this application_.for which they wil! be-responsible.-;!f�you, as'�tt�e'owrier"s:ign asr,tfie�```'.s:;
contractor., that may be an indication�that�he is nat propeily licensed aric! is not`entitled to permitting�privileges;in,_Pasco:,�;,,.r:;
County. . ; _ : .:��,.,����;..�
�
TRANSPORTATtON-iMPACTIt1TILiT1ES�IMPACT AND RESOURCE RECOVERY FEES:�The undersigned under.stands „
that Transpartation impact Fees and Recourse Recovery Fe.es:may;apply to.the canstruction af,new buildings,.chan`gexof�A`��:;A;,
use in�existing builtlings,;dr�expac�sion�of':exisiing�bui3dings, as specified in Pasco Gounfy�rdinance number 89=07�and_ ""' �i:�;;;
90-Q7, as amended. The�undersigned also understands, that such-fees, as�may,-�b.e,due, will'tie:identi�ed�at�itie=time:of�``;�3-:;,;
permitting. �It is�further understood that Transportafion Impact Fees�-and Resaurce=Recovery.Fees must be paid prior to "�
receiving a"certificate of occupancy." or final,pawer release. If the.project does not invalve,a certificate of occupancy{:or�T-<=.===�
finai.power_release,rthe.;fees•must be,..paid prior to permit issuanee. -Furtfiermore,-if,.Pasco County WaterlSewer,;lmpact::,;,��`,;�
fees are due,,.they_must be paid prior.to permifi'issuanee in{accor�arice with�applicabi�e�Pasca.CoUnty ardinances. � �
CONSTRUCTfONrl:iEN��AW{Ghapter 713, Ftarida Statutes,as amended}: tf valuation af wock is$2,50q.0.0�o�r mqre;,i,.=:,,.,� x
certify that 1, the applicant, have been- provided with-a copy�af_the� "Florida Gonstruction.�Lien.-!aw Homeowner's ��
Protection Guide"�prepared by ttie florida Department of Agriculture and Consumer Affairs. If the applicant'is s.omeone;,-,
other than the"awner",,I;eertity,that.l._have obtained a copy af the above"describetl document and:promise=in;gaod`�faitfi;to;�x;, .
deliver it.to-the,';owner".:Prior�,to..cominencement: " ' '
CONTRACTCIR'S/f3WNER'S AFFIDAViT:; ;I.:certify that a(i��the infanmation in this application is accurate and'that atl work
will be done in campfiance with aii applicab(e iaws reguiating construction, xaning�and (and�development. Appiication.is
hereby made to abtain :a,,,permit..to:-do;,.war.k and instalfation.as::indicated. 1 certify that no-work ar�-irtstafEation-has f
cornmenced prior #o �ssuan�ce of a perrYiit and=�that all work wil! be performed.to_meet-standarcls af all laws regulating .
construction, County and City cedes, zoning regulations, and land development�regulations"iri'the jur�sdiction. I°als� �_
certify that I understand that#he regulations of other government agencies may apply to the intended work, and that it is ;
my responsibilify to identify what actions 1 must#ake to be in compliance., Such-agencies include but are not limited,to: 1.
- �,Department of Enviranmental:FRrotec#ian-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive �,
Lands,WaterlWastewater Treatment. '
- Sauthwest Florida Water Management Distrlct Wells, Cypress Bayheads, Wetland Areas, i4ftering '
Watercourses. '` ,
- Army Carps of Engineers"-5'eawalls, Docks, Navigable Waterways. .
- Department of Heai#h & Rehabilitative, Services/Environmental;.Health Unit Wells, Wastewater Treatment, ,
Sep#ie=`Tanks. � � ;
- US Environmerital Pratec#ion Agency-Asbestos abatement. '
Federa!Aviation Autharity-Runways. �
I understand that°.the following restrictions apply to the use of fiU:
- Use of fill is not allowed in Flo,od Zone°V"unless expressly permitted.
- lf the .fill material �is to be used in F�ood Zone "A", it is understood that a drainage plan addressing a
"compensating valume"will be submitted at time of permitting which is prepared by a professianal engineer '
licensed by the State af Flarida. `
- !f the fiA-material is to be used in Flood Zone "'A" in connection with a permitted buitding using stem wall
canstruction, I certify that f1U will be used only to fil!the area within the.stem wall. �
- If fill material is to be used in'any area, I certify that use of such'��filf will not adversely affect adjacent
properties. If use of fill is found to adversely affec#�adjacent properties, #he owner may be cited far violating `
fhe conciitions of:the building.perm.if issued under the attached permit.app(ication, for lots less than one (1)
acre virhich are elevated by fi11, an engineered drainage plan is required.
If I am the AGENT FOR THE QWNER; 1 promise in gaod faith to inform the ov�mer of.#he permitting:canditions se#forfh in :
this affidavit prior to cammencing canstruction.��I understand tha# a separate permit may be requlred for electrical wark,. :
plumbing, signs, wells, pools, air.conditioning, gas,._or other'installations not specifically included in the application. A
permit issued shatl`be construed to'be a license-�to�.praceed with the work and not as authority.to violate,.cancel, alter, ar '
set aside any provisibns of the fechnical codes, nor shall issuance af a permit preven#the Building Official from thereafter
requ9ring a correction of errors in plans, constructian or violatians of�any cades. Every permit issued stiail become invatid
unless the wark authorized by such pertnit is commenced within six r►�anths of permit issuance, ar if work authorized by �
the permit is suspended.or abandoned for a period-of six(6j riionths after the time#he work i�commenced. An extens9on '
may be requested, in writing, fram the Building Official for a period not to exceed ninety (90) days and will demanstrate '
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered aba�doned.
WARNING TC? OWNER: YC?UR.�AtLURE TO RECC?,RD A NtJTtCE OF COMMENCEMENT MAY RESULT IN YOUR�
PAYING TWlGE'FOR;lMPROV�MENTS.TO YOUR;PROPERTY:. IE YOU.INTEND�T0�.48TA1N-FINANClNG, CONSULT
---.-_�IVITFla(-OUR=I�END�R-C3R AId�-ATTCARId�(-�EF�ORE 6tECORDIING YOUR�NOTICE�UF�CO�IIIVIENGEMEIdT, �
FLORIDA JURAT(F,S.117.03} �
OWPIER G1R AG�N7 CONTRAC70R �
Subscribed and swom to(or affirmed)before me thls Subscribed and swom to(or affirmed)before�me this �
by by
Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced
as lclentification. ��� as iden'tif'ication.
�
Notary Publia Natary Pubtio
Cammission No. Commissian No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped