HomeMy WebLinkAbout17-18298 CITY OF ZEPHYRHILLS
5335-8TH STREEC
(813)780-0020 1$298
BUILQING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18298 Address: 7640 GALL BLVD
Permit Type: SIGN ZEPHYRHIL.LS, FL.
Class of Work: MQNUMENT SlGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Sec#ion:
Square Feet: Subdivision: ZEPHYR COMMONS
Est.Va1ue: Parcel Num6er: 35-25-21-4130-0000-0080
Imprav. Cast: 2,200.Op OWNER INFORMATION
Da#e Issued: 4l0512417 Name. SF ZEPHYR C4MMC7NS LP
Total Fees: 127.50 Address: 100- 2851 JOHN ST
Amount Paid: 927.50 fVIAFtKHAM, ON. L3R 5R7 CANADA
Date Paid: 4/05/2017 Phone:
Work Desc: MOVE EXISTING MONUMENT SlGN TQ ROW (7 ELEVEN)
CONTRACTOR S APPLiCATION FEES
DIXIE 51GN5,INC, SIGN 67.50
DIXIE SIGNS,,INC, ELECTRICA� FE� 60.00
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Ins ections Re uired
F TER
E�ECTRICAL ROUGH
FINAL
REINSPECTION FEES: (c)With respect#a Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government sha!! impose a fee of four times the amaunfi of the fee imposec!for the initiai inspection or
first reinspection,whichever is grea#er,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable to this property that
may 6e faund in the public records af this county, and there may be additianal permits required fram other governmental
entities such as water management, state agencies or federal agencies.
TiWarning to owner: Your faiture to record a notice of commencement may result in yoar paying twice for
impravements ta your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertarmed in accordance with
Ci Codes and Ordinan�es. NO OCCUPANCY BE�ORE C.O.
NO OCCUPANCY BEFORE C.O.
C NTRACTOR SIGNATURE PERMIT CJFFI R
PERMIT EXPIRES IN fi M4NTH5 WITHOUT APPR4VED INSPECTION
CALI. FOR INSRECTION - 8 HOUR NOTICE REQUIRED
PRf�TECT CARD FRBM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021
Building Deparlment
f � �J
Date Received 3` /� Phone Contact for Permitting — Z �
Owner's Name ��i` \�� Owner Phone Number
Owner's Address \� l�� Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � � LOT# �
SUBDIVISION PARCEL ID# "��Ol ' v� '���.���
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK M CQ. fCiX�J'�'�� � � ILJ./�ILJ
BUILDING S¢E SQ FOOTAGE HEIGHT �
�BUILDING $ /��/1�� VALUATION OF TOTAL CONSTRUCTION
VLlLJ
�ELECTRICAL $ OO AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
{� v� �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �/
QGAS Q ROOFING Q SPECIALTY 0 OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �w �
g���-
BUILDER C�MPANY �X�`C ` S �C I
SIGNATURE � REGISTERED Y/ N FEE C Ren Y/N I
Address pi��,z', [ � �.� �" � License# �c..J�-CJ•�� /��
� v ` n �
ELECTRICIAN COMPANY T�I �� \�\
SIGNATURE REGISTERED Y/ N FEE n Y/N
Address ( �'j � �I License# !
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Build(ng Plans;(1)set of Energy Forms;R-O-W Perm(t for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I
Sanitary Facilities S 1 dumpster,Site Work Permit for subdivisions/iarge proJects '
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(1 D)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facililies&1 dumpster.Site Work Permil for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction. I
Directions:• • • • • • • • • II
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over 57500)
" Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conUact required)
Reroofs if shingtes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
a�saao-oozo City of Zephyrhills Permit Application F�-a�saso-ooz�
Building Department
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4 ' 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 Agricuiture 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'SIOWNER'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 pertormed 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,Water/Wastewater 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 Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- 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 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
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period 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 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,C NSULT
WITH YOUR LENDER OR AN ATt'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �
FLORIDA JURAT(F.S.117.03) �� '
OWNERORAGENT CONTRACTOR � `�
Subscribed and sworn to(or atfirmed)before me this S sc ed and swom ta(or af rmed bef ine thi
by '��U '�_by O r
Who is/are personally known to me or has/have produced o i/are personally kno to me or has/have p oduced
as identification. as identificaUon.
Notary Public Notary Public i
Commissian No. Commission No. �� / /�Q��i
Name of Nolary typed,printed or stamped Name of Nota typed,printed or s amped �p„
•5�-.�a�.: KEELY H.CHESTNUT
*� �°+: MY COMMISSION�FF 172004
� '�•`�= EXPIRES:November8,20i8 �
o:
�"%;;pd�;q:�`�� Bonded Thru Notary Public Undenvriters li
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To Whom It May Concern:
This is to give Dixie Signs, Inc. perniission to obtain Pernuts and erect sign(s) located at:
7600 Gall Blvd, Zephvrhills
Property ID# 35-25-21-0130-00000-0080
Owned by: 7-Eleven, Inc.
Owners address: 1722 Routh St Ste 1000, Dallas, TX 75201
Owners Phone#:
Sincerely,
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C�,�.� ��S Q�„��a s ,�e� j ��s���,�� �► �-� � c� — 3 �^ �� �
Name Title Date
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Print or Type Name
STATE OF FLORIDA, COUNTY OF �t�,VC� �GP
The foregoin insmzment was claiow edged before me this �, day of �� ,
20 I (p ,b ���u �QS ��S ,who is personally known to me or who had produced
��1 as identification and who did take an oath.
o ary Public
My commission expires: ���3� I�'
��•`'�;�o�� EA.EEN S.KEHOE
* * MY COI�USSION#FF 043799
EXPIRES:September 23,2017
w��lBeFiLpP�� BortdedThruBudgetNofarYServkes
(Printed,typed or stamped—commissioned name of notary)
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City of Zephyrhills
' BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: � / ��e � ���
Date Received: c�—� 7��
Site: �(D�%U/ ���/ ��(/�[/ ��
Permit T e: /' 'Z�2�1"e/I/ U�r �/� /U/� � i C�'�
YP �
Approved w/no comments:❑ Approved w/the below comments: C�Q Denied w/the below comments: ❑
e�/�/I��S � 1/d?�-P� � l� f�.P�`'(�c �1
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This comment s , et shall be k with the pemut andlor plans. �� ',
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Kalv' �Switzer— s Examiner Date Co actor and/or Homeowner �
(Required when�omments are present)
10:22 AM 7-Eleven#37745 @ 7640 Gall Blvd.,Zephyrhills,FL �, 5/23/2016
16'-2'/.'t To Trim ,
15'-6'/."
16' 12'-10'i 16' �2"
12'•2':Cabinels Combined h$� ,�
1 �
__ — �-� � Holes for 1"bolts
- " � � 'v 6"x 6"x,25°stl tube
� _ - welded to plate
, •— a-� 0 3/4"thick stl,plate
1 � ,. :: - - - - - - - --- -� -. � I 4"x 4"x.375 gusset
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4 �
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� ' � 6'x 6'x.250'sU square tube
� { ��, � support(2)feq tl
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- - - . - - - - . . , GRADE
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4'.s" .�,r: I .�� .. ..: ,.. : i _ � Concrele Pad
� a: �, ,. 12'-2'/.'t Behveen supports � �`. , 1'anchor boits(4)ea footing
L �I Drilled croncrete footing
I2 'Di4 a.Fooung 2 'DiA a.FooGng
15'-11'Base �
16'-2'Concrete pad and Base Trim
EXTRA BOLTS
AS SPECIFIED�
`�-—
IMBED MIN. 2" II
FROFd TOP OF� �I.I� II %/ �'�CHOR BOLTS
FlNSHED CONC. � � — I,
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ANCHOR BOLTS� ��dp q� �OINTS
SHOWN ON PLAN)� �i. �• �\ 1 I I I � ��
I6" MIN
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I `�-WELD BOLTS ,...,,
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TO FR/udE \ .•� . / I
OUTSIDE OF-� i � � �C ENS ` �
FOOTING � � ` �•� ���.�. ^
i �-��z� x �-��2�
I ANGLE
� - � : No. 50658 ' * �
i 6" FROM eorrorn OF FTNG - : 1 � -
L___________J___ _________ � �` �
BF°oonnMic°F-� � .p ':� STATE OF . �
FOOTING ANCHOR/REINFORCE:MENT DETA/L � � •. �c` �� <U��
NOT TD sca� � � O,t� • GQR�OP,••��G �
"ALL STRUCTURAL STEEL TO HAVE PROTECTIVE COATING FOR CORROSION PROTECTION '�/�SS� •,•,•,'��\��
"ALL FASTENERS AND HARDWARE TO HAVE PROTECTIVE COATING FOR CORROSION PROTECTION �// O�L ���
Existing sign survey provided by the sign contractor and is shown here '� � � � � � ,\
for design. Contractor is to confirm existing as shown and report any � ALL CONSTRUCTION PLANS SHALL
descrepencies at once. If existing sign construction does not conform ■ CONFORM TO THE LATEST EDITION
to the above sketch,then field modifications shall be made. � OF THE FLA.BLDG.AND NEC CODE.
I H EREBY CERTIFY THAT THIS SIGN
MATERIALS OF CONSTRUCTION(LTNLESS OTHERWISE NOTED) 293D Drane Field Rd. MEETS THE REq.OF CHAP7ER 16
aa.Shuctural steel shall be a min a36 F -36 ksi Lakeiand,FL 33811 STH ED.2014 FLORIDA BUILDING CODE
Y- 863.644.3521 fax 644.3524
b. Structural steel tubing shall be A-5000,Grade B,Fy=46 ksi. www.dixiesignsinc.com
c. Structural aluminum tubing shall be 6053,6061,or equivalent,Fy=20 ksi minimum.
d. Struchual piping shall be A-53,Grade B,Type E or S.Fy=35 ksi. � t v li �thou n gi nal sign tu
e. Anchor bolts shall be A-307. ��I� I�
f. Connecrion bolts shall be A-325.
g. Rebaz shall be ASTM A615 Grade 60. ART STITZEL,P.E.q50658 C.A.27473
h. Concrete shall be 2500 psi.&Comply w/ACI 301,304 S71TZEL ENGINEERING&CONST.,INC.
i. All welds min.E70-1/4" 317 W.HIGHLAND DR.#101
j. ASTM F1083 regular grade sch 40 pipe LAKELAND, FL 33si3
*Sign data and calculation on back of this sheet apply. PHONe(a53)5o�-aass
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