HomeMy WebLinkAbout17-18556 � r- '
CITY OF ZEPHYRHILLS ' '
�• _ - 5335 8TH STREET �
(813) 780-0020 �8��n
TEMPOR64RY SIGN PEttMIT '''�
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' PERMIT INFORMATION - - LOC�►TION INFORMATION ` � •-
� Permit Number: 18556 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: 6/06/2017 Name: ROBERTS YVONNE C REV LIV TR
Total Fees: 40.00 Address: 5240 GALL BLVD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/06/2017 Phone:
Work Desc: BALLOON TEMP FOR EPIC EVENT- JUNE 8TH, 2017- JUNE 11TH, 2017 (TIRES PLUS
CONTRACTOR S APPLICATION FEES
TEMPORARY SIGN PERMIT 40.00
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s ections Re uired
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� 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 Plans,Specifications Must Accompany Application. All work shall be pertormed in accorctance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
CON CTOR 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021
� Building Department
Date Received . � 2 �g� _ j���
� := Phone�Contact�for.�Perrralttin �
Owner's Name ��� �Us Owner Phone Number t��� •��� ' }zC'�
Owner's Address v D �7./�Ll � 1 V� Owner.Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Stmple Tltleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PAFtCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED : NEW CONSTR ADD/ALT [�` SIGN' Q Q DEMOLISH
_B. INSTALL B REPAIR �
PROPOSED:USE . Q SFR. Q COMM Q OTHER
TYPE OF CONSTRUCTION - Q� 'BLOCK " Q FRAME Q STEEL Q
DESCRIPTION OF WORK' " ��C L��� �'1 I66 h ��-;—j
BUILDING�IZE � �`SQ FOOTAGE� ,HEI,GHT�
QBUILDING $ VALUATION:'dF'TOTAL CONSTRUCTION
QELECTRICAL $ � AMPSERVICE Q �PROGRESS'ENERGY Q W.R.E.C.
OPLUMBING - $ ' ��5�
QMECHANICF►L $ VALUATION OF�MECHANICAL INSTALLATION � �
QGAS Q ROOFING .Q SPECIALlY Q OTHER�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
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BUILDEft , COMPANY=
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/�N�'
Addrea� License#
4: �
ELECTRICIAN; - COINPANY
SIGNATURE � REGISTERED Y/ N FEE'CURRE��� 'Y/N �
�
Address ' � , Llcense# � � -
PLUMBER ` ' . COMP.ANY �
SIGNATURE` � REGISTERED Y/.N.� .� FEE CURREN Y/N.
Addre�s License# �
MECHAtdICAL' � ' ' COMPANY, '
SIGNATURE - � ' REGI$TERED ,Y.,/ N . FEE CURRE� .. Y/N-.
Addres�r � � � '� ' � � - � � - . ~ License#
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OTHER : - � � � ',COMPANYf ;
SIGNATURE .'�. "' " ' ` � �' � " REGISTERED' ' Y/ N.... `FEE CURRE� Y/N
Address � �: - ' . - , - - • � License# � , �
.,. : - ,.....< <:... , ,..., .,, .. _..:, ;.;.:::�.< ..<. , . ,,. < � ,
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RESIDENTIAL;�, Attach(2).,PIof�Plans;(2)sets�-.of:Building7Flans;'(•1)sef of'Energy�Foiin.§;R=O=W Permlt for new construcUon,
;�-Mfnfmum:ten•(�1,0),worktng;days,aftar:submftfal date.`'Requireil onslte,.Constnicdon-Plans;Stormwater Plans wr%Silt'Fence installed,
�` �"�Sanifary FacillUes:&•1,dumpste,r,_SIte�Work�Permitfor�subdtvisiqns/large.projects;.�._.. .� ' = •
COMMERGIAL Attach(3)complete se�of Builclin'g'Plaris�pius a LIfe�Safety Page;�(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days'after submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed,-
Sanitary Facilides&1 dumpster_Site Work Pertnit for all new:proJects..All commercial requlrements_must meet compliance '
SIGN PERMIT Attach"'(2)`sets�ofEngineer.ed%Flans.; .. �• : .. °
""PROPERTY SURbEY required for all NEW constructlon., _ �
Direatlon�: -� .� � ��
Ftll out applicaUon wmpletely.
Owner 8 Contractar slgn back of appltcaUon,notarized '•
If over a�500.a Notic�of Commencement ls requlred. (AIC upgrades over 57500)
.. ,�,_.: '
Agent(for tFie contractor)or Power ofAttomey"(for�Uie owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER.PERMITTING --(Front of-Application Only) �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIof/Survey/Footage)
Drivewaya-Not over Counter if on public roadways..need's ROW
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NO'T10E OF DEED RESTRICTIONS: The.ur�dersign��;unde[stands�ith�t;thl�,�.pyQrmlf�.may,ibe.subJe;ct to"deed,"_[QSVICtI0�1S°, _,_ . ._.
which may�be=more'.r.esttictNe>th��County`=regulations. TFie`u'nd''e'rslgned assumes resp�nsltiillty for�aomptlance'with any- ;
applicab����deed=rest�ictions. ... . .. ; .. �-. � �• -� •
UNL.ICENSED�CONTRACTORS�AND CANTRACTOR RESPONSIBILITIES:� -°If tFie owner�has°'�htred�a�cont�actor or
contractors to undertake work;,they rriay:be>ce�quire.d:�tQ:be�Ilcensed In:accordance.with,state.a�d,�local;regulatlons:�if�the�� � � '�
contractor is not Iicen`sed as�reQulred'tiy law�.6oth�the owner and contrector may�be�cited��for�°a`misdemeanor violation
und�r state law. If the owner or interided;,contractor,ares;uncertaln as to what Iicensing.requtrements."may�apply�ior`the- •= -
intended work,they are advi"sed�fo coritact the Pasco County__Bullding'Inspection Dhrislon_-Llcensing Sectton at 727-847-
8009. Furttiermore, if tHe owrier Fias�iii�ed�a con►ractor�or contractors, he is advised to have the contractor(s),,jsign , _:
portions of the°contractor Block" of:thls_application..for.;which.they wlll. be r.esponsible. .If you,_�as�.#he owner""sign'as°�the
contractor,-that may be an indication that'he°is not.prope�ly`Ilcen"sed`and��is-not entiNed'to pem�iitti`ng privlleges In Pasco ,.
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County. ' .. . �._. .. .�
TRANSPORT14TlON:IMPACTIUTILITIES�rMPAC'C�ANb�RESOURCE RECOVERY�FEES: The unde�slgned understands
that Transportatfon Impact Feas and.Reco.utse Recove.ry.Fees mey�:apply._to�the�constructlon of new..buildtngs;�change of��" ``���� ��ti
use in existing bulldings, or-_expansi�n.of�ezistin�g�buildings, as specifled.in Paseo County O�dinance number 89-07 and
90-07, as amended.,,..The undereigned als�;understands; thait:�such fees�<as�:may:�e�..due;;wlll:be identifled at the�time-�of��-�'� r=== ''�
per�itting. It Is furtti�r understood that Transp'ortation Impact'Fees and�{Resoucce�Reco�ery`Fees:.must be paid prior to
receiving-a.°cerEf�cate-of�occupancy"�orflnal power:release: :If°the.proj�ct:.does:not involve:a�.certiflcate of occupanoy,�}o��� �"� �����
final powec-release,ihe:fees�mu�t'be"�paid.prlor to pecmit issuanc�. Ft��thermore;ff Pasco.County'1NatedSewer�lmpact ��� .. �
fees are due,they must.be,pald-pri".or to permit��issuance=ln.accocdance with�applicatile_Pascv�-.County='o�tlinances. -
CONSTRUCTION�LIEN'LA1M'(CHapEer 713, Florlda Statute��as amended); If valuation of work is$2,500.00�or more,.I =:,�f
certify tHat I, the applicant,. have-been pro,ytded with�a-copy of the��Florida-Construotion�-Lien`.Lav�—Homeowner's
Protection Guide" prepared bytlie Florida Department�of Agriculture and Gonsumer.:Affairs. If the applicant is someone , . .
other than the"owner", I certifjr.that I haye,obtained�a=eopy.of.the:above.•.described�Jocument°and.pr�r�ise�.in,good:`faith:to - . ,
deliver it to:lhe:'owner"�pi�io�fo�cornmencement:''' " ' � �" � - '� -' • . `
CONTW4CTOR'S10VIfNER'S AFFIDAVIT: I.cer,tify:-that:all•.the:information:ln-thi� appltcation is accurate.and that all work
will'be done in compliance wfth ail.appltcable'laws regulating constructlon, zqning and:�land�development. Appitcation is
hereby made to obtatn .a permit:,to_:do:work�,.;and��instellatlon as indicafed:.,.-1, cenffy tha# no work�ror Installatlon Fias
commenced prlo� to Issuance`of a permit'and thaf.all work will be�perFormed�to meet standards-of all laws regulating-
construction, County and City cod�s� zoning regulatiQns, and land development cegulattons�in�the .jur(sdtctlon: I al'so.
certify that I understand that the regulations of other�government agencies may�apply�to the,intended work, and that it is
my responsibilily to identify�wh�t,ac4tons I must take,to,be=ln..conlpllar�ce;.,.S.uch.ag�ncies include but-are.not Iimited to:
- Depaitment of Environmental=�Protectton=Cyp�ess.'Bayheads�; 1IVeHand Areas and Environmentally Sensittve
Lands,WaterMlastewater Treatment. �..
- Southwest FloNda Water Management�=:l�istrict-Weli's; 'Cypress. Bay.heads; Wetland Areas� Altering
Watercourses. -
- Army Corps of Engtneers-Seawalls,�Docks, Navigable Waterways.
- Department of.;Health:'8,.ReMabilitati�e..Services/Erntronmenfal Heatth UnBt Wells, Wastevitaater�Treatment,
Se�tic�Tanks:�,-'- ., - - - _ �
- US Envl"ronmental Protectlon Agency-Asbestos abatement... _ - � .
Fede�al Av.latto,n.Authority=Runways: � - .
1 understand that.the.following.��estrictions appiy to tHe us�e of flll:•
- Use of flll Is not allowed in.Flood:Zone"V"unless expressly.permitted.
- If the fllf mate�laF-is to�`'bs�used: in.�Flood Zone. "A°, �(G is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of�.permitting which is prepared by a professfonal engfneer
Ilcensed by#he,State of'Florida. �� �� ' �� � •� �' _
- If ihe flll materlai�_is`to be.used in Flood �one 'A" (n�connec�ion�uvith�a��permitted building using stem wall
� construction., I ce.rtiry:that fill:will��b.e�used only.to.flll the-area-within the�stem�wall.
- If flli materlal�ts�to be used in any a�ea; l`�certify that .use. of;such flll� will not adversely affect adjacent
propertles. If use of fill is found to adversely:�ffect adJaEent'�propertles,.the owner may be cited for violating
the�condi#Pons:.of the building;permlt issued�under the'attached,ypermit-applicatlon; for-IotsLLless�than=one (1)
acre which are elevated��by flll;an engineered dralnage plan is required. •
if i am the AGENT�AR.THE�OIMNER; I;.promise in..good.faith to inform the owner of�the:permitting condftfons set-forth in
this affidavft'prior to commencing constructlon. �1 unders4and thafia�separate permit may be requtred for electrlcal work,
t�.r-.:__.^'.
plumbing,,_signs, wells,:poots;. air condittoning,-.gas,_or:.ott�e� Install�tlons noE.speciflcally inclu�led�in.the�application. .A -
permit Issued shall be const�ued to be a"Ilcense'to�proceed with�tFie`work and�not:as:authoNty�to:violate;�-cancel, alter, or
set aside any�provis(ons of the t�chnical codes;�nor shall issuance�of a.permit.prevent the Bulldirig Offictal from thereafter
requirin.g a correction af er�ors in�plans; constructlon.or violations of-any�codes.� Every�permit=lssued"sliall�become invalid
unless the work authorized.by such permit:�ls_commenced�withtn sUc;months of�permit Issuance� or if work authorized by
Ithe permit is suspended or:aba�doned•for:a:period of�six�.(B)�montfis�afte�:the.tirne the�work is cotnmenced. An extension
may be �equested� In v�iting;-from the.�Buflding,Official for a period=not-to exceed��ninefy�(90)�days a�d-will demonstrate
justifiabie cause for_the extension, If work ceas�ss:for ninety(90)cons.ecutive days�..the job�is.considered aba�doned.
WARNING TO OWNER: YOUR;FAILWRE�TC1..R�EC.ORD A:I�OTIGE::OF��COMMENCEMEMT:MAY�RESULT IN°YOUR
PI�YING TWICE:FOR>IMPROVEMEF�TS�,TO;YOUR:PROP@RTY:�:I�°YO.U�IN'FEND�T��OBTAIN�FINA(�E1NG;�C.ONSULT
WITH YOUR'LENDER OR AN-,A'�TORNEY BfFORE'iRECOR�I[�G�'YOUR'�NOTICE'OF'COMII�ENCE�IIENT' '
FLORIDAJURA�,(F:S:1.1T.03} - - - -_ _�- -_ - _Y ' --- --__- � --- __.__,_.__�_ _ ,
OWNER OR AOENT CONTRAGTOR �- `
Subscxibed and awom to(or aflirtned)before me thts Subscribed'and'swom`to(ot a(flrmed)�before me�tfit� .
by .by _ - ;
Who tslare personaliy known to.me or haslhave produced Who.ls/are p.ersonallyknown�to me or haslhave�produced •
as Idendflca8ori. " as Identlficatlon.
Notery Publlc Notary Publlc
Commisslon No: Comr�Isslon.No. .
Name of Nofary typed,printed or stamped Name of Notary tyrped,printed or stamped