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17-18625
CITY OF ZEPHYRHILLS 5335 8TH STREEf � ~ " (813) 780-0020 18625 TEMPOR�RY SIGN PERMIT i ' PERMIT INFORIVIATION - � - ' LOCATION INFORMATION Permit Number: 18625 Address: 5530 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: 11-26-21-0010-05700-0250 . Improv. Cost: OWNER INFORMATION Date Issued: 6/30/2017 Name: WELLESLEY DEVELOPMENT CORP ; Total Fees: 40.00 Address: 5524 GALL BLVD Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 � Date Paid: 6/30/2017 Phone: � Work Desc: BALLOON SIGN PERMIT GOOD THRU 6/30/2017- 7/152017 � CONTRACTOR S APPLICATION FEES OWNER TEMPO RY SIGN PERMIT 40.00 � � � � / / �� ` C Iy,� /11 � I �L '� h.' � I I - Ins 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 fi) 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 properly 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 accordance with ii City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � CONTRACTOR 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 ���-t��01� Cit}r af Zephyrhllis Permit Rpplication Fax 813-7$0-0d21 � t Building Department . , r� ,. • i. DaRe Receiv�d i -: phone�Gontactfor�P�armittin C ._ i , Own�r'a W�am� �a 7 e�^ S�z�^cdl< h Own�r Phone Piumber ��13 y 3 S� �7'7� �" � � � Owner's Address �� ~'`� �a fr �j� ' ZeP�'l r�'��l��`� �Z Owner Phone►dumber � iFae SFmpte Titteholder.Name �� � Owner Rhone Nurnber � � � , , � S 4 F�e 3lmpte'fltteholder Address ;� aos c����ss ;��° ��f! ��1�� �c�'w���,als �� 3�5�1 � ��� � `' �.o�r# � SktBDfVI$ION �� �- F.ARCEL.ID;t� ; + I _ • • (OB,TAINEO F.ROM PROPERTY TAX NOTIC� ; � WORK PRQPOSEp �_NEW'CONSTR AQD/ALT ��' SIGN Q [� QEMQLtSH � ` ���. INSTALL 8 : REPAIR . . u 6 PROPOSED�USE - [� SFR� r] GOMM� � OTHER � � rni�o�co�s�tuc�nar� �(�� � B�ocK � [Q FRAME � STEEC 'Q � ,} E'_tlCt� t:—Y�v1k' ��`i��oo �t y'l�'� �t9'"t S � i "s, DESGRIP'{10N OF WORK � � I � BWLQING SlZE' �� � SQ FQOTAGE��r _,HEiGF,lT���f � ! � ' � d �,, i QBUILDING $ ^. ��� VAR.UATIC3N"OF�TIaTAL"COI+tS'�FtllCTlt?N"`� . � I ! � ; i QELECTRICAL $ - AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. � s . i � OPLUMBWG �$ _� ' � ( . ; QMECHANICAL $ VALUATIQN OF MECHANICAL INSTALI:�T'ION � C�====_�' - - � f CJGAS Q ROOFING Q SPECIALTY � OTMER � FINtSHED FIOOR E�EVA7lONS � FLOpD zONE AREA QYES. NO � � , _ � j E , i 1 � BWILDER COMPANY� � StGNATURE ttE�Esr�tEo Y! N ���ctia�n � Y I N i i Address ' � �tcense#'i" � ! . � �, ' i ELECTWCIf1N : � COMPANY � , - � SIGNATtJRE � t��ts�t�o Y! N FEE GCIRREt�u� =�Y 1 N � Addre�s � _ ._ t,icense#.� �� � � � � j i PLUMBER COMPANY • �,.- � SIGNA'fURE` f .,REGlSiEEtED ,� - Y.1,N„ - FEE GU$itE� Y�I RI. � I . i Addleess � <.UCenSB�# e ,. . - i I MECHANIGAI:` " � ' COAAPANY ' � � SlGNATURE �� . , � ` FtEGISTEf2E.D . Y..l Id ."_ � FEE CURREh., Y./-N t �"' � Addre�s`">-,-: • • 4 • ' s - ' License# �� OTHER i � ' - � �;COMPAPIY; Stt3[�ATUR� •,�_, � : ;; - � • � ' ` `tiE��sT�itFa`'. : Y!'N..�; ,` ��ctiR��E Y 7 N. ' Address �, _, i r. .. . . � � . . Gcense# } - ' � RESIDENTIAL;;:'"'-,AttacFi"(�),;Plot'�Plans;..(2)sets.of�Buq3ifngrPlan"s;'(i)�s�tof�Energy�Fo"rms;R=C1�VV�'Perin'`lf fbr.��ew construceon, � -' '' �,�;:Mtn4mum�ten;,(10a;wottting:��ays=atte�"s"utiinift�ai`date::�Requli+eid onsRte;:Gon�tiit'�c#ionttP�ans;=Stonnwater P1ans�w!Si1t Fence installeil, .� Sanifery�acititles�&�;1y,dumps�ter�°SIta4�IVork Permit�fai�;subdiW'sionsAaPge=Pro)ects:-y �w;,":.�'' - � � COMMERCIAL Attach(3)�oomplete sets of 9uilding Plans'plu�a Ltfe Sefety Page;(1)set of E'nergy Forms.R-O-W Permit far new construi:tion. Mlntmum fan{1i}}working days after submlft�l date. Ftequired os�site,Construc�tion Plans,Stormwater P1ans wl 81ft Fenae Installed, Sanitary Facilities&1 dumpster.,Site Work Permit for all neVv.projects..All commercial requirements,must ineet compllance � SIGN PERMIT AttacFti(2)sets ofEnglneered�:Plans:;::-,-.'���•^:...: .: � . ,. . ""PRUPERTY SURV�Y requlred for at[NE1N,consh^uc�on.. , � Dlr"actlons: � .. .. � , , Fiti aut applicatlon completely, I Owner 8 Contractor sign back of applfcatlon,notarfzed � If over$25d0,a Notice.of Commencement Is requlred. (A!C upgrades av�r ST500) :..._.,,.r.,:H{�,�� " qgent(for the contractat)'oF'Power.cif Attomey{for ttie owner}woulid be someon�with nota�ized tetter from owner autltiorizing same DVER THE COUNTER:PERMITTING- ---�{Front of-Appllcation�Only)- � Reroafs tf shingles Sewers Service Upgrades AtC Fenc�s{PIaU3urveylFoo#age) Drivewaya-Nat over Counter if on p�bli�,road�±!a,ys;rieeds ROW � +� 4 i"�i'.�t: . ., ,w .:.. -.. - , , ,. ,.._.,,- q�yyy 'J�u,.1 . , ,.1 :,.t; '� � . �,,..� .:=:>.n.a.....�.. '..._ -.. " ,t. j � _'i_ . . �.. ... 4 ' i,�,')�` __ , � -i � ' .:�� m .-. . .- . o,. .� ,..� . t.us......_ ,.m. . , ' ' ' F' ..� , _a...�m x_�a>.....rv....,.._a�«........-�,..�....r_�,„„o..,�.a-....w,...e..,.a..�.�...,.._-....-.o,....,..+.,..._..�...a...-_m.,....e.. ....,«���..- , �... s :.. -. . : .z�n> . "_ _.. l �t�'�B�E t���EF�RE�TR�CT1��+1�: The�a�a�,es�lgn�d�c�nder�t�ind�:#�t,s�hl�..p�t;r.��f��.m�y.;b�,s�ab��c�t�,,"c0�ed"..rasR�6�tleri�°��.. :,�_ . whBch m�y�be�r�oro-rest��et�e�'t#'a��'�County,�re8ulatioeis:�°T6a�`�under�lgn�.d:�ssum�s'�e�pon`a6b6lity'for coir�pll��i�e'w1th.`any,`. appl8�able deed�t�sQrictions. .�.�.. < � . Uk�9.t�EN�ED COA�T�CTt��� �a�D �ON'�►�'��R��E�PtiNSi�l�:l't'�E�: �f=ttie-owner��t�sx.:�6r�d���":co�t��c#or �r con4r�ctor�s to undettake work, th�ay may;b�:.r�qulr;ed.�o;b�:�ll�ensed In;��rd�r�ce.writh,st�te�.and�Igcc�I,t�agulaQlt�ns::�zlf'the� � - �ont�act�r Is�n�t �Oc��sed-�s��r���Ir�d��Eiy la�r� bott� th� �er arii�>+co�t��cto�-�m�ry`b�i���tQed fos°�'�mOsi�ame�,�o�vlo9atio�e und�r �tate lawr. Of the owner�r Intend�d;��n�raCQoPne�re,,uncerteln �s @ei wh�t Ilcen�png.requlrenri�rats,m�y��appiyr:�far.-%th�-< �� ��t�nded�ork+they�re�dvlsed�o+�iiiQ����ti�.P�sco Cai�nQy�uileling'{��pe�:tfon,Dhii�loei--Ltcen�ing 3ectlon at�27-�l�4�- ��0�. Purth�rrnaaee, if the ov�ner tia�`hli`ed s c�nt�iact�r o� contr�ct�r�� he 6s �cBvt�et# ta� have�th� cor�tcactor{s};.,sl�n,., ��: ..,.;<,,..�,. _ . porti�ns af th� "contractor Bl��k" of thla,.,appllc�tion..far.;whluh.they will...b�.te�p.onslbl�.•....If.--you;�as�:lhe owrier sign'�ai�'tlie� '' � c�ntra���r, thaE�ma�t'b� �r� Onti6�at�a�t th�t lie i� not:pr�p�rly 1ic�nseif �ntl`'i��ri��en�t�ed`�s�p�eti�tlt�ing prtr�lleges�n Pasco , County. V : �� . , 1'��I��CIRTAT�Ot�=lMPAGTIU'�lI:ITlES�IIIAP��'��►t��?�l�E��URCE RE��YEEtY�P�E3: Yhe�u�td�tslgt�ed-u�id�e�tands thaQTr�nsport�tt�n impact Fee��a,v►d.Fdecax�t�e.Rec�v�P.y.�e�as m�y;�ppiy;.ta�t�e:consU���on_of n+�v�r...building�,°ci��n�e�f�f` `� ' �, use In ex3sting bulldings, or,expa�'sibn�of��ie6�tiri�=�b�iiltling�� as sp�cifled.On P�scQ C�a�nty O�dina�tce ra�rnbe�89-07 �nd 90-07, a� am�nd�.�.,,_.T�� �nde�0�ned�Ise�s=���ersta�ds, �h��:�such f���;:5��f-cr���,bs:�du�;;�w11�;5l�� id�nf�#t�d at th��tiii��e�o#�°. .�.` ` pernnit�ing. It Is fiarther under�400d @h��Tr���p��rtatlan Imp�cf Fe��s �ndaResoa�r:ce�;R�covery=Fee�,.mu's# be p�ald p�8�r to receEvi�g-a:'csc�Ffc�te.of�occup�ncy" or�rtal-:power.�e.1'ea�e; :4f�the.pr��c4:�does�,t�ot It�v�lve�ahc�r�4�r.�tie �f occs�p�n�y{or;<,-;,:.,.:- :. . finat pmwer relea��;:�the°fe�s mu�t'be"paid.pr�or to.,pecmEt is���nc�. Fu�k���mareo�f 1���ca,Caunt��llVat�rlSew�r-;impac# � � �ee��re due,.lhe��..mustb�,pald.;pNor to,permit�:l�s.4�n�e;:in.�ccordar�ce witFi:��ppltoable:P�sca'�,Count�•or+dinances. � ��6��TRt�Gi1{?N�IE�t'�L�C11V(�fi�pt��795���t�r�c1��#���s�a�am����d�: If v�l�a��on ot�nr�rk i��2,500.o0.�r.mor�,..�� ,. cer�ify that I, th� �pplicant,-h�ve.b�en pP�r►Ided�wlth• � �tapy r�f��the '"Florida� �an�truction�-L-len.:Law--Qiomeown�r's Pratection �a�ide" prgp�r�d by�is Ftai�lda� D�parE�n�nt of�gr0�uit�r���� Gonstam�r;.A�fiales. If th� �ppltc�nt is sot�eon� � .. oth�P than�he"�nrner", I�ertOfy,t..that.;l hav�.�bt�in�d�aY �c'opy;�f:th���babe.:a��acritiedtia�ui�ent�and.pro�ise�,.l�,g�odfaikh.to , d�liv�P it tco the.°owrie�`:p�ior°tapammmencement:' � ` . ���TF�ACT�R'�90oNNER'9�A��ICtANiT. i.ceitlt�r:.�tti�t��il..#h+��info�r��tiom:l�t�this applic�ttora 6�aaca�r�te�nd t�rat aii veork wiil'be doroe in complia�nce with all appi0c�ble laws regtal�ting cor�s�ructlar�� zontng and��land�developmer�t. Appllcat0on is �er�by �t�de �ar obt�ln .a perm�t.�:to_do�wrorDs:;�nd :litsta#I�tion �� indt��f�d;�---�°0 c��t�y #h�# no w�rk�or tnst�lla#�iii� t�as commenc�d ��tor to is�uan�e� of a p�rmit antl th�Q�.�lI work will be pe�'imrmed fo m�a�t standard�-of a�li laws r�gulating, co�rst�uoQl��tt �aunty �nd Cit9r s.�de�, zo�ing r�gulat6�r�s, arad 4and ����I�pment regulatlon��tn the��trl�dlctt�n: I�al'so c�r#3fy that I u�d+�rsfand�hat the reguiatia�s�f tather�gov���rrdent�g�nci�s m��s��pp)y�to the lntend�d�trork, and that it ls my r�sponslbiEity t�identify•wh�at.acQlans I musQ•t�ke:M,6e,in:.c:orrlpllat�c�; �uch:�gencl�s include but��are.not lomited tc�: - CS�p�rr�tm�n# �f Et�vic�nmee��a1��19rotacf#oii�Cypr��s.'Bsyh��d�, W��and Areas a�nd Envtr�ncner�t�l9y See�sitivs Land�,WatedWaet�water Tnsatrr��nt. � - Southwr��t Fl�rld� Y9t�ter Mar��gtem�nt .:���trlct iNe�ts, CYP�ess.A.��y�t��d�. VY��tia,¢��i Areasg Aiterc3ng 9Nat�rcour�es. - - Army Corp�of E�glneers-Se��u�ll�,Docks, N�v6g�til�1fVat�r�r�ys. - �ep��4m�rrt �f. F:��a�2h;"&..Ret��blt€�atirr�.:S�nrtc�stEnv6tonm�r�#al.He�lth lda�it Wellsi W��t�Htatert Tre�t�nent, Se�#ic Tanks:. . - U�E�erf�nr�ental Pr�t�c#i��A#�ency-Asbe�to��b�#�m���. - Fed�raB Av.ietion:Autho�tiy-#�unw�ys. 1 under�tand 4hat ih�follotivirag=restrlctl'ons apply'tb the u�e o�fiIIL•• - Us�c�f f�91 is�ot�Itavv�d in�Flo�d;�ane"16"�a�1e�s�xpr�ss�y p�rrnittesd. - If th�-�ill materiai is #o�b.e u�etl:'In �Flomd Zone�. "A", Ot. Is und�r�taod #hat � dra(n�g� pl�n addr��sir�g a "c�mpe�s�ting vot��n�r"wll� b� sub�ltt�d at�ir�e��-p�r�i�l���u�ii�h �s pr�p�red by � pra��ssi�c�al �ngin�er Iic�ns�d by'#he 5#ate ot���iotlda: . - If Qh� �I! msteal�l-!s to be used �� F'Iciod �bn� "A" !n�ccann��tl�n�avlth�a permitt�d buNdi�g u�fng steen av�li ' cons4rucfion, i c:�o�y that f�i:�il-b.�us�d�n6y.to..fill th�ara�witt�in�the stetn�wraiL . - 16 fl90 mat��lal is tb be used !n �ny �,re�, I c�rQl6y ##��t .uee. of'such flll wlll not adv��s�ly affec� adjacent pe�p�rtles. if us�r af f�ll i�#�t�rtd to�idv�r�eEy,�ffect�d���a�t prapeati��.th��wn�r may b�c1f�d fo�vtoFating the condl4la�ns.of the bc�ilding�;parmik i�sueid�un��r the��t��ch�d.�rmit �pplicatlon, foc:loQ� le�s than:�ne (1) acr�v�rh6ch ara elevatgd�tiy�D!!,��er�gln�er•ed dr��nage p0a�i�r+�quired. Of i�m the AGENT-�OR TH�,t�1�1i�lER, I;.prtorv�iae In ga�d f�i#h to i�foPm�t3��ow�ner of�-#h�permtt�ing condit�ons set�orth tn lhi� �fYidavi�`prioa� to comrriencin� cansi�ctEon. 1 underst�nd th�t,��.aeparate p�rmlt nnay be requlred for eleat�icaf wrar�, . pla�mbOng, signs� r�elfs, po�P��.��r c�nd1#fi�roir�g,.��s,-.or �fF��� 1nst�11�'t�ons n��,�pec�c�l�r �nc#uded�d�.#h+� appllcat3on. .�e . permit Issued sha�ll be cons#nu�d to b`�'a�If�nse°�to`-pr��eed�rlth tfi�wvork�nd raot�s.�u@hoNty�to,v1�9�4e, aaaicel, �Iter, or se��slde:�ny pr+mVls6�ns of the.te�hr�lcal_cod��;�r�or�hal!lssaa�n�e�aF a.p�Pmi�.pr.e�o�rot th��alldlrig t�tcfa!#�m thereafter r�quirtn.g a�c�rrectian ai ercors in��plans;c�n�t�c�lon or vfotatt�ns of�any cod�a. Ev�ry•pierrml�--issu�d sfie�l)b�ca�me inv�lid unl�ss the work �uthorized.by ��ach permlt:�ls.c�r�nmenc�d•�at@hin �c cnontha ot�pe�nit Isauanc�� cor ti work authoPized by 4he p�rrrptit is s�sp+�ncf�d,or:���do�ed-for.:�:�ettod.af=slae:{�}mont�i���t�r t�te tir»�th��wa�tc�is corti�nenced. Ar�extet�ston may be r�q�a�sted� In writirig,:�rom the:Build9ng,�Jff�ci�l for� p�rfod.,not to exceed'�nir�ty�(90��days �nd will demonstrate 3ustl��bie r.��se tor�the ex��nslon: ff work ceas��:for e�Ir���.��0}cons�cu�iue;day.�..,th�J�6�1s.con�td��ed aba�d�ned. �IARNONC; '�O C9��@E�it YC�IIR,,EAILWRE;T�.,.lREC:Q�D;A��:O�IG.lE:OF��COMMI�M��ME#�T-,M�AY•RESi1�T-�P! �P�O►UR ��►YIN�T1MI�E;;�F�t�1M�QV�lI#EN�`S�TO.:Y�t1i�:;P�4�E�T1f�ii�°Y�.E�+1�'�E�D�i�Q°��ti�TA1N�=FtQ���1NG'o'GOEI�ULT l�kllT A 'fT�71 �R��� G� OIJ `' ;�A �' � � Ftf?RIDA JtiRAT_{F.S:4.17.03) . � ; . : .,. . . .. . _ _ /� - ',,,...r-- ' _ - �_.-- C3F�,°o`���3 3;.i 6�i��F1�' L��~' C-.....�"� CONT�ACTOQt ����'""'�r � S bsatb d d swoec►M(or atNrmedj before me this Snb�a�lbe�and'awom 4c{mt'a�inn�dj�b�ba�nte�ttii�: ' 1°�r��bY 'p `��1�.��Y ... Mifio I�/are per�onelly Bco�ovvn.ta.me.or•ha�lha�e produced Who.i�l'sre p.�r�onell��Cnown•kt�.me:orNa�have�produced � � �s I�entl�ceflvn. a�ldentlflca8an. ' ,����._ �����tafary Publtc , a • �' ti E!o#ary�'ublic �ommisslon No: / �G� � t�rrols�lon.Na� �� G,� �,.f,,,�� ��,�1� �/�/�` �����c_.. � � U �f Name op 4dotary typed,printed ar st�mped Rl�m�af Plota �d, rint�s! ,,,,„ � C�fi��,..... �--;:-Rt7FFE{.l ,� Y��+,r � 045343 ..;�K,;�rn.�� ti;:.:. �tY, k sa? `k�'""�;- �� ��,y, �is" � ''LAIA:E f2UFFELL '*' � � 4 c C.�' :.3si.!it �r'Elt�tfTk'�'. �0� o �cits?� :Z��G Q45343 :'+i ue�+'T� -",0-36rrT019 �. %.;'o�N,.•` Bot�dOd' � �:�F�:�'"„�;'e=, ,�;��rnber 7,2024 �.4�.�,�,,.,� �"'%�$;;„4'� 6oilr:uuiur.°„.r"aintasurance80Q-38�7053 .