HomeMy WebLinkAbout17-18872 CITY OF ZEPHYRHILLS
F" ' S335 8TH STREET �
(813) 780-0020 �$$72
TEMPORARY SIGN PERMIT '
PERMIT INFORMATION LOCATION INFORMATION-
Permit Number: 18872 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: 9/27/2017 Name: ROBERTS YVONNE C REV LIV TR ,
Total Fees: 40.00 Address: 5240 GALL BLVD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 '
Date Paid: 9/27/2017 Phone:
Work Desc: TEMP SIGN (BALLOON) EPIC EVENT TIRES PLUS SEPT 28TH - OCT 10TH 2O17 �
CONTRACTOR S APPLICATION FEES
OWNER TEMPORARY SIGN PERMIT 40.00
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Ins ections Re uired
FOOTER
ELECTRICAL ROUGH �
FINAL �
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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 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, cortsult with your lender or an attorney�
before recording your notice of commencement." �
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
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
813-78Q-0020 City of Zephyrhills Permit Applicafiian Fax 813-T80-0021 ;
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Date Reteived " 2'
Z� Phons Gantacf far P�rmftting C� � � `��— ��?�
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Owner's Name l`��� �� ��_ Owner Phone Number �� � � L �'`�'��'Z �
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Owner'sAddress ��'�� v��� � 1`✓ ZJ Owner Phone Wumber � �
Fee Siniple Titlehalder Name ���-`� ���5� � Owner Phone Number � �
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Fee Simple Titleholder Address
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JQB ADCIRESS �� a �-~`�Z��� � � �cJ LOT# '�___!_�
��� SUBDIVISION �_ � PARCEL ID#
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�� WQRK PROPOSED e NEW CONSTR 8 ADDiALT � SIGN Q Q DEMOLISN �
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r PROPO;SED USE Q SFR . Q CQMM 0 OTHER ��j
�� TYPE OF CONS1"12UCTION Q BLOCK ' Q FRAME � STEEL Q �
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� DESCRIPI"ION-OP WORK �.�b�� �� �� I
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� BUILDING SIZE �� � SQ FClOTAGE� HEIGHT j
}��, OBUiLDING $ �� �� . � VALUATION OF TOTAL CONSTRUCTION �
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i QELECTRICAL �i ----� AMP SERVICE � PROGRESS ENERGY [� W.R.E.G.- '
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� �MECHAiVICAL $ VALUATIC}N OF MECHANIGAL INSTA�CATtQN �}� 7�-'"
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' QGAS Q 1200FING Q SPEGALTY � OTHEF2
�f FINISH�D FLOOR ELEVATIO � � FLOOD ZONE AREA QYES NO
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7 BUILDER COMPr41VY
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i
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� Address License# r� ��
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� ELECTRICIAN COMPANY i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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� , Address � � License#
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� PLUMBER COMPANY � I
; SIGNATURE REGISTEftED � Y'/' N . FEE CURRE� "Y�/�N '
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Address License#`� � �i,
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? MECHANICAL: - COMPANY - - .
, SIGNATURE REGIST�RED Y/�N-� • FE6 CURRE� < �:,Y:/.N .�;,, �
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�. OTMER , , COMP�►WY ;
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C� RESIDENTIAL' "Atta'cfi'(2)Plot Plans;'(2)�sefs�of Building Plans;(1)set of,Energy Forms;�:R-O=W:Permit'for.'new canstructian,. .
�"` Mlniinum=teni(1.0)',working days`aftersu6mittal d"ate.'Required onsite�Construction�Plans,Stormwater Plans w/Silt Fence`installed, '
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� Sanitary Fac�lities&1 dumpster,Site Work Permit for subdivisionsllarge pro�ects "
�' COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety,,.P.age;(1)set of Energy Forms.R-O-W Permit for new construction. �
�Minimum ten,{1Q)-working days after submittal date. Requi�ed onsite,Canstruction_Plans,Stormweter Plans w/Si1t.Fence installed, �
� . Sanitary Fac3lities&1��durnpster.Site Work Pertnit for all'i►ew projects.At1 commerciaE requirement&mus#mee#camptiance
� -.SIGN PERMIT Attach.(2),sets,•of.Engineered Plans. �, , ;
� "*'PROPEE2TY.St1R\!EY required for a!!NEW canstruction. , �
' Diirect'ions: �
FiEI aut appEication completely.
Owner-;8�Contractor sign back of application,notarized
If over$2500,a Notiae of Commencement is required. (A/C upgrades over$7500)
'* t{gent{far the contractor-}or Pawer of Attomey{far the awner}woald'be sameone with notarized letter fram owner authorizing same
-OVER 7'HE COUNTER PERMITTING (copy of contract required)
Rer.00fs.if shingles Sewers Service Upgrades^AiC Fences{PtotlSurvey/Foatage} ' � �
Driveways-Nat over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permi#may be subject to"deed°restrictions"
which may be more restrictive than Caunty regulations., The undersigned assumes respansibility for compliance.with.any
app(ieable deed restrictions. ,. � - - - �-, , � _ .. .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �If the owner has hired a contractor or
contractors to undertake wrork, they may be required to be licensed:in accordance with�state and local regulatians. lfthe
contractor is not licensed as required by law, both the owner and cantractar may be cited far a misdemeanor violation.
under state law. If the owner ar ihtendec!'contractar are unce�tain as to what:licensing�requ'srements�may apply�fot the
intended work, they are advised ta contact the Pasco County Building Inspection Division--Licensing.Section at.727-847-
8009. Furthermore, if the owner has liired a contractor or contractors, he-is-advised~to have the contractor(s)`sign
partions af the "contractor Block" of this appiication for rrvhich they will be respansible. If you, as the awner sign as the
cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting�privileges`in yPasco�
Caunty. , �
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undecstands
that Transportatian Impact Fees-and Recaurse Recovery Fees may apply to#he construetion of�new buildings, change af
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 rinay be due, wilf be identi�ed at the time of
permitting. It is further understood that Transportation Impact Fees and Rasource Recovery-Fees must be paid prioe-ta
receiving a "certificate of accupancy" or final power release. If the�project does nat�invalve a certificate of occupancy or
final pawer release, the fees must be paid prior,#o perrnit issuance. Furthermore, if Pasco County Water/Sewe�.Impac#
fees are�due, they must be paid prior to permit issuance in accordance with applicable Pasco.County ordinances.'�
CUNS'PRUCTlON LlEN LAW{Chapter 71�3, F'lorida Statutes,as amended): lf valuation of wark is$2,540:00 or r►i`ore, I
certify that 1, the apptioant, have-been provided with a copy of the "Florida Canstructian Lien �avw—Homeawner's.
Protectian Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is°sameone
other than the"owner", 1 certify that 1 have obtained a copy of'the above described documenfand prc►mise in good faith to
deliver it#o the"owner" prior to commencement. '
CONTRACTOR'SlOWNER'S AFFIDAVIT: I ce�tify that all the information in this application is accuraCe and that al!'wark
will be done in compfiance with ali applicable iaws regulating construction, zoning and land developmenf: Applieation is
hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
cammenced prior to issuance of a,permit and that alE wark wi11 be pertormed to meet standards af all laws regulating
construction, Caunty and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I alsa
cst�ify tha# 1 understand #hat the regulatians of other government agencies may apply ta the intended war.k,,and that it is
my respansibility to identify what actions I mus#take#o be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Sayheads, Wetland Rreas and Environmentally Serisitive
L`ands,Water/Wastewafe�Treatment. ' •
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Heal#h & Rehabilitative ServiceslEnviranmental Health Unit-V1fells, lNastewa#er Treatc�ient,
Septic Tanks. �
- US Enviranmental Pratection Agency-Asbestos abatement. �
- Federat Aviation Authority-Runways. -�_�%� ,
I understand that the following restrictions apply to the use of fill: �
- Use of fill is nof allowed in Flood Zone"V"unless expressly pem�itted. �
- If the fill material is to be used in Flood Zone "A", it is understood that a .drainage plan addressing a
"campensating volurr�e° wi8 be submit#ed at tirne af permitting which is prepared by a professional engineer
iicensed by the Stafe of Florida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
constnactian, i certifjr that fill will be used oniy ta fiEl the area within the stem wall.
- If fill material is to be used in any area, I certify #hat use of such fill will not adversely affect adjacent
properties. If use of Fill is found to adversely affect adjacent properties, the awner may be cited for viala#ing
the condi#ions af the.building permit issued under the attached permit apptication, for lots less #han one (1)
. acre which are elevated by�II, an engineered drainage plan is required. �
if i am the AGENT FOR THE OWNEI�, 1 prornise in good faith ta inform the owrter af the permitting canditions set forth in
this affidavit prior to commencing construction. I understand tha# a separate permit may be required for electrical work,
piumbing, signs, wells, pools, air conditioning, gas, ar ather 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 pravisians of the technical codes, nor shall issuance af a permit prevent the Building Qfficia!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 abandaned for a period af six(6}months after the time the wark isti,commenced. An extension
may be requested, in writing, from.the Building Official for a period not to exceed ninety (90) days and will demanstrate
justifiabte cause for the extensEan. tf work ceases far ninety{94}consecutive days,the jab is considered abandoned.�
VIfARNlNG TO OWNER: YOUR FAlLURE TCl RECORD A NOTICE OF COMMENCEMENT MQY RESULT IN YOUR
PAYiNG TWtGE FOR'iMPR4VEMENTS TO YCiUR PROPERTY. IF YQU INT.END TO QBTAIN FINANCING,CQNSULT
WI7H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO.UR NOTICE OF COMMENCEMENT. '
' FCO}21�A dllR;4l'-(F.S.11T.03} - -- - —-
_ �. - - ---- -- — - - - -- - -
OWNER OR AGEN7 CQNTRACTOR
Subscribed and swom ta(ar a�irmed}befare me this Subsorlbed and swom ta{or a�icmed)befare me thls
by by
Wha is/are personally known to me or has/have praduced Who is/are personally known to me or has/have produced
as�den�flcation, as identification.
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Nofary Public Notary Pubi(c
Commissian f�la. Cammission No.
Name af Notary typed,printed or stamped Name of Notary typed,printed.ar s#amped