HomeMy WebLinkAbout17-18874 _ �
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; � CITY OF ZEPHYRHILLS �
y 5335 8TH STREET �
(813) 780-0020 � • 74 I
TEMPORARY SIGN PERMIT !
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18874 Address: 5530 GALL BLVD �
Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL. �
Class of Work: TEMPORARY SIGN PERMIT Township: Range: .r 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: 9/28/2017 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 40.00 Address: 5524 GALL BLVD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/28/2017 Phone: j
Work Desc: TEMPORARY SIGN CRICKET (BALLOON) SEPT 28TH - OCT 11TH 2O17 ;
� CONTRACTOR S APPLICATION FEES "
OWNER TEMPORAR SIGN PERMIT 40.00 �
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�� `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 fl 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 I
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 wit i
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PER OFFI I
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 j
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e�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
, � = Building Deparkment >
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Date Received ` Phone Contact fo�Permitting — I
Ovireer's Name Gr{L�,.�- �'��e 1c S S (,1wne�phone Numb�r
�,J� EI, Yk S L � �
Owner's Address �j�3 b �"""t �tv Z � y '?i3��{ Owner Phone Number
i �Fee Sirr`iple Titleholder Name � � Qwner Phone Plumber �
Fee Simple Titlehalder Address
� JOB ADDRESS S��J 6 �°� Y-���o� 2.2p�Yrt��il S L �"�i j�Z- LOT# "C_�
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�;' SUBDIVISION �� � PARCEL ID#
�.' � (OBTAINED FROM PROPERTY TAX NOTICE) '
�� WORK PROPOSED NEW CONSTR ADDIALT � StGN Q Q DEMOLISH �
ct i e INS7ALL 8 REPAIR
�� PROPOSED t3SE [� s�R .. � eonnn� 0 aT���z
� TYpE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
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�� DESCRIRTION OF WORK �� �'�l�`�9�}} T�'^'� 0 Ca{y, �` �r v� .. I
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i� BUILDING SIZE SQ FOOTAGE C_� HEIGHT ,
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� QBUfLDiNG � VALUATIQN OF 70TAL CONSTRUCTION
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� Qi ELECTRIGAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.Q.-
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� QPLUMBING �$> �
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', �MECHAMCAL �> � VALUATION OF MECHANICAL INSTR�LATIQN
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' QGAS [� ROOFING Q SPECIALTY � OTHER
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; FtNISHED FLOQR ELEVATlONS � FLOOD ZONE AREA QYES NO
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BUILDER; /"""� COMPANY
� SIGfdATURE ��� " F2EGISTERED Y/ N FEE Cut�tEn Y/N
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� Address License# � �
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ELECTRICIAfV COMPANY `
81GNi4TtlRE ftEGISTEftED Y/ N FEE CURRE� Y/N'
� Address � License# �- �
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PLUMBER COMPANY � ' '
; SIGNATURE REGISTERED • Y>/' N . FEE CURRE� "' "Y/'�N' '- -
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; Address ` License# � �
' MECHAIVICAL� - � - COMPANY, �, -
i $IGNAT.URE REGISTERED Y/ N�- • FE�cu�En ,.Y./N .�.
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Address � � License#, C, - _��
' OTHER,, COMPANY - �
's SlGNATURE REGISTERED Y/ N F8E CURRE� Y/N, _
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�' Address License# �
'��:_ � F�r
�'� RESIDENTIAC� 'Attacli`,(2)�Plot Plans;;(2)sets of�B,uilding Plans;,(1)set of Energy,Forms;'R=O,Uy�Perinit`for.new construction, • I
�;'_ Nliniirium ten°(�1.U)°working clays`after-submittal_d"ate. Requi�ed onsite;�Conskrilction Plans,`Stormwater Plans vir/Sllt Fenc4a installed,�
= Sanitary Facitities&1 dumpster,Site Wark Permit for subdivisionsllarge prajecfs
CO6AMERCIAL Attach_(2)complete sets of Building Plans plus a Life Safety„Page;(1)set of Energy Forms.R-O-W Permit for new,construction.
� - , � Minimum ten.{10}worlcing days after submittal date. Reguir'ed onsite,Construction Plans,Stormwater Plans w/SIIt.Fence installed,�
(r, Sanitary Facilities 8�`1'dumpsfer.Site Work Permit for all'new projec#s.Atl cammerciat requirements must meet compliance �
� - SIGN PERMIT Attach(2);sets of Engineered Plans. � �
'- *•**PF20PEEtTY.St7RVEl'required forati N�W construcrian. , �
Directions:
Fi11 aut appiicatian complete(y.
Owner.:8�Cantractor sign back of apptication,notarized
If over$2500�a Notice of Commencement is required. (AlC upgrades over$7500)
" Agent{for the�contractor-},or-Power-of Attomey{far the owner)woulc!be someane w�th notarized letter from awner autho�izing same
•OVER THE COUNTER PERMITTING (copy of contract required)
Rer.oafs if shingles Sewers � 3ervice.Upgrades A1C Fences{PtotlSurveylFootage} � "_ � � �
Driveways-Nat over Counter if on public roadways..needs ROW I
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed°restricfio�s"
which may be more restrictive than County regulations, 7he undersigned assumes respansibility for compliance witti�any
app(icable deed restrictions. _ � _ , -� _
UNLICENSED �CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor o,r.
contractars to undertake work, they may b'e required tQ be licensed in accordance with s#ate and tocai regulatioris. tf the
contractor is not licensed as required by law, both the awner and contractar may be cited for a misdemeanor violation.
under s#ate law. If#he awner or intende'ii�contractor are uncertain as-to what�licensing requirements may'apply far the
intended work, they are advised to contact the Pasca County Building Inspection Qivision--Licensing,Secfian,at.727-847-
8009. Furthermore, if the owner has Fiired a con#ractor or contractors, he�is-advised-to have tlie contr`actor(s)'`sign
portians af#he "contractar Block" of this�applicafion for which they will be responsibte. tf you, as the avtrner sign as the
contractor, that may be an indication that he is not p�operly licensed and is not entitled.#o permitting=privileges in Pascca-
County. -
TRANSPORTATION IMPACTIUTILITIE5IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpartation Impact Fees-and Recourse Recovery Fees may appl.y to the construction of new buildings, change of
use in existing buildings, or expansion of existing buiidings, as specified in Pasco Caunty Ordinance number�89-07_and-
90-07, as amended. The=:undersigned also understands, that such fees, as may be due, will be�idenfified at the time af
permitting. lt is further understood that Transpartation Impact Fees and Resource Recovery-Fees must be paid,pr-ior-:to
receiving a "certificate of accupancy" or final power release. If tfie�project does not invalve a certificate of occupancy ar
final power release, the fees mus# be paid priar#o perrr3it issuance. Furtherrrtore, if Pasca County Water/Sewer Impact
fees are due, they must be paid prior_to permit issuance in accordance with applicable Pasco.Caunty ordinances. `
CONSTRUCTlON LIEN LAW(Chapter 743, Florida Statutes,as amended): If valuation of work is$2,500:00 or m�ore, I
cei�ify that i, the applicant, have�been provided with a copy of the "Flarida Canstruction �ien �aw—Hameawner's.
Pratection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. .If.the applicant is�sameone
other than the"awner", 1 certify that 1"have obfained a copy of the above described docume�fand�pramise in good faith to
deliver it to the"owner" prior to cammencement.
CO(dTRACTOR'SlOWNER'S AF�IDAVIT: ! certify#hat a!! the infarmation in this application is accurafe and that a!I°,work
will be done in compliance wifh ali applicable iaws reguiating canstruction, zoning and land development. App(ication is
hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installatian has
commenced priar ta issuance of:a.permit and that all wark will be performed to meet standards af all laws regulating
canstruction, Caunty and City codes, zaning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understartd fhat the regulations at other gavernment agencies may apply to the intended wark,,and that �t Rs
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Departmsnt of Environmental Protection-Cypress Bayheads, We#land Areas and Environmentally Sensitive
L'ands,WaterlWastewafe�Treatment. �
- Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. ;
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewrater Treatment,
Septic Tanks.
- US Enviranmental Protection Agency-Asbestos abat�ment. ;
- Federal Aviatian Autharity-Runways. $
I understand that the following restrictions apply to the use of fill: . ' .
- Use af fill is nat allowed in Flood Zone"V'unless expressly permitted.
- If the fill material is to be used in Flood Zane "A°, it is understood that a drainage plan addressing a
"compensating vofume" will be submitted at tirne of permitting which is prepared by a professianal engineer
iicensed 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
canstructibn, 1 certify tha#fill will be used only ta fll the area�nrithin the sterr�wa11.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properkies. If use of�II is found ta adversely affect adjacent properties, #he owrter may be cited for v9olating
fhe condi#ions of the bui(ding permit issued under the attaohed permit application, for tots less #han one (1)
. . acre which are elevated by fiU,an engineered drainage plan is required.
tf i am the AGENT FOR THE OViINER, I pramise in goad faith#o inform the awner af the permitting conditions set forth in
this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poals, air conditioning, gas, or other installatians nat specifically included in the application. A
permit issued shall be construed #o be a license to proceed with the work and not as authority ta violate, cancel,-alter, ar
se#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 ar viatations of any codes. Every permit issued shail become invatid
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 far a period of six(6}months after the�ime the wark isy,commenced. An e�ensian
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demanstrate
jus#ifiable cause for the extension. If work ceases for ninety{90}consecutive days, the job is cansidered abandoned'
WARNING TO OWNER: YOUR FAlLURE TQ RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR
PAYlNG TWICE FOR IMPRt�VEMENTS.TO Yt3UR PROPERTY, IF YC1U tNTEND TO QBTAtN FINANC[NG, CONSUt�T -
WITH YOUR LENDER OR AN.AT'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �
-Fto��Qa.tu�a-r-{�.s.���.oa}. _ __ ,,_ _ ,
OWNER OR AGENT CONTRACTOR ` � � � � � � � - - - - —
Subscribed'and swom ta(or affirmed}before rne thls Subscribed and swom to{or affirtned}before me thfs
by by
Who is/are personally known to me or has/have produced Who is/are personally knawn to me or has/have produced
as identifrcation. as identificafsan.
Notary Public Notary Pubtic
Cammission No. Cammission No.
Name of Notary typed,printed or stamped Name of Notaryr typed,printed or stamped
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