HomeMy WebLinkAbout17-18885 CITI( OF Z�PHYRFiI�LS
5335 8TH STREET
„ (813) 780-OC20 18885
' TEMPOi�RY S�C��i �E�L'�!�T
PERMfIT INF0�2MATaON - - � LOCATION INFORN7ATIQN� �
Permit fVum�er: 18885 Address: 6724 GALL BLVD
Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL.
�lass of Work: TEMPORARY SIGN PERMIT Torr�rnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-04000-0030
Improv. Cost: OlNNER INFORMATION
Date Issued: 9/29/2017 Name: COMBS CHARLES SR ESTATE OF
Total Fees: 40.00 Address: 39700 MEADOWOOD LOOP
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542-6778
Date Paid: 9/29/2017 Phone:
Work Desc: TEMP SIGN BALLOON ( HALF PRICE TOBBACO) SEPT 29TH - OCT 12TH 2O17
CONTRACTOR S APPLICATION FEES
OWNER TEMPORAR SIGN PERMIT 40.00
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Ins ectr 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 f) 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 Applia;ation. 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
a�saso-oo2o City of Zephyrhills Permit�pplication Fax-813-780-0421
Buitding Department
Date,,,Rea�ived ' Phone Contact for Permitting –
�Owner's Name � /� �P one a ber �!��� ����
�Q Owner's Address �� t9'�3"l l � (/� �1Is Ouvner Phone Number � �
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Fee Siniple Titieholder Name Owner Phone Number �T
Fee 5imple Titleholder Address
;:s JOB ADpRESS LOT# �
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�i SUBDIVIStON �!^ � PRRCEL ID#
� WBRK PROPOSED uEW CONSTR ADDIA�T � S'��NED FR�OM PROPERi'Y TO ncel DEMOLISH
�j � e INSTALL 8 REPAIR
;� PROPQSEd USE Q SFF2 „ Q COMM � OTHER
�� IYPE OF CON9TRUCTION [� BLdCK _ [� FRAME � STEEL, Q
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�; pESCRIPTION OF WORK '�� ��� �
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BUILDING SIZ� � � Sta FOOTA�E HEIGHT
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E; i BUIIDtNG � � VALUATiON OF TCiTA�CONSTRllCT'ION
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� QE�EC7RICAL � �—�� AMP SERVtCE � PROGRESS ENERGY [� W.R.E.C:
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� QP�UNiBING �� .
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? QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �����
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° �GAS � RQOFING Q SPECIALTY �� QTHER
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� FINISHED F�40R ELEVATI4NS ��--r� FLOQD ZONE AREA QYES NO
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� BUILDER ] � CONIPANY
� SI�NATURE REG{STERED Y/ N FEE GURRE� Y/N
� Address License#
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� ELECTRICIAN COMPANY `
SiGNATURE R�GISTEREQ Y/ IV FEE CURREI� ' Y/N
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� Address � Cicense# =
� PLUMBER CC1NiPAt�lt _
f SIGNATUEtE REGfSTE42ED Y.'/`N FEE-CURREA Y=/�N' ,`�
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.Address - - License# �
' MEGHANICAL'_ = . COMi'ANY
SIGNAT.URE REGSSTERED� Y./ I+l, ,,, �FEE GURREN - ;:Y�/N •�>, '
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Address � . License,#,� �
� UTHER , COMPANY
� SIGNATURE REGISTEREd Y/ IV FEE CURRE� Y!N,.
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�" Address License# � �
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RESIDENTIAL' ` `�AttacFi',(2)'Pi6t Plans;`(2}sets of Buitding Plans;_(1}se#af Energy,�Fornis;`.R=a�Vtl,;Per`►nit'fo�new canshvction,. .
;:n. _
rk Niiriiii►um=feri�{:1:0};imorking days aftersu6miltai dafe.'Required aris9te;�Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Pacilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
., COMMERCIAI. Attach(2)completea sets of Building Ptans ptus a,Life Safety P...age;(1}set of Energy Forms.R-O-W Permif for new construc#ion.
�Minimum ten,(14}-wor(cing.days after submittal date. Required onsite,Construction.Pians,Starmwater Plans w!Silt.Fence installed,
�t� Sanatary facitities&�"1"ilumpster.Site Work Permit for aA new projects.AU commercial requirements must meet compliance ' +
- 5lGN PERMIT Attach_(2),sets of Engineered Plans. � �
� '**'PROPEi2'fY:SIiRVEY required for ali N�W construcf+on.
Dliectians:
Fill out appiication complefety.
Owner..&.Contraetor sign back af appl3cation,natar�zed
ff over�25Q0,a Notice of Commenaement is required. (A/C upgrades over$7500)
** AgenE{far the contractor),ar Pawer•of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
•OItER THE COtlNTER PSl2MITTING (copy af cantract required)
Reraofs'if shingles Sewers Service Upgrades A/C- Fences(Piot/SurveylFootage} � .
'Driveways-IVot aver Gounter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictionsn
which may be more restrictive than County regulations. The undersigned_assumes responsibility for compliance'uvit�any
applicable deed restr:ictions. . - -. ,v- . � - - .
UNLICENSED �CONTRACTORS AND GONTRAGTOR RESPONSIBILITIES: If the owner has hired a contractor,or
contraetors to undertake work, they may b'e required to be licensed in accordance.with state and local.regulations. Ifttie
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 applyfo�the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at.727-847-
8009. Furthermore, if the owner ha's 'Fiir'ed a contractor or contractors, he-is advised to�have ttie cont�actor(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�•Pascd:
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, fhat 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 ptior.;to
receiving a "certificate of occupancy" or final power release. If tfie•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 Impaet
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:OO�or m`ore, 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 Agriculture and Consumer Affairs. If�the applicant is�someone
other than the"owne�', I certify that I have obtained a copy of the above described documenf and promise in good faith to
deliver it to the"owner� prior to commencement.
CONTRACTOR'S/OWNER'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 cocnstruction, 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 performed'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/Wastewafer 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�II 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 applicatio;n. 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 imvalid
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 isq�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#or the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned?
I
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR
PAYING TUVICE FOR IMPROVEMEMTS TO YOUR PROPERTY. .IF YOU IRITEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C.OMMENCEMENT. �
FLORIDA JURAT(F.S. 117.03)_ _ _ _ _ ,
— — - - - — — ---- --- ---; - - -- -
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by by ,
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as Identification.
Notary Public Notary Publlc
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed.or stamped �