HomeMy WebLinkAbout17-18991 . .
CITY OF ZEPHYRHILLS
t - 5335 8TH STREET
(813) 780-0020 18991
TEMPORARY SIGN PERMIT
' PERMIT INFO.RMATION -� � �'LOCATION INFORMATION �
Permit Number: 18991 Address: 6248 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: 03-26-21-0010-09600-0030
Improv. Cost: OWNER INFORMATION �
Date Issued: 10/27/2017 Name: CORREIA ELVA
Total Fees: 40.00 Address: 6154 FORT KING RD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542-7521
� Date Paid: 10/27/2017 Phone:
Work Desc: TEMPORARY SIGNAGE - (#2) HEAD TO TOE -OCT 27TH - NOV 14 2017 EXP
CONTRACTOR S APPLICATION FEES
OWNER TEMPORARY SIGN PERMIT 40.00
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Ins ections Re uire
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
I�� 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 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 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
- Building Department . -
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Date Received ,
, , i O ' ��— l 7 :.: Phone=Contact forPermlttin ` g�3 �( S _ S'�i 9 7 ":
Owner's Name �0.�r���� S ���0 n.� � Owner Phone Number �� � g �� S��
Owner's Address � � ��� G°�" ��J Owner Phone Number -
� , , :
Fee Slmple;Titleholder Name � - Owner Phone Number
Fee Stmple�Titleholder Addres� �'��Q '�e� � U � �G✓( F �G .S �
JOB ADDRESS lO� �� Cj oc�C.O ��U ' LOT# �
, .
SUBDIVISION . ' P.ARCEL ID# • - `
; ,, � , , ,. (OBTAINED EROM.PROPERTY,Td9X NOTICE) �
WORK PROPOSED =�NEW CONSTR . ADD/ALT Q` SIGN' Q �Q DEMOLISH
; e:: INSTALL e� ; REPAIR �
PROPOSED,USE • Q SFR. Q �COMM' ' Q �OTHER -• '
TYPE OF CONSTRUCTION Q • BLOCK ' Q FRAME � :� STEEL Q�
DE3CRIPTION OF WORK µ �� (,
t . I � .
BUILDINGSIZE' • SQ FOOTAGE " - HEI.GHT��,.j,�.., - �`
{.
._; . �_,
QBUILDING $ VALUATION'"OF TOTAL CONSTRUCTION �
�
QELECTRICAL $ ' AMP SERVICE �] PROGRESS ENERGY Q W.R.E.C.
f . • "
QP,LUMBIfVG � $ '
OMECHANICAL . $ VALUATION O.FMECHANICAL INSTALLATION_ ��� � G �
QGAS Q ROOFING .Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. _NO
- '_ :r
BUILDER , Q � COMPANY=' -'- -
SIGNATURE REGISTERED Y/ N 'FEE cuR�n ' Y'1 N�
Address • License.#'
ELECTRICIiAN. •. . COMPANY ' � •� �
SIGNATURE � REGISTERED Y/ N FEE CURRE��� Y/N
Addre�s " � ' � -, :;: License#
�- . . , � - ,�_ . . ,
PLUAABER; : ; COIIAPANY : ,. • ..� �
SIGNATURE` � r" � � , �`„REGISTERED . X./:N"� �-.�I;FEE CURRE�: ' ' Y/N: -
Address :Licenseu#�
MECH�4PIICAL'� . � . ,, � - COMPANY �- ` -• ' �. -
.. �.,,:. ,
SIGNATURE - � - � � � ' ''` , REGISTERED,� Y,/ N.�. : ;; FeECURREn._ Y./_N. l
Addreas�� : `" , � l . }�" , . License#� -
�' � ... . _ - .. � - ;.Kj ..
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OTHER ' = .� , � � � .' :COMP�,ANY =� -
SIGN�►TURE •� - -• � � � ° � - REGISTERED`� Y/ N,_: FEE CURRE� Y/N
Addre�;. .. ,. . -.. -r - , ,. ;License#. _ , . � - ..
RESIDENTIALy: ,Attacli`(2)::PlotrPians;.(2)sefs'<".of:Building�Rlans;(1)�sef'of:Energy�Foiine's`;'�R=O=WPer"rr"iit�farnewconstruction,, ' `� � -
-�- ::.Minimum;,tem(s1;0)uvorking�days,after;submiftal'date�;Required onsite,tConstruc�on�Plans;Storrnwater'Plans w/'Sflt�Fence installed,
r�.
� ) P "' '. _.. ., g ` ,;....•�.. _�.... .-.� .: . ......._„ . � __ � � _ ';. ..--= .. : '' " .;,, - I
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3anita'ry FacilfNes,&;-1:,dumpsterrS(te,Work;Permit for,�subd'ev,isions/large'.projects�� ,:�. �- " - �v �� �
COMMERCIAL Attech 3�com'lete sets of'Buildin""Plans plus a Life Safefy Page;(1)set of Energy Forms.R-O-W Permit for new construetion. �
Mintmum ten(10)working days after submittal date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed, �
Sanitary Facilitles 8 1 dumpster.Site Work Permit for all neinr;�projects:.All commercial requlrements_must meet compliance ' � i
SIGNPERMIT AttacFi"(2)"`setsof'Engineer,ed;P.l'ans:;,. �,.�:_ . •., ie.. - -
"••PROPERTY SURVEY reguired for all_NEW.constructlon.. . . _ _ _ '
Directlons: :-���:�,:' .-. - - - .
Ffll out applicadon completely.
Owner 8 Contractor sign back of appltcatlon,notarized
If over SZ500,a Notice of Commencement is required. (AIC upgrades over�7500j
ew �..s;v.f�?Y=:1.��;:.;3'i' i
AgeM(for ttie contractor)or`PoYire�of Attomey(for the owner)�would be�someone with notarized letter from owner authorizing same
DVERTHE�COUNTER,PERMITTING--- -•-- �(Front-of•ApplicaBomOnly)- � - � '
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roaduvays..need`s ROW�` �
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NOTICE OF DEED RESTRICTIONS: The undersigned;undergtands�th�t:this:,p�rmif,may be.subject:to"deed",restrictlons"...,:.r;,*;.:::N.
which may�tie�more�'r.est�ictiveFthan�County��regulafCons:��The�underslgried�assumes�resp�insftilltly.for`compliancewith any�r ��`�" ��
applicable.deed resMctions. - >.. ; � � , � �- � _�
UNLICENSED•CONTRACTORS AND CON�RI�CTOR�RESPANSIBILITIES:� -=1f°the owner�has�=htred�a"°contractor or
contractors to undertake work, they may;be;re�quir,ed_to;beilicensed In,:accordance.with state.and�locaL;regulations:�.If�the� �=� �� ���' �
contractor ts•not licensed`�s�requlred:tiy law, tioth the owner �rid conUacto�4may-�be�cited for�a�mlgdemeanor violation
under state law. If the owner or Intended=;contr;a�ctor;:are;uncertaln as to what Ilcensing:requirements,;may.�apply,��for�the"4��.-:�= ��
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intended"inrork, they are advised to coritact the-Pasco County Bullding.:Inspection.Dtvision-Ltcensing Sectton at 727-847-
8008. Furttiermore, If the oviiner'has'hired'a contracto��or contractors, he ls advised to have .the contcactor(s).zsign ,., ;
,.
portions of the "contractor Block" of.this_appitcation_for_which,they wlll...be..r.esponsible.� If:=you,:as:#he owner�'sign"as"fhe" '
contractor, thaYfnaybe an indication that`fie'°is-not properly'licensed"and�'Is'nof'entitled to perniitting priirlleges In Pasco_ �
County. . . . . . , �m _. .f k.�;°� =f .- .�
TttANSPORTATION.IMPACTlUTILfTIES;IMPAC`t`-ANb-ItESOURCE RECOVERY�FEES:The understgned understands
thafTransportation Impact Fees�and.Reco.urse.Recove.ry_Fees may��apply;-to�the:construction;of new buildings,::change=of��'��'=`��- �
use in ezi"sting buildings,�or=sxparision��of��ezistin,g��buildings, as speclfied.in Pasco County Ordinance number 89-07 and.
90-07, as amended...:The undersigned also.�un'derstands; that"such fees;Mas.may;be�.due;�wilk.be idenfffied at the�`time��of�=��s ����_��Y
ermittfn it is furtFie�understood that Transportation Im act'Fees and';Resource;Recove" �Fees,must be ald rior to
P 9• p . rY� P P
receivin -a 'cerfificate•of�occu an p J -� p 'y '� � �`
g p cy"�or flnal�.`owe_r.;.release.�":If>the.pro ect�_,does,not involveqa-.certfficafe of oacu anc:�o�����r�,~= ';,
flnal power�release;,ti.ie;fees"mustbe paid';p�lor to,permft issuance. Fu�thermore;�If:.Pascc�;.County�Water/Sewer��lmpact -° .. .
fees are due,,,they�m,ust.be;pald;prior#otpetmit:.lssuance�in,accor.d.ance:.witii';appllcatife=Pasco��County ordinances. -
CORISTRUCTION'LIEN�LAW"(Ctiapter 713���lorlda Stat�ate��as�mended): i#valuation of work is$2,500.0.O.,oc.more;�l � �: _��.
certify that I, the.-applicant,�-have..been pro.yided with-a copyr of��the:�`Flor(da- Constnictton�-Lien:Laiv�—Homeowner's
Protection Guide" prepared by;the Flo�ida Department;of Agriculture and Consumer-Affairs. If the applicant is someone;=. � � -
,.
other than the°owner", I.certifythat,Inh�ve.o.b.ta.ined�a��copy;of..the;abov,e:descrlbed docui�ent;and„p.ro�ise;in,good'falth-to _ �s;
deliver It to.the:`..owner":p�ior:to�commericemerit:'�� • " " `. _ - ` A ,� ,:" -` :- -- • _
CONTRACTOR'S/OVYN@R'�AFFIDAVIT: I.ceittfjr,�:tfi:at=all�.;the.�lnf�rm�tlqn�:ln:thla appltcatlan is accurate and that all wor;k
r�,,�
will'be done in compliance wlth �II.appltcable laws regulating constructlon, zontng and:.land,developm;ent. Appllcatlon,is
hereby made to obtaln .a permit r Co.�,do.�work;�,and�Installatlon as lndlcafed:---°'I� cenffy th'at no work��or Installation lias -
commenced prlor to Issuance of a perrriif�and that`:all�vork wlll be pertormed to meet_standards.-of all laws regulatln,g-
construction, County and City codes, zoning regulatians, and tand development tegulattons�in"the.jurlsd(ctlon. � I�al'so
certlfy that I u�derstand that ihe regulatlons of other government agencles may�apply�to.the..lntended_work, and that it is
my responsibllity fio identlfy.what.acttons I must�take:to,besln:.corr�pllance,_..S.uch:agencles lnclude-but-are.not Ilmited to: _� ;
- Depadment of Env(ronmental-�Pratection=Cji'p"ress.'Bayfiead�; WeHand Are�s and Envlronmentally Sensitive
, Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management:-:Distrlct-Wells, �Cypress.�'8ayheads; Wetland Areas, Altering
Watercourses. , � . .
- Army Corps of Englneers-Seawalls, Docks,IVavlgatile Waterways.
- Departme,nt of.;Health,:,8 ReMablfltative:;Servlces/Environmenfal Health Unit Well.s�:Wastewater�Treatment; -
SeptlaTanks:,.= ' - -� ,
- US Environmental ProtecBon Agency-Asbestos abatement. �
- Federal Av.I�tton.Aulhorlty-Runways:w .: -.
1 understand that.the.folloinrin'g;-�estNctlons apply`Co tFie use of flll:� ,
- Use of fill Is not allowed In�Flood;Zone"V"unle�s expressly permltted. `
- If the fill materlal�Ts to b:e used� In��Flood Zone. "A", It. Is understood that a drainage plan addressing a
"compensating volume" will be subm(lted at�ime of°�permltting wtiich ts prepared by a professfonal enginee�
Ilcensed by'�fie State-of'Flocida:. " -� � - � ,
- If ih�•fill•mate�lal;ts to•.be�us�d In Ftood �one 'A" In�connec�Ion�wlth:a�permltted butlding using stem wall
construct(on, I certify�t,h.at fill<wlll:be used only.to.flll the area withln the�stem�wall: -
- If flll materlal�is"to hie used In any area; I cettlfy that .use. of''such�flll�wlll not adversely affect adjacent
propertles. If use of,flll Is found.to adversely:�ffect adJaeent:properties,.the owner rriay be cited for vtolating
the condl#ions�of the bulldtng;permlt Issued-under the�attached permlt appllcatlon;°for:lots.less�than.one (1)
acre virfilcfi�"ere elevated�tiy flll,a�r englneered dralnage plan Is requlred. • ;
If I am the AGENT.FOR THE�OYVNER; I;'promise In,good.falth to Inform the�owner of°the permltting condltlons set-forth In
this a�davR prior to�aommei�cing constructlon. "I understand that a�separate permlt may be requlred for,elect�IcaPwork, . ._
plumbing,_signs, wells,,pools;. aIr.condltloNng,�.gas. or.other tnstall�tlons noE.spec�flcal�y Included�tn.the�application. .A .�
permlt Issued shall be construed to'be:�a�license`to�proceed wlth'tNe•work�nd not-as:authoHty.to:vlolate;'cancel, alter, or
set aside any�p"rovislons of tMe teclinlcal:ciodes; nor shall Issuance�of a.permit.prevent the Bulldtrig Offictal from thereafter
requlring-a correctton af eRors In.pPans; consfn�ctlon.or_vlolatlons bf�any�codes. �very�permlt Issued shall become�irnalid
unless the work authorized.by such permlt:�ls-commenced�wlthtn„sfx..months of�permlt Issuance� or tf work authorized by
the permlt is suspended>or:abandonedfor..a;perlod�of six�(�)�monft�s:.after'.the:tlrne the�wowk��ls commenced. An extenslon
may be requested,.In writing,:xfrom_tlie;Bullding,Offlcfal for a p�rlod.not to exeeed=nlnety�(90) days a�d wlll�demonstrate
justffiable cause for.�the extension: If work ceases;for nlnety.(90)cons.ecutive day�s...th�Job�is.constdered aba�doned. �
4 � '.�i. ,.�:�.,� .. �� �_. ., ' � . " ' i
WARNING TO OWNER: YOUR;.FAILURE;,TO,,:R�EC;ORD,A:FMOTICE,OF�COMMEMCEMEMT.NFAYjRESULT IN�YOUR
PAYING TWICE:FOR.�IMPROVEMENTS�TO:YOUF�:�.PRL�PER�TV:��IF°YO.U�I�ITEND'TO�OBTAIN��FII�tAt�EI�1G;'C.ONSULT
VIIITH Y'01JR CENI��1�� -�Nl-�i�7'6R1�1�1(��P��'�;R�OR�iN�"YOiiF�' Tit: Q+F'�e9AY7ii�EPit��1iEP9T•-`W� —
; FLORIDA JURA�,(F.&1.17:03).. . . � � .. ,��"�-".- � _ � . .
OWNER OR AOENT � CONTRACTOR .. �
Subscribed and swom to(or aHirmed)before m0 fhls Subscrlbed and'swam to(ot afflrmedrbefcre me�tlit�• �
� by .by.., . ..
Who Isfare personally knowm to.me.ar:has/have produced Who.ls/are p.ersonallyknown•to.me oc fiaa/have•pmduced • �
ae IdenBflcatlon. , as IdenWicatlon.
Notary Publlc _ � Notary Publlc
Commisslon No: Commlaslon.No. �
Name ot Notary typed,printed ar stamped Name of Notary lyped,printed or atamped
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