HomeMy WebLinkAbout17-19034 CITY OF ZEPHYRHILLS
,. �.� 5335 8TH STREET
(813) 780-0020 19034
7EMPORARY SIGN PERMIT
PERMIT INFORMATION LOCATION�INFORMATION
Permit Number: 19034 • Address: 6724 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: 02-26-21-0010-04000-0030
Improv. Cost: OWNER INFORMATION
Date Issued: 11/09/2017 Name: COMBS CHARLES SR ESTATE OF
Total Fees: 40.00 Address: 39700 MEADOWOOD LOOP
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542-6778
Date Paid: 11/09/2017 Phone:
Work Desc: TEMPORARY SIGN - HALF PRICE TABOCCO PIPE -NOV 11TH - NOV 25TH 2O17
CONTRACTOR S APPLICATION FEES �
OWNER TEMP RARY 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� 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 Application.All work shall be pertormed 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-?80.00zo City of Zephyrhills Permit Application Fax 813-�so-oo2�
� �=`�ti Bullding depattment .f�
Qate Recelved -s= Rhqae�Cantact for PeflttltEie �1� ' �i�f �
' �-��L-� ��'e o a��� t�- ' ; �!��
t}wner's Name !� Owner Phooe Number
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Owner's Address �� � I = Owner Phone°:Number � *��
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Fee Simple�Tltleholder Name ��- - � Owner Phone Numbe� ��
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Fee Simple{Titleholde�r.Address �
JOB ADDRESS LOT# �,�
SUBDNiSION PARCEI.ID# �
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t , , , (OBTAINED F.ROIA PROPERTY.TAX NOTICE)
WORK PRO,Pt}SED NEW CONSTR' :- � F ADDJAL-fi Q S1GM1!' Q � �'�Q DEMOI:ISH
; ��.e. INSTALL � ; °-REPAIR �
FROPOSED=USE • . Q SFR. � �GOMiN" "�„� �OTHEi2 ` ,
TYPE OF CONSTRUCTION' Q` `BLOCK ' Q FRAME � .�_ STEEC Q
DESCRIPTION OF WORK' ' � �� �f � � _
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BtiiLDtNGStZE' � �'SQ,FOOTAGE��, . _ ,,HEIGHT��� �,
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0����'�;��" L , � VALUATiON:�C'IF`7'OTAL CON$1'RUCTIOM '
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QELECTRIGAi. y' � ' � AMP SERVICE Q 'PRt3GRESS'ENERGY Q W:R.E:C.
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[�PLU�81Nf3 ` .,�� ` -
QMECNi41ViCAL $ ' ` 1tALUATiQN OP,MECHANICAI[NS'fAGIATIt?N .
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QGAB Q _ FtOQFING Q SPEGIAL'TY ,[� OTIiERf. .
FINISHED FLOOR ELEVATIONS r�� FL.00D ZONE AREA QYES NO .
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8U1Lt}Eit ��� COMP%�NY'" ' " : :._:- , � ,
SIGNATURE REGISTERE� Y/ N FeE cuR�n "" ° ' Y/N
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Addrsss � t �.�. - Ucense'#'�� �
ELECTRICIAN; < . , , :CBMPAt�(Y � � . , -,
SIGNATURE � REGISTERED Y/ N FEE'CURRE��� ` ��Y 6 N `
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Addres� ; Y � � ' ~,., � � .. . _ License# � ,� �
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PLUMBER ; ,.�COMPLANY ..�., '.:
SIGNATURE' `` � _ REGISTERED , .X./.N�: - �.FEE CURREK Y-/N,�. �
Addr6S8 � � , . LiC81,1S8;#,f�., < ' �-
MEGHARltC�41: _ � - � . - _` .COMPliNY � . ` � ` ..
p,.; �,.;.{.. •
SIGNATUPtE� ' � '" 3 ' REGISTERED,, Y_/ N. ''FEErCURREA= Y�,/*N. •
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Address a' ,'"F ." . " . , � . , • • ' � , _ . License#�� � ,
OTNEEt � ' ' ' • ' � ` '` 9;C01111P1�it+lY � _ .... � �
SIGNA'iURE �. "' �'•°`" '`�% - ' ' - ' ' '" ' ` � 'REGISTERED` ' 'Y/ N_.: � ,FEE CURRE� Y I N
Addres�. .•� , . ...,t , -... ; ...� , .. -, ,. Licerise# ' ` . . , ,.� � , ..
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RES1DENi7A!»�.;.n;Aitacti{2}�Pto�Plairis;;:{2}sets.:o�8uitd[`ngti'lans;`{'Ij�'setof=Eriergy+�Forins�;i2�WFenriltfarnewconstructton, . _ .- L '
<-; :s,rt�;:>Minlmum;tenr(>.1A)�workingydajis,�after,r"sutimlttal`da4e�<:Requi�ed onsite;.Consfrii'cNan=Rlans;'8tortnwater'Plans�w/SOt'Fenre insfalletl,
, �r..�,<':,.,; rx..:�..ix vr_ S� ..1.";., , .,. . .
� Sanitary Facillties,&r„;iiumpster-: te-Wor.kS:P.ermit for�sutidiVisions/lafge�proJects`_.;';" :=;. r: • _' :• - ; ,�:��` �=
�.,_5,-w, .x., � . , � �.,.�,...,. ;.
C4MMERCIAL Attadi{3)�coriiplete�seE�of�Buiiding Plans plu's a'Ufe'S'afet}i Page;�{1)set of Energy Farnts.R t?-W Petmit for new cflnstnsctlon. �
Minimum ten(10)worlcing days aRer submlttal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Santtary FaclliUes&1 dumpster.Site Work Pertnit for all new�praJects:.All commerctal requlfements.must meet aompliance � `
SFGN PERNIFT Attact�{2)setg of'Engin�red;!?[ans:,<=: r�=_� � T., _, _ _ ; ` �
'••"PROPERTY SURVEY required_for aII�fVEW_cs�nstructton._
Directlons. ,.�.t;;�_.,:t..�.,: .: , ,- .
FIII out applicaBon completely.
Owner&Canha�tor sign back of appifcatlon,noWcized
1f aver�t500,a Nottce of Commencement 1�cequired. (NC upgrades ovar�T500} :
3.';';E'�g.>:.��I
"• Agent(for the contracto�)'or"Povue�of Attamey(for tfie ovirner)wrould be someone with natarized letter from owner authorizing same
OVER THE COtiNTEQ.PERMI'F'[!NG ...�..(Front af�RPPlication-Only) .� . . ' .
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
.._ .__. ... ._..__ _. _ . _ -. , . . . ,;:
Driveways-tUot aver Counter if on pubiia roadxiays'..needs ROW�
, , - Y�-`.. �C
NOTiCEOFDEEDRESTRICTGONS: The.underslgned._unders�tands;th�t,this,:;p�rmit.may.be,subJect,to;tldeed".C95�ICtI0I1S°, _
which may�.tie:more:rest�ictive�th�n'Counfy�areg�ilations:��•The undersigned assumes°`tesp�nsibiitly=for"complience=with=any���`r:`�"�'
appiicabie deed-rest�ictions. _ " � � ��< < ° ���`
UNLICENSED``CONTRACTORS .AND CON�RACTOR RESPONSIBILITIES: ��If=the=�owner-has�"�hiced'�a�cor�tcactor or
, � .
contractors to undertake wo�k, they may;bie�re�qul��ed:,to.,be;ltaerased in-accordance;writh.state:and�local.regulatl.on_s.:��If�the-� �- �����
contractor�ts not licensed'as��requlred,"tiy I�ini� tiotfi�the owner an'd-�contractor-�may be�=cited•.fora'misdemeanor violatlon
�.,f;: ,.;�, , ,,,,., ,n �s to what Iicensing.requiremenfs_,�may�sapply:�for'°:the:.=x: : :..,n
under state law. If the owner or intended:contraoto��are�.unce�tal
a.. ,_.�_ �.. _
intended"work, they are�advised fo'coritact the Pasco County�ullding`Inspection�Divislon--l:lcensing Sectton et 727-847-
SU09. Furttiermo�e� ff the owner"fias�'filreclYa��conhactor o�contractors, he is addised to have<the�contractor(s);;sign,,, ,, ;_
......:::..... . ; ,
portions of the�"conttactor.,Btockp of,this,.appilcation..for whichihey will:,be:.responslble.•„If you;.-as<#he owne�:sfgn'`as`the`��`�
contPactor; tFiat-may be an Indication�that`he"fs'not:properly'licensed�and`-1s not entitletl'to per'rnitting privileges in Pasco _
County. .- .-, ._ _.,. .. . ..._ _f �;,;� �,.. � ..,.
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T�tANSP;ORTATION.IMPACTIUTILITIE$`�IMPAC'�ANb�RESOURCE RECOVERY�FEES:�'The unde�signed understands
that Transportation Impact Fees and.Reco.urse.Recovery.Fees,may>;apply�Pto�tfie�constructionnof new.,buildtngs,�change�'of==°'j�`~'` �
use in exi"sting building's;�or.sexpansi�n:�of�ezistin,g��bulldings, as specifled.tn Pasco�Co'unty Ordtnance number 89-07 and.
90-07, as amended,,;;The. undersigned also<<urtderstands� that:`such fees;��as�may_tie�:.due;�wfll:�.tie ident�ied at the�time��of'�� -u �r��
permitting. It Is iurtFier understcod that Transportation Impaof'Fees and'�Resource;Rec`o�ery�Fees.must be pald prior to
rece4vtng-a:°cerfi�cate�of-occupancy"`or�flnal�power;;release:�:lf�the,project.:.does.not involveta:.certfftcate of occupancy�or'.-�"�` °��''`{
flnal powrer release;�,>11ie`,feesYmc�$t:Tb'e patdR;p�lor to;permit tssuance. Ft��thermo�e;��If:Pasco;County�lNater/Sewer�;impact-� .-�;�=.,>r-;
fees are due,,they;must=be;paid:prior,�o permit issuance=ln_accordance,witH.:appilcabfe�Pasco�:County`o�dinances. •
CONSTRUCTION"LIEN"L:AW"(Ch�pfer 713��Florlda�§tatutea�as amended): if-valuation of work is$2,500.00�or<more,�:l���:;. ����_
certify that-I,-the;applicant,=-have;>been .provided��with-=a�=copy�:of_the��"_Florida�Constructton� L'ten:;Lav�Homeowner's
Protectfon Guide" prep�red by tfie'Flo�ida Departmer�t of Agriculture and Consu,mer;:Aifairs. If the appltcant is someone- .., :_�; •u,
other than the"owner", I certify,=that�,i�h�veryobtained�a'�eopy.of.the;abpve:rfesc�ibed:tlocument�and,.p.r.omise;)n,good:faith fo ... .,,n3�
deliver It to-the:"owner",-�pi�iortoycommencemenE:;:,, - ` " .' ' .' � -.� . ` . - � ` , _-
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify::tti;at,all:the:lnformeti�n:in�thi�application is accurate and that all work
,.z.�.,
will'be done in campliance with all appllcable laws regulating construction� zoning and��land�development. Appltcation^is
hereby made to obtain,� permit;,�Co•;do.wwot`k vand;installation as Indl�efed:-��-'I� cenify that no work�`or Installatton has �
commenced�p�lor to issuance of'a�permit and that.all work will be perFormed�to meet�standards-of all laws regulating- .,
constructlon, County and City codes� zoning regulatians, and land development regulations=tn the Jurisd(ction: �1-�:a1's'o. _
certify that I understand that the regulattons of other government agencies may�apply�to the..intended.work, and that It is
my responsibilityFta identify.what,acttons I must�take:to be.,in:.corrlpllance._ S,uch agencles include�bu4 are.not Iimtted to: � ;�,
- Department ofi Environmental��Protec4ion=Cyp�ess.`Bayfiead�; WeNand Areas and Envfronmentally Sensittve
Lands�Water/Wastewater Treatment. _ -
- Southwest Florida Water Management:l�istrict:Wells; Cypress.' Bay�eads;- Wetland` Areas� Altering
Watercourses. • - .
- Army Corps of Engtneers=Seawalls,Uocks, Navigable Waterways.
- Department,of_:Health:.,,8. ReMabllitative =Services/Environmental�.F�ealth--Unit Well.s;:Wasteu�rater�Treatment, �
Se�tic Tanks:._._`. . . . , - . - �� . � .
- US Environmental�Protection Agency-Asbestos abatement. . . � - _ " ����
- Fede[ahAv.latton;Authorlty;=Runways:�- -. � �� - _ ' � �-
,. :t.� ., :
I understand that the-following.�estrictlons�apply�fo tFie use offlll:• �
- Use of fill Is not allowed`inaFloodaZone"V"unless exptessly,permitted. °
- If the.-�iII:mateNal�=is �to�``be-used.:In:usFlood-Zone. "A", 'tt ts understood that a dratnage plan addressing a
acompensating volume" will be submitted at�ime of�permitting whlch is prepared by a professional englneer-� `� �� �
Iicensed by'tFie;�tate`of>_'Florida..�� � � ' �� �s, ��= � . � '
- If th�-flll�mate�lal�:ts=to•:be,used tn Flood Zone "A" in�connec�ion�with:a��ermttted building using stem waU, ;
construction,_I.ce�tifjt,th.at fill.wall:b.e.�us�d only.to flli the area-within�the�stemMrall: �
- If flll materlal`is�to be used In any area, I �certify tfiat .use. of�such flll will not adversely aifect ad)acent
properties. If use:of,fill i_s found,to adversely.�ffect ad)acent��pra�perties�.the owner may be cited for viol'atin`g , "
. the�condl#ions�.of_the building`.permit is'sued.under tFia attached:�ermit applicatbn;-for lots�.less�.than.one (1)
acre wfilaFi a�e elevated�by flll,a�t engineered drainage plan Is requtred. • '�
If I am the AGENT.FOR-THE-0IMNER;_I;�iromise In good faith to tnform the owner of�the:perrriitt(ng conditlons set forth in
this affidavit prior to co"mine�cing constructi'on. I understand thet a�separate permit may be requtred for elecMcal'work� . ,�
ools; alr condttionin �Y'�u
plumbing,_slgns,.wells�.:p _ g,-.gas, cr othe� install�tlons not.spec(flcal�y Included-in.the�application. .A
permit issued shall be aonstrued to.b`e'a'license�to`;proceed witb the itio�k and�not�as:authoMty:to:vlolate;�cancel. alter, or
set aside any�p"rovistons of the technical.,cAdes;�nor shall Issuance�of a.permit.pcevent the Buildirig Official from thereafter
. _.�..� ,
requirin.g a correction af errors:in�plans;-constivction..or.violations of-any�codes. ,_Every=permlt�issued=sFiall-become invalid
unless the work autha�ized.by such permtt:is-commenced•withln,sixWmonths of permit lssuance. or if work authorized by
the permit is suspended�or.:aba�doned:Yfor:a;period.of�six_f�)�montfis,.aRe�;the;time the�wowk��ls commence�l. An extenslon
may be requested, tn writing,;.from.`ttie;Building,�Official for a perlod�not.to-exceetl'�t�inety�(90)`�d"ays and�wlll'demonstrate
justifiable'cause for.the exfension.. (f work ceas�s:for ninety.(90)cons.ecutive•days...the Job�is considered abandoned. ��
_. _., , .,_ .. . � . - . .� ; �
WARNING TO OWNER: YOUR,-EAILURE,,Tt�„RE.C_ORD.A:;M071GE;OF.�COMMENCEMEMT:MAY=RESULT-IN�YAUIt = ---
_ PAYING_TWICE;F.OR:IMPROVEIlAEM,TS-:T�,;YDUR:PR�RER�TY.�IF.YO.�l�i�l"��Ji1D:T0'�OBTAIN�FIRtAI�EtNG; C.ONSULT
~ WITH YOUR L�ND@R OR AN��TfORNE1��3�FOR��RECORd11�G'YOUR`NOTICE�`OF���,ENC�E�IIy ��NT' '
FLORIDA JURA;.(FcS:•1.17.03) � _• � , • �, , - ��' � , � : , .. � .
OYYNER OR AGENT � -. CONTRACTOR '<.. =- - � �
Subsaibed and swom to(or aflirtned)before me this- Subscribed and'swom=to(ot aflirmed)�befoFe me fhl� '
by ,.by.. _
Who Islare personally knovm to.me or haslh�ve.,produced Who.ls/are:p.ersonallyacnown�Mme.or has/have�produced •
' � as Id'eriUflcatlon. as IdentlBcaOon. _
Notery Publlc . � Nolary Publtc, ,
Commisslan No: Comrnisslon No.
Name of Notary lyped,p�lnted or stamped Name oi Notery lyped,pdnted or atamped
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