HomeMy WebLinkAbout17-19046 , CITY OF ZEPHYRHILLS
5335 8TH STREET
(813) 780-0020 19046
TEI�IPORARY SIGN PERMIT
PERMIT INFORMATION- - LOCATION INFQRMATION �
Permit Number: 19046 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: 11/14/2017 Name: CORREIA ELVA
Total Fees: 40.00 Address: 6154 FORT KING RD
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542-7521
Date Paid: 11/14/2017 Phone:
Work Desc: SIGN TEMPORARY#3 NOV 15TH - NOV 30TH 2O17 HEAD TO TOE SALON
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 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 fnancing,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-�eo-oozo City af Zephyrhills Permit Application Fax 813-780-0021
v " Building Deparbnent _ �`"z
Date Eteaelve�d :: PhonetCantact•for�Pe'mt#tin ,
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Owne�'s Naine Owner Phone Number
Owner's Ad�ress � Owner Phone Number� � Y�
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Fee Simpl��Titleholder Name T� � Owner Phane Numbe� � �
, - - � �
Fee Sfmple Tltleholder.Address
JOB NibDRESB �� LOT# �_^_�
SUBDIVISION , �� � PARCEL Ib# � ` � � '
i - s . , . COBTdINED F.RONO PROPEItT1f,TAX NOTICE)
WORK PROPOSED :�.NEW�CONSTR - ADD/ALi' � S1GN" Q [� DEMOI:ISH
_:e.< INSTAL,L � ;�•=REPAIR ��
= PRQPOSE[}llSE Q- SFR. [� �COMM � 'C� OTFIER ,
TYPE OF CONSTRUCTION - _��`, �`BLOCK " [� FRAME �- ;Q STEEL CJ
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DESCRIPTION OF WORK' � �. '"'�` � �
�
BtlIL�ING8�2E` - " SQ'FOOTAGE � .HEtGHT�, , .. .
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<.� ;__-
QBtIt�DING $ -� ' ,�-. . .- , ; '
, VALUATION:�F`TOTAL CONSTRUGTION� •
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QELECTRIGAL $ AMP SERVICE [� 'PROGF2ESS E[titERGY Q W:R.E.C.
; -�._.��
�PLUMB1NCa° `$ ` ' � `
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�MECHAi�lIGAL ` � � VAlUAT14N t)F`MECHAiVtCAI.{NSTA�LATILON" .
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QGAS � ftOOFli�iG ;Q . SPECIAl.TY � OTHER� . .
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES. µ.NO . .
BUFLDER ����Y CC1MPi4NY' � ; �.''. ., :
SIGNATURE � REGI$tERED Y/ N `FEE CURRE� ` '' ' Y YN
Addre�� � Licerise#'� �
ELECTRiCl�iN r, COt�11PANY � ` ` ' °
SIGNATURE � REGISTERED Y/ N FEE CURRE�•' ' �Y/N
Addres$ �' � �. � . . _ , , - . .= License-# � �
PLUMBER " _ - .� GQMPANY , , ��., -.= '� _
SIGPIATURE' ` ' REQISTERED Y/>.N: �;FEE CURREK Y-/N, '
Address " � _ - . ` ` ;License�# � _-�-,. � � � °� � t:
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MEGHANFCAl: � � ' � �CQi41PAFtY .r � '
51GNATURE� ' " ' " ' ' ftEGI$TERED, � Y,/.N _ FEE'CURRE�:. Y,/��N_ , �
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Address� - '` , . .. . ..z. � ' ' ' Ltcanse#�� � � ,
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07HER " - � ' ��- � � � � ,.C01UlP11t!lll,_ �
SIGNNTURE, ""� "" , ' �' ' � " = `'` ; ° ' �'REGI$TERED' ` Y/ N..... FEE CURRE� Y/N-
�►ddre�Y . � ._ . .. .. -. . " - -Licknse# �I ' � � r. 4� .
.�;�y t ny,�.:,_-.,,,a 6,Fe.,�.,..�s�:.. ,-`x,�,w � -
RESlDENi1A9;,�;.::Aitacti;(2)uPCot P,tans;,,{2}sets:o�'{Bultding'Plan`s;{1}`s"ef of=En'ergy`.Fa"rms;Ft=O=W�Perinit for'new aansbvc�on,� - `
, :?;;a^Minimum;tem(,1,0)�workin'grd"ays'.after,"s'�timlEtafd'ate:-_Requl�ed onsite,:Constiuction:Plans;Stoimwate'r`Plans w%SttEFence tnstalied,
� Sanitary Facilltles&�1�;dumpste,r,�Slte Wark;Permit#o,r,subdiVisions/large:ploJecis,s..�._�,.,,;-- - -�"`'` ��� ` � � ° � `
CQMMERCIAL Attat� 3`corif'lefe`seti5"ofBuildin"¢Plans��lus a.Ltfe-'.. Pa�e,> 1 set of Ene � Forms.R-fy-W'Pecmitfor new'cons�uc�tlon.
{ ) P 9 P 9�afetY 9 '{ } c9Y -C-
� Minimum ten(10)working days after submittal date. Required onsite,Construotlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacilEdes 81 dumpster.Stte Work Permit for all nevrprcjects.All commercial requlrements.must meet compliance '° : ° '
Sl�N PERMIT Attacis(2)sets cif'Engiiieer's`d�i?iaris�::�;.�, . ,. .<s � . • � -
"`"`PROPERTY SURVEY required for all„IVEW_construation.,_. �
Directions: ...w.�� ., .. . , '
Fill out applicatlon completely.
Owner&CocKractar slgn back of appi(catEon,aotarized
If over!�2500,a Notice of Commencement i�eequlred. (A/C upgrades over�7500j
,x5".,rf+yuffi cs"�d:P�:T."_ . � . � . ,w _ .. �� . . � _. �.,.� ,� �
" Agent(for ttie contractor)or"Pov+re�of Altomey(fo�4he owner)would be someane with notarized letter from owner authorizing same
°�VER THE CQUN7'ER,PERMiTfiNf3--. -.-:..(�ront•ofaApPlicatiomOnty} .. -� . ' " ` `
Reroofs if shfngles Sewers Service Upgrades AJC Fences(PIoUSurvey/Faotage)
Drivewaya-Not aver Counter if on pubitc roadw�'ys:.need"s ROW
R10T�G�OP DEED RE�TRICTIO[dS: The und�rsigned unde�ffitac�ds;th�Q�this.;p�rmit.may,b�;sub)eafi:to,"deed"restrictions° ._.� � , `
which rr�ay be<more=r.est�ictive.�th�� Counly�negulatfons:•�The`undecslgned assumes`resp�nsitiiltty for compliance vvith"any�
�pplicable deed-resMctions. .�.� :., ; . +. � . . _ . ., - � � �
4fNL.ICENSED CONTfZACTORS AND CON��ICTOR RESPONSI�ILITIES: -If°�the owner has�hired�a�contractor or
contractors to undertake work, they may:bs�re�quired•�to:_be;itcensed In accordance.with�tate.and�local.regulatlons. �If the=
contractor (s-not Itcensed as�requlred';tiy IeYir, tioth-�the owraer and-contractoP�may be°�cited for a'misdemeanor violatlon
under state law. If the owner or Intended�contr�c@or,•are;�uncertain as to wrhat Iicensing.requlrements:'may�apply.�ior:the� - � �
intended work, they are advised to coritact tfi�� Pasco County Building'Inspection Dhiislon-Ltcensing�Sectton at 727-847-
8009. Furthermore, tf the ovvner�has hireily� conlractor o� contractors. he ts advlsed to have .the contractor(s)r.sign, ,
portions of the "conttactor Block� of.this application_for,which.they wilt be:r,esponsible: If.you;.as.fhe oviiner stgn°'as the'
contractor; that may be an Indicatlon that°Fie`ts not"properly 1lcensed and`Is"not entitled fo permitting privlleges in Pasco
County. � ' - �
T6tANSPORTATION-IAAPACTIUTILITIE$�IMPAC'�ANb�RESO�i�CE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Reco.ur�e Recove.ry.Fees enay�:apply,to the constructlon_of new_buildings,?change•of � � �
use in existing buildings,�or�expa�sion>of�.ezlstin�g{buildings, as specifled.in P�scv County Ordinance number 89-07 and
90-07, as �mended..-The undersigned also.understands, thaf'�uch fees;-,as�may;tie�.:due;:will�be idenfi�ed at the�'time�of�� �=' "
permitting. tt is fiirtFi�r understood that T��sportation Impac['Fees an.d�Resource.Recovery'Fees.mu'st be paid prlor to
receiving-a °certi�cate of�occupancy" or flnal�powe,r.;release.�:If,the.project�;:does,not fnvolve;a=certfficafe of occupanoy. o� �'�
final power release;,the-:fees mu�t°be paid;pcior to;peemit tssuance. Ft�,�thermore;�if:Pasco;County'11Vater/Sewer=�Irr�pact � ��� ��
fees are due,.they::must.be-paid:pNor to,permlt>Iss4ance=ln.accord�nce-wttfi.appllcable Pasco�County ordinances. �
COOdSTRUCTION'�I�N"LAW�(Chapte�713� Florlda 3tatut�a,as amended): If valuaHon of work is$�,500.00 or more,.I , - .
cer@ify th�t I, the applicant,•have.been .provided with a copy�of�the �°Florida� Constructfor� Llen:Law—Homeowner's
Protection Guide" prep�red by ftie'Floi�ida Department�of Agrlc.ulture and Consu�er�.Affairs. if the appllcant is someone . � �
other than th�°owner", I certify that l�h�ve�.optained4a copy.of the:above:.des,cribeddocureient;and.p.r.oml�e in,good�f�ilh.to - �
deliver it to:the"owner"�prior::to�commenceme�it:' � . -
GONYRACTOR'S/OWNER'S AFFIDAVIT: I.certf�y:,tti;at>all.,the,inf.ormation:J��thi�application is accura,te and that all wock
will'be done in cumpliance with all appl(cable�laws regulating construction. zoning and:land�development. Appiication is
hereby n�ade to obtain .a.permit;�;Co-do.;work:;and "installatlon as indiCeted:� `I certify that no work':or Installattoi� Fias
commenced p�lor to IsSuanc�of'.a permlt"and that.all �rork will be performed to m�et stand�rds-of all laws regulaking�
construction, Counqr and City codes, zoning regulations, and land development cegulations�in the jurisd(ct(on. (�also
certify that I uaderst�nd that the cegulations af other government agencies may�apply to the.intended work, and that It is
my responsibility,to identffy�what.act(ons I must-t�ke:to be.,ln:.corrlpilance. �uch.agencles include but are.not Iimited to: ;
- Department of Environmental�Protectton=Cypre�s.'�ayhead�,�1Neflend Areas �nd Envfronmentally Sensitive
Lands,WatedlNa�tewater Treatm�nt. �_
- Southw�st Florida Water Management: .Dbstrict Wells, Cypress.� �ay.heads; Wetland Areas, AlterOng
VVatercourses. -
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departmen4 of ,Health'8 Rehabllitative,Services/Envitonmental:-Heatth Unit-Well.s,.Wasteutiater:Treatment,
Septla Tankg. - - _
- US Environmental Protectlon Agency-Asbestos�bat�ment.
- Federal Aviatlon_Aulhority=Runways.µ � -
I und�rstand that the.following:restrictions apply to the use of flIL•�
- Use of fill is not allow�d in;Flood=Zone"V"unless expressly permittsd.
- If the -fllf material" ts to=be-used:�Ine:Flood Zone "A", It. is under"stood that a drainage plan addressing a
"compensating volume" wrlll be submitted at time of.permltting w►hich ts prepared by a profess(onal engineer ' '
iicensed by`#he State'of:f�orida. ' • �� �
- If ih� fill materlal=is to:be used In Flood �one 'A" im connec�ion�with�a permitted building usEng stem wall
� construction, I certiry that flti�:wall=b.e used only.to.fill the area uvithin�the�stem�wali:
- � if flll materlal is�to be us�d in any area, B �cer4lfy that .use. of such flll wlll not adversely aftect adJacent
properties. If use of flll is founc�to adversely,�ffect adJacent prdperties,.the owner may be cited tor violating,
I the�conditions of the buiiding:permit issued under ihe attached,.permit-applicatlom-for:lots�.less than.one (1)
acre wrhtch are elevat�d�by flll, a�t engineer•�d dralnage plan is requir�d. . •� ;
If I am the AGENT FOIt.TF1E OYVNER, I�promise in good faith to Inform the owreer of the permitting condit�ons set forth in
this aifidavit�prior to commenoing construction. I understand that�a�separate permft may be required for electric�l work,
plumbtng, signs, wells,:pools;. air conditioning,.gas, or othe� Install�t(ons not.spec�ic�lly included-in.the application. .A
permit Issued shall be con�trued to be a�license�-to p�aceed�nrith the work and not as:authoHty to,violate;=caeicel, alter, or
set asfde any provis(ons of 3he.technlcal codes;�nor shall Issuance�of a.permit prevent the Bulldirig Official from thereafter
requiring�correction af.enors in.plans:; constraiction_or vlolatlons of-any codes. Every-�permft=lssued§fi�61 become invalid
unless the vuork authortzed.by such permit:is.commenced�withtn sfX,m�nths of permit lssuance, or if work authorized by
the permtt is suspended or.abandoned�for.a;period of six(�)�montti'i�s':after.'the;tirne the�wotk is commenced. An extension
may be r�quested, In wrlting,from'tkie�Buildtng,Officfal�for a period.not-to-exceed'=nineQy(90)�d�ys a�d�will`demonstrate
justifiable cause ior.�the�xtension. If work ceases.ior ninety.(90)consecutive�days,..the)ob�is.considered a�ba�doned. �
1l�ARNING TO O{MNER: YOUI� FAILURE;Tb,R�C.ORD;A:NQTIGE AF�COMMENCEf�fE1�T..tV�AY�RESULT IId�YOd1Qt
PAiPING TWICE.�OR IMPROVEMEMTS�TO;YOUI�:P1tOPER7Y:��IF°YA.U�I�d'�F�D:TA=_�BT�IN��FIt�FA1�E�NG;�CONSd�LT
9ii�i�HYOUR"���IDI��-O�AFI�i�`i'"�ORNiE11���F0'tt��RECOR�INIG�Y0UR�I�TICE`OF`COMAl11lENCEA!lENT' ,
FLORIDA JURA�(F:S:1.17.03) .. ' . .
OVNNER OR A¢3EN7 CONTRACTOR � �
Subscribed and swom M{or afRrtned)betore me this Subscribed and'swom to(ot a�irmed)�befote me�thl� �
by_ �by�
VNho Is/are personally hnov+m to.me or hasfhave produced Vllho.ls/are_personally known•tu.me or has/have�produced • �
' aa Identlwcatlpn. as Identlflcaflon. •_
Notery Public ~ Notary Public �
Commisslon No:` Commisslon No. ,
Name of Notary typed,printed or stamped Neme of Plotary typed,pdnted or atamped
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