HomeMy WebLinkAbout17-19143 �,
. - '� CITY OF ZEPHYRHILLS �
5335-8TH STREET /
(813)78o-OOzO ,f 191
BUILDING PERMIT �' �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19143 Address: 6136 FORT KING RD �
Permit Type: SIGN ZEPHYRHILLS, FL. �
Class of Work: TEMPORARY SIGN PERMIT Towrnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0000-00500-0010
Improv. Cost: - OWNER INFORMATIO
Date Issued: 12/26/2017 Name: ,
Total Fees: 40.00 Address: .�9-B6�E��
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33539
Date Paid: 12/26/2017 Phone: (813)714-1465
Work Desc: TEMPORARY SIGN - EXPIRE JANUARY 9TH 2O18 - HOYT ANITA(1 ST)
CONTRACTOR S APPLICATION FEES
OWNER SIGN 40.00
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Ins ections Re uired
FO TER
ELECTRICAL ROUGH
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNAT E PERMIT OFFI R
PERMIT EXPIR�S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' s�saao-oo2o City of Zephyrhills Permit Application Fax 813-�so-0021
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Building Department `"�.
Qate Recelved -
Phane�Cantaat far�Pa�rntttln �
qwner's Name � �l �'N Owner Phooe Number J!�~ ( t l� � l 'f �p
Owner`s Address , �� �.(� V `� • 6� � Owne�Phone Number �� � �
Fee Simple�TItleFiolder Name � • � Owner Phone Numba� `� "�
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Fee 3lmple Titleholder Addresa
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JOB AClt3RES8 LOT#
SUBDiVtSION � � PARCEL tD# -
j • , , (OBTAINED FROM PROPERTI!TAX NOTICE)
WORiC PRBPQSEQ L NEW CONSTR ADDIA�T � StGN' Q ``Q DEMOLISH
� �.e, INSTALL 8 . REPAIR x
PROPOSED=USE - . •� Q SFR- Q 'COMM Q -UTHEF2
TYPE OF CONSTRUCTION' �]' " BLOCK " 'Q FRAME � STEEL Q "
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DESCRIPT{ON OF WORK-� �"��+ �''��` S� �� � .,
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BUILDING SIZ� . ., � SQ FO07'AGE HEI.GHT ._ .
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�����'d���' �� VAlUAT10N�{OF TOTAI.CONSTFtt1Ci'IOI�! � "`
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QEIECTRIGAI. '),��� AMPSERVICE Q PROGRESS'ENEFtGY Q 'W:R.E:C.
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QPLUM8lNG� •`� �
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�]MECSiANlCAl. $ VAIUATlON OF'MECl1ANiGAt.iNSTA�LAT30iV ��
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�]GAS Q ROQFING ;Q SPEGIA�TY,:� � -OTHER� - =
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QY�S. :NO ,.
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au«a�� ' ��zi� coMPi�r=� . , ; . .
SIGNATURH REGISTERED Y/ N FEE CURRE� " Y/N'
Address . " Cicense# � i
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E�ECTRtCFA{�!. �_ - , . CflMPANY' �
SIGNATURE � REGISTERED Y/ N FEE'CURRE�`" '' 'Y/'N .
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Addre�s + ' , y 5 License# � � � �
PLtlMBER ; . COMPANY�::,.;� � ' : ,
SIGNATURE ' _REGISTEREO.. Y../,.N.! - ,FEE CURREtc Y-/N:.�' - �
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Addcess License,,# � _ �-�
MECHANlCAl. ' - - � � COMP1tA1Y -} � � - _ , .1 �
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�IGNAYURE ' ' , " ` . , REGI$7ERED ; . '..,Y..J.N. . . FEECuwtE�:. . Y:/rN •-
Addra�a� � : . - � ° � - _ License#+�^..-., 1
tlTHER ; ' � , . ,:CONtPAi!1Y y - - .
$IGNATURE `-`�,. , '; °� ,=.: ''` �, ; .�,", ' � " �`REGISTERED J" ' ' Y/ N:.'� FEE CurtREn ' Y/N. . -
Address ` � _ �icetise#�� � � A�
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RES4DEN'i1Ai:.,;�F .Attadi''{2),;Rtof P...lans;(2)sets=bffBuitding.Plaiis;`�(1)sef"ofsEnergy�Fo'riims;�R-O�W:Peirsmitfar new constcuctEan,.., � ' '
_�, �:� Minimum�.ten;(�10);woricing�ciays„�after;:submiEtat�data.�R`equired ons(te,:Con`stiucBon`Rians;Stortnwater Pian's w/Sht�Fence instaDed,
`�f 5anl�a' FeclliUes�&t1�,dum ste_r,�Slte�Work.:P,ermitfor,sutidivislonsAa e.,ro ects--i..,,%::�• , � `���"��-�• `?: � =' . •
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COMMERCIAI. Attach{3}=c6mpEete'seis of�Bu(Idirig P1ans'plus a"I.if+s S"afeety Page;�(1}set of Energy Fonns.R t1-W Permit for rtew_conshvcfian.
_ _ Minimum ten(10)working days after submlttal date. Requfred onsite,Construcdan Plans,Stortnwater Plans w/Sllt Fence instelled,
Sanitary FaclliUes&1 dumpster.Site Work Permit fur all new,projeots.All commercial requiremen�must meet compllance �
S1�N P�RMIT AttacFi(2)"sets�of Engineered;Plaiis.� �,�.;:: � � .
••""pROPERTY SURVEY reguired,for all,NEW construction.. - � �
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DtiactEans: .-. � .
Fill out appflca8on completely.
Owner 8 Contractor sign back of applfcatlon,notadzed
If aver�2500.a Natice af Commeacement Is r+aquired. (J4lC upgrades over§7500j .,
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`" Agent(for the�conkrector)or'Power of Attbmey'(far�tFie owner)would be someone wfth'notarized letter from owner authorizing same
S3VER TFiE CQUFiTER.PERMI'1'TING- -(Front of APPlicatton-Oniy)t . .
Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
Driveways-Not aver Counter if on pubtic roadways..need's R8W
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NO't'10E t3F DEEQ RESTRiCTIQN$: The u�d.erslgned,nnd�r�tands�;th�#,#h�s.:�rmlf:may.b.e,subJect.#o,"deed"restrlctiohs"' .,_. .
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whicfi may be�rriore�=r.est�tctive,�th����CouhEy�r�agul'attons:�The�undersigned4=a§siames`�esp�nsi6111ty for'compliance'with��any� ���' "�`
appllcable deed restrictlons. , - � � . ... �� _, -.� ,��"='
UNLtCENSED�CONTRACTt3RS-AND .CtfNTRJ��CTt�R�RESPORISI�ILITIES:� ��ff�theMawner-has"�iiirecl �a c�nhac#or or
contractors to undertake work, they;may;be:.r�quired:to..be;llcensed�ln:accortlanae.with,state.and,local„regulatl.ons.:��If�the� � _ �����°
contrac#or ts not Itcensed as'�tequlred}6y"law,=bo#ti the owner an�l=cor'iti�ctor°may��be�°cited�ior"�'misdemeanor vialation
under state Iaw. If the owner or Intendedreontr�actor��re,.uncertaln es ta what Iicenaing:requirements.�may�apply��far:tiie'� � �<<���°'°'
Intended iniark,they are advlsed_to coiitacE�e Pasco�vurity.auitding_fnspec#loin;Dhilslon-�:lcenstng Sectiors at 727-@47-
8v08. Furttiennore, �ff the ovirner'has�`fiired-a �con�ac#o�`ar confractors, iie is acivimed to have �the contrac#or{sj„sign.
portions o1`the "contractor Block"..of.thls..appilcatlon_for.which.they�vill.-be.r.esponsible.- If=yau,:as:#he awnert'stgn�'as'the� � '
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contractot� thet tn�y�be�n lndicatian that�'1ie=is`riot:prope�y ttceiisiad�anif��ls"ncrt enti�ed to perniltting pri�lleges In Pasco
County. , ,. - . s�• �;=-� �.�.v
TRANSPORTA?ION={MPACT/UTIl:lTIES�CMPAC'��ANl��RESOU�tCE RECQYERY-fEES:�The undersigne��understands
that Transpartatlon impact F'ees:and.Reca.urse Recovery:Fees may�;appiy;�fo�ti�e�construction af new_buildings,�change�of=ry'�` � =` �'�
use in existing buildings,�or_ezpansi�i�r':of�ezistin�.abuiltlings,as speclfled.in P�sco Caunty Ordinance number 89-07 and
90-07, as amended.,•�The unde►slgned�Iso;-uniderst�nds, thiat:-such fees,=;ss��tnajr:tie=due;;wilF�be tdentifled at#i�e�time`of�:;` ����, °
permitting. ft is fu'rtlier understood that Tra�isportatlon impact'Fees an.d°Resource.:Recori.ery�Fees�_mus# be paid prlar to
reae�ving s'GBtEIFIG8t8 0�Ot�l!(}811C�f"''OT�ftnai��pawer:�elease.� :i€�the.pro�ec#_does;not ir�volve:s=cen�tcate of occupancy_or�;,-L=_:' ' �
�inai power_:retease;��ttie�;fees�mu�t�'be paid`;pcfor to._permit issi�ance. Fu�t�iermore�tf::Pascc�,,County�lNaterJSewer lmpact � .. .
fees are due,.they�must:be�pald-pNor to,.permlt`.Iss4ance;in_accordance wltti:appltcable:Pasco'Counly�o'rdlnances. �
CONSTRUCTIQN�ClEN`l:AW(Chapter T13,�lor�c�a 9tatut,�,as amended): ifi valua�on ot'woric is$2,500.00:;ar moce;;�i�� --�;�
certify that -1, �he._applicant;:;have;:been�.provided�•wtth-a--copy-of.'�:the "F..lor(da�-�ConsVuctton: Llen�Lav�Homeowner's
Protectian Guide" prepared by,ttie Floi�da Department�ofi AgrEculture and Consumer:.:AtFalrs. 1#the appttcant Is svmeone; � _
other than#he"rn�mer", 1 certiFy that-I�h�ve.obtained�a'�capy;of..#heiabove:-.descriki�ed`docuir�ent:and.p�ro,mis�:in,good;faith,to ,
deliver it to:tfie.�':owner"�p'r9or`:#orcoinmencement:�,'� ''� ` ° � . �� � , ' ;
GON'fRACTOR'SlOWNER'S AfFlDAVIT: 1.certifjr::,tiaat�.stl.:theyiriformatiant,in�thi.s appticatton is accurate.end that ail work
will'be done in cam Ilance with all.a Iicable laws re latin constructian, zonin and�•land��develapment. A Itcattan #s
P pp 9u 8 9 _ . PP
heroby made to obtaln.:a.perm�t;to:�do-worlt,<M,�nd�lnstallatlon as Ind[�e#ed:•>:.::1� cer`tiFy that na work=or Instaliattdn has
commenced prior to I'ssuance of'a�permit and that.all work will be perfo�med #o meet.standards-of all laws regulating-
canstructfon, Caunty and City codes, zonfng regulatio�ns, and land devetopmert# regutations�In #he �urlsdiction, I.a1so
certiiy tha# i u�derstand that the regulations of ather government egencies may�apply�#o the.,lntended wark, and that it is
my responsibility to ident6fy.what.acttons I must take:to betin:.corrlpltance;: Such agencles!nalude but=are.not lfmited ta: � ; -
- Department cf E�vtr�nmerital=Protectlon=Cypress:'Bayhesil�;�NfleHand Areas and Environmentatty Sens{tive
Lands,VNaterlWastewater Treatmenk. _
- SouthwesE Flarida Water Management: .I�tstrict 1Ne1ls; CYPress.'.8sy,�eadsr; VYe#la�d` Areas, AI#ertng
watercourses. � � �
- Army Corps of Engtneers-Seawa!!s,Docks,Navr�aa�e waterways. ;
- Departmen# of.,N+ealth�..8�,Ref�abllitative.,;Serviceg/Envitonmental..Neatth Unit:Welt.s�.Wastewater=Treatment, •
t ; .
Septla Tanks... : ` ._. � _.�.... _ _ �
• US Envlronmental Protectian Agency Asbestos abatsme.n#.....
Federal:Avlatlon�tiuthority,Runways:���;`� � ?
!understand.that the fopowing:;restrlctlons appfy'to the use of flll:
- Use a#ftlt is nat atiowed in�Ftood,;Zone"V"untess expcessiy permitted. r
- If the�flll mate�lalw�Is`�to'b:e usetl'��'In �Flood�Zone, "A", 'It. is understnod that a drainage pl+�n addresstng a
"compe�tsatlr�g votume*w11t be submltted a##ime af,permltting wF�lch ts prepared by a professional engineer� . -
Ilcensed by'�he,�#ate of`FMotida:... .. � . . � ` ,. :. _ ;
- !f th��t�l1-material°.!s�to�be�tlSBl� �tl FIOOd ZtOtl$ �A° in�cflnnec�icn�wlth�a�permltted bui(ding using s#em wall
� cons#ruction,.i certify that.fiiT-.wlil:b.e-used only.to#III the area withln�the stem walL `
- If flU material-is��to be used�ln any area; I �certify thett .use. of such ti4! wll# t�at adversely affect adjacent
propertles. If use:of filt 3s fot�nd_#a adverse4y,�iiecf adJacent�pr�per#ies,.the owner may be cited for vio{ating
the�conditlons.;of.the bulldtng�;permit Issued,under the�at�ached.,permit epplfcatia���for:.lots.�.less.�than.one (1i)
' acte wiilcFi are elevateii`'by�tl���t engM�ered draMag�plan ts required. •� s
ff i am the AGENT FOR<THE.AWNER; I;.promise In good faith to Inform the owner of the.permitting condi#fons aet forth In
thts a�davlt�pr'tor!o cominenaing canstructlai�. 1 understani! that a�s�parate permlt may bs requlred for elect�Eca#'work,
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plur�aibing,..signs,..walts�,pools;,a#r.conditioning,..gats��or otliet install�ttons na�,spec�ically induded�in.the appiication. .A
permlt issued 5hail be construed to�li'e�`a'Ilcense'to��prciceed with tNe work and��nat-as�authority:to:vialate;.=cancel, alter, or
set aslde�ny provlsians of ttte.te�lintcal.codes; nor shatt Issuance�of a.permtt.pr.eve�ths Bulldirig O#ftcial from thereaftet
requtring a conection af,ercors,in,;plans.;_constivctlan.oc vlolaGons of�any codes:�.�very��piermit[ssued=sfiall become invalid
unless the work authorized.by such permlt:�ls-commenced uvikhin sf�c.,rnonths of�permlt Essuance, or!#Hrork autFtorized by
the permit is suspended>or-,abandonedfor�.��:periad;of-si�c�(�}monftis:after#he:tlme the�work is commen�ed. An extenston
may 6�e requested, In writing�:from.tti�e:�Bullding.Offlcia) for a period not�-to exceed��nlnety�(90) days and�-wfll demonstrate
�ustl�able cause for�the extenslo�: If wrork ceases:for nMety.{90}�ansecutive�days..-#he�ob�is.constdered aba�daned. �
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�AfARNIMG TO C?YVNER: YQU1�..EAILEIRE;�Tfl..FtE.C.t�t2Q.A;.l�IQTIGE��F.�COMM�MCEMEt�tT-.MAY�RESU�T IN YC?UR
PAYING i'WICE,�OR IMPROVEMEN.TS:TCI:YOUi.�;PRCiPER�TY:��I��.YO.U�I�YFE�D:TQ`�jOBTA1N��FiNA�1�'ING;'C.ONSULT
WIT U A f1TT0 N FO.E���-ECO F,�:S OU ' � ����CE'O ,'> . , � E � .. T. :,`
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OWNERORAOENT ,�, • COM'RACTOR =� -�� �
Subscxibad and swam to(or aflirmad�before me thls Su6scrEbed and'swam�ta(ot 8flfnnedrbefaie me'ttils-
by .by,.. . . _. ..
Who Is/are parsonally known to.me or•hasJhave produced Who.ls/are persanally knoam•tty me or has/have�prodUced • �
' as tdenURca84�. as iden�fication. -- _ .
Notary Pubtic . � ~ Notary Publlc
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Gammisslan No:` Coinmisston.No, -
Name of fVotary lyped,pNnted ar stamped Name at Notary typed,printed or stamped
r�s.