HomeMy WebLinkAbout17-19157 CITY OF ZEPHYRHILLS , `
}, � 5335 8TH STREET
' (813) 780-0�20 1���
TEMPORARY SIGN PERMIT
" � PERMIT lNFORMATIQN � � � � � - � `.LOCATlON lNFORMATION -
Permit Number; 19157 Address: 6724 GALL BLVD .
°Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL.
Class of Wark: TEMPORARY SIGN PERMIT Township: Range: Book:
Proposed Use. NOT APPLiCABLE Lot(s}: Block: Section:
Square Feet: Subdivision: CITY 4F ZEPHYRHIL4�S
Est.Value: Parcei Number: 02-26-21-4Q10-Q4404-OQ30
Improv. Cost: OWNER IN�I�RMATltJN
Date tssued: 1/Q2/2018 Name: COMBS CHARLES SR ESTATE OF
Tota! Fees: 45.Q0 Address: 39700 MEADOWOOD LOOP
Amount Paid: 45.00 ZEPHYRHIL�S, FL. 33542-6778
Date Paid: 1/02/2Q18 Phone:
Work Desc: TEMPORARY SIGN JANUARY 02-JANUARY 16TH 2O18
CtJNTRACTt)R S � APRLICATION FEE$ `
Q N E2 T M O R S N E MI 5.0
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Ins ections Re uired . "
F Ol`ER
EI.EGTRlCAC.ROUGH
F1NAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when e�ctra inspection
trips ar� necessary due to any one af the following reasons: a)wrong address b) condemned work resu{ting
from faulty construction c} repairs or corrections not made when inspectians catled d)wark not ready for
inspection when called e} permit nat posted on jab site f} plans not at jab site g)wark not accessibie.
Notice: In additian to the requirements of this permifi,there may be additionai restrictions applicable to this property that
may be faund in the public recards of this county, and there may be additianal permits required from ather 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
improvemen#s to your property. If you intend to obtain financing,consult with yaur lender ar an attarney
before recording your nofiice of cammencement."
Compiete Plans,Specifications Must Accompany Application.Ait work shail be performed in accordance with
Ci#y Codes and f3rdinances. NO OCCUPANCY BEPORE C.O.
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CONTRACT(�R SIGNATURE PER OFFI
PERMIT EXPIRES IN 14 DAYS . P�EASE BE SURE TO POST STICKE�t WITH PE IT. CALL
FClR INSPECTI4N - $ HQUR NQTICE REQUIRED PROTECT CARD FR�M WEATHER
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a��-�eaao2o Ci#y of Zephyrhills Permit Application Fax-s�$asaoo2�
8uiiding Departrnent .`'.
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Date Recelved . - � P..honexContact�for Parmittln
Owner's Name� ��P�^'`2 (TE'�( �'�T-�i�''�'e r0 (�C��� Owner Phane Number
Owner's Addre�g � � ��(�CGcs� � l�C Owner Phone Number
Fee Simple�Titfeholder Name � • � C►wner Phone Number I �
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Fee Stmple Tltlehalder Addresa
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�OB ADDRESS LOT# ��
StIBDIViS10N � � PARCEL tD# . .
, (08T/llNED F.ROM.PROPERTY.?A?F NOTICE�
WC1RK PROPOSED „NEw COt357R " - ADDIAI_1" [� SIGN` Q 0 DEMOLlSH
� e. INSTAI.L � REPAIR
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PROPQSED;USE • Q SFR (� GOMM �� O'iFiER
TYPE OF GONSTRUCTION = Q' `� BLOCK " Q FRAME " STEEL Q
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DEBCRiPT10F!OF WOR1C'� ��� Sr /U'" �— `�.
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8tlII.D1NG 81ZE �� St.�FOOTA{'sE�-� � H�IGHT�,�� .,
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[�BUILDlNG $ VA�UATtON`'OF'TO'Tfit CONSTRt1CTiON �
5
QE�EGTRICAL $ - AMP SEFtVtCE Q PROGRESS ENERGY [� `"W:R.E:C.
; - - � . -
QPLUMBING ��� � .
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QMECHANlCAL $ ` VALUATION OF:MECHANiGA�1(�EBTALLAfilOPI. ��� � ��
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QC,�,A.S Q ROQFING ..C] SPECIALTY � OTHER� - , �
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FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES ;,NO
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BUE�DER ; .� _,�...�--� Ct�MPAEIY'` � . '
SIGNATURE REGISTEREp Y/ N �E CURttEn Y/N'
Alddre�'s � � [.icense# ( ` �
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ELECTRfC1AN, ._ COMPAFIY � .
SIGNATURE � REGISTERED Y/ N FEE CURREN''' " ` 'kY/N
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A�dclress , � , - Ltcense# [ . p �
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PLUMBEIt � : CCtlYIFANY :: .: , .
SiGNA'fURE ,fREOIST.EREp r Y,/,.N•� .F�cuREt� Y</N: - � �
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Addrass - , ,; � " � � ,}License,#.��- �. .
MECHANlCAt:" . . COflIlP/WY _ �. ~ = y _ . :r � �
SIGNATURE " - . - , 3 . .. �_ . , , � _..:,• .�:: ,.,f
REGIS7EREp Y„/.N� ,FEE CURREA=. Y:/eN. - .
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Address , , . ' , . " . �� , ' License#�� �
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OTNER ;� . . `;GUMPANY -
SIGN14TURE' -, • � - � � � '� "REGI3TERED� Y/ N:. FEe CUR►��" Y L N ,
Address' , - ' license# �!` '• �� t �,f
RESiDENTiAi:,... :Aits�ct►'{2};Plof=P.,laris;,.(2}sets_of=Biiililingii?lans;'('!}'seE'af�Energy">Fa'rins;R-O�Vti=Peri»itfornaw;constructlori, - , ° ' ° .
�A,,-��Minimum�ten-(10)�worlcing;days�.aiter`subinlEtal date.:�Requlred ansife;<ConstiucUon PI'ans;=Stormwater P1ans w/SfIE'Fence installed,
d �,�, • .
� 'Sanitery FacillNes;8��7,,dumpster�Site�VVork,P..ermitfor sGbdivisiansAange,prujeat's,; _`;;�w _ "' °' � `" ' =°�
COMMERCIAt. Attech 3`cbm let�`sets ofBultd'Iri Pianst'tus a'Cife'Saf+� Pa e; 1 set of Ene Farsns.R-U-W Petmtt#or nerni canstructl6n.
{ ? P 9. P tY' $ { } r9Y
Minimum ten(10)working days�after submlthal date. Required onsite,Canstrucdon Plans,Stornrwater Plans w/Silt Fence inst�lled,
Sanitary FacillUes 8 1 dumpster.Site Wark Pernnit for all new:proJeots.All commerGal,requi[ements,must meet compUance � • �
Sl�N PERMIT Attacti{2)"sets cif�ngineered;Ptaris.t.�..,,^ . ��.. , • .
""`PROPERTY SURVEY reGuired for all„NEW construction._. . -
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Dlrectlons: . • „ . ..
Fill out applicaUon completely.
Owner 8 Contractor sign back of appllcaiHon,natarized
1f over�i2500,a Natice af Commencement is required. {AtC upgrades aver ET500)
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Agent(for the contr'actor)or Power ofAttomey(for tFie owner)woulil be�someone wltFi�notaKzed letter from owrrer authorizing same
OVER THE COUNTER.PEttMITT1NG -.-{Frant of-APPllcat3an Onty}- , , �
Reroafs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Foatage)
Drivewaya-Not over Counter if an pubtic roadways..r`ieeds ROW t 4 � .
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NOTICE OF DEED RESTRICTIONS: The u�d,ersigned.undergtands�;th�t;this.;.p�nt�if;may�be.subJect.to.°deed"rrestrlctlons";.,.;`�� ;,.. "
which may.be�mo�e�r.e'st�rtctive-�th�i�County,'i�grilattons.�The.undersigned�-assumes°'respvnsibility:for compllance'with 'any'` '� "�`
applicable deed�restrictlons. , • � _ . � �•
UNLICENSED=CONTRACTORS AND:CONTRACTOR�RESPONSIBILITIES:� �°If°the�owner�has���hireii��a -conhactor or
cont�actors to undertake work, they may,be�r�qu;ired;:to.;be;ltcensed In.accordance_.with state.and�local�regulatlo_ns:,.If'the�--� ��
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contractor ts not�Ifcensed{as�'requlred;tiy law,:tioth the owner and�coriVactor}may�be�°cited�for�a�misdemeanor violation -
under state law. If the owner or intended-,contractor;are.uncertain as to what ilcensln,g;requireRnentsimay��epply��for,�the'�� �}�� �����"
intended work,they a�e�advi§ed�to`"c:ontact the Pasco County Building Inspection DIvlslon--Licensing Section at 727-847-
8009. Furtherinore, if�the ownerT`fias'`hired a conVacto�v� contrectors, he is advised to have �the contractoKs)„sign ,
portions of the.°contractor Block°.of.this_.appl�atton,:for.whlch.they.will.,,be.:resp.onsible:..If�you,-as�the oiivner"slgn'''as'�ftie'° � �
contractvr; thaftnay"be an indlcatton that'fie`ts not"prope�ly Iicensed�antl'''I§rnot entiNed to pemiitting prii`rileges tn Pasco
County. ` , . - , :-�: :, , ..
TRANSPORTATION_IMPACTJUTILITIES�rMPAC'�ANb�RESOUItCE RECOVERYfEES: �The underslghed understands
that Transportation Impact Fees and.Reco.utse Recovery.Fees,mey�,apply�ta the;consbuction;of new_buildings,�change�of�• -� �
use in existing buildings;�or-�ezparisl�n��of:�ezisti�i,g'�buildings, a's spec�ied.in Pascv County O�dinance number 89-07 and.
90-07, as amended_,,��;The undersigned also;�understa�ds, tliat-such fees;-�as�majr be�<due;;�:wflfa�e Jdentified at the�time;of� ==�'�� '�•`
permitting. it Is furthe�understaod that Transportation impact Fees and{Reaource;Reco�ery`Fees:must be paid prior fo
receiving-a 'cerfificate=of�occupancy"or�flnal��power;release:��:if>the.project:,doesinot involve�a�;certificate of occupancy<or=�=���s�=-'��'-,
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flnal power�release;-#iie;fees-rr�ust`be'�patd`.pr:lor,to;,permR Issuance. Ft��thermore;�if Pascv:County"1Nater/Sewer��lmpact � .. . �
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fees are due,they_mustbe�,pald..prior to,.p,ermit lssuance�in_accorda.n_ce wltFr�applfcatile Pasco'.Countji�oriflnances. �
CONSTRUCTION�LIEN'LAW�(Cliapter 713� Flor�da Statut���s�s amended): If valuadon of work is$2,500.00�or more;1-- �: ::,t�
certify tFiat-I,-�he.�:applicant;-have::been :provided-�with:-a-copy of_�.the��"Florida�°�onstrucNon� Lien :Law—Flomeowner's
Protectlon Gulde° prepared by,'the�.Flo�ida Department�of Agriculture and Consumer;.Atfairs. if the appllcant Is someone _ ..
other than the bwner", I certffy4that.i;have;:ob,tained�a�eopy.of the;abova�.des:cNbed'document;and�.p.r.oimis�'In;good�;faith•to z�
deliver It to.:the->bwner":p�ior`to:�commencement:�`''` �� _ , ` . ,. ' �- . . . ._
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.certlty::,,ttiat�.all:the�inf.ormation�,ln-thi�applicatlon is accurate.and that all work
will'be done in compliance with all applicable l�ws regulating constructlon, zoning and•land�'development. Application Is
hereby made to obtain..a .permit�;:Co;sdo.;wor,"k;;and Ainstallation as indl�afe.d:.>�.•'I. cenffyr"that no work=:or Installatton fias
commenced�p�lor to Issuance of'a permiE'and that�.-all work wlll be pertormed�to meet standards-of all laws �egulating-
construction, County and City codes, zoning regulatians, and land development regulattons�in the�)urlsdlct(on. � I,also.
certlfy that I u�derstand that the regulatlons of other government agencies may�apply�to the.intended work, and that�It ts
my responsibiltty to identif�r�what.acttons I must take:to be�in:.corr�pllance:,S,uch;agencles Include but are.not Iimited ta. ;
- Dep�Rment of E�lvironmental�Protectton=Cypress.`BayFiead�,�WeNand Areas and Envtronmentally Sensitiv,e
Lands,WatedVllastewater Treatment.
- Southwest Florlda Water Management .I�tsUict-Welis; Cypress.�+Bay.�eads;� Wetland Areas, Altering
Watercourses. - - � +
- Army Corps of Englneers-Seawalls,�Docks, Navigatile Waterways.
- Department of,Health;,8 .ReMabil(tativ.e,.Sentices/Envitonmental Health=Unit Weil.s; Wastewater Treatment,
Septic Tanks.. ' . � ' - -� `. � � � ;
- US Environmental Protectlon Agency-Asbestos abatement. � �� -
- Federal�Avlatton-Authorlty.=Runways:°�����: � _ - �
I understand.that.the,following,-.restrictlons apply Co�tfie use of flll:• �
- Use of fili is not allowed in!Floo.d,�Zone"V"unless expressly permitted. ;
- If the:flll=mate�fa4�is"to���be useii�`In :Flood �Zone. "A", `It. is under"stood that a drainage plan addresstng a
"compensating volume"will be submitted at time ofi,penmitttng which Is prepared by a professional engineer
Ilcensed by�the State of'Flotida:.� �� � � � �� �, =- . ,�
- If ih��flll material=1s�to-:be used In Flood Zone "A" in�connectlon�with�s�permitted building using stem wall
constcuction,,I certify.that.fill:�rall�b.e-used only.to.fill the area_within�the�stem�vuall: ,
- If flll material-is�to be'used-°in any a�ea; I �certify that .use. of such flll wlll not adversely affect adJacerit
properties. if use:of fiil Is,found�to_adversely:�ffect adJacent�pra�perties,.the owner may be cited for viofating.
the conditions:of,the building?:permlt Issued�under ihe:�attached_permit application� for_.lots�.le�s�.than.one (1t)
.acre wliich e�e elevated�tiy flll,a�t engineered dralnage plan Is requlred. ;
If i am the AGENT.FOR THE�OWNER; I�promise In good faith to inform the owner of•the permttting condftlons set forth In
this affidaVtt�prfor to�co`mmencing constructlon. I understand thata�separate permlt may be requtred for elecMcaf work,
plumbing, signs,..wells,.:pools;. air.conditioning,..gas,�or.other install�tlons no!•spec�laally Included-tn.the application. .A
permit issued'"shall be constived to be°a�l(cense'�to-proceed witb tNe�work and-not-as.authoNty-to,.violate,ycancel, alter, o�
set aside any provistons of ttie technlcal.codeis;:nor shall Issuance.�of a.permit.pcevent the Buildirig Ofiicialfrom thereafte� �
i fe .,r'
requiring a correction a�f..eRors:in;pl_ans; construction or violations of-any�codes.��-Every--permit•issued-siiaif-become inval(d
unless the work auihorized by such permlt:is-commenced•withln sijc�months of permit Issuance� or If work authorized by
the permtt is suspended�or:abandoned;,f,or:a;period,of�six;(8)monttis.:aRer.',the tirne the�work�s commenced. An extension
. :, �._.
may be requested� In.writing,�from.tFie:Building.Oiflcial for a period-not..to.exceed-ninety�(90)�days a�d°wilf demonstrate
justifiable'cause tor.�the extensior�. If work ceas�s,for ninety(90)cons.ecutive�day.s...the job�is consldered abandoned. �
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WARNING TO OWNER: YOUl�.FAILIJRE=:T4.REC,ORQ..A_(�OTIGE:OF,•COMMENCEMEMT�:IIfFAY�RESUlT IN�YOUR
PAYING TWICE:FOR IMPROVEMENTS:Tfl;yYOUi�;PRt�PERTY:r�IF�.YO.U;IN��'END�T��i0B1'AIN<FINA�I�ING�,C.ONSUL'� __ _
WIT Y R� �A. -A��'£�O N S2.�;,���0 . f,;: .O�J ; : �� .CD - �,: ---. E —: - . . :i.. -
FLORIDA JURA�;(F:S::1.17:03). ...J ' °.,�„��_: °_
OWNER OR AOENT • : CGNTRACTOR •- � �
Subscxibed and svwm to{or aNirtned)betore me this Subscrlbed'and'swom�to(ot affiftnedpbefore me�tFil�•� ,
by- - - .by... � -
Who Isfare personally,known to.me or has/have p►oduced Who.ls/arep.eraonallyknovm�tu me-or haslhav,e�produced • , .
� ' ae Identlflcatlon. ' as Iden88catlon. - '
Notery Public _ r Notary Publlc
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Commisslon No: Commisslon No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or gtamped
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