HomeMy WebLinkAbout18-19649 CITY OF ZEPHYRHILLS
5335 8TH STREET
(813) 780-0020 19 99
TEMPORARY SIGN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19649 Address: 5420 GALL BLVD
Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL.
Class of Work: TEMPORARY SIGN PERMIT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12100
Improv. Cost: OWNER INFORMATION
Date Issued: 5/04/2018 Name: STANLAKE YE FAMILY LP
Total Fees: 45.00 Address: 464 W DUARTE RD #B
Amount Paid: 45.00 ARCADIA, CA. 91007
Date Paid: 5/04/2018 Phone:
Work Desc: TEMPORARY BALLOON ADVERTISEMENT SIGN - EXPIRE 5/18/2018 1X
CONTRACTORS APPLICATION FEES
OWNER TEMPORARY SIGN PERMIT 45.00
,v
Ins ections,Re i ed
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 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
C ACTOR 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
s,s-Aso-DDzo City of ZephyrhillS Permit Application t-ax u,s-tnu-uuz,i
Building Department
Date Received Phone Contact•,'forPenrnitting 1
_72 Ownees Name V Owner Phone Number �IS
Owner's Address. ' �l Owner Phone Number '
Fee Simple Titleholder Name` ? c C Owner'Ption0 Number'
Fee Simple Titleholder Address .
JOB ADDRESS LOT#
SUBDIVISION. PARCEL ID#
(OBTAINED:FROM OPERTYTAX NOTICE)
WORK PROPOSED. .. NEW CONSTR: ADDIALT 0. SIGN 0" DEMOLISH
El. INSTALL B>. :REPAIR
PROPOSED.USE. ' 0 SFR 0: 'COMM 0' OTHER ''
TYPE'OF CONSTRUCTION 0'•. 'BLOCK 0 i FRAME Q. STEEL 0.
DESCRIPTION'OF•WORK `eZ t
BUILDINGISIZE SQ FOOTAGE 'J :HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 -W.R:E.C.
=FLUMBiNG $
=MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION
GAS 0' ROOFING Q SPECIALTY. 0 OTHER
FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:BUILDER: COMPANY
SIGNATURE REGISTERED I Y/ N:'=. 'FEE.CURRR� Y/N.
Address ;License,,#'
ELECTRICIAN ,COMPANY_
SIGNATU REGISTERED Y/ N ';FEE+CURREn:.
RE
Address` License#
PLUMPERs.::`.. .: •CO2flPANY::' :' .' _.. . : . ..: •
SIGNATURE"' ,. REGISTERED ._ ..Y/-•N,'' FEECURREI`:• Y/:N: -
Address. License'# -
.:- RAECH*AI:.,,
'REGISTERED
`'SIGNATURE' " Y/•N FEE CURREh Y:/N
'
Adiiresss7' License
:;•COMPANY
""REG`I5TERED . Y�/.N FEE�CURREn' Y/N
License`#
i.�` nJ k:- - _ ^•/::o"Y,:--.-�: �•R:�?{:ter-'.:�'.n: ':leT.rr.:!:;,":i, _u11 _ -
a .. i v f Ene kF' ri5is R-O?YILPemiit raeirir:coostrucUon,,
�`RESIDtNTIAI , - :;Attar 2 Plok°;P-,lans:2setso#'Building Plans,(1)aet o rgy, o fo
date''.yRe Uired'onsitw,Constructioir Planss' Sto[mwaterPlansw/SIItFenceinstalled;'
Sartifa,_Facilities°&>1rctumpste.Si 'Work;Permit:forsutitlivisioras/ac e- roectsrr,:s`:''' '3;'- .
n -
oii�W1ERCIAL Attach(2)complete''sets of Building Plans plus a'Life°Safety'Page;'(9)set of Energy Forms R-O-W Permit fornew coristiuction
_
=f Minimum ten(10)•working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.,installed,_.
' Sanitary'Facilities 8:1 dumpster.Site 1nloJk Perm[t for ellanew prof®cts:All commercial requirements must meet compliance
P;RMIT '"At6ch"(2)"s`ets of Engfneeied Plans:?a b,: r:'a.
""PROPERTY SURVEY requlred,.(gr,.aII,NEW constiuction.....
• ,• .. .a.r a••;s:.nip'
- tairectlon"s. :�•�„s:: ,.:..rl',.- .. .... -
FilP;out:appllcation•.compietely.
Owner&Contractor sign:back of application,notarised
If.ov`0r., 2500;.a•Notice�of:Commencement Is required. (A/C upgrades over$7500)
'='•.'.` or-i'oWer of Attome' for the owner wduld'tie someone with notadzed.letter from owner authorizing same
- nt(for ih`Wcontractor)! y( ` )
OVER 7HE COUNTER',,P,ERAALTTING::.:.,:,:,•-'..(copy of contract�required),�
Fiing
k,Reroofs.ifales ~``Sewiers .Service Upgrades A/C Fences(Plot/Survey/Footage)
needs ROW
;Driveways-Not over Counter if"on public-rea'dway§
NOTICE.OF DEED'RESTRICTIONS: The undersigned..undecstan sahat;this,permit.may,.bo subject:to,,!'de..ed"..=restr%ctions";"'';`:,
.- .• 1 J...e %•:.f. t {:?.: RKY J s• •y '. �w L ".. 5 t C J �w---a
nl i-
whichi 00a be .np restrictive.:than�_Gottnty regulations TT 1efunde41§,'h d assumreszresp6nsiba114-foes'0Cianc� , any
applicable deed:restrictions.
UNLICENSED`=CON"TRACTORS AND'. CONTRACTOR RESP'0NSIBILiTIES : ".th-6:=bwrrer�4h
as-l lied :arcantractor or
contractors 10 undertake work they.'malt:be;:required<.to be{:licensed.in accordance',with`.state:and:local;cegi lations-.ka if t(ie=':-'
contractor:-issnot.licensed,as::.requfr bey.law,'both'the oin+ner:and`contfactar-may.be:Sited-for?;aa';jinlsdenieanor violatari.
..
under state]]' w. if the owner or Intended.eontractm.arw Uncertain as..to what:licensing-.refit firer eri#sf=rnay a�zpt s r tl
...:`., : ...,. y-..-yam- ... ...rr.....n'<a..
intended wor::k;ahey:are'advised'ta:con act the:'Pasco County°Buildmg.lnspection Di:vision-t lcensing;,bdtion•at:72 -847-�
80,09.1.Furthermore; '!f the owner_-'has'1�hlred`' cdiitractor or contractors; he is advised ta';have-tl?e,,..contractar(s.),c:sifo.n
portions of the "contractor:Block"of.this,application:for-which..they.will be,responsible:' If you,6s foie:ovr ner'sigi�as Jfi a:`
contractor.; that may be an indicatlon that he is'-not` ro err`'licensed and'is ndt'hfitled to p ermiftin ,•.M
Y P P Y P g privileges-.1n:Pasco;.
County. _
TRANSPORTATION IMPACT/.UTIL-ITIES=IMPACT AND RESOURCE RECOVERY FEES:"''The'undersigned.understands:.,; . .
that• transportation Impact Fees and Recourse Recovery Fees'may:apply tovthe,construction.of..new,buildi figs
,.;cl
use inexistirig-ubuildings;<or,expansion'of:eXtsting:buildings, as specified in Pasco County Ordinance number:8M. and.
90-07„as amended. The,undersigned�aiso.understands,.that.suchfees, as`may be,>du% wit!6e identified=�'6tl a fimei`'of
permitting. It is further understood that'Transpertation lmpact Fees,and Resource°�'Recovery,.Fees must be paid_prior:to
receiving a."certificate'of occupancy" or finai,.,power release:,If the:pmjeet:does not involve:a"certificate of.occtpaney.or
final power releaser the:fees-rriust'be=_paid prior to-perrhit`issuance..:Furthertnorek:ifRasco.County aterl-Sewer,4mpact
fees are'due,atiey mu_t^L 6e;.paid prior to+permif issuance:in;accordar ce:with applicatale:a?asco.Couwity ordinances.
CONSTRUdT116 •USN "W" (Chapter?13,Florida Statutes,as amended): if valuation of work is$2,.5QO 00eor more;]>;,r
certify,'that l,.-the-applicant,,have, been provided-with<a .copy;.,of.theFlorida.-Construction::L;ien-;i iiv�-Homeowner?s.
Protection Guide" prepared'by the Florida"Department of Agriculture and CortsumerAffairs. If the applicants ls;•some.one,..._ -
other.than the"Owner",:I.cerbN that 1-have'ob6iiii3d`a copy of the:above°describetl dacur>aent and:.promise1rt*good fa
del ivertit,t 1h- wner,"-pFior•,t 6ffi-libein men
CONTRACTORVOWNER'S AFFIDAV#T..;I°,certify.-thatali:�the'ififorrriatiori in"this application is accurate and'that alrWork
will be{done in compliance with all applicaole'laws regulating construction, zoning-r;and.land';develipment. Application.is
hereby made to.obtain a,';permit,.to_:do;,WorK 'rid -4i lndicated`I I`certify that no 'work or-. :has
<_.
commenced prior-to issuance of'a permit and"that all work will be parlor ad, all laws regulating
construction, County and City codes, zoning regulations, and land development-regulations 6-the jurisdiction.- 'f°also
certify that I understand that the regulations of other government agencies may apply.-to,the-intended work, and-that it is,
my responsibility to identify what actions.I i must.,take,to:begin,compliance:, Such.,agencies*include%bfi are not,lirnited,;to:
Department of Environmental Piotii&k i Cypre Bayhea6 Wetland Areas and E.hAronmentally'Sensitive
Lands,WateNWastewater Treatment.
Southwest Florida Water Management':bistrict-Wells;' 'Cypress-tityheads, Wetland Areas, 'Altering
Watercourses.
Army Corps of Engineers=Seawalls,'Docks-Navigable Waterways.'
Department:of:Health:.&..:Rehabilitative,.Services/Environmerntai::Healtl Unif=Weiss;^Wast± uirater.Tree#menf,
•Septic Tanks.:
US'Environmental Protection Agency-Asbestos abatement.
Federal-Aviation;Authority-Ru ninrays:
I understand-theit,the�f'oliowing restrictions apply to'the use of.fill:
Use of filt is not;aiiowed'in-Flopd Zone"V"unless expressly permitted.
.-material:-:If the fill is-material: A"used' in. Flood Zone "A", it is understood that a•drainage plan addressing..a
"compensating volume" will be submitted..at time of permitting which is prepared by a professional engineer
licensed; a State:of Florida.
If the fill`material:l'Ao be used in Flood Zone "A"-in connection with a permitted building using..stem wall..
construction, l..certify.;that-filt'Wili-be used only.to fill the area within the.stem wall. .
If fill-materiaf'ls-to be used'in any area; I 'certify that,use of such-fill will not adversely affect adjacent.
properties. if use of fill:Is found-_to adversely=affect40a'cent properties, the owner may be cited for violating;_
the cohdi#ions_ofrthe°`iiuiiding;permit.issued under the,attoched.per:mit.application, for-lots'•less-than one (1 j
acre which are elevated by fill,an engineered drainage plan Is required.
if 1 ant..the.AGENT:FOR-TKE.OWN,ER.a':firomise in..good faith to informthe owner of.the permittingrConditions�set ford{in
this affiddVit prior'fo commencing construct ion. .1.understand that a.separate permit may be required for electrical.work;
plumbing, signs,,wells,,,pools,-.air;-conditioning;;"gasi,:or�othi6r''nst II-Mons not specifically Included In the applications:�.A.;.,
permit issued-shall'`°be con struedtto be`a license'to'.proceed'with,the,work:and'novas°,authority.to violate;:cancel,;alter,,.or
set aside.anjr provisions-'of`the'technical cedes, nor shall issuance of a permit prevent the Building Official from thereafter. ' <>
requiring awcorrec#ion.,,o�f�er,Tors:�in�plans;:-construction•,or:violations of•any:codes:' Every'permit,issued'-shall'beoome invalid -?
unless the work authoriied by such permit is commenced within,six..months of permit issuance,or if work authorized Eby
the permit'ls-suspended�or-abandonedfora-period�;of:slx i;6)"montFis.after the time the work Is cotnmenced. .An,extension
may be;requested;.in,writing,.fro'm.:the Buildiifigi'Official'for a period:not*td"exaeed ninety'(g0j`days and will demonstrate
justifiable cause for-the extension. ;:lf work ceases for ninety(90)consecutive days,the job is.considered abandoned.
9. .
..� :c-T ,1.(:,
WARNING"TO�OWNER:,,..YO-UR;,FAILURE'<TO:-,AEC0RD.-.,A NOT, M z x ..,.,s.,..,..rs�. _ AY-RESULT IN YOUR
PAYING;TWICE;:°FOR°;I 'P130jfEMENfS'i"O`rYQl1R PROP{=R i iF YOE1?INTEND rO OB'FtA1N FINANCING'`CO L
.. . . ,..:, ..:. .. . . NSU T i
WITH'YOUR UNDER•OR•AN ATTORNEY BEFORE-.REC.ORDINMYOUR!=NCOTIGE�OF=COMMEMCEMENT:`
_._.Ft.ORiQA-Ji1RAT:{I=;'S::'F17 Q3}r;�--,:_...� ._,:_-_=r,.,.-_ ,._,,..:; - . _ ' - -.- .--- . . t - - _ .. .._-• '--- - —--
OWNER OR AGENT, CONTRACTOR_
Subscribed and swbin to{or affirmed}before me this Subscribed and sworn to{or affirmed}:before me'this
by .::.:by.•-'•"'..' :,r . ::.: ..•.:.,:.., . :.. - .
Whols/are personally,knowm,ta,me.or,.has/haye,produced._ Who.is/arepersona,fly„known.to,me•or,has/havapmduced.
. = as'ideintification. as Identification.
—Notary Public _ Notary Public
Commission No. Com t lon NJ
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped