HomeMy WebLinkAbout19-20937 CITY OF ZEPHYRHILLS
5335 8TH STREET
(813) 780-0020 20937
TEMPORARY SIGN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20937 Address: 5530 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: 11-26-21-0010-05700-0250
Improv. Cost: OWNER INFORMATION
Date Issued: 3/08/2019 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 45.00 Address: 5524 GALL BLVD
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/08/2019 Phone:
Work Desc: TEMPORARY SIGN (2) CRICKET WIRELESS EXP 3/22/2019
CONTRACTORS APPLICATION FEES .
WNER TEMPORARY SIGN PERMIT 45.00
n
�i
FO TER Ins ections Required
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.
Alta—,
c6N#tACTOR SIG A URE 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
813-780-0020 City of Zephyrhills Permit Application r,ax-o'i a-i ov-vuz i
Building Department
Date Received 1 Phone Contact for Permitting Lg.
TTT� t ......... .. ....
Owner's Name el? Owner Phone Nu
Owner's Address C"k I-e- Z_ v Owner Phone Number
Owner Phone Number
JOB ADDRESS 5-5� 3
7— lit S r-Z 755J.2 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR = COMM 0 OTHER
TYPE-OF CONSTRUCTION 0 BLOCK F__1 FRAME = 'STEEL,
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
IEBUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL I$ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i i i i i 2 2 1 1
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L�N
Address I License# I
ELECTRICIAN COMPANY L�N FEE CURREN
SIGNATURE REGISTERED
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N
Address I License#
MECHANICAL COMPANY LL--
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# F-
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN /N
Address License#
HHHH
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&-I,dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:... ...............
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED The undersigned underotandathot this permit may 6e subject tm^deed"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by |ow' both the owner and contractor may be cited for o misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised hzcontact the Pasco County Building Inspection Division—Licensing Section od727-847-
8009. Furthermore, if the owner has hired o contractor mrcontractors, he in advised to have the contractor(s) sign
portionm mfthe "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontrootor, that maybe an indication that hm is not properly licensed and is not entitled to permitting privileges in Pomon
County.
TRANSPORTATION UN0PACTIUTULUTUESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply-to the construction cf new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numnber@9-07 and
90-07. as amended. The undersigned also understands, that such fmem, as may be due, will be identified at the time of
permitting. >tis further understood that Transportation Impact Fees and Resource Recovery Fees must ba paid prior to
receiving m "certificate mf occupancy" mr final power release. If the project does not involve ' certificate of occupancy or
final power no|maoe, the fees must be paid prior to permit issuance.' Furthermore, if Pasco Counb/VVobar/Sevmar Impact
fees are due,they must bm paid prior bo permit issuance|n accordance with applicable PasooCmunb/ordinonc*m.
CONSTRUCTION LIEN LAW(Chapter 713, Florida.Statutes, as amended): |f valuation of work io$2.GOD.ODmrmore, |
certify that [ the 'app|icant,- have. been provided with o copy oftha "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs.* |f the applicant kysomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver|tbo the"owner" prior tocommencement.
CONTRACTOR"SIOWN ER~S AFFIDAVIT: | certify that o||thm information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain o permit to do work and installation
as indicated. | oe �v work n� orb or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. Y also
certify that | 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 must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhmada, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distriot-WeUe, Cypress Bayhaado' VVoUond Areaa, Altering
watercourses.
- Army Corps ofEnginaers-SeavvaUs' Docks, Navigable VVotenmoym.
- Department of Health & Rehabilitative 8mrvidao/Envinmnmenta| Health Unit-WaUs, Wastewater Treatment.
. Septic Tanks. ~
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb-Runvvmyo.
1unde,otand that the following restrictions opo� U to
�U
- Use ofionctoUoxwmdinF|ood' -nmWrun|essexpnanm|ype`^ittad.
- If the fill rnedwro| in to be used in Flood Zone "A". it /s understood that a drainage plan addressing a
"compensating volume" will be submitted odtime of permitting xvh|oh is prepared by prohaoniuno| engineer
licensed bv the State ofFlorida.
- |f the fiU' motoria| is to be used in Flood Zone ^A^ in connection with a permitted building using stem xvaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill.is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions nf the building permit issued under the a�mchmd pennDapplication, for lots less than one M\
acre xvh|chare elevated bv�U. an engineered dnainogeplan |orequired. .
|f| amnthe AGENT FOR THE OWNER, | promise in good faith bd inform the owner�f the porn�ibbngmondiUmnoset fo�hin
this affidavit prior b/ commencing construction. | understand that a separate permit may be required for electrical muorh,
plumbing, eigns, xvmUo' pools, air conditioning, gao, or other installations not specifically included in the application. A
permit issued shall be construed bzbmo license bn proceed With the work and not ao authority to violate, cancel, after, mr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter i
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the xvmrh authorized by such permit is commenced within mix months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be maqumeb»d. in vvht|ng, from the Building Official for o period not to exceed ninety AQO\ days and will demonstrate �-'
'u� � vv ob|eoau��forth�o�benaion. If ` w�idmr�dobmn�on��. �
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_Y0.UR_LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
,"O=""^""". (,.S. ./,.vo) - --- ----' 'OWNER OR OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscdbed and sworn to(or affirmed)before me this
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
asidentificalion. as identification.
Public Public
Commission No. Commission No.
Name of Notary typed,pdnted or stamped Name of Notary typed,pdnted or stamped
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