HomeMy WebLinkAbout19-21482 I
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21482
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21482 Address: 5935 7TH ST
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: MONUMENT SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-00800-0260
Improv. Cost: 2,950.00 OWNER INFORMATION.
Date Issued: 7/30/2019 Name: ZEPHYRHILLS 7TH STREET LLC
Total Fees: 82.50 Address: 601 21 ST ST STE 300
Amount Paid: 82.50 VERO BEACH, FL 32960
Date Paid: 7/30/2019 Phone: 863-581-4222
Work Desc: INSTALLATION MONUMENT SIGN-DAVITA MEDICAL GROUP
CONTRACTORS APPLICATION FEES
SIGNCRAFTERS OF CENTRAL FLORIDA SIGN 82.50
FO TER
Ins ections Required
�
ELECTRICAL ROUGH V
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4y
CO�fttRAC KORSIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- o
i
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: /
Date Received: `� L
Site:
Permit Type: L
dk v cJln L
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This Comm hee"f shall be kept with the permit and/or plans.
eviner—Plans Examine 20&te Contractor and/or Homeowner
(Required when comments are present)
;
of Florida
Commerciar Signage SOW•
MARCH 9,2018
CITY OF ZEPHYRHILLS
Attn: Building/Permitting Dept.
5335 8th Street
Zephyrhills, FL 33542
By execution of this Power of Attorney, I, Dennis Todd Martin,whose address is 1915 Greenleaf Lane,
Leesburg, FL 347,48 and whose State.of Florida License number is ES:12001170, and on behalf of
SignCrafters of Central;Florida, Inc. (Company), do hereby appoint MISTI ENGLE,as my attorney-in-fact for
me to sign'for,receipt for, and do all things necessary for the.sole purpose of obtaining building/electrical sign
permits.
DENNIS TODD MARTINI '} ,
i ' ', ; - �'%' Rr - r' •_ ;� ,ram
Signed and sealed this, _day of M0.trC.hr ,2018 by 1)-�;,tnG�1S''',T` y( GlC"h rl
who is personally known to me,or produced'identification'in'the following for
ary.,Signa I
j (NOTARY SEAL)
Notary Printed Name . ;;�'*:��•., DAVYN E RILEY
MY COMMISSION#G0064955
EXPIRES January 23,2021
1915 Greenleaf Lane - Leesburg, FL 34748
Tefephone 352.323.T:88G2
•SrgnCraftersRo-wwwridaii-com
Pofflori'da
. ..- Solutions
July 29,2019
City of Zephyrhills
Attn:Building/Permits Dept.
5335 8th Street _
Zephyrhills, FL 33542
By execution of this Power of Attorney,I,Dennis Todd Martin;whose business address is 1915 Greenleaf Lane,Leesburg, FL 34748
and whose State-of Florida License number is ES12001170,and on behalf of.SighCrafters of Central Florida, Inc.(Company),`do
hereby.appoint the following,persons as authorized agents to sign for,receipt for,and'do all-things necessary for the.sole purpose of
obtaining building/electrical sign permits through City;of Zephyrhills Building Department.
The following list.of names are to be listed',as authorized agents i
MISTI ENGLE,PERMITTING COORDINATOR
RONALD COLLISON;PRODUCTION SUPERVISOR
NATHAN THORNHILL,SENIOR TECHNICIAN
CHRIS MILES,SENIOR TECHICIAN. .—
DAVYN RILEY,,PROJECT MANAGER
JAMES STURGEON,SENIOR�TECHNICIAN s
DENNIS TODD MARTIN
Signed and sealed this Z� day?of'J.t�,�� .+ 201.9 by DENNIS TODD MARTIN• who is personally'known to me,or
produced"identification in the followingiform'
N&9ry Sign re
(NOTARY SEAL)
'DA 1
Notary'Printed Name
r.4parP(% DAVYN E RILEY
0
MY COMMISSION#GG064955
EXPIRES January 23,2021
1915 Greenleaf Lane - Leesburg, FL 34748
Telephone 352.323. 1862
wrwrwr.SignCraftersFiorida.com
: 813-780-0020 City of Zephyrhills Permit-Application Fax-813-780-0021
Building Department
p)
Date Received 352 323 - 1862 Engles
Phone Contact for Permitting —
1-1 1 1 1 1 1 .1 1 1 1 1 1
Owner's Name Davita Medical Group Owner Phone Number unavailable
Owner's Address 15935 7th Street, Zephryhills, FL 33542 Owner Phone Number unavailable
Fee Simple Titleholder Name IZephryhills 7th Street LLC Owner Phone Number I unavailable
Fee Simple Titleholder Address 601 21 st St, Ste 300, Vero Beach, FL 32960
JOB ADDRESS 5935 7th Street, Ze h rhills, FL 33542 1 LOT# Q
SUBDIVISION PARCEL ID# 11-26-21-0010-00800-0260
OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 (n��SlADD/ALT = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK INSTALL MONUMENT SIGN AND DOOR .VINYL TO PROPERTY
BUILDING SIZE I N/A SQ FOOTAGE N/A HEIGHT I N/A
EE:rBUILDING $2,950.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL•, $N/A AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $N/A 61M
=MECHANICAL $N/A VALUATION OF MECHANICAL INSTALLATION (� v
=GAS = ROOFING EE:r SPECIALTY EEf C;THERSIGN_(S) v
.FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER /}, /? /Dcw Ai' COMPANYSignCrafters of Central FL
J'U✓-I'SIGNATURE -C& /r �"'/I REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY N/A
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER . COMPANY N/A
SIGNATURE REGISTERED Y/ N J FEE CURREN I Y/N
Address License#
MECHANICAL COMPANY N/A
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY N/A
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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&1 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 Plaris—Stormwate—Plans w/'Silt Fence installed,-- _- —
Sanitary Facilities&1 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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
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 a 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 law, both the owner and contractor may be cited for a 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 to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the 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 a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a 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. I 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 must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V' unless expressly permitted.
- If the fill material is to be 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 by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
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, I 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 of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six 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 requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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.
FLORIDA JURAT(F.S. 117.03) . ,'N^
OWNER OR AGENT CONTRACTOR • r N /+I I S
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn t (or aff�v a e��qqre me,this Ma
by .)ftYtelS,-7�1by- - ( M1e'l ifnalG
Who is/are personally known to me or has/have produced Who is/are p ona y nown to me r has/have producetf
as identification. as identification.
* see>authorizafiu-rr etter*
Notary Public Notary Public
Commission No. Commission No. GG
Name of Notary typed,printed or stamped Name of Notary yped,printed or starbped
DAVYN E RILEY
MY COMMISSION#GG064955
N.dj EXPIRES January 23,2021
• -rda-I Sigoage,Solutions
LETTER OF AUTHORIZATION
th
DATE:
To Whom it May Concern:
This letter is intended to serve as authorization for Sign Crafters of Central Florida"
Inc.,whose license is ES12001170,to act as an agent;to secure.pern its or van,agces 'LL
that maybe required by the City/County of.—-
the purpose of sign installation, rem and and-all-maintenance as..followS:
a-INSTALL DOOR VINYL&MONUMENT SIGN TO PROPERTY
_ '.y,*•t*,ter*,e********i.�**r*,r*,r�r***t'r,r*;rt:r,tf+r*****rr;t,r**:*,r,r***,r*a,r*,r*�*,rs,r�ir,t,r**,t*,t`'k*,r**t****,r*',t',F��t** - -
PROPERTY INFORMATIbN: j
`TenantyName: DAVITA`MEDICAL'GROUP
Address: :59357THrST
-ZEPHYRHILLS,FL 33542"
i�
Parcel'ID#:" -00800.0260 PASCO couNTY,fi
Signature of Owner/Landlord/Agent: " 2EPHYRHILLS 7TH STREET LLC
Print"name',and.Title of,Signature:
Qwner'AtldresS: - 60+2+ST ST,SUITE 300
H,.E.:1/ERO.BEAC L-§2960
Phone/Contact#:
STATE`OF FL IPA �J
COUNTY.OF 9(�
The foregoing instrument was acknowledged before me this day of T11^e, 20 0, by
Ale l —
Personally Known OR Produced Identification
Type of Identification Produced
(Printed Name of Notary) Signature of Notary Public-State of Florida
Notary Stamp: $°eoa;?ve��c ALEXPARUS
Commission#GG 221785
m Q Expires September 24,2022
9rFOFF�°P`o BWedTrn&idgetNotruY
1915 Greenleaf Lane-- Leesburg, FL 34748
Telephone 3S2.323.-1-862
WWW.SignCrafter.sRodda.-com
INSTR-2:0-1_90:9-9.62`5 0 13K 9:921 ',G Q.81—'age 1:of 1
2,24_f?M f3cp_t_2063041 Rec 10.00 DS:Oi000C2/2019 T tT CauaS. ON !f) tC ` pe:r00.=�
Permit No. Parcel ID No 11-26-21-0010-00800-0260
NOTICE OF COMMENCEMENT
State of FLORIDA County of PASCO
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. 1-26-21-0010-00800-0260
Street Address: 5935 7TH STREET,ZEPHYRH ILLS,FL 33542
2. General Description of Improvement INSTALL MONUMENT SIGN TO BUSINESS PROPERTY
3. Owner Information or Lessee Information if the Lessee contracted for the improvement:
DAVITA MEDICAL GROUP
5935 7TH STREET Name ZEPHYRHILLS FL
Address City State
Interest in Property: TENANT/LESSEE
Name of Fee Simple Titleholder: ZEPHYRHILLS 7TH STREET LLC
(if different from Owner listed above)
601 21ST ST.SUITE 300 VERO BEACH FL
Address City State
4. Contractor: DENNIS TODD MARTIN/SIGNCRAFTERS OF CENTRAL FL LIC#ES12001170
Name
1915 GREENLEAF LANE LEESBURG FL
Address City State
Contractor's Telephone No.: 352-323-1862
5. Surety: N/A
Name
Address City State
Amount of Bond: $NIA Telephone No.:
6. Lender: N/A
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified): DECEMBER 31,2019
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA �
-COUNTY-OF-PA3ee- b(-0O3 -
Signat e o Owner or Less e,or Owner's or Lessee's Authorized
OfficedDirector/Partner/Manager
pro,I u tyl M dwli✓f/
,� Signatory's itie/Office .�
The foregoing instrument was acknowledged before me this lot may of r,,Q.,_ 20 JB by C
as (t of a hority,e.g.,officer,trustee,attorney in fact)for
`1 (name f party on eh If of whom instrument was executed).
Personally Known�l/J OR Produced Identification❑ Notary Signature
111«< �
Type of Identification Produced Name(Print)
CATHERINET.LINDSEY
MY COMMISSION#GG 248424
I A?F;�P'
d EXPIRES:December 13,2022
QI : Bonded Rau ramryRMW&rwrtem
www.jigelsier.com PURCHASE ORDER
GEWER-
NA'nawLSIG1JS0LLM.0PJS
POG-17125-1
1017 Naughton Dr Phone: (586)574-1800 Created Date: 06/03/2019
Troy, MI,48083 Arrive On Date: 06/07/2019
Vendor: Signcrafters of Florida ShipTo: Signarama Troy/Metro Detroit
Kim Martin 1017 Naughton Dr
1915 Greenleaf Lane Troy, MI,48083
Leesburg, FL, 34748
352.323.1862.
Purchase Order Description: 5935 7th St Zephyrhilis FL
Part Number Description. Quantity Unit Price Amount
National Electric Sign Installation 1 $2,750.00 $2,750.00
Sign Permit 1 $200.00 $200.00
Notes: Subtotal: $2,950.00
Quote QU-2092 Freight: $0.00
Total: $2,950.00
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