HomeMy WebLinkAbout19-21870 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21870
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 21870 Address: 38901 CR 54
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-03800-0011
Improv. Cost: 2,010.00 OWNER INFORMATION
Date Issued: 10/11/2019 Name: TIC OCC MOTWANI LLC
Total Fees: 142.50 Address: 2434 E LAS OLAS BLVD
Amount Paid: 142.50 FORT LAUDERDALE, FL 33301-1573
Date Paid: 10/11/2019 Phone:
Work Desc: INSTALLATION CHANNEL LETTER WALL SIGN W/ELECTRIC
CONTRACTORS APPLICATION FEES.
CB SIGN SERVICE INC SIGN 75.00
CB SIGN SERVICE INC ELECTRICAL FEE 67.50
e�
FOOTER Ins ections Required
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
1
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Applic Fax-813- 80- 1
'C
Building
% Department n
t
Date Received , Phone Contact for P, ltdinj
I
dwnor's Name -54PdOl7 A J4L-41— Owner
wner AP hIi oIn eI Number
umI bI er . . .
Owner's Address lArjv/ rY 5 Zf.&A-46
J owner Phone Number
Fee Simple Titleholder Namo Owner Phone Number
Fee Simple Titleholder Address 7S'7r A- 00-;F.0 Ad APX- 390 01-16Wo OL .3 T-el
JOB ADDRESS Sy 5 Z-41dolhll IM 33.5"Vo- LOT#
SUBDIVISION PARCEL to#107- 7-6- IJ-0 000'- Or"- OP I
(OBTAINSO FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK L%/.111,1 I/ P"A"4' OV4-4 /-C#05-
'e BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING VALUATION OF TOTAL CONSTRUCTION
FXIELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
figiiii'll . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY F� s, k.ovp,c, -i r-,c I
161ONATURS I YIN FEE CURREN I YIN
Lot- F-G N(,& -0--7 Address
Llcense# I P(,/00V3/
ELECTRICIAN COMPANY C-3 mac'
SIGNATURE REGISTERED I Y/ N FEE CURREN L_y
L N_j
Address License# F!�F-000370
PLUMBER COMPANY = I
SIGNATURE REGISTERED I YIN FEECURREN
Address I License#
MECHANICAL COMPANY =
SIGNATURE I REGISTERED I Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN I YIN
Address License 4
RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now 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 subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction.
Minimum ten(10)working days after submittal date. Required onalle,Construction Plans,Stormwater Plans wt Silt Fence Installed,
Sanitary Facilities&I dumpster.Site Work Permit for all now 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$2600,a Notice of Commencement Is required. (A/C upgrades ovor$7600)
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)
Roroofs It shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter It on public roadways..neads 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 Black"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 W"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,1 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)
OWNER OR AGENT CONTRACTOR e
S scribed and sworn o(or affirmed before a this Subscribed and swam (or affirmed)before me this
by rq/ �. 9./7 by
wu•C� rAz4-
o is/a me or has/have produced Who islare personally shave produced
as identification. as identification.
fA
/'' Notary Public Notary Public
Corn i n No. 14ol Commission N .I
Na o otary.yped,p nted or to a Name of Notary typed,prin
�Or Itv, Notary Pub ic�ale of Florida
Jeffrey%Stem �s 'Wyn Notary Public State of Florida
My commission GG 160187 Jeffrey Stern
Expires 03/10/2022 c ea My Commission GG 160187
or Expires 03/10/2022
Inc.'
CB 1sw-gwarvice:
19608 Lake Patience Rd. Lana 0` Lakes, F1. 34639
(813)267-2080
Re: Letter of Authorization
To Whom It May Concern:
This letter serves as authorization for Bradley T Rupert to apply for and pick up any sign
or electrical permits at ,3g.1 35- r 3,I0/ Hwy sV 51,sr for CB Sign Service Inc.
Z-afheyb•'NS f=L .3 35—/0
I can be reached at(813) 967-7582 if you should require any additional information.
Thank you for your cooperation.
a. ,/ '0
David Kazar
Qualifying Agent
CB SIGN SERVICE, INC.
EC 13003170
Notary: Yi Date: T. 9. r7
Personally own ✓
Other ID
=o�VYn Notary Public State of Florida
Jeffrey stern
My Commission GG 160187
��o�po Expires 03/10/2022
Southeastern
Grocers
August 14, 2019
To whom it may concern,
Re: Samson Merger Sub, LLC.
Winn-Dixie Store #2487
38901 Hwy 54 East
Zephyrhills, FL 33540
Please accept this letter as authorization f , Samson Merger Sub, LLC,
LLC, Entera Branding, CB Signs, and or their su c ac as
our representative to secure permits, replace and install signage and/or
call in for final inspections for the above listed location. If you have any
questions please feel free to contact me at 904.370.5435.
Sin r ly,
Brian Carney, E P &
Owner/Agent
State of FLORIDA
County of DUVAL
The foregoing instrument was acknowledged before me on this CS4'day
of August 2019 by BRIAN CARNEY �- eis�b�ail��known o a or
who produced N A as identificati
Signature of Notary Stamp: *Aft E.Pa,ymen
jtte,9449rZaam-,f4otary _ £ Corrwrd�ion 100 192059
r Expires:April 17,2022
. 13mW thru Aaron Notary
Southeastern Grocers LLC fill
8928 Prominence Parkway, #200,Jacksonville, FL 32256
Local: 904.783.5000 Toll Free: 1.800.967.9105
wwvv.SEGrocers.com
EnCon Services,.Inc.
Sign Design Calculations
Job Description PREPARED BY: EnCon Services, Inc.
WINN DIXIE#2487 PO Box 3613
38901 COUNTY ROAD 54 E Apollo Beach, FL 33572
ZEPHYRHILLS, FL 33540 P 813-655-3373
4-6 Letters F 813-655-9814
Design per Florida Building Code,6th Edition(2017),Section 16 Wind Load, FLEB#9394
ASCE 7-10, Load Case: D+0.6W
Design Specifications Nathan P. Presnell, PE
Risk Category II FLPE 77696
Kzt 1
Exposure Factor C
Kd 0.85
Kz 1.04
V 140 (mph) pmp�r�i�������G
GCp-GCpi 1.1 Zone 4, H<60 Feet kO� Q`N••••••R* s
Wind Pressure 48.8 (psf) '�:4�C E N g�,��j
2Q:' No 77696
A.
,<
Sign Information
Height 4.50 ft $
Width 5.87 ft �0��• E OF
Thickness 1.00 ft Q •.<�O R
Distance grade to top 40 ft
Wind Shear Force 131.74 (lb)
Weight of Sign 264.15 (lb) DATE SIGNED:
Total Shear Force= 295.18 (Ib) 9/3/2019
Total Tension Force= 773.29 (lb)
Required Provided
Fastener size Nominal 3/8 3/8
Minimum number of fasteners 5 5
Shear Force per fastener(lb) 59.0 280
Tension Force per fastener(lb) 154.7 352
Combination Tension and 0.65 <1 O.K.
Shear ratio
THREADED ROD THROUGH WALL IS PREFERRED IN ALL INSTANCES. IF IT IS NOT POSSIBLE TO USE THREADED ROD,SEE CHART BELOW
FOR APPROPRIATE ANCHOR SELECTION.SIZE AND NUMBER REQUIRED ARE NOTED IN THE CHART ABOVE.
WALL STRUCTURE ANCHOR TYPE
WOOD BLOCKING LAG BOLT(3"EMBEDMENT)THROUGH BLOCKING
EIFS OVER 5/8'PLYWOOD LIBERTY TOGGLE BOLT OR THRU BOLT WITH SLEEVE
HOLLOW CONCRETE BLOCK,BRICK SLEEVE ANCHOR(1-1/2"EMBEDMENT)
SOLID CONCRETE WEDGE ANCHOR(2-1/2"EMBEDMENT)
CMU,SOLID CONCRETE,BRICK HILTI HIT ROD W/HY-70 ADHESIVE(3112"EMBEDMENT)
ALL ANCHORS SHALL BE CHOSEN AND PLACED IN ACCORDANCE WITH MANUFACTURERS INSTALLATION INSTRUCTIONS
9/3/2019
Winn Dixie 2487 Zephyrhills 4-6 Letters calc
FRONT PROPOSED
Winn,/Dixie
G.C.IS TO VERIFY WITH THE SEG
CONSTRUCTN, .
PAINTON.THE FINAL APPROVED BY SEG LL PLAN.
MAIN STORE:951 WEST STATE ROAD 434-LONGWOOD,FL 32750
SIGN SIZE SO FT
[-4 y-6" 134.67
ALLOWABLE SQUARE FOOTAGE:150
PROPOSED SQUARE FOOTAGE:134.67.
SQUARE FEET REMAINING AFTER PROPOSED: 15.33 _
PAINT LEGENDv„r ;"-r, r ''"" •" _
P-5 P-9
EXISTING � � ''� M.
220,_o(E
-
-
NOW C�l
PROPOSED
ESM3=X I' H:MARKETING DESIGN/CDR IW/W(NN•DD(IEI LONGWOOD,R32750#2233tdr
THIS IS ANOBIGwuUNPUBusHEDDRAWING CUENe WINN-DOGE SCALE: 1116°=1'-0° REV.1 0
EN7FR4
U` CREATED BYEMEMINGPL BRANDING,NHIBSUBM BY
U FOR YOUR PERSONAL USE IN CONNECTION MEA
n erwriters NTE A PROJECT DIANNED FOfl YOU BYEANYONEMNOINO,ITLSNOTTOZATIM OR LocAnDN: LONGWOOD,FL 32750 DATE: 07.26.19Laboratories Inc.® ANYONE OUfBIDEYOUfl ORG4NIlAT10N,NORYour total branding solution LISTED ISNTOBEEUBE Ro�oMMOR DRAWN BY:MW DWG.No.:LONGWOOD,R32750#2233
1 �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� �� fv i C.L !� C,
Date Received: to l `/
Site: 070 ) C
Permit Type: J -h Q0 j r? 't { y h.t P ft YS
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
OCT 0 5 2 1
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)