HomeMy WebLinkAbout20-195 nnioe City of Zephyrhills PERMIT NUMBER
P. 5335 Eighth Street
Zephyrhills, FL 33542 BGC-000195-2020
Phone: (813)780-0020 Issue Date: 06/17/2020
Fax: (813)780-0021
Permit Type: Building General (Commercial)
Property Number Street Address
11 26 21 0010 19100 0020 5053 Gall Boulevard
Owner Information Permit Information Contractor Information
Name: EAST 54 MINI STORAGE INC Permit Type:Building General(Commercial) Contractor: C&C ELECTRICAL
Class of Work:Wall Sign CONTRACTORS
Address: 5053 Gall Blvd Building Valuation:$1,217.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$51.00
Phone: (813)355-7277 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$1,268.00 /
Total Fees: 6
Amount Paid::$1$136.62
Date Paid:6/17/2020 4:13:32PM
Project Description
INSTALLATION WALL CHANNEL LETTERS BOOST TMOBILE
Application Fees
Electrical Plan Review Fee $22.50 Electrical Permit Fee $45.00
Building Permit Fee $46.08 Building Plan Review Fee $23.04
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 subsequent reinspection.
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 permit 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 add fee 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.
C tINTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
S13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0U21
Building Department
Date Received Phone Contact for Permitting 2 (O Ll 1 - 0
aaaaaa III a 2 N IF aasaa jj. _
Owner's Name 5 �p t TO Y0. E k n Owner Phone Number 1 J J Z 7
Owner's Address PQ X �� K 'r 1 1
F L ,Z Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 16053 0. k d\Yd\ 3, H
LOT# B
SUBDIVISION PARCEL ID# 1 1 'Z(Q '2-1 - 0 d(C> • 1 1 I OO'OO Z Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW COLSTR e ADD/ALTREPAIR SIGN DEMOLISH
INSPROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL =
DESCRIPTION OF WORK �""I nS� {1 c�}�O r1 b 1C C"O-n n 2% I C V-S//��
BUILDING SIZE 34 1 (p" �= L. F SQ FOOTAGE HEIGHT 5 - KJ I r
..C.L.L..6.E.>[.L.L.7C4.>:"i.rlu,Lx.i.C.i"i_L.B. ...L.;.;.t.t.=..�.{._.;.=.L_Z..e.�.;.�..;5.;.€..L.�.;.;.L..�"L.�.€.�["i."C_C"€"L"L"i
BUILDING $,)2 ,-1 I
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 5 1 AMP SERVICE = PROGRESS ENERGY Q ///W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �r
AC&1q
FINISHED FLOOR ELEVATIONS GAS ROOFING FLOOD ZONESPECIALTY AREA OTHER
REA =YES NO ( /
BUILDER COMPANY
SIGNATUR REGISTERED Y/N FEE CURREN Y/
Address License#
ELECTRICIAN COMPANY EC,5 C ke C t r C C.1 C Yl 4 Y0.0 t Y 5 C
SIGNATURE REGISTERED Y/N FEE CURREN Y I N
rl,-1to�Z rospec} p�.
Address (A)` i k{ License# I FC- %300 Vs-1o3
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
aaaaaaaaaalfaaa■Eaaaa.aaiEEsiaaaraa7a.ataaaaalaiaaaliaaafaaaaaaalLaaaai
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 Plans,Stormwater 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.(AIC 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
813-780-UUZU City of Zephyrhilis Permit Application. Fax-813-78U-UU21
Building Department
{
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, 5 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, 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 I END TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN -Q_U.& r%-rir-
FLORIDAJURAT(F.S 1 03)
OWNER OR AGENTS CONTRACTOR
Subscribed and sworn to(or affirmed)be�re me this Subscribed �an swam t (or med)before"me this
ii Z.t 1 10 by S C C U- %0 by
Who is/are-personally known to me b4r has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public 1 Notary Public
Commission No. Commission No. LO C)(LA(00i
Name of Notary type p ited or pe ed inte mped
EBRAsyO /ie� 4��!\111111111lI///
a °°
lr �sd� \°� EBRASHO�
• �. O��r•• y �\ j,\SS10NF r
?o a ^oo y 24.?
r y a 2 #1GD 014698 o _� ®•a
�. O•;�9 = j#GG014696
�•r p ded Cl °� H a. arm
'0�6/jc U as�.• 0
�0°,a®� A.,�C;, ;>,p,ndedl��`0•p�a
✓//`� �i UVCIC A�O� °M' ,'r �tat4LtC1
9Sio�'�'g00°�°°°°\\\
/9/Bll90t a�1e'+��1
t11111g���
f
Pasco County
Sign Permit
Re; Metro PCS
5053 Gall Blvd
Zehpyhills,FL 33542
Parcel ID#: 11-26-21-0010-19100-0020
To Whom It May Concern,
This-is to..grant written authorization-to C_&C Electrical Contractors-and_Signsource,_giving-necessary _
permissions to erect wall and/or freestanding signage for Metro PCS, located at the address listed
above. Please find attached a site plan of this location. The parcel number is also listed above.
Please be advised we have contracted the above mentioned company to build/install signage for our
new location. This is their authority to act on our behalf to obtain sign/building permits.
With R arils,
STATE OF �! doe k d
COUNTY OF�-41511-ce,
T e.foregoing instrument was-acknowledged before me=this j h day of -
20_ZD by -:Sh iz-,
Un j e,-(Y^ He/s ,is personally
To me d has produced ..,t4t� a of identification)and did(did not)take an oath.
Notary Public,State of Florida at Large ��� pTANO��:��'%
(place seal or stamp in provided space) Sy -ry�.
s�= My Comm.Expires I•
No.GOctober 3,2021 7
M�, n hid, G 149124 rb
%(1 1n cX
Notary Signature Notary Fronted Name