HomeMy WebLinkAbout22-46725335 Eighth Street
Phone: (813) 780-0020
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTIR SIGNATURE PEIMIT OFFICE
INSPECTIONTERMIT PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
LL FOR REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Departmen
Fax-813-780-0021
Date Received
Owner's Name
Owners Addre
Fee Simple Tito
Fee Simple Titleholder Address
weer Phone Number 1315 F 4 'C'c
weer Phone Number
wner Phone Number
JOB ADDRESS St
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LOT# �di
._
SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
l
SIGN
DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK�'t&
BUILDING SIZE t I+ - SQFOOTAGE= HEIGHT � `1
BUILDING
=ELECTRICAL
=PLUMBING
0 M EC HAN I CAL
=GAS ROOFING
FINISHED FLOOR ELEVATIONS
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY W.R. E.C.
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VALUATION OF MECHANICAL INSTALLATION
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SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED ;;; �FEECIII�I.NY f N
Address License #������
ELECTRICIAN COMPANY
SIGNATURE _ REGISTERED Y t N �D.RRIN
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED YIN EEE CURREN _Y / N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y J N FEE CURREN Y J N
Address License # }}
OTHER �± COMPANY L�3t
SIGNATURE REGISTERED > Y NN FEE o f �ENY I N
Address i" r° .a'§` r ' q `,' License #
; #tt *1*#** #911 Its 1041111
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. (A/C upgrades over $7600)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ownner 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pennit may be subject to "deed" restrictions" which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance Win 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 1, 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, WaterANastewater 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 stern 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 pennit issued shall become invalid unless the work
authadzed 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 (0) 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.
FLORIDA JURAT (F.S. 117
OWNER AOAGiENT
to (or a this
m W=,,11.�,. p�fsqrarlly-known to me or has/have produced
as identification.
_Notary Public
Commission No,, MY ZY'�'17
GOOrge C. Rankin
Name of Notary typed, printed or stamped
AtAy ft"
Physical Presenct P, GEORGE C.
** RANKIN
CWMIIS" I HH M261
—OR — -* Ex*s Juillie 29,2026
E] Online Notarization 4�'O, "Ole
MIZINHO IsAtemplolm 1 CE2 10 rjgL" ig L"Kno-wMUR I
CONT
RACTOR
S sc?f��d,3a (or a d sworn to If d) before me this
Who is/are pprlgon;Ky kown to me or has/have produced
— as identification.
_Notary Public
ICommission No,'Z -3V' 4571
GOOrgle C. Rankin
Name of Notary typed, printed or stamped
Physical Presence
GEORGE C. PAWN
DATE:
To Whom It May Concern:
v �('J(--- as the owner or agent for the property listed as
V
FB do authorize Coastal Sion
(city) (zip)
Installation_, or their authorized agent, to obtain a sign permit for the above referenced property on
my behalf.
Owner or Agent Date
Telephone Number E-Mail Address
STATE OF FLORIDA
COUNTY OF PINELLAS
Swom to (or affirmed) and subscribed before one by means ofhysical presence or 0 online
notarization, this I
day of, '2U 1�
_L:122022 , by
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of N',111,1
Personally Known OR Produced Identification
Type of Identification Produced
31H�
PEDIATRIC DENTAL 162"x 12.5"
FAMILY MEDICINE 147"x 12.5"
PEDIATRICS 100" x 12.5"
• Image aligried to body fines
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Breckenridge Pkwy Suite E The information disclosed in this document, including all designs and related materials, is the valuable
"V Tampa, FL 33610 property of SpeedPro Imaging -Tampa East (Brilliant Graphics LLC) and/or it's licensors. SpeedPro
148 -ifty r
,g Office: 813-542-1952 Imaging Tampa East and/or it's licensors, as appropriate, reserve all patent, copyright and other propietary
__SppaproTampaEp.5,_m rights to this document, including all design, manufacturing, reproduction, use, and sales rights thereto,
except to the extent said rights are expressly granted to others.
Great L
ILL§
Conforms to the requirements of the 7th Edition (2020) of the Florida Building Code sections 1609 and 3107, V(ult) = 140 mph, Exposure category= C, Risk category= 11
John J. Orlando RE LLC- 165 Old Ridge Road -Macon, GA31211 -478731 5394-jjoriando@cox.net- Florida registration #0044089 job 8922C5I sheet 1 of 6
PEDIATRIC DENTAL 162"x 12.5f'
FAMILY MEDICINE 147"x 12.5"
PEDIATRICS 100" x 12.5"
FRONT OF PLAOUE —
HealthCare
BEHAVIORAL HEALTH 182'xQ,5'
Project Location; 37920 Medical Arts Ct., Zephyrhills, Fl 33541
Overall Sign Description — Stud mounted plastic formed letters Non -lit
Mount each letter in a minimum of 2 places and each plaque in 10 places.
RETURN EDGE TO CONCEAL
ATTACHMENT HARDWARE
1/4-20 X 2" SS ROD IN
GE SCS 2000 SILICONE
CONSTRUCTION ADHESIVE
10
HIDDEN STUD MOUNT
Conforms to the requirements of the 7th Edition (2020) of the Florida Building Code sections 1609 and 3107, V(ult) = 140 mph, Exposure category= C, Risk category = 11 1
John J. Orlando PE LLC - 165 Old Ridge Road - Macon, CA 31211 - 478 731 5394 - jjoriando@cox.net - Florida registration # 0044089 job 8922CSI sheet 4 of 6
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Job name
Job#
Sign company:
Installation location:
lin
Type of structure: formed plastic letters and a PVC plaque
Occupancy Category: 11
Wind velocity (3 sec gust), FBC 2020, section 1609.3: 140 mph
Wind pressure (qz)
Net Pressure Coefficient (Cnet) from Figure 30.7-2
Components and cladding not in areas of discontinuity -walls and parapets -1.09
Wind Pressure -54.7
Wind load applied between wall and structure, pulling structure away from wi
Load carried by tension in fasteners connecting structure to wall
- maximum height of structure to be attached
117 ft
- maximum width of structure to be attached
5.83 ft
- effective projected area factor
0.80
- projected area of each component to be attached
14.8 ftA 2
- wind load
-809 lbs
- allowable tension load per fastener to
1100 lbs
- even number of fasteners minimum of 2 =
-10
- number of fasteners practically required due to structure shape
10
- weight of structure is approximately
15 lbs
- allowable shear load per fastener to
150 lbs
- average shear load per fastener =
1.5 lbs
Mounting surface construction is: tbd
Method - Threaded rod (1/4" aluminum) and GE SC S 2000 silicone adhesive
/Weatherseal/GE-SCS2000-SilPruf,asnx
ASCE 7-16
The 7th Edition (2020) of the Florida Building Code
John J. Orlando PE LLC 0044089
165 Old Ridge Road
Macon, GA 31211
(478) 731-5394
jjoriando@cox.net
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Project Location:
City of Zephyrhilis
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