HomeMy WebLinkAbout91-1791
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STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit N~
1791 &
9 J~ s-o
Type of Permit ~ D. UU
~~ G~CTRI~ PL~
::~:::r~:~ers Name:_ Z:Jf;L::j 1i1i/cL r:r
BUILDING DEPARTMENT
1-813-788-6611
Date ?-j 7 -9';
MEC~L
Legal Description: Sub.Div. Lot / Blk.
ZoningCI: ~Z Is~,~9~': ~/~ - Oi~--~/
Oescrlp'.onofWork__ ~-L-;;(J ~- - _-JiJe
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Fee' j / ~~--{)
SiG~ATURE )rJtrM,^
COMPANY __
ADDRESS
TELEPHONE #
If) 7YJGJf~ ~
Estimated Cost: / {} , "I f? 7. o-v
j
All work shall be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #--5'75
G
Tp. e .
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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APPLICATION FOR PEIDlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
LOT# I
JOB LOCATION
-,
To vJN VI&tAJ Me})/ clJ <-
Awr<.}
SARA sotiJ.
SARAso"IA PHONE 1- rOo ~ y~ l- if 15 3
I
Jim B/fl/S#A IY/
c:r: LOT SIZEi.S..tLX IS8 AREA SQ.FT.25, 700
.
ADDRESS
C-VL/~ Colis'/" S 171Vr;; , '0 F
/ 7 J 3 Nt7~TH G--,q ~ 8 Lv/)
APPLICANT
dlEDJr A I
~~s
LEGAL DESCRIPTION: LOT (s) S ~€. IfJT/JGf/t:D BLOCK
SUBDIVISION
PARCEL I.D.~~
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp. ~Sign _Hove ____Demolish
PROPOSED USE: ____Single Family
____M/F
____~~ of Units
, .____M / H
-X-Commercial
____Indust.
____Swim.. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.~'*
**COPY OF CONTRACT REQUIRED.
PERMTTS REOUESTED
_BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
S" li,lt/ Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
RlJ1LDER G-rn{: CcFl~r
Signature 9am.t.../\ /?
!/
.::rAm e:s f? /Yl CJC NYV'tJrJ Company ";uL r C:oAS"T 5J'l.A/!. (FlltJlfL. fI~{.Ij>
State Cert. or Regist. il es ooooaS'1
ri: /}}1'=I:-~ tlJ~IfI1JT) City License Registration il 37~
****** ***********************************
CONTRACTOR SECTION
S ~J1IS ~'-';~r1SoTl1 Company &Vl. t= C0I9"57 .,))&,;0/.$ d F 54/fr1sqA
State Cert. or Regist. II ~-; 60000fl
~~~ City License Registration il _ .2ls
******************************************
ONl--Y)
ELECTRTCIAN
51 gnatouj_"
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City Lice,se Registration #
*******************~**********************
MECHANICAl.
Signature
Company
State Cert. or Regist. 0
City License Registration #
OTHER
APPLICATION APPROVED BY
~~:~..*....*.*..*.***.****..*..
~J\Av:Y .
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
lhe undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restr,ictive than City
regulations. lhe undersigned assules respDnsibilitY~!Dr..colpliance with any applicable deed restr}ctions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a con~ractor~r contractors to undertake work, they aay 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 ~ay be
cited for a aisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-661 !.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. lf the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
<CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. lf the applicant is sOlec,ne 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 COlmencement.
:,\-1,":"
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
installation has cOltenced prior to issuance of a perlit and that all work will be performed to leet standards of all laMS
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I alsQ
certify that I understand that the regulatiDns of Dther govern~ental ~gencies ~ay apply' to the intended work, and that it is
IY responsibility to identify Ilhat actions I lust take to be in compliance. Such agencies include bill ~l elicIt lillited to:
.#-
Tanks
I also certify that,i! fill laterial is to be used in Flood Ze,ne "A" or 'A,etc.', it is underst(I(,d thot a drainage plan
addressing a 'colpensatinq'volume" Ilill be sublitted Ilhich is prepared by a prof.essional engineer regist~(ed in the state of
Florida priQr to permit issuance.
A perlit issued shall be construed to be a license to proceed with the Ilork and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official frol thereafter
requiririg ~ correction of errors in plans; construction, or violations of any code. Every permit issu~d shall becole invalid
unless the Nork authorized by such permit is cOMmenced Ilithin six months of issuance, or if "Ol't authoflzed by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the Ilork is co~menced. One 90 day e:leilsiDII of tile, lay be
allolled for the permit with fee charge of $15.00. The extension shall be requested in writing t(1 the Building Official. An
approved inspectie,n i!lust be lelgged during each six Ilonth period, or the prelject will be c(,nsidered dbtilldoned.
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. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
NOTARY AS TO
OWNER OR AGENT
-----------------------------
" OTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSIOfIt4~~N EXPIRES: APRIL 16, 1993.
BONDED THRU =,.,.,.rI'Ul!lCl::trm7ER\'I"lifTIERB;-
SIGNATURE__________________________________
OWNER OR AGENT
DATE
--------------------------------.-------
MY COMMISSION EXPIRES
----------------------
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ACCOUNTS 'RECEIVABLE
CON T R ACT 005.16844-0 P R I NT 0 U T
~
" ~V RUN 03i15/'31
_______ NAME I ADDRESS _______ ---------- CONTRACT ---------- ---- DEFERRED INCOME ---- --- SERVICE. CHARGE --- --- OTHER ---
TOWNMED
TOWNVIEW MEDICAL ARTS CENTER
CONTRACT VALUE
BALANCE
TERM 1
NET PAYMENT
SALES TYPE
. TAX '/.
GROSS PAYMENT
DEPOSIT
2006 S. HWY 301
DADE CITY, FL 33525
JIM BINGHAM 813 788 2759
---- SIGN NAME I ADDRESS -----
10487. 00 RATE . 00
. 00 AMOUNT. 00
RE~AMORTIZED .00
~ MARKET VALUE .00
6.000 ------- SALESMAN --------
10487.00
. 00 GRAHAM
MONTHLY RATE
CHARGED
COLLECTED
1.5 U.S. TAX FLOOOO
.00 TAX': 6.00
.00 PRIST
DIV
TERR 00
SALES TY~'E 1
2 EOM '/. . 00
A
7
.00
.00
---- SERVICE DATA ----
SERVICE CODE
SERVICE AREA
SERVICE DAYS
FREE WOP.K
COST TO DATE
------ SIGN DESCRIPTION ------ --------- DATE ----------
ACCEPTED INSTALLED START
TOWNVIEW MEDICAL ARTS CENTER
7244 GIll. BLVD.
ZEPHYRHILLS, FL
FAB/INST (1) D/F ILLIJI1INATED
PYLON - 6CS DRW 191-M-339 09/15/91
SPLIT ENDS
INTEREST ARREARS CURRENT 30 DAYS
.00 .00 .00 .00
o
------------------ MEMOS -------------------
NO DATE DESCRIPTION
07 09/15/91 CONTRACT ON FILE
DEPOS IT
.00
60 DAYS
.00
o
'30 DAYS
.00
o
SKETCH 09373
SALES TAX
.00
9999
________________________________ BILLING HISTORY -------------------------------------- OPENING
DATE BILLING TAX INT OTHER AttlOUNT CODE REF TOT DUE
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ex> AREA AREA 0 X
0
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~ 157.50' 157.50' C--,
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182.93'
158.01' 157.50'
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158.01' 157.50'
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Vl1 NORTlI--BffiH'.lB---------- ,-- - --
SHEET 1 OF 2
GROUND SIGN CALCULATIONS
DATE: 9/12191
REFERENCE:
GULF COAST SIGNS' DRAWING NO:
91-M-339
CUSTOMER: TOWNVIEW MED. CENTER
7244 GALL BLVD
ZEPHERHILLS, FLORIDA
WIND LOAD (WL): 35.29 PSF
SHAPE FACTOR (SF): 1.20
SIGN CHARACTERISTICS:
TOTAL HEIGHT:
27'-4"
REGION #1
AREA EFFECTIVE FORCE
sa. FT. HEIGHT KIPS
FT.
47.23 25.25 2.00
3.66 23.00 0.15
83.33 18.67 3.53
0.00 0.00 0.00
30.46 11 .42 1.29
REGION #2
REGION #3
REGION #4
SUPPORT
SUM FORCE= 6.97
SUPPORT CALCULATIONS:
aTY. OF SUPPORTS:
2.00
MOMENT, M -( WL*SF*12*((A1*H1)+(A2*H2)+(A3*H3)+(A4*H4)+A5*H5)))
1(1000*SUPPORTS)
M- 808.03 K-IN
Fy-= 36.00 KSI
Fb- 0.66 Fy*1.33
- 31.60 KSI
S... M/Fb
'"" 25.57 IN"3
~~t). ~7
'7'0(3-11
USE W 8x 31 STEEL BEAM S.. 27.5 IN"3
,.
FOOTING:
TOWNVIEW
2.00 REO'D
CONCRETE:
SOIL:
DEPTH:
LENGTH:
WIDTH:
SIGN WT.:
SHEET 2 OF 2
3000 PSI AT 28 DAYS
1.00
3.00
8.00
4.50
1.00
KSF
FT.
FT.
FT.
KIP/SUPPORT
WIND MOMENT = (MOMENT/12)+(FORCE*DEPTH/SUPPORTS)
=
77.80
K-FT
DEAD LOAD = (L WW"'D*0.15KIP/FT....3)+(WT SUPPORT & SIGN)
..
17.20
KIP
RESISTING MOMENT - (DL)(LJ2)+(W*D*1 KlFT"'2)(DI2)
...
89.05
K-FT
FOOTING SIZE:8'-O" LONG X 4'-6" WIDE X 3'-0" DEEP
/ d//
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'7-11-'71'