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Home My WebLink About01-0645 BUILDING PERMIT N~ 0645 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date /0--/6.0, 2.- -d9 ~. BUilDING ElEC~CAl PlU~ING MEC~NICAL Sewer Conn Water Conn: Property Owner: f:. P h ( Job Address: J -; l '-10 DI.1. \A j l... -Je..--y Rd ' Parcell.D. # 6'2.-tb-Z 1- 0010 - dOh 0(.1- D.;;.IO Water Meter: T.I.F.'s: Zoning: DescriPtion of Work Energy Code; ~ ,..,. ~,~ , t : ......, Radon Gas: Po Ie , ~: ~ Y\ FINAL C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City license Registration # State Certified license# Inspector .... r _ 0_<" Permit Fee dfo:h -+ Signature .f)...,~~?~7 Company Address "Telephone# y /3 13 J..J>s IS Valuation or Contract Price )1Jr...~ Le- (".0 (no"" S h BUilDING ElE "TRICAl PlUMBIN<J MECHAN CAL Ftr. / /J- ~/J -(7 / /-JTO Tp. Servo SlB Breakers , . Pre SLB Rough In Tub Set Ducts Insl. lintel Meter Can Water Compressor FRM. Canst. Pole Sewer Final Insul. CL Pool Final WL Pre-Meter Final \, Driveway \ \ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. \ \ J CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPART~NT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATB RBCBIVED PLANS REVIEW FBB OWNER'S NAME Z; ~ SQ; fJk~ 'Cff-/ 4mtf JOB SITE ADDRESS ~ga YD 'b.#(11hp/y ~~ PHONE CONTACT cFt.J /3:2.?s1S- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # OJ /;(t, ~r - 001 f'J _ Q:) C, en --(){)1rJ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION 1lsIGN PROPOSED USE: [JSGL FAMILY DWELLING [J ADDITION [JALTERATION [JREPAIR [J INSTALL [JMOVE [J DEMOLISH [JMULTI-FAMILY 0# OF UNITS o MOBILE HOME [J COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ;'AlS{-r9//, NJ If:;;, StJ. N BUILDING SIZE SQUARE FOOTAGE 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ 193C,. (Xl VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO ****************************************************************** COMPANykl"1Co (/;(/S t::,;,~.... STATE CERT OR REGIST # CGC-CJdLJ~5' c;z CITY PROCESSING # 0 k- BUILDBR SIGNATURE ~---#:~ BLBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 613-766-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. 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 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 requi~ing a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT ~~~ S!GNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF ' The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid Oiid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ADDRESS: ~ ~.::240DCtGtjhk'rl.J . e. d DESCRIPTION OF WORK: IhS+tlJ Ii "'0 :Yo It SIGN PERMIT WORKSHEET APPLICATION DATE ~ - ~; 001 LOT ! ZONING: MAP! PARCEL # O~-;)Io~.:JJ-OOIO-'OOIAOO_ oOlD PHONE # (&.3)7 ~3- {;"/ J? q OWNERS NAME: ADDRESS: CITY: ~+3r~~~1;;~ lin-ler z... ~"fh~ .h. l \ ~ '. TYPE: TYPE OF CONSTRUCTION: STATE: EL ZIP CODE::335'-/1 - SIGN VALUE: $ j q3 ~. 00 - OCCUPANCY PROPERTY FRONTAGE: Cl-t wi PROPOSED USE OF THE BUILDING / SPACE {'II e ~ ( Q ( ('.tJ f'l..fr , FEET: SQUARE FEET OF FACE OF BUILDING 'GROUND MOUNTED SIGNSI PROPERTY FRONTAGE SlOE SETBACK REQ. PRIMARY SIGN: ------------ ----------------- ----------------- ALLOWABLE SQ FT 100' - 199' 20 FEET 64 SQ FT 200' - 299' 50 FEET 72 SQ FT 300' + 50 FEET 96 SQ FT SECONDARY SIGN: 24 SQ FT MAXIMUM HEIGHT OF GROUND MOUNTED SIGN: , ~ PRIMARY GROUND SIGN THIS SITE SECONDARY GROUND MOUNT SIGN _FT X ~FT = '19 TOTAL SQ FT FT X FT = TOTAL SQ FT - - SINGLE OCCUPANCY: IWALL MOUNTED SIGNSI PRIMARY SIGN: = 2 SIGNS NOT TO EXCEED 20% OF THE FACE OF THE BUILDING OR 200 SQ FT. SECONDARY WALL SIGN NOT TO EXCEED 50 SQ FT MULTIPLE OCCUPANCY: 2 SIGNS NOT TO EXCEED 10% OF THE FACE OF THE BUILDING OR 100 SQ FT SECONDARY SIGN = 24 SQ FT PRIMARY WALL MOUNT SIGN SECONDARY WALL MOUNT SIGN FT X FT = TOTAL FT X FT = TOTAL - - - IS THE SIGN ILLUMINATED? YES: 'A.. NO: TYPE OF ILLUMINATION: I'h~h DU+?L-'+ /-iu ELECTRICAL PERMIT? Y: vi N: CON 1; S.O..3 - I .. ~ ;;. g c.-.t: I a"" p,,-> LOCAL LIC. # CONTRACTOR: ",vbt, V~ ~ AODRESS: J.1I7 \. .sv' A-~ ~ STATE: 1/_ ZIP: :33?/).. CITY: -W,,{"1- ~ APPLICANT SIGNATURE: ... - It MISCELLANEOUS REQUIREMENTS: PLANNING APPROVAL: BUILDING APPROVAL: LESS THAN 50' 50' - 99' --------------- 10 FEET 10 FEET 24 SQ FT 32 SQ FT East^ PascoY Medical Center October 3, 2001 LEMCO CONSTRUCTION 2117 Sewaha A venue Tampa, Florida 33619 To Whom It May Concern: This letter gives Lemco Construction Co. authorization to pull all necessary permits for installing a sign at 38240 Daughtery Road in Zephyrhills, Florida for A Place for Women. This facility is located at the East Pasco Medical Center's Medical Office Building. Please do not hesitate to contact me at 813/783-6189 if you have any questions. RSB/gc State of Florida County of Pasco Subscribed before me this 3rd day of October 2001 by Richard S. Byfield who is personally known to me. ~\\\'~\l~~ Not ry Public My Commission Expires: JUNE M. HERNDON MY COMMISSION # CC 980237 EXPIRES: February I, 2005 , ..~onded Thru NOlary Public Underwlilonl All Adl'entil"t HCtllth System / Sun belt Facility 70')0 Call Boulevard · Zephyrhills, Florida 33541-1399 · (813) 788-0411 . Fax (813) 783-() 198 TDD - "rdecol11l11unicarion Device For The Deaf (813) 783-1242 [Q)<illlliJ~[}u~@lJW ~@]o f1\f~~~9 ~ w0Y' y Or0'-'~ ~ ~"~ ~ cr=::> =0 2J (?@ ~ =0 (?@ 23 w ~ ~ @ (QJ @I) ~ @9 ~ ~ @ 9 ~ ~ ~ o / 96" "'- 'd"~~4'~~. ....:-::::::::.;... "';::':;:;:::;';'" ....~::~::::~:::;.:..... ...~::~~~~~;:::;.... :iiimW?::lm::i#~~'" "'<:'::\::::::"::ll::;:::::ll?'l'::;l · ffi t m I ill @ ill W ill · ffi ~ ~ 'ffi ffi 72" I A Place for om n I I Obstetrics &. Gynecology I I ~hiela A. Bahn M.D. I I m ~ ~ i (81.3)780-7111 i 1 ffi ~~'_""'.,.~_,w,...~..... _. .~W"~.,...~~ 96" SILCOX ENGINEERING, INC. 5409 Nebraska Avenue TAMPA, FLORIDA 33604 Phone (813) 238-9755 LeM CI!> CAJ.,'''>' t,JJ,tJo . ~ Sc 'B'F 5t6-J-I ,JiJ2e..A X (J(./:' A :Sf . ipSf 4e? ,Ol-' . .. ~ .. , 'B 1. 4-- ~o~.< .,' p ~z~; = .'" ' )1" I /.;' .,',/I"C>. " $.4,~ ,l(. 2.5 1 2. (z,/.'9 ') S ; 31.&> ~ ":l _ tt:l ?,C, '" . - i:> I....'""" t /~'C-"v eH i,' . .1 I~ ~..2.. flr?e c .. LJl,;J A -.-. 6 ,,__ .1- a.... .-" r.-.; \' , "1' tc. '" .... ... /C i-l '& 1-' ., r -, :2J,~ n :: .'7 /' .... -,">' ':l :::' 1(" '5~ / -A.:-'-" . 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