HomeMy WebLinkAbout02-0900
BUILDING PERMITN~
0900
CITY OF ZEPHYRHILLS
(813) 788-6611
cHI
'')5,'- ~Rlrl
BUILDING elL ~l
Property owner::rkp lQ.; "5 ~ '"
Job Address: -, J "'''' 64. U f! I vel
PlU~
rJ4\.L 0" 4
Permit
1-{I-02-
Date
MECHt'CAl
r~n k
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Descriotion of Work ~~ C. e -C/,~(7 - SA-.-.(, ....., 5/7",
Ir (.,VA. U
~,.'~" S
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-~;;l- f) ^
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee ') $'. .~
- Signa';;;. -fv"1:-?f ~ .
Company I _
Address
Telephone# (q YI ) J z. z - 8 !: 'I e
Valuation or
Contract Price
~OOo.
~
City license Registration #
State Certified license#
DATE
RL
Inspector
l)rf.4 <A' V&t", ~.\
BUILDING ,') 710
EL
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
Breaker
Ducts In
Compre
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 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.
APPLI:CATI:OH FOR PBRIaT
CI:TY 01' ZBPIIYlUII:LLs
BUJ:LDI:RG DEPARTMENT
L(~i~~d (~-. - ~~'~~
DAD RBCBI:VBD 1- \.f - 02."
PLANS REVI:BW I'D
OWNER'S NAME
~IE-
HUN I' N 6-,,,,,...)
E ~ K....
~I>< Tr Cl;J A-l PHONE
JOB ADDRESS 7 '3 "--f cJ
&-A L L.,
D> l-vf)
Z ~I H '{.. fZ- ~ c"c L5
LEGAL DESCRIPTION: LOT(S)
BLOCK
,SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
~N
o ADDITION
o ALTERAT I ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
'0 MOBILE HOME
o OTHER
D RESTAURANT
DESCRIPTION OF WORK ge:.-l t-A ~
fo%')! B~'
BUILDING SIZE
& HEALTH DEPARTMENT APPROVAL
IE:- "?- ( S., (,..J C- P rz-.t;" C- ~ '('KN 01 ;..J c::- S ( [;-;J
. 5 C) t+r 3--0 (
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.
~LDING
$ ~~ 06 0
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
OGAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
<}l.f \ - r 2- L - i'S4t:J
BUJ:LDBR ~ COMPANY {1 rU C€- U~ {Aja-r--4- I
~ STATE CERT OR REGIST # C {S ,.. vu r 2 0 I ~
SIGNATURE . CITY PROCESSING # '2.1 a 0
^ IOe-r-J-r ~ CJ-e-......N-C-./\. ~ ..... a..J!l(;cI ~_
***********************************************~**~**J;*** f'-
BLBCTRI:CI:AR
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIS'J' #_
CITY PROCESSING #
SIGNATURE
SIGNATURE
***********~******************************************************
,-,,----- --.,,-"-~ ---'''. "
STATE CERT OR REGIST #
CITY PROCESSING #
HBCBARJ:CAL
*****************************************************************
OTBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CUNJJ1.'1'1.UN::; Ut' ,':"t,;XM.J:J.' At't'J.!JAVJ.'l'
A.' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may bl! 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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH 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 limdted 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 volumeH 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 requiring 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
SIGNATURE: CONTRACTOR
acknowledged
. lL..
STATE OF FI,ORIDA
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)
Owho is personally known to me, or
o who has produced
(type of identification)
and whoO did Odid not take an oath.
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid [)iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
Perrpit No.:
NOTICE OF COMMENCEMENT
Tax Folio No.:
.s .S - l S . "/ I - 0 0 I 0 -
o 7 :2 0 C)- 0 0 '.;
STATE OF Florida
COUNTY OF Hillsborough
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: 7344 Gall Blvd., Zephyrhills, FL, 34668
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner): same
.~:#t~;":1!,
4. Contractor:'i:\ I
a. Name and address: ii.l Lott Sign Service, Inc.
1720 Land 0' Lakes Blvd.
Lutz, FL 33549
b. Phone number: 813-909-9733
c. Fax number (option, if service by fax is acceptable):
r.~jT" '-L~:
13 fZ..u CC- U AI'...) L^l rc:- iLl
10 I <v Pc;'L>0~A.TT"",-) ^v~<:(.F>- LL
TAI'.,vA- Pc..... 3JbU.f-~Ei~0
. !~~ ~I J Ir
LlJ 1.W::::-- 1 =>
~i~-: ~;
~ lJ.J 0 :i: VI ('
<:( ~ U) I- ._
<(QrLLI...J U
00 ;:01-
0:(1) '=:fi::~
Q<(~OCl...J
-J~~~g:~
LLLL oi;-:;< ~
tLO;;;~,-::-i::
o >- -- 0 I? <::>
~Ul~ .-':)
6. Lender l:! !z ~ ~ ~ ~
a. Name and address: N/A ~ is ~i~ ,F='
b. Phone Number: N/ A Cf). () oc 0 ~,
c. Fax number (option, if service by fax is acceptable): N/ A"
\ ''''--.
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be servicJd
provided in section 713.13(I)(a)7., Florida Statutes: \
a. Name and address: SunTrust, attn: David Rife, 135 West Central Blvd., Suite 300, Orlando, FL 32801 \
b. Phone number: (407)237-4498 \
c. Fax number (option, if service by fax is acceptable): n/a
2. General description of improvement:
Erect signage
3. Owner information
a. Name and address:
The Huntington National Bank
Attn: Richard H. Machinski
Corporate Real Estate
7 Easton Oval, EA4C97
Columbus, OH 43219
5. Surety
a. Name and address: N/ A
b. Amount of bond $: N/A
c. Phone number: N/ A
d. Fax number (option, if service by fax is acceptable): N/A
111111111111 1111I11111 11111 1111I1111111I1111111 1111I11111111
2002006507
Rcpl: 557142
DS: 0.00
01/11/02
Rec: 6.00
IT: 0.00
Dpty Clerk
JED PITTnANi PASCO COUNTY CLERK
01/11/02 1 :54am 1 of 1
OR BK 4829 PG 621
;
" ,
\ i
J
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713. 13(1)(b), Florida Statutes:
a. Name and address: N/ A
b. Phone number: N/ A
c. Fax number (option, if service by fax is acceptable): N/A
9. Expiration date of notice of commencement (the expiration date is 1 year from date of recording unless a different
date is specified).
S7:l to ~nd subscribed before me bY-;?: C ~ ,.,1 eft
Ac/l :vdL/ who is personally known to me or produced
- -- , as identification, and who did ./' take
an oath, this '11ft day of i].t~5. , 200!:!:...
Signature of Notary (, ~4./;" a c::r~L.-~
Printed name of Notary (,a-th&/n., 1/. !ji;cu~'Z.L.4C.
Commission No./Expiration: bj(O /04
::12 I) '-) "..;;
" l / '. ie.,
Signature of Owner ].t.~I~/uIVl 7Livk./L-' 'L.'
Owner's Name: The Huntington National Bank
Attn: Richard H. Machinski
Owner's Address: Corporate Real Estate
7 Easton Oval, EA4C97
Columbus, OH 43219
. ...~I'I..llI/, #'I/"
Seal",:'.l!"\L ';;'~"'',.
')~f ~J1-- ("1'\'
~'.-:.'::'.:.'~.';').""'..'.'~:~::... (' \ CATHERINE A KI,r'WAI ,.,-/ .!.
; ","~,'!',.};y~ii . ,#" ~,,\,,'~J; I
, 'i'S:':-fi. "1 Notary Public, Slate of Ohlc.
.:';:;:\J~~"''!'.)./ My Commission EXl"lire3 l2-1().O'~
. , ":',' ();.. ~:~"..,.. . "
'.IIU'I.t.'"
ALL INFORMATION MUST BE TYPED OR PRINTED LEGIBLY TO COMPLY WITH RECORDING REQUIREMENTS,
. Hunllngton
The Huntington National Bank
Corporate Real Estate
7 Easton Oval, EA4C97
Columbus, OH 43219
Property Owner Authorization for Sign Permit Applications and installation:
I, Richard H. Machinski, as officer for Huntington Bank who is owner of property addressed at:
7344 Gall Blvd.. Zeohvrhills. FL. 34668
do hereby give permission to Lott Sign Service, Inc. to install signage at the above location.
Richard H. Machinski
Property Owner (Please Type or Print)
2M//, fJ!u.LL~
Signature of Property Owner or Agent
Property Folio #
Date /2 -~- tl (
Mailing Address: The Huntington National Bank, Corporate Real Estate, 7 Easton Oval, EA4C97,
Columbus,OH 43219
Telephone Number: 614-331-9082 /1/;
This instrument was acknowledged before me this~day of )J ,~Ltj , i~1
e.d/;fj-u~ /I ~M~r.L/
Notary Public (Signature)
6tJer/nL ,4, ~wdeZuA:
Notary Public Name P ted
~\\\\~\UlU"Hl~",,--.
,~"\;..Vl\M. s~....
/'...,. . -1..\ CATHERINE A. KOWAlCZUK
- ~
~,. *, Notary Public. State of Ohio
"I My Commission Expires 12-1 ()-()4
.....,..,;;. or ~\,~'~
j'iiUII'l"~\\
Personally Known ~
Produced Identification
Type:
iFeb
13 02 10:26a
West Central Fl Permits
(941)322-2424
p ~ 1
TElEPHONE 94 II} 22,8 ~40
FAX 941/}22~2424
E-MAil FORpERMirs@Aol.coM
FAcsiMilE TRANSMiTTAl
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From: ~ C.-f-..JC c-
PL,(t\SC- ('ALL
To
Fax:
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Date:
Re:
Pages, including cover:
cc:
o Urgent
o-F~~ Review _
o ...p;;;;~ Reply
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2BO 22~Rd STREET [AST, BRAdtNTON, Fl }421 I~.P- PJo- ~tftVt
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COMPANY: Lott Sign
PROJECT: SunTrust
Architectural Services & Engineering, Inc
20~7 Osprey Lane EBO 7882
SUite C
Lutz. FI33549
Robert W. Wall, PE
Fla 46021
~
...
I
,...
7' -.0"
Area 1
Sample Calculations
Wind Load = WL
WL = Cf" WIND ksf
WL = 1.2 " 1.88
Force = .02263" 49.8
Force = 1.1286 kips
Zreq - Moment" 12
fb " NC
'in
o
...
I
N
...
,1' - 4"
Area 2
fb = 21.0 ksi for Steel pipe
fb = 27.6 ksi for Steel pipe
fb = 19.0 ksi for Aluminum
LDF = 1 .33
Zreq = 4.020" 12
27.6 " 1.33" 1
Zreq = 1 .311 in3
Concrete approx. 4.62 cu. yds
Concrete is 3000 psi at 28 days
Wind loads - SBCC11997. ASCE 7-98
Wind loads - SBCCI1994, ASCE 7-93
Steel - AISC-ASD Ninth Edition
Soil bearing capacity 2000 psf (2 ksf)
o
I
(:)
N
B . x .25" ASTM A500-B Tube
Zact = 18.8 in3 > Zreq = 6.50 in3
o
.'
10
5 '- 0 "
I .ax 5' _ 0',1
WIND - ASCE Coastal- Exposure B-
Cf Wind
~ s
1.00 1.20
2.00 0.70
TOTALS
18.86
18.11
49.88
17.17
67.04
16.44
6.44
1.13
0.22
1.35
4.02
19.95
1.31
6.51
MEAN SIGN HEIGHT (HB) = MOMENT AT GROUND,: 19.95 k.,..ft: 14.8 ft
CHECK FOOTING TOTAL FORCE 1.34:6 kips
Pallow = S * b * d ^ 2 b = width of footer (ft)
2.37 * d + 2.64 * HB d = height of footer (ft)
P. allow = 2.5 * 5 * 5 ^2 : 6.13 (kips) > 1.34 (kips) is O.K.
2.37 * 5 + 2.64 * 14.8
BOLTS AND BASE PLATE
Area Bolt Size Num Spacing
in in)
2 ASTM-A36 1,250 4 14.250
~#J~ i
';-z) l'~) r (}2..--
Load . MAX
(ki s (kips)
6.30 23.32
Plate Dim.
(in
18.00x 18.00
MAX
ksi) .
27.00
~~l~~
~t~~~ ~.
-,v)o-
;ee PLAn: lief All.
Fa U'O.
IND SPEED CONVERSION. mph
5 80 85 90 100 105 110 120 125 130
,see 95 AND ABOve. 85 90 100 105 110 120 1Z5 1;10 140 145 150
12i'cP &)(I~TII~'';'' PIP~
~1VJ3
COMP.!\NY: Lott Sign
PROJECT: SunTrust
Architectural Services & Engineering, Inc
2017 Osprey Lane ESO 7882
SUite C
Lutz, FI 33549
Robert W. Wail, PE
Fla 46021
~
~
I
.....
7 '- O.
Area 1
Sample Calculations
Wind Load = WL
WL = Cf * WIND ksf
WL = 1.2 * 1.88
Force = .02263 * 49.8
Force = 1 .1286 kips
Zreq - Moment * 12
fb * NC
"0
I
"0
C\I .
It)
ci
~
I
C\I
~
l' - 4.
Area 2
fb = 21.0 ksi for Steel pipe
fb = 27.6 ksi for Steel pipe
fb = 19.0 ksi for Aluminum
LDF = 1.33
Zreq = 4.020 * 12
27.6 * 1.33 * 1
Zreq = 1 .311 in3
Concrete approx. 3.12 cu. yds
Concrete is 3000 psi at 28 days
Wind loads - SBCCI1997, ASCE 7-98
Vo!il"!9Joads - SBCCI1994, ASCE 7-93
Steel - AISC-ASD Ninth Edition
Soil bearing capacity 2000 psf (2 ksf)
8 "x .25" ASTM A500-B Tube
Zact = 18.8 in3 > Zreq = 6.50 in3
C)
I
lo
1.00
2.00
TOTALS
\}~l1CA-L,..SLAB
MEAN SIGN HEIGHT (HB) = MOMENT AT GROUND = 19.95 k-ft = 14.8 ft
CHECK FOOTING TOTAL FORCE 1.346 kips
Pallow = S * b * d ^ 2 b = width of footer (ft)
2.37 * d + 2.64 * HB d = height of footer (ft)
P allow = 2.5 * 5 * 6.75^2 = 10.3 (kips) > 1.34 (kips) is O.K.
2.37 * 6.75 + 2.64 * 14.8
BOLTS AND BASE PLATE
Area Bolt Size Num Spacing
in (in
2 ASTM-A36 1.250 4 14.250
1.20
0.70
18.86
18.11
49.88
17.17
67.04
16.44
6.44
1.13
0.22
1.35
4.02
19.95
1.31
6.51
5 '- 0 .
I '"'x 2'_6'1,
WIND - ASCE Coastal- Exposure B-
Cf Wind
s
Load
(ksi
8.40
18.00x 18.00
WIND SPEED CONVERSION - mph
SC 93 70 75 SO 85 90 100 105 110 120 125 130
ASC~ 95 AND ABOVE 85 90 10
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__ SigoegLSymbol
.. ATMSymbol
Cost ~ 72109
Ann:
Name: ZephyrhiIIs 0Ifice
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Signs are numbered with an MI_ for interior or an "E" for exterior (ie. ~ or ~ )
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UPLICATIOR I'Oa P:DIII'l
CIIft 01' DnDBILi.II
BUIIDDIG D&P.AD........,
" 't-~.,.... Ol-
DAD DCaIVm -
>>LUIS DVDIr I'D
B~K-
#-> I>c ~ r (J ,.J Pr ~ PHONE
OWNER'S NAME
11-\E..
H UNr,,v 6-'ru~
JOB ADDRESS 7 '5 '-f <.J ~ L ~ t> L-\J D
2- c;::::.., 1-1 'f.. (Z-I-('('C L.5
LEGAL DESCRIPTION: LOT(S)
BLOCK
,SUBDIVISION
PARCEL ID ..
tOBTATN FROM PROPERTY TAX NOTTCE'
. .:.~.. i! ~
, ~)
WORK PROPSED: ONEW CONSTRUCTION
~
o ADDITION
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
I"~
o HOVE
'l" -:'
PROPOSED USE: OSGL' I'AMILY DWELLING ,OMULTI-FAMILY 0, OF UNITS ! '0 MOBILE HOME
.\ .,". '-'...
OCOMMERCIAL': OINDUSTRIAL OSWIMMING POOL 0 OTHER
- c:::::J' ~STAUMNT , HEALTH DEP~. APPROWU. . "I A /) ")~, r I
,( ),)", I- 0-- o--r
DESCRIPTION OF WORK f2- ~ 0 U c:-- f- ~("'ST (,...:J ~~ltu- 5' (G-~.s . Se-r:5 6 r
1)10 I 'i< b."! SQUARE FOOTl\GB . llBI<;HT '-:f!l' i r<- ...J
NOr-J - L- LU fA
RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3)'; SETS or' BUILDING' PLANS , (1)' SET ENERGY FORMS.
PROPERTY SURVEY' 'RI!'.OUIRED FOR ALL NEW CONSTRUCTION.', .,
, -. ~ ~' . . .. ~
BUILDING SIZE
." ..
":
~LDING
PERMITS REgm:STED
$
3Q60
VALUATION OF TOTAL cONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA' POWER
o W.R.E.C.
. l:~
].: ,-q;~ : ': ':
$
o GAS
o ROOFING
, I
o SPECIALTY
TYPE OF CONSTRUCTION: 0 'BLocK
FINISHED FLOOR'ELEVATIONS
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD, ZONE AREAO YES 0 NO
, , .
"""LDD ~ ... . ~An (lr"~ U~ t-Ua.-,-.-f-
(' ,. "STATE CERT OR REGIST" C. ~ ,.. vu , ~ 0' (..
SIGNATURE '. ,. . " '. CITY PROCESSING' 2. 7 g 0
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.......................................................~.~......
BLBCDZCIAR
COMPANY.
STATE'CERT OR REGIST ..
CITY PROCESSING ..
SIGNATURE
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PLUMBBIl
SIGNATURE
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COMPANY
STATE CERT OR REGIST ,
CITY P~ESSING ,
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SIGNATURE
STAT-E CERTOR REGISTt..., ';
CITY PROCESSING ..
............~.................................................*..
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COMPANY
STATE CERT OR REGIST ..
CITY PROCBSSING ..
SIGNATURE
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.........*......................................................*
l:UNUJ.'J.'J.UN::;; U!:' k;'1:;.KMJ.T A!:'!:'J.UAVJ,....:
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject 1:0 "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 ~y 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 requir~nts may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
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 Qocument 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 infor.mation 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 perfo~ to meet standards of all laws regulat!ng construction, City
codes, zoning regulations, and land development regulations in ~be' jurisdiction. I also
certify that I understand that the regulations of other gove~nm.ntal agencies may apply to
the intended work, and that it i. my responsibility to identify what actions I must take tl
be in compliance. Such agencies include but are not'l~ted to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and. Environmentally Sensitive
Lands, Water/Wastewater Treatment
*50uthwest Florida Water~nag~nt 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.5. 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 requiring a
correction of errors in plans, construction, or violation. of any code. Every permit
issued shall become invalid unle.. th. work authorized by .uch permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for
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 si
month period, or the project will be considered abandoned.
WARNING TO OWNER: ,YOUR FAILURE TO RECORD A NOTICE OF COMMUCEMEHT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL
WITH YOUR LENDER OR AN ATT,ORNEY BEJ!'ORE 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
SIGNATURE: CONTRACTOR
acknowledged
. 1L..
STATE OF FLORIDA
COUH'l'Y 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)
'0 who is personally known to me, or
(name of person acknowledged)
[J,ho is personally known to me, or
o who has produced
(type of identitication)
and whoD did Ddid not take an oath.
o who has produced
(type of identiticatioJ
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
. Hunllnglon
The Huntington National Bank
Corporate Real Estate
7 Easton Oval, EA4C97
Columbus, OH 43219
Property Owner Authorization for Sign Permit Applications and installation:
I, Richard H. Machinski, as officer for Huntington Bank who is owner of property addressed at:
7344 Gall Blvd.. Zeohvrhills. FL. 34668
do hereby give permission to Lott Sign Service, Inc. to install signage at the above location.
Richard H. Machinski
Property Owner (Please Type or Print)
2kJ;P1JLuLL
Signature of Property Owner or Agent
Property Folio #
Date /2 -~~ ~ (
.
Mailing Address: The Huntington National Bank, Corporate Real Estate, 7 Easton Oval, EA4C97,
Columbus, OH 43219
""-lJ
,,,-;:..,,IAl 8#',
l~B..' off" CATHERINE ~ KOWAlC~K
~ * .. Notary PUblIC, State of Ohio
\. 'J\ ~ 0 My Commission Expires 12-10-04
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Telephone Number: 614-331-9082
This instrument was acknowledged before me this<Jllday of jJ..LL.1 , L~I
~4~m4/
otary Public (Signature J
0-the,-/nL /I. ~uJak~
Notary Public Name P ted
Personally Known ~
Produced Identification
Type:
1.III1I,llIlIIel, .Ie
1712 Land 0 LUes Blvd
Lutz, FL 33S49
USA
Pbclne 813-909-9733
Fax 813-909-0833
December 11,2001
Re: Huntington National Bank
7344 Gall Blvd
Zephyrhills, Fl. 34668
To whom it may concern:
This letter is authorizing Bruce Van Wert to pull the neccessary permits for the above iocation.
~~
Rene Lou
Vice President
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Cost Center#:
72109
ATM#:
Sign No: E-03
'Ie:
Zephyrhills O/fiu
EXistlrg S 9n Descr'ptlon
BoxIWaJJ
Helgnt
29.5"
Width
16'
Depth
6"
let'er Height
lV/A
O,('C~II He,ght above grade
12'
F.lce f.l,llenal
PItuIic - Flat
\'J.ll ".L:HerlZiI
brick
4J.1 1,10,e f-<elght
Avall~bie \'. ,dth
39"
58'
I urr n.:ted
Do~ble face
No
~B Logo - Huntintlton Banks
_N/A
RR
1iiIDI..._..YO.....
Proposed Sign Type
LNL-24- W
Descnptlon
24" White Non-lUumi1U1ted WaU Letters
\'>1311 Rep:m
Patch As Needed
I ex!'
" ..
-.------ ._---------~--
VIF Required
NEW e ~('-f
SUNTRUST BANI{
6T
DATE
BUILClJN
E-3
Signage Detail
Cost C~Dter#:
72109
ATM#:
Sign No: E-04
.- ,e:
Zepltyrhills Office
Ex,q -'g Sign Des:rrptlon
BoxlWall
He gnt
29.5"
Width
16'
Depth
6"
Letter Height
IV/A
OJeral1 Height abo'.e grade
12'
>':1ce r,l:1terIJI
p/astU: - Flat
",:111 i.~dterlal
brick
Ja laD e Height
Aval:able \"Jldth
39"
58'
u:-r- "ated
Doub'e face
No
~B Logo - Huntington Banks
~/A
Proposed Action
RR
roposed Sign Type:
l..NL-24- W
escrlptlon
24" White Non-lllumi1Ulted Wall Letters
\/.)11 ~cp3lr
Patch As Needed
SunTrust Bank
'VIA
N(~
~ ~ 1-(
DATE
BUIL('I1N
7
IIF Required
E-4
ignage Detail
:ost Center#:
72109
#:
Sign No: E-02
I/ame:
Zephyrhills Office
x1s,mg Sign Desc otlO'l
'ox/Wan
elgllt
9.5"
IOtil'
6'
epth:
"
Iter Helgllt.
'IA ___
verJiI Helgllt abol"e grJde,
2'
ce f,l.)ter'al
Io.ftit: - F fat
JII ',~aterlal
rick
Jlfable Height'
AVJiI.:Jble \'/Idtn'
87'
~
es No
_HB LollO - Huntinllton Banks
IIBIav/A
Double face
oposed Action,
o
roposed Sign Type:
escflptlon:
ail Repair:
---------~~---~-----~_._~----
l'llllllllll lid.. t in II ( f Illlllll' /I h:
--_._---~-----_._-
Remove
Sign
--.-.--------- _._-~~-------~--
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"- ----------------- --._- ------------
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~ S;Un.g. ee.igMtor
AnI n-'rNor _
o PhoIo Keys
__ SigoegLS~bal..
.. Ant Symbol
eo.t Centent: n109
AT'M"r.
Name: ZephyrhiIs Office
-I ~
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-=- SHOPPING CENTER ACCESS ~
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Signs are numbered with an "t. for interior or an "E" for exterior (ie. ~ or ~ )
.~
~-1J 1
-
Cost Ceater#: 72109
Sign No: E-01
ATM#:
"Ie:
Zephyrhills Of:fU:e
Ex,st.ng S gn Descr,PTlcn
I
~~--_.
fee ght
20'.7"
\V ~!l'1
88.75"
11.5"
DepTh
lV/A
Letter Height
0,er311 Height ,wove grade
20'.7"
i=":l-:P ~1.11t€.nal
\iV,l, r..1:::tcrI,J)
Plastic. Formed
lV/A
lV/A
A\. ,ll !~lbJe Helgnt
DOublo? ta~e
lV/A
AvailJble \V ,at/1
t :-T"' r1a>?d
Proposed Sign Type,
'IA
IF ReQuired
1=.1