HomeMy WebLinkAbout04-3026
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3026
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3026
SIGN
FREE STANDING SIGN
COMMERCIAL
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/30/2004
105.00
105.00
4/30/2004
MONUMENT SIGN AND 1 WALL SIGN
Name: MICROTEUJAMM HOTELS,LLC
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
i
I
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1---- - I -_----L .. I_
I REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
I charge of Thirty-Five Dollars ($35.00) 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
I----"Waming to owner: Your failure to record a notice of commencement may result in your paying twice for
I imP.rovements to.. your pr.operty. If you intend to obtain financing, consU.lt. with yo.. ur lend.. er or an attorney
before re~ording_your no~ice of commencement." __. ___~__ .
I Complete Plans, Specifications and Fee Must Accompany Application. --
___ .__~_work ~~~II be E.~_rformed in accordance with City Codes and Q~~inance?_______
NO OCCUPANCY BEFORE C.O.
-I-(--~~:Ji~~~-----~~ ~;MII OFFI .-
i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
1-~-[)Lj
PHONE CONTACT
PHONE r
OWNER'S NAME
j)1t tI2/:)T€-t.. Th~ c:t- ~-res
?6 aq t:A-Ll.- Eb/i)
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
~C?~~
WORK PROPSED: []NEW CONSTRUCTION
~GN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
BLOCK
SUBDIVISION
(OBTAIN FROM PROPF.RTY TAX NOTICE\
o ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~THER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
...
~/c1N~ ~ - /?llf71~.a.-../ /.0.dL~
. SQUARE FOOTAGE HEIG T
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ING
PERMITS REQUESTED
~ 3t~~
$
v.
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
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
g9~Q~s(smC;TIQN
BUILDER ~ ~ COMPANY .///{tt/ ,c/etu1>A- '! rJfS "':/:d'~h 't:.S
~ /l~ ' ~ i)t-y!'u..-. ~ [) . .
SIGNATURE V /~ ~ STATE CERT'foR REGIST * r
******************************************************************
ELECTRICIAN
SIGNATURE X
C? .
~~. /L-,
, ~J
COMPANY~ u '1 t ~Vj ~
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER '
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH which;
may be more restrictive than City regulations. The undersigned assumes responsibility fal
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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions 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 indica~ion 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 "AH or "A,etc.H, 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 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 COMMEN EMENT". <..
"
SIGNATURE: 0 E OR AGENT
STATE OF FLORI~
COUNTY OF ~eo
The foregoing i~~rument was acknowledge~//
Be.to5P/ ~J).!his ~ day of ~ '.. 20.:2
by, IIJ~. (<-.J;t:JI/l ;,,'>7 '/
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this day of
by
~~&f)
(name of person acknowledged)
[1ho is personally known to me, or
..,~..
Signature of person ta ing
~~ Bobbie Swetland
m MYCOMt4I&SION, C0268m ;XIltRES
.'. . 'ped, ~w;i2~ stamped
-''),'0"; ~~" BONDED THRU TROY FAIN INSlJRAW:E 'w
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o who has produced r-L 'JJ. L .
(type of id~Q!ificati
, ~id not a an', ath
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Signature
Name
tii)~_ed
"",. . . Fe EXPIREs
.1.11..... ,~ bruary 2Z 2008
"Rr.,fl\' BONDED THRuTllOYFAlNfNSUllAHCE INC
-
POWER OF A.TTORNEY
RAl4CO FORK u;
'ower of Rltorney
~tUJtn f\ll ~en ~l;! '<fiqese 'resents:
.,-
That DANIEL M. HAYES
ha s made, constituted and appointed, and by these presents dOe s
Richard T. Hayes
make, constitute and appoint
lawful attorney for him and in his name, place an{i stead
to obtain building permits for Mid Florida Signs and Graphics
for the following project:
Microtel Suites and Inn
Zephyrhills, Fl.
true and
giVing and granting unto him said attorney full power
and authority to do and perform all and every act and thing whatsoever requisite and necessary to be
done in and about the premises as fully, to all intents and purposes, as he might or could do
if personally present, with full power of substitution and revocation, hereby ratifying and confirming all
that
said attorney or
substitute shall lawfully do or cause to be done by virtue hereof.
in Qitnt~~ Q~trtof. I have hereunto set my hand
and seal this the Thirtier.h day of April , in the
yeiif~~~~~2f~tc Two Thousand Four
Sealed and delivered in the pr~ence of
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~7~(LS.)
ibtatt of FLORIDA
Qtountp of LAKE
1St it itnotun, That on the Thirtieth
>>,G~~ Two Thousand Four , before me,
}
a
Notary
day of April
Miriam P. Taylor
in and for the State of FLORIDA
~
duly commissioned and sworn, dwelling in the County of Lake
personally came and appeared Daniel M. Hayes to me personally
known. and known to me to be the same person a s described in and who executed the within power of
attorney, and has acknowledged the within power of attorney to be his act and deed.
in ur t ~ ti m 0 n p Q ~ t rt 0 f, I have hp-reunto subscribe4 my name and affixed my seal of office the day
and year last above written.
"'-:;'~"~"'" Miriam P. Taylor
f:~'.~"'i;f:\ MY COMMISSION # 00054722 EXPIRES
:':,:.~.?l October 28, 200S
.:':. ",;;~~..., BONDED THRU TROY FAIN INSURANCE,INC.
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(L S.)
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ivlONUtvlENT S!GN- ZEPHYRHILLS
DESIGN AT 15' OAH
..MlD-FLORlDA
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1203-A west MOJn street
Leesburg.Rorida .34748
:;5Z.j81-36d2 FA.X.352~i'aF';4'27
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......S1GNS 3: GRAPHICS
12Q3.....\ West t.b\ SIMeI;J leMbuIQ..RaDda 34748
16-3-
LETTERS ON WALL - SIDE ELEVATION
28"/12 x 14.M" = 34.63SF
22/12 X 16.25' = 29.130 SF
TOTAL = 64.42 SF
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MAR 1 2 2004
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ON32"CENTE/CSTOPANOL'OTTOM CERTIFIED BY:
JACK L. GRIES PE
LICENSE NO. 33570, FLORIDA
PHONE NO. 352.787.6161
715 BALMORAL CIRCLE
LEESBURG, FL. 34748
DETAIL OF FASCIA SIGN FABRICATION &/NSTALLATION
NO SCAl.E
SIGN MANUFACTURED AND INSTALLED IN ACCORDANCE WITH
FLORIDA BUILDING CODE SECTION #3108 AND UL STANDARD
FOR ELECTRIC SIGNS. 120 VOLTS. SINGLE PHASE. 78 AMPS
2Ef'-\y~t+ILL ~ FL.
"MID-FLORIDA
'-SIGNS & GRAPHICS
SK-0304-05
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P<."WER OF ATTORNEY
RAMco FORK ~
'ower of Rttorneg
~tultn ~ll rfililen ~ll 'Q1lfese 'resents:
."'.
Thm DANIEL M. HAYES
ha s made, constituted and appointed, and by these presents dOe s
make, constitute and appoint
Timothy P. Wainscott
lawful attorney for him
and in his
true and
to obtain building permits for Mid Florida Signs and Graphics
for the following project:
name, place a.n.{i stead
Microtel Inn & Suites
Zephyrhills, Fl.
giving and granting unto him said attorney full power
and authority to do and perform all and every act and thing whatsoever requisite and necessary to be
done in and about the premises as fully, to all wentsand purposes, as he might or could do
if personally present, with full power of substitution and revocation, hereby ratifying and confirming all
thm
said attorney or
substitute shall lawfully do or cause to be done by virtue hereof.
in Uitnegg U~ereof. I have hereunto set my hand
and seal this the Twenty Sixth day of April
.16i#~~~~~~fC Two Thousand Four
Sealed and delivered in the prqence of
, in the
}
~tate of FLORIDA
Qtountp of LAKE
1ae it itnotun, That on the Twenty Sixth
~~ Two Thousand Four , before me,
}
a
Notary
day of April
Miriam P. Taylor
in and for the State of FLORIDA
one
duly commissioned and sworn, dwelling in the County of Lake
Daniel M. Hayes -71..
personally came and appeared to me personUl';
known, and known to me to be the same person a s described in and who executed the within power of
attorney, and ha s acknowledged the within power of attorney to be his act and deed.
'll n ~ e s ti m 0 n 11 iIIlIl ~ e rt 0 f, I have h,mmJo subscnOed my 1I/lme and affi=l my seoJ of office the day . .
and year last above written.
,,'~':f..;::~'" Miriam P. Taylor
PYJJ;.<>r;. MY COMMISSION If 00054722 EXPIRES
~:.~.~lOctOber 28, 2005
"'~i"" ..<Jt:.,," WNDED THRU TROY FAIN INSURANC~ INC.
."~f..~~,'\
f~w:4)
(L S.)
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Apr 30 04 12:46p
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HUXTABLE
ELECTRIC, INC.
PO BOX 34578
BARTLETT, TN 38184
901-385-8448
901-385-8408 Fax
HUXTABLE ELECTRIC INC
9013858408
p. 1
Aprii 30, 2004
City of Zephrhills Building Department
Fax# 813-780-0021
To whom it may concern:
This letter is to serve as my authorization for Bobby Ewin~J to
act in my behalf for the purpose of pulling permits, Sigllill~J
and completing any necessary documentation in my absence.
Thank you for your cooperation in this matter-.
~~,~
Richard F. Huxtable
President
State of Tennessee
County of Shelby
Subscribed and sworn to before me this 30th clay of Ap,'il,
2004.
-D.J,A)~ ~\~~~
",II \ 1111 If II I,..
"", eERNAD.'.,
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Notary
~,. ~r".~ISSION
EXPIRES 12119I2rGi;