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Home My WebLink About04-3027 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3027 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 2,350.00 Date Issued: 4/30/2004 Name: FLORIDA MEDICAL CLINIC Total Fees: 70.00 Address: 38135 MARKET SQUARE Amount Paid: 70.00 ZEPHYRHILLS, FL. 33540 Date Paid: 4/30/2004L~one: (813)780-8440 ____~__~_ - Work Desc: REFURBISH EXISTING POLE SIGN - - 3027 SIGN FREE STANDING SIGN COMMERCIAL Address: 38135 MARKE QUARE ZEPHYRHILLS. FL. Township: Range: Book: Lot(s): Block:' Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: I ____um_~_~__~l~_~__~___l---~-----~---~------ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a 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 ;1_ Th~Clyment C?! insPec!i9n fees shall be made before any furthereermits will be issued to th~ person owning same u____ "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 l:)E!fore !~ordin9your notice of commencement. ~' ... .__ ___~__ .___ Complete Plans, Specifications and Fee Must Accompany Application. 1_____ _ u___ . ~!L~orks.~all be perform~in accord~nce with City C()('jes and grdinar1S~s_____ __ I NO OCCUPANCY BEFORE C.O. ~l :NTRACT~~~---- f~M'T~F~ - - CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Dermatology Lowella Esperanza, M.D Diana Calderone, M.D. Family Practice Paul Hughes, M.D. Todd LaRue, M.D. Nancy Finnerty, M.D. Shahnaz Khan, M.D. Douglas Baska, D.O. Carl Graves, M.D. John Tedesco, D.O. Dominic Gonzalez, M.D. Christopher Garcia, M.D. Joseph Cozzolino, M.D. Gastroenterology Mark Eisner, M.D. Tawfik Chami, M.D. Martin Maldonado, M.D. Barry Frank, M.D. Dennis Feldman, M.D. Joseph Caradonna, M.D. W. Hunter Eubanks, M.D Robert Gilbert, M.D. Terri Jaggers, M.D. Hematology/ Medical Oncology Ronald Kawauchi, M.D. Infectious Diseases Emilio Dominguez, M.D. Petros Tsambiras, M.D. Internal Medicine Chandresh Saraiya, M.D. Parag Pitroda, M.D. Athena Valencia, M.D. William Ruiz, M.D. Eduardo Gonzalez, M.D. Lucretia Fisher, M.D. Vijay Desai, M.D. Nephrology Alejandro Carvallo, M.D. Vijay Patel, M.D. Ophthalmology Christopher G. Spanich, M.D. Thomas Foster, O.D. Orthopaedics Ira Guttentag, M.D. Richard Gray, M.D. Stephen J. Raterman, M.D. Psychiatry Barkat U. Khan, M.D. Pulmonology Juan Cevallos, M.D Joseph Hubaykah, M.D Radiology Richard Schwab, M.D. Mark Pinals, M.D. Rheumatology David Sikes, M.D. Amarilis Torres, M.D. Surgery Paul Citrin, M.D. Jordan Baum, M.D. Alexander DiStante, M.D April 7, 2004 To Whom It May Concern: Florida Medical Clinic, ~A. .../ I, Joe Delatorre, CEO, agent of property addressed at Florida Medical Clinic, 38135 Market Square, Zephyrhills, FL 33541 do hereby give permission to SIGNSTAR a Division of West Central Signs or its agent to erect a sign at the above location. Joe Delatorre, CEO tt5b 38135 Market Square Zephyrhills, FL 33542 (813) 780-8774 Property Folio # 02.'2b2t Date: April 7, 2004 o 0 ~ 0 <> '3 lO~ oCS3o This instrument was acknowledged befor MElODY S. PURVIS MY COMMISSION . CC 925244 EXPIRES: August 1, 2004 IoncIIIl ThIU NaWy PubIc UndI!WIIInI Notary P MlJ.O~~ Pllil>l\5 Notary Public ame Pnnted Personally Known \ / Produced Identific~ fA , Type: 38135 Market Square · Zephyrhills, FL 33542 · (813) 780-8440 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME N01Z. ) (),o /'1 ~ 0 I GA ( C II,{) ( G 3g 13~ /VVJrLkCT 5Gc)/J~ PHONE ,%(37 go 'S ~c;LJ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 0 2 '2 C 2, I 0 (5 / C> 0 3 l' 0 (j 0 d J d SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: []NEW CONSTRUCTION ~IGN PROPOSED USE: OSGL FAMILY DWELLING ~MMERCIAL o ADDITION o ALTERATION o DEMOLISH o REPAIR o INSTALL o MOVE OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Q2,~ (U'A. 6> t s ~ t; A (S-h ~ ~ fo k S'l c~ BUILDING SIZE SQUARE FOOTAGE HEIGHT L/3 RESIDENTIAL: ATTACH (2) PLOT PLANS & (Z) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 2 I nBUILDING ~ELECTRICAL PERMITS REQUESTED L 3 S 0 ~ VALUATION OF TOTAL CONSTRUCTION $ AMP SERVICE o FLORIDA POWER o W.R.E.C. TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER \,k \u(;) fv\ l ~ J' . , '1;'7 'v'Pi7V ~q\ ~ \.'7 ~ o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE .---'--' __..,7 ~ ?>.-..~::_A // -- <L-.. .. coN'rAAQ~:R.;~mCTIQN COMPANY U EsT CEr..Jtle.p <- Sf 6-..J5 STATE CERT OR REGIST # E5 00000 r,~ BUILDER ELECTRICIAN ***************************~************************************ /- ///~ . COMPANY W ~ s: ( C6. ..J YY<.,() I S (CJ1 ~ -.....--.?__.// c:::----;.;.;E?: L---. STATE CERT OR REGIST # Es 0 0<'005 j SIGNATURE ****************************************************************** 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 whic~ 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, 813-780-0020. 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 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 "ownerH, 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. Appli~ation 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 fora 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. ~BS~ER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT"../ // SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and whoD did 0 did not of identification) take an oath. Signature of person taking acknowledgement Name typed, printed or stamped <<~~-_.. c-_... SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged ,20_ (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type of identification) and who 0 did Odid not take an oath Signature of person taking acknowledgment Name typed, printed or stamped EnCon Services, Inc. Sign Design Calculations Area Distance to Center P = Force Moment sf (Ib) ft-Ib 107.31 33.11 2645 87563 176.75 31.00 4077 126377 303,00 17.76 6318 112216 153.52 11.00 3341 32718 Totals 16,381 358,874 70,92 inches cubed per pole 258 W24x104 A 36 I Beam OK Job Description Florida Medical Clinic 38135 Gall Blvd. Zephyrhills, FL 43 ft pole Design per ASCE 7-98 & 2001 Florida Building Code Importance Factor Kzt Exposure B Case 2 Kd Kz V Cf G Number of Poles Sign Top Middle Bottom Poles Required Sx Provided Sx PREPARED BY: EnCon Services, Inc, 2272 Jaudon Road Dover, FL 33527 813-655-3373 F 813-655-9814 Aaron Biedenbach, P.E. FL# 52949 FL EB# 9394 FL CBC# 060535 FL QB# 22527 OH E60756 1 0,78 Table 6-5 Pg 60 ASCE 7-98 110 mph 1.2 M/N (Larger/Smaller <= 6.0 0.85 Wind Pressure 2 25 PSF Base Size Number of Bases 2 Soil Resistive Moment (Sr) + Concrete Weight Moment (Mc) >> Total Moment Sign Base Dimensions Weight of Concrete = Assume Soil Pressure = A=(.68)(d)(w)(O,34 )(d)( 400) B=(O ,32)( d )(w)(0.90)( d)( 400) Total Soil Resistance (Sr) MC=(W)(I)(d)( 147)(.5)(1) Moment from Weight of Sign Total Moment Base Factor of Safety = Cubic Yards Concrete in base Base Plate Design Distance Between Bolts Number of Bolts 32 4 Florida Medical Clinic 12 Feet Long 8 Feet Wide 4 Feet Deep 147 PCF 400 PSF/foot of depth 11837,44 ft-Ib 14745.6 ft-Ib 26583,04 ft-Ib 338688 ft-Ib 52835.4 ft-Ib Perpendicular to sign face Parallel to sign face From Grade 836,213 ft.lb 2.3 28.4 cu, yd. 33644 Tension on Bolts (LB) Use 2" Dia. X 36" Long A36 Bolts