HomeMy WebLinkAbout04-3086
CITY OF ZEPHYRHILLS
5335 ' 8TH STREET
(813)780'0020
BUILDING PERMIT
3086
, 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:
3086
SIGN
WALL SIGN
COMMERCIAL
Address: 6038 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5/18/2004
70.00
70.00
5/18/2004
NEW WALL SIGN--~~
Name: GALL BLVD LAND TRUST
Address: 6038 GALL BLVD
ZEPHYRHILLS, FL. 33542
--"----~hone: _________~~_
i I I
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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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner:- Your failure to recorda notice of commencementmay result in yourpaying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
_~ef~re_recorc!!l1g yourno~~~ of commencement." _ _ __
Complete Plans, Specifications and Fee Must AccOmpanyAppficatJOn-:---- - - -- --
-- __.4!1 wo~~ ~CJ!l..bep_~rfEr::I'1'1~in accordanc~wit~9ty Code:;~nd Ordi!l.CJ.!I~~~_ __ __ _ ____ ____
NO OCCUPANCY BEFORE C.O.
--.--------.,--- -- --..--------------..---..----------..-----------.-----"--'--- --.- ---._-_.. -._--_..---_..._-_._--_._-----,---_._------_.~-,.
-'7~T~~~E--- ~MITOFFI
CALL FOR/INSPECTION - 8 HOUR NOTICE REQUIRED
/ PROTECT CARD FROM WEATHER .
6038 Gal i Blvd
ZephyrhiUs.. flc 33544. '"' .:\. '~o DC- 0000
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Signature Approving Art: ~{Jcl-llJ/-7-----f"JI:Jte:. -4/6 if, {j
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The sign will be created for above addressed location as shown here.
Aaonistic ArmadiBo Signs of 6225 Angus Valley Dr, Wesley Chapel,. FL.335~i
will provide signoge as demonstrated in this pidure. 1 UL Approved sign cabinet
measuring 41 x 161 is to ba attached as shown. Wiring to be induded if necessaJy
approved connedion point is available wittin 10' of sign installed location,. We
recomend having your electrician install an approved breaker in ceiling area fe
permit hook: up of eledric for sign. Any requested changes must be made in
writing and may result in changes to price quoted.
Thank: you foryourbusiness.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 e9 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
OWNER'S NAME
Cu~
(!> 0 ~ ~
S a.Y-C.V~,k(,<;. Ov- A\'\+~c.,~ ~l-j),IIJ;"O~
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DATE RECEIVED 5/7 / bL
{ I
PHONE CONTACT FOR PERMITTING )?"l1 ~ ~'O-'84.(P0
/27 bt.{ 3 - ~tl LG.-
PHONE 7'17: 450 - (q 17
R.. I 3 '!,)' l.{ '2-
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # 03-J(,-~I-OOI0~ \2.~o()-OOOO
SUBDIVISION
(OBTAIN FROM PROPF.RTY TAX NOTTeF.\
WORK PROPSED: [JNEW CONSTRUCTION
~IGN
PROPOSED USE: [JSGL FAMILY DWELLING
DCOMMERCIAL
D ADDITION
D MOVE
[JALTERATION
D DEMOLISH
D REPAIR
[J INSTALL
[JMULTI-FAMILY
D INDUSTRIAL
[J# OF UNITS
D SWIMMING POOL
D MOBILE HOME
DOTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK , \Il s tp.,1 \ 4 'Yl~o-x SLj 1/1 /i~~U. & ~ V\
BUILDING SIZE SQUARE FOOTAGE
Nw ~ B.;. IJ:h) .~
HEIGHT dOl
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
--r
& (1) SET ENERGY FORMS.
FORMS.
.."
'3 ~, ov
J~U) G
PERMITS REQUESTED
-'f"'"
~}'> .
"
6~
I F Ll 'flT}~
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
[J PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
if~oS~
/
D GAS
[J ROOFING
[J SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
cq~gT()~!SECTION
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************************'k*********
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER S \ ~ .., . C /7'-I-tVllo 190......
s rGNATURE (~ \..t l~.w....." ,":::""4.. "'. ~I'" t
COMPANY KOj~r.s ' S ~ J In COlTf
STATE CERT OR REGIST # Es
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, 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 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 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.
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-Wellsr
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 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
!
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I
~IGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
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
,20_
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Odid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
03/3oJj2.004 WED 14: 59
FAX 352. 797 5785 PASCO/HERNANDO JEP
Ro~ers Si~n
p.l
352_799-6994
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101 DANIEL AVENUE. np.OOKWllLt.. Fl34601
PHONE (052) 799-1920 · FAX (352) 799-6994
RQg~' Sign Corp.
SALES . SERViCE. \NSTALlATlON
Letter of permission
DATE
l1fl !lO 4
I -
. To Whom It May Concern:
This is to certify tha1 Rogers' Sign Corp., Inc. of 101 Daniel Ave., Brooksville, FL has
our permission to pull a penuit to install a sign at our address at:
"'.....
CoOs~. ('itA \ \
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. Zepll,,\( \J i \ \ ~,
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336 L):2
In the County of
Po$'C 0
~ 5-'r"
day of
PA-Jt+NoS
T~ fo.segoing instrument was acknowledged before me this
t--t--P? -:I:-L- . 20.Ql by ~~
V who is personally known to me or _ who has produced
as identification.
;L-
~O
Seal:
[8Y~:-'1
~'GJ'; Expna "'31200' ,
~Of\'l,~ 8ondedlhN(IOO~:
. .....~I~........~.~~:.~..1
MAY-03-2004 11:49 AM AAARTISTIC ARMADILLO
,......., ..
813 780 8462 P,02
------------- ---/--.-.
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..
State.)f ~
NOTICB OF COHHBHCElmHT
County of "'--Pasc-o
11111111111I111111111I11111 111111111I1111111I1111I11111I1111
2004084003
~
TUB trNOBRSIGNED hereby gives notice that improvement will be ma e to c~rt
real property, and in accordance with Chapter 713, Florida S atutes,
fOllowing inforDation is provided in this Notice of Commoncemert:
1.
Description of Property: Parcel No.
-()OOV
r,ddress
City
'N~+ee J Dw",...
,
2 .
J. O\mcr Information: Name GA \\ l>l-.,dl
Interest in Property:
tlame of Fee Simple TitlehOlder:
(If other ~h~n owner)
Rcpt : 780379 Rec: 6.00
DS: 0. 00 IT: 0. 00
05/07/04 ___ Dpty Clerk
Address
City
S ute
<I. Contractor: t1.:11ne 'l?
FI.Jdress 10\ '--04\-,1,1 Avo(.
5.
Su eet}': N.:1/nQ
Ci t it c:''rno'llc: c v: ((~
Sate..EL I 34(00 \
,\dd::css
City
Sate
JED PITTMAN, PASCO COUNTY CLERK
05~:7 ~:4 59: 55am 1 PG orr.:. 4
designated by Own r upon "
served as provided by Sect
I:
I
r
t
~
I
)
S ilte
hmount of Bond: S
6.
Lender: !lame
A.Jdrcss
City
7.
Persons within the State of Florida
notices or :l~her documents may be
71J.IJ(1)(a)(7), Florida Statutes:
tli'lm~
J\ddress
City
8.
In addition to himst'lf. Owner dp-signates
'J.
::-xp...rnt .l',n .<t...t... o! t1c.t.ice or COnltlll!ncement (~he ..xpl.ratL:.n d t.e i$ 1 '
rr?m the ~atc uf recording unless a different date is spec'fied.) .
d b_iBtM~'''~hi,€jCKE'''],''Lay of
G,;~:..~ - "D00241254....;
..~\-.=. 'S 8/1312007 i
~~~} , thru (800)432~.
..,,'CJf.~'\"\' Fionda No Aaan.. Inc
Sig~atur~OfOwncr:
Sworn to and subscri
20Q1.
Notolry Public:
My C :;;:1;:1.1 ss ion Expires:
PC930530481A
~
--
101 DANIEL AVENUE · (3~OOKSVILLE, FL 34601
PHONE (.352) 799-192.3 · FAX (.352) 799-6994
LEITER OF PERMISSION
Date: 04-21-04
To whom it may concern:
I Robert Rogers give my permission for Valerie Hilliary to act as my agent to apply for
and pick up the following sign pelmit for the locations listed.
Career Central
6038 GaD Blvd
Zephyrhills, FL 33542
In the County of Pasco
Sincerely,
State of Florida
C~ofH~do ~.
Thef~,:adrnowIedgesbefureme..this ~ dayof ~
2004, by ~ whom is nenonaIb' known to me or has produced
as identification
~
,
~~ ~ RusseH SMull
;.~; My Commissien DD043649
'9to, ~o'f' E.olpHes July 22, 2005