HomeMy WebLinkAbout04-3251
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3251
Permit Number: 3251
Permit Type: SIGN
Class of Work: WALL SIGN
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 1,600.00
Date Issued: 7/26/2004
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 7/26/2004
Work Desc: WALL SIGN 2 24HR. SIGNS
Address: 6429 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: WALGREENS
Address: 6429 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEC110N 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
nWarning 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, n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~SI~E ~~
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
~~~~~~~~/J~I 1111I1111I Ifill fIlII Ifill 11/11111/11I1
Rcpl:802073
os: 0.00
07/26/04
Rec: 18.50
IT: 0.00
Dpty Clerk
Permit Number
Parcel Identification Number _36- I 924025
Prepared By:
Icon Identity Solutions
13663 65th ST. N,
Largo, FL 3371
JEO PITTMAN, PASCO COUNTY CLERK
07/26/04 08: 53am 1 of 2
OR BK 5956 PG 1657
Return to:
Same
NOTICE OF COMMENCEMENT
State of Florida
County oC
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with
Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement.
I. Description of property (legal description of the property, and street address ifavailable)
See attached for legal description.
6429 Gall Blvd,
Zephyrhills, FL 33541-2570
2. General description of improvement(s).
Installation of new ground and wall signs.
3. Owner Information
Name Walgreen Co,
Address 200 Wilmot Rd,
Deerfield, IL 60015
Telephone Number 847-914-3289
Fax Number 847-914-3077
Interest in Property: Owner
4, Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
5. Contractor
Name Icon Identity Solutions
Address 13663 65th St. North
Largo, FL 33771
Telephone Number 727-536-8646
Fax Number 727-535-2413
6, Surety (if any)
Name
Address
Telephone Number
Fax Number
Amount of bond $
7, Lender (if any)
Name
Address
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by 713 .13( I )(a)7., Florida Statutes.
Name Telephone Number
Address Fax Number
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in 713.13(1 )(b), Florida Statutes,
Name Telephone Number
Address Fax Number
10, Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
7-/~- OL/
Date Signed
S-/~ ~rULcJ~
Signature of Owner {Note: per
713,13(1)(g), "owner must sign.. ,and
on one else may be permitted to sign in
his or her stead."
~"~ ~
Sworn to and subscribed b"efore me this .1:... day of ' " .
2004 by ~~.
Who is y personally known to me OR produced
As identification,
';''V\f\'.J'VV~~
? OFFICIAL SEAL
J . BARBARA P CHRISTENSEN
NOTARI'PUBUC STATf OF
",'IV C("""""<"iO:/ /,v",,,, 1U.1Na.
." ',.,,, .."r<nfS:ll..o8104
."'A"".;f'..~t..^~.(I~,Aj
~~ / /~~~/O-'l.!~<-
Signature of Notary (notarial seal to
appear below)
OR ';. 43~ 284
7':r ~ u
EXHIBIT "A"
Le~al Description
OR BK 5956 PG 1658
2 of 2
A parcel of ~d being a portion of the vacated SO foot platted right-of-way for Hoover
Street, Lots 3 through 8 and Lots 15 through 18, LITTLE ACRES'. according to the plat
thereof as recorded in Plat Book 5, Page 132, public records of Pasco County, Florida,
being in Section 3, Township 26 South, Range 21 East, and being more particularly
described as follows: BEGINNING at the Southwestern corner of said Lot 15, run thence
South 00 deg 45 min 41 see East, 100.~1 feet; thence South 89 deg 30 min 03 see West,
150,37 teet; thence North 00 deg41 min 46 sec West, 340.43 feet to a point on the
Southerly right-of-way line of County Road 54; thence along said right-ot-way line, North
89 deg 58 min 02 sec Ea~tl, 317.13 feet to a point of intersection with the Westerly
right-of-way line of U.S. Highway 301; thence along said Westerly right-of-way line South,
16.71 feet to the beginning of a curve concave to the West, having a radius of 2103.72
feet; thence 221,25 feet along the arc of said curve, through a central angle of 06 deg 01
\
min 33 sec (chord bearing South 02 deg 17 min 24 sec West, 221.14 feet) to the end of said
curve; thence departing said right-of-way line, South 89 deg 26 min 48 sec West along the
South line of said Lot 15, 155.13 feet to the POINT OF BEGINNING.
STATE Of~ FL(}Rlf)L\
COUNT\( Cr:
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OR Of' P!;Jl :eiFI'
HAN
NYCHlZephyrhillsiWaIgreen
226363-002001
APPLICATIOR I'OR PDlaT
CITY 01' DPIIDUIILLS
BUILDIRG DBP~
..........,.,...., 1} 5~Y
PLaRS DVIn. I'D
OWNER'S NAME ~$GEJ'JS'
t/<j~9 C"-'I /;/"'t(;.~ .. ~. ~
JOB AbDRESS <.e - 6: , Yn 0 7~ ~ <::'''''...- _
PHONE
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
10BTATN FROM PROPERTY TAX NOTICEI
WORK PROPSED: DNEW CONSTRUCTION
~
D ADDITION
o ALTERATION
o DEMOLISH
D REPAIR
D INSTALL
D MOVE
PROPOSED USE: DSGL FAMILY DWELLING
~RCIAL
DMULTI-FAMILY
o INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
D MOBILE HOME
D OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
-::r#S7~
~'1 hA.
s"
hS
/8'x "'2,11 = 9.~J$~.
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 FOil
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
5 -5-2>
2. J~lJj6.
PERMITS REQUESTED
o BUILDING
D ELECTRICAL
o PLUMBING
o MECHANICAL
$
/6()o ~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
D W,R,E,C.
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
1;S PROJECT IN FLOOD ZONE. ARMO YES 0 NO
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BUILDBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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BLBCDUCIAR
COMPANY.
STATECERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*************************************~****************************
PLt.JMBBR
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITYPROCESSING'# .....
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----~---~
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STATE CE~OltJREGrS'l''lf j '-'':1 i:
CITY'PROCESSING'# ! '. .
SIGNATURE
SIGNATURE
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COM
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OR REGIST # G: f:>Ot:J40c1..3
PROCESSING #
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0'1'RB1l
CITY
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L.Ui'H).l'l:.lUN;;> Ul: t:'.r:..~VJ..lT Al:~L))AVJ_'J:
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restr:
may be more restrictive than City regulations. The undersigned assumes respv.
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.
Furtheonore, 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 const~uction, 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 c~nced prior toissuanc~ of a permit and that
all work will be perfor.med 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 ~o 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
*ADmY 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 wo~k and not as
authority to violate, cancel, alter, or set aside any provisions oftheitechnical 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 wou.ut.hoi:i~d by Iluch perm1t is cODlDenced within
"': ' . :,:,' '.' " 'c, ",.1
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,?; tiwe
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 COMMDICEMENT*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. JO~S ,1JNPER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
.ch
...lity for
~I~~U~~Nr
STATE OF FLORIDA( - ~
COUNTY OF '--/7f..(
cknOWledged,Th,e ,fo.r"egoing, i,n,s,t,~ nt"wa,Lt1aCknOWledged
~(ji :~m~d.~(f ~ fJ;~9t~,~.!'_ ~~
(name of person acknowledged)
~hO is per80na~lY known to me, or
o who has produced
(type of identification]
(and ~h~ Odid. ' ti,tid not)1k~ an oath
~~<C).~~
Signature of person taking acknowledgment
STATE OF FLO
COUNTY OF
The foregoing ins~ument was
Befo~ me thia . ,day.. of
by KI :; ,
(name of person acknowledged)
)9lWhO is personally known to me, or
o who has produced
(type of identification)
and whoOdid &di~e an oath.
\--1'?1 fiAJ A?G .9--,
Signature of person taking acknowledgement
s amped
Name t
............
MARION I. r<:'lLER
letter
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From:
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of Transmittal
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TElEpJJONE 941022,8540
FAX 941/}22,2424
E'MAil FORpERMiTs@Aol.cOM
2630 223rd Street East. Brodenton. Fl 342"
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STATE OF FLORIDA
DEPARTMENT 01' BUSINESS AND PROPBSSIONAJ., A.J:.~U-.:..ATION'
EIJ!:C'I'RI C,.L CONTP..ACTORS LI CENSING BOARD
1940 NORTH Mm~OE STREET
TAL~~SSEE FL, 32399-0783
~
GUFFIN, WILLnK BULL
:IB".l'ERNATIOlQI, SIGN' &: DESIGN 'COR?OllATION
]. 0 831 CANAL STREET
LARGO ' FL 33777
4e,-'-'oC"
::::
--
.....,......--...., ~...
PINEUAS COUNTY CONSTRUCTION
LICENSING BOARD
THIS CERllF1Es T*T-.m H 0rttIIn
DBA IIDmatIonaI Sign & Design Corp
~~TEOF AClDSD531b
'01' :Bl1SDIESs AJID
. , P~O!'ESS:t UGtJI.AtiCl1l
STATE CERT t J.E1......3 '
HAS REGISTERED HIS UCENSE'AMD
FILED PROOF OF REQUIRED LIABl.nv
ANDlM>RKERS'COMPeNSATJON ~ '
WITH THIS BOARD,
IN GOOD STANDING UNTIL SEPTEMBER 30, 2004
DATE OF ISSUANCE 1011,Q3
BS0000003
7/~SI02 20002582~
.-GmT' BP Br.BC'l'UOL corra
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-'''~.:.0JmI. ::tGlf r. DES:tGl9 CORPo
:1S CSIt'!17IP-u= ~ ~ of ~'''l!S n.
ZIl;o~_"t8, AD!: 1, 2004 IIIQ .W21t:zs.18C.
DETACH HERE
ACl0505316
STATE OFFLORIOA
DEPUTMENTOF BtJSINBSS AHD PROPBSSIONAL RBG't1I.AT ON
RLEt..l'UCAL CON"l'RACTORS LlCENSl:NQ BO.AllD SEQ#I.O~072S0J.84'
The SPECIALTY KLBCTR:!CAL CONTRAC'roR
Named he~ow IS CElU'IFIED
Under the provisions of ~ter 489 1"S.
Expiration date: A'OG 31, 2004
GRIFPDl WZLLZAM BOLL
~TIONAL SIGN &: DESIGN CORPORJ_TION
307 OLD OAK CIRCLE
PALM RARBOR P'L 34683
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