HomeMy WebLinkAbout05-4995
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4995
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:
4995
SIGN
WALL SIGN
COMMERCIAL
Address: 6945 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,360.00
10/11/2005
52.50
52.50
10/11/2005
WALL SIGN
Name: PHILLIP MICHAEL INC
Address: 6947 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTION FEES: When extra in ection 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 i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to r Q)rd a notice of commencement may result in your paying twice for
improvements to your property. Ify uiintend to obtain financing, consult with your lender or an attorney
before recording your notice of comm ncement."
Complete Plan I Specifications and Fee Must Accompany Application.
All work shall be ormed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
&-.
PERMIT OFFI
$PECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
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APPLICATION FOR PEmaT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED ~~ g' h s-
PLANS REVIEW FEE
(Y/~ q ~O
PHONE '16 - 2~W
~-r PIt~Co
SUBDIVISION J?JlOF:. (lft~
OWNER'S NAME
10M ~ahr-
~ttl7 & !. 13L\fO.
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL 10 #
WORK PROPSED: ONEW CONSTRUC ION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
~SIGN
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY
~OMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
& HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
SQUARE FOOTAGE
N aN
~~,g
~TO~fUJ~
DESCRIPTION OF
HEIGHT
RESIDENTIAL:
COMMERCIAL:
I
ATTACH (2) PLot
ATTACH (3) SET
PROPERTY SURVE
I
$ t'3(;O.~
~ AMP
I
,
,
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION.
SlGtJ
o ~Yn.J;lInG
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
SERVICE
o
FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
o SPECIAL~Y
I
TYPE OF CONSTRUCTION: 0 BLOc1
FINISHED FLOOR ELEVATIONS --l
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
, :,:,:,:,:,:,:.;.:.'';.',::,:.'.'.:.:.
~ '::~~'~f:iJ::~:~~i:i:i:!:1:f:~:;:n:~:~;i:;i;:;:~;~':': - :':';'H+;';';';';';';'!'~:;;L:~1T.~i:Fn~:r:j:i;fj~:;:;':;i:i;1';:h:l:i:~:~~:~~::':':'
:~lEFn:r~;:i~~:i:l:~:i:E!:~:~:!~i:i~i:j~:i~ ;':';';.;+;-i+i';'!';~';'; ......... ..... .... .....
COMPANyArfLe t:;lGN~'NN '~G--
STATE CERT OR REGIST fL- A fiR 12-
CITY PROCESSING L-1 ';1..5
******************************************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
**********~*****~*************************************************
I COMPANY
I STATE CERT OR REGIST #
. CITY PROCESSING #
MECHANICAL
*************** *************************************************
OTHER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
*************** ******************************************~******
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CONDITIONS OF PERM~~ AFF:~AV:;.
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. 1'he undersiqned 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 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 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 "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 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
WIT LENDER OR TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2 500 IN VALU EED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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SIGNATURE: CONTrt:::IoR
......
~
STATE OF FLORIDA '0 ~ CO STATE OF FLORIDA
COUNTY OF L f'\ ;) COUNTY OF
The foregoing 1&'.nst_ument wa;s,~Tledged ,_ The foreg.oin? i~ent wa
Befofl) ~~ tl)is day of .") , ~~_S Before e--t 1NS d of
by -t=:-t:t1 J L--- V\/} A by' L J ~
(name of person acknowledged) (name of person acknowledged)
~ho is personally known to me, or C1ho is personally known to me, or
PAScC:
Sig
e vi!l-
Name t - . . filiW im6IIII>t*ES
. .... ber 8, 2007
'ilf.,~ BOHOED THllU TIlOY FAIN 1N8UllAHCE,1NC
Name ~ .1. ~MNII_N.lDD!6~
\t~ ~ December 8, 2007
~i:m:~~ IlONIlEIllHRU 11lOY FAIN IHSURAHCf. INC
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U:T1'ER ~OF I'ERM] SS] ON TO"I~STAL"L" S] GN
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DATE ~ - Z~ - ~OO5"
ADDRESS ~ & AU- 'B 1- \J D. (~o i)
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AS OWNERS O' PROPERTY LISTED ABOVE, WE GIVE APPLE SIGN
& AWNING PERMISSI N TO INSTALL SIGN FOR THEIR CLIENT AND OUR
TEN~T . PAUL LI OF APPLE SIGN TO ACT AS OWNERS AGENT TO
OBTAIN SIGN PERM I .
OWNERS NAME \JCXf'\k~'f
1b l.,~
CITY STATE FL ZIP. ??b'f2-
TEL.
OWNERS SIGNATURE
~ ~ ~
NOTARY
/~~ ~~
SEAL
"'U"'" .
~~ l'p'~<. R. Mark Willett
N *~ MY COMMISSION # 00262312 EXPIRES
::.~\! December 8, 2007
"t "",.,.., BONDED THRU TROY FAIN INSURAHC( INC.
DATE
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1927 Pc ..em Avenue. lu . Florida U5S9 . 813-948-2220 . I f':JX 813-9A8-2.403
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