HomeMy WebLinkAbout06-6256
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6256
Permit Number: 6256
Permit Type: SIGN
Class of Work: WALL SIGN
Proposed Use: MEDICAL
Square Feet:
Est. Value:
Improv. Cost: 5,200.00
Date Issued: 11/21/2006 Name: FMC MAR QUARE
Total Fees: 90.00 Address: 38135 MARKET SQUARE DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/21/2006 Phone: 813 780-8774
Work Desc: FABRICATE AND INSTALL 1 SET INTERNALLY ILLUMINATED CHANNEL LETTERS
Address: 38109 MARKET QUARE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-03900-0020
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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 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
NO OCCUPANCY BEFORE C.O.
c:;? ~ ~'--'-~ ~ ~
CONTRACTOR SIGNATURE --- PERMIT OFFI
CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-78lJ.OO2O
City of Zephyrhills Permit Application
Builcling Department
Fax-813-780-0021
~ Received ...l \ \ - \ I - O~ I Phone Coractfor PennittI~ I
........-CJ'0i". D llltnre C.[;D (",~l"'-'~ -7 &i-1m~]
Qwner'sAddreU 13~1f5 mt1rheJ fuuore I OwnerPtoaneNumber I I
File Simple l1tlehalder N8me I ~ I Owner Phone Number I I
File SImple TItleholder A__ I I
I ~8\()<1 f)1/'Lr'Kf>t 5q;1(\('P. 1 LOT' I I
I I PARCELIDlI o2-lw-21- 0010 -{)3qm-rn;;rl
(OBTAINED fROM PlKIPER1Y TlU{ NOTICE)
8 NEWCONSTR D ADD/ALT ~ SIGN 0 MOVE 0
INSTAlL D REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTlON 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I I
DESCRlPllONOFWORK Iliimc.a:!e-()rY1 '[ngt-oJl nf'e: 5etl~noJll[ '1IIlJminAkr\~r1('X)j le.fhs I
I sa FOOTAGE I I HeIGHT I I
o BUILDING 1$ 5:200, 0 ()
o ELECTRICAL 1$
o PLUMBING 1$
o MECHANICAl 1$
o GAS 0 ROOFING
FINISHED FLOOR ElEVATIONS I
JOB ADDRESS
SUBDMSlON
WORK PROPOSED
DEMOUSH
BlHLDlNG SIZE
I VAlUATION OF TOTAl CONSTRUCTION
I AMP SERVICE
I
I VAlUATION OF MECHANlCAlINSTAlLATlON
D SPECiAlTY 0 OTHER
I FLOOD ZONE AREA
D
PROGRESS ENERGY
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EL.EC1RICIAN COMPANY I
SIGNATURE REGlSlERED ~ FEECURRENT ~
A__I I
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L_II
COMPANY
~
~
FEE CURRENT
~
L_II
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MECHANICAL I
SIGNATURE .
AddreU I
OTHER I
SIGNATURE .
~I
COMPANY
REGlSlERED ~ FEE CURRENT ~
L_II
COMPANY
~ ~ FEE CURRENT ~
L_II
SIGN PERMIT
Attach (2) Plot PIan8; (2) sets rA Building Plans; (1) set of Energy Forms
Minimum len (10) working days 81ter submittal date. Required ensile, Cons1rucIiOn Plans, Sanitary Facililies & 1 <1Jmps\er
Attach (3) sets rA Building PI8la; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Requinocl ensile, Conslructlon P...., Sanitary Facilities & 1 c1Jmpsler
All commercial requnments must meet complience,
Attach (2) sets rA Enginewed P....,
--pROPERTY SURVEY required for all NEW construction,
RESIDENTIAL
COMMERCIAL
DIrections:
Fdl out applicalion complelely.
Owner & Conlrac:Ior sign back of application, notarized
If _ S2liOO. . NcI4Ice 01 Coln....lC8I1llIIlI: Is.....red. lAIC upgrades - $110OO)
- Agent (for the c:ontractor) or P~ rA A!10ff'1f11 (for the oomer) would be 8ClIllllOI18 with nohwiZed Ietlsr from - -.orizing -
OVER THE COUNTER PERMIT11NG (Front rA App1ic8lion Only)
Reroofs SewenI Service Upgrades NC Fences (PlotISunteylFootage)
~ over COlrt8r W on public roadways.,nMds ROW
NonCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to .deed. restrictions.
, which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictiOns.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulation$. 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 Pasco COunty Building Inspection Division-Ucenslng Section at 727-347-
8009. Furthermore, if the owner has hired a contractor or contractors. he Is advised to have the contractor(s) sign
portions of the .contractor BloCk" of this application for which they wHI be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and Is not entitled to permitting privlIeges in Pasco
County.
TRANSPORTATION IMPAcTlunLlnEs IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bulklingS. change of
use in existing bulklings, or expansion of existing bulkllngs, as specified in Pasco COunty OrdInance number 8~7 and
90-07, as amended. The undersigned also understands, that such fees. as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a .certificate of occupancy. or final power release. If the project does not involve a certificate of OCQIpancy or
final power release, the fees must be paid prior to permit Issuance. Furthennore. If Pasco COunty WaterlSewer Impact
fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
CONSTRUcnoN UEN LAW (Chapter 713, FIortcIa S1atutIIs, as amended): If valuation of work is $2.500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction lien law-Homeowner's
ProtectiOn Guide. prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the .owner", I certify 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.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that aN 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. AppIicatlon is
hereby made to obtain a permit to do work and installation as indicated. I certify that no wort!. or instaNation has
commenced prior to issuance of a permit and that all work win be performed to meet standards of all laws regulating
constructiOn. County and City codes. zoning regulations, and land devetopment regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended WOItt. and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not rmited to:
Department of Environmental Protection-Cypress Bayheads, VI/eIland Areas and Environmentally Sensitive
Lands. WaterlWastewater 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 SenriceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed In Flood Zone V unless expressly permitted.
If the fill material is to be used in Flood Zone .A", it is understood that a drainage plan addressing a
"compensating volume' will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A. In connection with a permitted bulkling using stem wall
constructiOn, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fiU will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties. the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
aae which are elevated by fiR, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER. I promise in good faith to inform the owner of the permitting conditions set forth in
this aflidavlt prior to commencing construction. I understand that a separate permit may be required for eIecttlcal work,
plumbing, signs, wells, pools, air conditioning, gas, or other Instalatlons not specifically Included in the application. 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 shaH issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans. construction or violations of any codes. Every permit issued shan become invalid
unless the work authoriZed by such permit is commenced within six months of permit issuance, or If work authorized by
the permit Is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Buikling Official for a period not to exceed ninety (90) days and will demOnStrate
justifiable cause for the extension. If wort!. ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING 1'0 OWNER: YOUR FAlWRE 1'0 RECORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR ...-ROVElllENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
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SubIIaibed and sworn to (or affirmed) before me this ~ and sworn \0 (or aIlirmel!l before me lhiI
by >?,r./,. by Ala i1~f:JE7<. ;;LOOt.:,
IJ\Iho isIare personally known to me or has/h8Ye produced IJ\Iho isla-e personally known to me or hasIhIIYe produoed
as ideOOIicaIion. as idenlificalion,
Notary Public
Public
CcmmisSion No,
Name of NoIary typed, printed or stamped
Permit Application Review Comments
By: Bill Burgess
Date:
II - 11- 0 <0
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Address:
Type:
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Cypress Signs
To Whom It May Concern:
Cypress Signs and/or it's subcontractors has authorization
to install sign(s) on property located at:
Property Address: ~ffiaJ:Ke:tS'lPo..rP..
~t llndC~ie
PorcellO # . 0:1... ;l.. ~ -;11- 00 / 0 - 0.3 C; 00 - 0 ()J-{)
(ThIs can be found as your account # on your tax form)
Property OWners Name:
Property ONners Address:
JO~ DJCtfo((~ I UO ___"_._....__
3fl;)S- r}1o.((C~r 6l~QCe.-
?t.iJhjrnil/5 R 33s-l/2-
q )
ce{~- 7ro- ?77~
ED (() r~'r IOy
r Authorized Agent ob1e
Pro
"",~~ARYC~AS1WERT
*.'bL * UYCiMMIS6ICJU0I)2rD132
J>~.,. EXPlRE5: DllIelllIler 5 2<<Jl
"'l fIf' Fl~. ......11vu IuIlIIl NIlIry s.m.
~4~
Print name: n,l)een Ii. Sf,o~
, ,
My Commission Expires:
160 SPIRIT LAKE ROAD WINTER HAVEN. Fl 33880 PHONE: 863-294-1683 FAX: 863-293-4614
SNSlIS SS~d^:)
P19PE5LE98 51:11 900L/0E/01
NOTICE OF COMMENCEMENT
Permit No. .
Tax Folio No,
State of _ FL..
County of
The undenlgned here', glyes notlee that
improvement will be made to certain real
property, and in accordance with Florida
Statutes Chapter 713, the following Information
Is provided in this Nodce of Commencement.
1. Description of Property; 8B~~~~~hO{hiUs
'0 W/I(jo~ fl~o
Sec:_Twnshp:_Rng:_Sub#: Prcl#:~-;).{P'.).-L- 001 [0 :__. _Blk#:_
2. General Description Of Imprp-vement: 1='"a.n~'r~ 4nd 'ns+o...\' ",~T ._
_ ~~'\UJninn'ted ChOJlnd~
3. Owner's Name: ~t' ~~(( ls~(e-u ~
Address: _ (3S- ___~~t- _ [,.LCl[e-. _
City: 2f.fA:y h,((S, (j State: FL
Interest in Property:
4. Fee Simple Title HoJder:
Address:
City;
5. Contractor's N~ame:~~~'
Address: _ -G __
City: _.w. · ,.
6. Lender's Name;
Address;
City:
7. Surety:
Address;
City: State: Zip;:
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Florida Statues 713.13(I)(a)7.
Name:
Address:
City:
9. In addition to himself, Owner designates
Zip;: 33s-~L.
State;: ~_
State: ~L
Zip;:
Zip;: ~~~.. aZI.U
. ~ State:
Zip;:
Bond $:
State:
Zip;:
to receive a copy of the Lienor's Notice as provided in Florida Statues 713.13(1)(b).
10. Expiration date of Notit;e of Commencement:
(the expiration 1) year from the date of recording unless a different date Is specified.)
Signature of Owner:
qtJ
Date: ~ ~() i ~
I
day of U,At-.tJ-b:/y,p, , ...,,<..~\ ".~..- ., A /, /
b _~ ":"--, ".....-..oi...~, "Z'{vU(,Q
Notary Signatu :
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+<l .....,"to ~A. PPSl.1
*M. . ~~N12
~~~5,.,
~~8F~" ....'IIInl.._....
My Commission expires:
G13 39'\td
SN9IS SSCldA:)
P1'3PE6GE'38
61:11 '31313G/13E/131
....,...)
11/29/2006 14:31 8632934614
CYPRSS SIGNS
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PAGE 01
Cypress Signs,
TRANSMITTAL COVER SHEET
DATE:!/ /:Z9/t!.L
TO:
NAME KA/etN /Y} 1"- lE It..
fiRM ?$P;I'fJe.Hll.lS' BVIL DINe, '1Jcpr
CJ1Y
PHONE # .
FAJ(# YI.3-'1KO-0021
FROM: "Dee.
TOTAL NUMBER OF PAGES 2. ,INCLUDING THIS COVER PAGE.
I F YO U DO NOT RECEIVE ALL PAGES, PLEASE CALL.
NOTES: #E7eC IS REV/SO 1>~/NC; ~(!IMw/Ve't. ~~ l-TCP-S
IdIC. Sp()k.r..s ~ O~rl/D)'olc. 1UH1fd 7E?In1 AI
3 f /0'1 /nR~Krr SfJ, umu: wlTllour 1(/J CEW"i' )?E7<-
OU/Z.. pHoNE CONvE.,{Sltrl()^,~ you S/lllJ B,I/ $u/l..~E">5
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160 SPIRIT LAKE ROAD WINTER HAVEN, Fl 33880 PHONE: 863-294-1683 FI\I..: 863-293-4614
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