HomeMy WebLinkAbout06-6299
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6299
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:
6299
SIGN
FREE STANDING SIGN
NOT APPLICABLE
Address: 5530 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0250
52.50
12/11/2006
52.50
52.50
12/11/2006
INSTALL OF SIGN FOR SHOP
Name: BAKER, JUDY
Address: 5530 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813 312-5588
h^~1L~
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REINSPECTlON 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.
..~~ e~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6299
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: INSTALL OF SIGN FOR SHOP
6299
SIGN
FREE STANDING SIGN
NOT APPLICABLE
Address: 5530 GALL L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0250
52.50
Name: BAKER, JUDY
Address: 5530 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813312-5588
52.50
REINSPECTlON 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."
NO OCCUPANCY BEFORE C.O.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
() WAeK-. &1a,7~
12-B-~
SS30 G~f{ 6, VD
Date Received:
Site:
Permit Type: d-, Sn
Approved w(no comments~ Approved w(the below comments: ~enied w(the below comments: 0
S l ~)lJi c.. '~~G~) 0-1\ 1\1
9~ ~~AN(}-r\ci-
This comment sheet shall be kept with the permit and/or plans.
/
Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
City ot Lepnyrnllts t"ermll J-\fJfJlILdllUII
Building Department
Owner Phone Number
OWner Phone Number I
Owner Phone Number I
Date Recelvea
Owner's Name
Owner's Address I C ~ L{'i
Fee Simple Titleholder Namel
8;r mf^) l..t.-.
Fee Simple Titleholder Address
I ),Jo ~d n\~. ?-cfJ...'jr/..I'J/~ " ~L. 33>'1" lOT #
JOB ADDRESS . \
SUBDIVISION I I PARCEL 10#1 /1-2 (p - Z!-6010 -05700 -02-
(OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR B ADD/ALT 0 SIGN D MOVE D DEMOLISH
WORK PROPOSED
INSTALL REPAIR
PROPOSED USE SFR 0 COMM D OTHER I
TYPE OF CONSTRUCTION BLOCK 0 FRAME D STEEL D OTHER I
BUILDING SIZE HEIGHT I
. . I . . . I . I ~ . . I I . I . . I . I I . . . . I . . . . I I I . . . I . I I I I . . I . I . I I . . I . . . I I I I I . . I I I I I I I I . . . . . . . . I . I . . . . I I . , I . . . I . . . , I . . I I I I I I I I I . I . . I I . . i I . . I . . I I . . . I I . I I . I I . . I I . I
D BUILDING 1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111"ltll""",'IIIIII",,,,"IIIII"'."'."""""""",.."",","1......'11,,"11"""""'11"""1'"'111i,II"II,.III"".'II"'I"."II",,111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
D
W,R.E.C,
VALUATION OF MECHANICAL INSTALLATION
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N
I
I
I
I
I
I
I
I
I
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN I
SIG~ATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE
~I~HN~~:~ I ~
Address I
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
-
I
152. Y>
COMPANY
REGISTERED
I
~
Y/N
11111111111111' 1111111111111111111111111111111111111111111" 111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Slit Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
1111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111111 i 11111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned underslands thai this permil may be sUbjecllo "deed" restrictions"
which may be more reslrlctive than County regulallons. The undersigned assumes responsibility for compllan,,!, Wilh any
applicable deed restrictions. , '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI~ITIES: W Ihe owner hes hired a contractor. or
contractors 10 undertake work, they may be requ~ed 10 be licensed In accordance wllh stale and local regulations. If the
conlraclor Is nolllcensed as required by law, both the owner and contractor maY be clled for a misdemeanor \/iola60n
under slate law. I( Ihe owner or inlended contractor are uncertain as 10 what licensing requlremenls may apply for Ihe
intended work, they ere advised 10 contacl the Pasco County Building Inspection Dlvlsion-Llcenslng Sedlon at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) si~n
portions of Ihe "contraclor Block". of this application for which they wtll be responsible. If you, as Ihe owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. " '
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: Theundersigned understands
thai Transportalion Impacl Fees and Recourse RecoverY Fees may apply 10 \he conslruction 0.1 neW buildings, change of
use in existing buildings. or expansion of existing buildings, es specified In Pasco County Ordinance nUmber 89-1)7 alld
90-07, as amended. The undersigned also understands, that such fees, as may be dUe, will be identified at the time of
permltlin9. It Is further underslood lhat Transportation Impact Fees and Resource Recovery Fees inusl be paid prior to
receiving a .certificate of occupancy" or final power release; If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to perinlllssuance. Furlhermore, II Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County, ordinance~.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, 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 t~e applicant is so~eone
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'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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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. '
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Hunways.
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 building using stem wall
construction, I certify that fill will be used only to fill the area within the stem Wall.
!f fill material is to be used in any area, I certify that use of such fill wili 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 thah one (1)
acre which are elevated by fill, 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 cOliditions set forth in
this affidavit prior to commencing construction. I understand that a separat!3 permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning,gas;^or other installations hot 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 shall 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 issLJed shall 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 Building Official for a period not to exceed ninety (90) days and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is conside~d 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 CO MENCEMEN .
FLORIDA JURAT (F.S. 117.03)
, CONTRACTOR
Subscribed and sworn to (or afflnned) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or afflnned) before me this
by
Who Is/are personally known to me or has/have produced
asldenUficaUon.
Notary Public
Notary Public
Commission No.
Commission No.
r
Name of Notary typed, printed or staJTIped
Name of Notary typed. printed or stamped
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