HomeMy WebLinkAbout07-6984
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6984
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:
6984
SIGN
WALL SIGN
COMMERCIAL
Address: 6816 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-02400-0020
2,390.00
9/18/2007
102.50
102.50
9/18/2007
WALL SIGN
PIN CHASERS BOWLIN
6816 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
..-
ELECTRICAL ROUGH
FINAL
REINSPEcnON 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 commence ent."
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Rec'eived
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
N.A ~-6:->~c1 ~ V "]';~.ooi\ I
I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
[6]
IKJ
D
D
1$
1$
1$
1$
D GAS c=J
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I AMP SERVICE D PROGRESS ENERGY D W.R,E,C.
~ ~') C c,,~ -k:> J>..'fl$\, "') ~
I
D
I
VALUATION OF MECHANICAL INSTALLATION
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
SPECIALTY c=J
FLOOD ZONE AREA
OTHER
DYES
DNO
BUILDER
SIGNATURE
~/ ~'=
~ ~. 0;;> COMPANY
REGISTERED
~~$Tce:Jt1.."'('" S(~
I@ N I FEE CURRENT I (PI N I
License #
Add~"1
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
~.sq c..>'f~"-
I N I FEE CURRENT
License # I
I
$(c,..- '5
I "IN I
Address
PLUMBER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
License #
1II11111111111111111111111I11111I11111111111I1111II11111111111II1111111111111111I111111111111111I111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed.
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed.
Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects, All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction,
COMMERCIAL
SIGN PERMIT
DI~~~ii~~~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 . . . . . . .
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 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 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 Pasco County Building Inspection Division-Licensing Section at 727-847-
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 will 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 privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 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 occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
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 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'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-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 building 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 fill 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)
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 conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in?luded, in the application. A
permit issued shall be construed to be a license to proce?d with the work a~d not as authorl~y ~o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dmg OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Evef!' ~ermlt Issued. 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS 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 FINAN , CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN E
FLORIDA JURAT (F,S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
CONTRACTOR
su,scri'kd and sworn to (or affirmed) before me th s
g 77 0"7 by fn\ cnQe./ ~('+hu..'C'" r Y\Au-J1C
Who Is/are personally known to me or has/have produced
Fi 1){2\) \2. L-\ C. as identification,
Notary Public
~..J) _., ~ ~ a 'l.. "--^-^--
Notary Public
Commission No,
,,~~<t' Karen L. Miller
iRl ...~ ..
Name of Notary typed. print i.... October 29,2010
1lIlAl\iIIlN!>>1'IIR:11\lI_'"" _1616
Commission No.
Name of Notary typed. printed or stamped
,\ DI\'IS[O:\ Of WtS r (fNTR ',\1 51 .
, - - (,,\;S. I;\:C
Dear Customer:
This letter is required in order for SIGNST AR- A Division of West Central Signs to apply for permit(s) to
install signs at your location. It must be signed by an officer (or owner) of your company and must be
notarized,
Thank you.
I:
~./',/'() ~
C(CJ
Property owner or agent of:
Fe "35Y'
,-
Do hereby give permission to SIGNSTAR- A Division of West Central Signs or its agent to erect a
sign at the above location.
1-10-0'/
Date
L(i~f/ }J. Prrf'NHlco. Ave "~Or. FL 3'3<.c03
Mailing Address "
<6\~- 'i'lC\-(?'3~
Telephone Number
This instrument was acknowledged before me this -.!.Q Day of Ar."'9 "'5~
. . JIuk y) lvkfcr
",';}.'-l.j!~f~ Sheri L. Wrlgh~ary Public (Signature)
:W~{-c:': Commission # 003
~ !*$ Expires August 27, 2008
~, ;{f." ScndodTIOyFIin.lnsul8llC8.1nc: 8QO.3S5-7~he.-~ L ~GH'I
Notary Public (Printed Name)
, 20 00
Type:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
(t \Q~ n2~ SiC< n (g\'l <1.h,,"-Sc2ilS)
,}
,
.,
<:6h7J0'7
to <151 W bOLl I 81 \J d
Date Received:
Site:
Permit Type: WQ~ \ S\~ r}
Approved wino comments: ~ Approved withe below comments: 0
Denied withe below comments: 0
This comment sheet shall be kept with the J?ermit and/or plans.
./}
<I vef,
Date Contractor and/or Homeowner
(Required when comments are present)