HomeMy WebLinkAbout07-7059
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7059
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 11,100.00
Date Issued: 10/02/2007
Total Fees: 162.50
Amount Paid: 162.50
Date Paid: 10/02/2007 Phone:
Work Desc: REMOVE EXISTING /INSTALL MONUMENT SIGN
7059
SIGN
FREE STANDING SIGN
COMMERCIAL
Address: 37834 MEDI AL ARTS CT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0080-00000-0030
Name: FL HOSPITAL OF ZEPHYRHILLS
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
813788-0411
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INTERNATIONAL SIGN & DESIGN
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ELECTRICAL ROUGH
FINAL
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 inspectio fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Y r failure to record a notice of commencement may result in your paying twice for
im vements to your roperty. f you intend to obtain financing, consult with your lender or an attorney
be 0 recording yo otice co mencement."
CONTRACT R SIGNATURE PERMIT OFF I
PER IT 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
#'10.5'q Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
~357f/ I
Owner Phone Number
Fee Simple Titleholder Address I
107r--.J~ /I!~~/~4Z-k2TS CT
I I PARCEL ID# 13'(olS'-d./-cJClto~ uOOcJO -()030
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR CJ ADD/ALTO SIGN ~ MOVE 0
D INSTALL CJ REPAIR
D SFR CJ COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D
0/~ /UO~UPt--N7. 5/6,,) /;;611006- 6~/.f/fi1/6
,
BUILDING SIZE I SQ FOOTAGE I 5~ CJY I HEIGHT I
""""1~"!'"",,!.,!,!,,~~~l!;',~!lIi~"I'JII'-I!r,~~~II!I~"1i"11l1l!VlJ~~~!1l,!I\~__~l!IIll!!l!!l"';u!!
~ BUILDING 1$;1 too ~ I VALUATION OF TOTAL CONSTRUCTION
'/
I$/mc~
,
1$
1$
D
JOB ADDRESS
LOT #
SUBDIVISION
WORK PROPOSED
PROPOSED USE
DESCRIPTION OF WORK
~
D
PLUMBING
I
I
I
D
SPECIALTY 0
FLOOD ZONE AREA
ELECTRICAL
AMP SERVICE
D
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER [
SIGNATURE
Address I
f~~;7:~2?-'E~1;:R;'€:111~~~~~...._ -~.,.;.,... """. ..._~~~~~~"~~~[rJll_=;;ilj:.~IJ~
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
"*-PROPERTY SURVEY required for all NEW construction.
~,~';;~~~#:;~~!1f~~g~~~~~.~~~~~_~ ~'!!~~.=>......M;~~~~itiR".""..,...~"t~~
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
D
GAS
ROOFING
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
t~:~0f::;~~;~~~~].;~~;:; ::.
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C
DEMOLISH
OTHER I
D
D
PROGRESS ENERGY
W.R.E.C.
OTHER
DYES
DNO
B"'.~U...H","I 'il';,~niil;J1fi'l\it.~. .1Lijill!i;;i$~i!!g
S?6AJ
FEE CURRENT
License #
License #
I ~OCJcKX}cJ...?
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
Y/N
Y/N
Driveways-Not over Counter if on public roadways..needs ROW
Fences (Plot/Survey/Footage)
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;s
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 installations 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 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 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 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 considered abandoned.
Name of Notary typed, prin
'" GARY HICKS
. . ':4-MY-CClMMlSSloN-#.699574
~;., $ EXPIRES: January 10, 2011
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Name of Notary typed, printed or stampe
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City of Zephyrlrllls .
BUILDING pLAN REVJEW C01Y.lJv.IENTS
. Date Received:
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Appr~~ea. withe b~lo:w cOIIlDi~ts:.4n ,Denied withe below c~ents: '.0
. ContractorlHomeowner:
Site:
permit Type:
ApProved wino co~ents:D
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Ka1:vin Switzer 1~ Examiner .' Date
. Con:tractor Homeowner
. (RequiIed wHen comments are present)
~~ FlORIDA HOSPITAL
II~ Zephyrhills
July 23,2007
TO WHOM IT MAY CONCERN:
This letter authorizes INTERNATIONAL SIGN & DESIGN CORPORATION to manufacture
and install signs and/or awnings at the following location:
37834 Medical Arts Court
Zephyrhills, FL 33541
INTERNATIONAL SIGN & DESIGN CORPORATION is authorized to secure permits and
variances required by the local governing body.
N=e~
Title: Director of Plant Services
t ;../J /2. -" /\/1 /) rJ
Notary PubliC'. l/J/.-?J,r) ..~VI t..-V
County of: ~
State of: JJI.,i..uitl t^-
My Commission Expires:
~ SUSAN L. BENNE'IT
MY COMMISSION # DD34S26S
\';00:;- EXPIRES: August II, 2008
1-IOO-3-NOTARY FI. Nota.~' Dif~t Assoc. Co.
'-'1t^,..jI'~
Adventist Health System
7050 Gall Boulevard · Zephyrhills, Florida 33541-1399 · (813) 788-0411 · Fax (813) 783-6198
TDD - Telecommunication Device For The Deaf (813) 783-1242
Page 1 of 1
Jacqueline Soges
From: Carol Arzillo [CArzillo@intlsign.com]
Sent: Thursday, June 28, 2007 3:48 PM
To: Jacqueline Soges
Subject: FW: two addition freestanding sign for Florida Hospital - Zephyrhills, FL
Attachments: CCF06282007 _00001.jpg; CCF06282007 _OOOOO.jpg
This e-mail is intended only for the use of the addressee named above and may contain information that is privileged and confidential. If you are not
the intended recipient, you are hereby notified that any dissemination or other use of this e-mail is strictly prohibited. If you have received this e-mail in
error, please notify us immediately by reply e-mail and delete this e-mail without reading the remaining content. Any opinions contained in this
message are those of the author and are not given or endorsed by International Sign & Design Corporation or any of its affiliate companies or the office
through which this message is sent unless clearly indicated in this message and the authority of the author to so bind International Sign & Design
Corporation or any of its affiliates is duly verified.
Jackie,
Attached are the two drawing for the freestanding signs that the Florida Hospital in Zephyrhills, FL would like to
have installed and permitted. Please review and let me know if we will need to file for a variance. These are
being installed on two different street. The address is on the drawings of the signs.
Thank you for your assistance,
Carol Arzillo
International Sign & Design
10831 Canal Street
Largo, FL 33777
Phone: 727-541-5573 ext 3043
Fax: 727-544-7745
Email: carzillo@intlsign.com
6/28/2007
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Zephyrhills, FL 33541
Monument Sign
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Florida Hospital Zephyrhills
7050 Gall Blvd.
Zephyrhills, FL
10831 Canal St
Largo, FL ?f,?'777
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Rcpt:1133803
DS: 0. 00
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f OMVlENCHNG WORK OR IlECOIU)lN(; \'()l)I( NOTWt: Of< COMMf(NC'EMFNT.
'.,1.\1 i 0... H.oIUlM
~, SUSAN L. BENNETI
~~ MY COMMISSION # D034S26S
~,,, EXPIRES: August 11. 2008
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I City of ZephyrhiUs J
L~.._.-..~-"---'--'" .-.
JED PITTMAN, PASCO COUNTY CLERK
10/05/07 10: 19am 1 11/91.
OR BK 7654 PG 0 ~