HomeMy WebLinkAbout08-7676
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
V"
7676
Permit Number: 7676
Permit Type: SIGN
Class of Work: WALL SIGN
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6240 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-09600-0030
1,700.00
5/08/2008
95.00
95.00
5/08/2008
INSTALL NEW WALL SIGN WACHOVIA
Name:
Address:
CORREIA FAMILY REVOCABLE TRUST
6154 FORT KING RD
ZEPHYRHILLS. FL. 33542
813788-7308
Phone:
ELECTRICAL ROUGH
FINAL
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."
/c6~ dA
1- CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7676
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:
7676
SIGN
WALL SIGN
NOT APPLICABLE
1,700.00
95.00
Address: 6240 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-09600-0030
CORREIA FAMILY
6154 FORT KING RD
ZEPHYRHILLS, FL. 33542
Phone: 813788-7308
INSTALL NEW WALL SIGN
AI. ~,J7~/
1~~s4Ji&7
sw( ~lt'e.. 4 ~{(o -08 -S,,-e fJ~/t'(J~~
<5 vJ -g\7~ os.
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 commencement."
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
2007-2008 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT
FACILITIES OR MACHINES ROOMS SEATS EMPLOYEES
o 0 0
BUSINESS
LOCATION
NAME
MAILING
ADDRESS
5
EXPIRES 9-30-2008 FOLIO NO.
RENEWAL 139507.0000
OCC. CODE
090.025
H. WASTE
SURCHARGE
40.00
BUSINESS TYPE
SIGN
TAX
18.00
3706 JOE SANCHEZ RD
PLANT CITY 33565
UA SIGN SERVICE AND INSTALLATION INC
3706 JOE SANCHEZ RD
PLANT CITY FL 33565
BUSINESS TAX RECEIPT
DOUG BELDEN, TAX COLLECTOR
B 13-635-5200
THIS BECOMES A TAX RECEIPT WHEN VALIDATED.
PAID - 48445 - 6
10/04/2007 ... 63.80
HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE
IN BUSINESS. PROFESSION, OR OCCUPATION SPECIFIED HEREON
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
(850) 487-1395
DEAL, CHARLIE N
UA SIGN SERVICE AND INSTALLATION, INC.
PO BOX 1151
SAN ANTONIO FL 33576
. STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
" ".. PROFESSIONAL REGULATION
AC# 2 7 0 5 6 7 2 I
ESOOOOII0
08/09/06 060094458
CERT. SPECIALTY ELECTRICAL CONTR
DEAL, CHARLIE N
UA SIGN SERVICE AND INSTALLATION,
CERTIFIED AS:
SIGN ELECTRICAL SPECIALIST
IS CERTIFIED under the provisions of ch.489 FS.
Expiration date. AUG 31, 2008 L060B09019BO
DETACH HERE
AC# 27 0 5 6 7 2
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L06080901980
: . LICENSE NBR
08 09 2006 060094458 ES0000110
The SPECIALTY ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2008
AS A SIGN ELECTRICAL SPECIALIST
j
DEAL, CHARLIE N
UA SIGN SERVICE AND INSTALLATION, INC.
205 TOWER DR
OLDSMAR FL 34677
JEB BUSH
GOVERNOR
.. uuu.nf,SPI-AYA5=: RFGllIRi=n PV I ^,^,
SIMONE MARSTILLER
SECRETARY
813-780-0020
City of Zephyrhills Permit Application
Building Department
Owner Phone Number 8/3 /18 g '1308
Owner Phone Number I
Owner Phone Number 1
Date Received
Owner's Name bO/llle/A ~fMIL'f !f:GIOC/UltE -rte u.sr
Owner's Address I" 15"'/ Fod KINO- I? D. Z ~ftIo/~~6i R
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I (p,;l. 'fo
I
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
LOT #
PARCELlD#loY--..:26- ;11- oOlo-tJ9600- 6030
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
JOB ADDRESS
frfl L-L.-
13 L-vLJ,
SUBDIVISION
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I sa FOOTAGE I
ADD/ALT
REPAIR
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FRAME
59
DEMOLISH
WORK PROPOSED
D
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OTHER
STEEL
I
D
OTHER I
DESCRIPTION OF WORK
WA~ S/6-7t-/
BUILDING SIZE
HEIGHT I
BUILDING
VALUATION OF TOTAL CONSTRUCTION .# ~?(J 0, 0 0
B
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1$ I, G:> 00, 0 0 I
1$ I 0 (). (> c:> 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
"""'11"1'1""""""'111"1"""1111'11111'111'"i"IIIII"'nu'I"I"""III""'IIIIII"'IIIIIII""""11"""'1"1"""1111'1""11
BUILDER . . . 1,1 ./ I Jf)t I COMPANY U R '3/6;(,/ S c/UIICc- f.z;",~ / z-"..c . I
SIGNATURE .~ ,(./- ~ \{!'" REGISTERED Y IN. . FEE CURRFNT Y I N
ELECTRICAL
AMP SERVICE
PROGRESS ENER,9Y D W.R.E;C.
p;,~r I K- _. (j (j 1'1' ytrr:- i>. ;-
t cr t'ft~ f!.~(/
VALUATION OF MECHANICAL INSTALLATION
D
Address
License #
FEE CURRENT
License #
Y I N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y I N FEE CURRENT
License #
ELECTRICIAN
SIGNATURE
Address
:J I:'t:. f/fJe-.s~ 1?1J.
I
I
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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 subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsitf!, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Pennit 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of appn~9~
If over $2500, a Notice of Comm~..ot IS required. (A1C 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) Q (.lar""'",
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) "JOO "'"'""lC<~
Driveways-Not over Counter if on public roadways..needs ROW
. ., ~~
J
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, 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 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 properti~s, the.ow.ner 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded, In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorr~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become, invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorrzed . 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 Officia~ for a period not t~ exceed n1n~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for nrnety (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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) /J "
OWNERORAGENT ~ t-i2.--A CONT~CTOR C~ ~
S b 'bed and swom to (or affirmed) bef re me this S bscnbed rmq sworn to (or affirmed) before ~IS
"7l U c~ b . ~6 GAL ~ 0 rlJe,-/€ ~
7 ~~ : stare personally known to m or has/have produced 0 is/are ~ersonally known to ~ or ha~~==~ed
as Identification. :"'-"" L _ : Ion.
= ~'"......... ~uW!l89771?
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" "'~LU~" r:x:.-~ -=1312011 '
q ~:~' -.1 ';f - ~..-,.- _-. ~ ~
n I -.....: .
';l'....... L IiO'YD ~otary Public
! ~1:~
~. eammI '
Commission ~.~ . ~..MWG11;
:, ~~: _J.~ ...-w.. ........... /4afIL.1~,;:; :
. , '-.,,\o~ rlUlIYG ..,...,
Name of Notary typed,lnmf~lr6r slampEl'd' '.' .
Notary Public
Commission No.
Name of Notary typed, printed or stamped
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
~ctorl omeowner:
Date Received:
Site:
~
IL /l -6 /GP ~ vc... 9-.~57?7LLJ ..J-tJ~
~-~r--LJg
~:2 LffJ ~CJ~ ~
(/) /?.M IJdi?- ~L~
r7
Permit Type:
Approved wino comments:~ Approved withe below comments: D Denied withe below comments: D
This comment sheet shall be kept with the permit and/or plans.
f:JliJr
Date Contractor and/or Homeowner
(Required when comments are present)
LETTER OF AUTHORIZA nON
To Whom It May Concern:
This letter serves as authorization for UA SIGN SERVICE to secure permits, install, and/or
repair signs at the following locations:
Wachovia Securities
6240 Gall Blvd.
~
//:..----'.. ... -;;;...::::~---------------
c. ~ er SIgnature
~~~_~-tBB.=:J 3Q11
Telephone Number
Owner Name and Address:
m '? U:J ~~, ~ COe..Q J(;'.I-C\.U~\! \ Qj,.,~
l4>\ 54 ;:0<2::\ ~~.-o ~
'2 t2Q~~ \\s.. ~ -~~~+-'1-
State of ___~f:?6!..E-t!..____________________
County of _i3L~_u___________________
Before me appeared _..!It..fLf,.____ri.P-~L._E!..t3..__________.__ this _&_Z_~_ day of .LE!j:!!:.fJ.ltf!i.j
2008 being personally known of having produced -------------------------- as identification,
/;. -
and acknowledge to and before me that he/she executed said instrument for the purposes therein expressed.
"
_~~_LM~
Notary Public
r-~-..;-~ . SHtRDEN K. DEL COTTO
i(llL' :;: MY COMMISSION /I DO 315896
: . EXPIRES: June 26, 2008
. Banded Thru Nolary Public UndeIwril8II
. n'
My commission expires:
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