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HomeMy WebLinkAbout09-9576 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9576 BUILDING PERMIT Permit Number: 9576 Address: 6429 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: MONUMENT SIGN Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03 26 - 0020 - 00000 - 0030 Improv. Cost: 5,050.00 _ Date Issued: Name: WALGREENS Total Fees: 117.50 Address: 6429 GALL BLVD Amount Paid: 117.50 ZEPHYRHILLS, FL. 33542 Date Paid: 9/30/2009 Phone: Work Desc: 2ND SIDE /INSTALL RYLON SIGN /H.UP TO ELECT /OLD PRMT #8352 :=77 rs; I$$ INT - A • AL 1 N : • N I N 82.50 L T AL FE 35.00 r (7 J t r E'£: n : . . a v a - . ,.,� w 'g, �8 FOS ..- ELECTRICAL ROUGH � FINAL /- �., ((J • REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 cording your notice of commencement." A -1 662-- 41 /t at' _,i1 I I CO TRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NOTICE OF COMMENCEMENT 1111111IIIIIIIIII1111111111111111111111111111111111 2009139844 Permit No. Rcpt:1266118 Rec: 10.00 _ Tax Folio No. Cf3 s l,l <A1 - U 04..? 0 - 0000 00,3 DS: 0.00 IT: 0.00 09/30/09 Doty Clerk THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. • 1.Description of p r o p e r t y ( d a l description): i J '" 1 e G 1 , . C re s b 1 B ob i 3 2 eat "..€ -As 3 - ct,ei ce;, /, a ) Street ( j o b ) A d d r e s s : GA./ -2 9 & a / 1 ki 2..ee h + r I � v� 3 2.General description of improvements: 5. J eta 4- 3.Owner Information a) Name and address: 1,t) 0 y ,ltid i e e a d Se.. / 0.o b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 6 ' n.e. - R C01 47dress: 5', -y, `1' ' ( 0 CA..72e 1,28.. ft- b) Telephone No.: `1 ? - 4 I 5 7 3 S.Surety Information Fax No. (Opt. 3 37 7 PAULA S. 0' NEIL, PASCO C 1 RK & f COMP R R a) Name and address: 09/30/09 0 gp b) Amount of Bond: OR BK 8 P6 c) Telephone No.: Fax No. (Opt) , 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(10), Florida Statutes: a) Name and address: 1 b) Telephone No.: Fax No. (Opt) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 01? THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT OUR LENDER O ' r ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 01? CO 1 54 • STATE OF FLORIDA COUNTY OF 10- /�d��/�I� Signature ., , - orOwner's . ,.. ; Officer i .�:, _. Print Name The foregoing instrument was aclmowledged before me this I ITh day ofSep�elli bW , 20 09 ,by NA-en f, L as `-� ( (type of authority, e.g. officer, trustee, attorney in fact) for \}vO v 42_e (name of party on behalf of whom • + eat was executed). Personally Known OR Produced Identification Notary Signature ' n I I L�L.IJI Type of Identification Produced Name (print) L! AM l, Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I dec rfr ve read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. 0/i�i : •— roxnx0C,�azom OFFICIAL SEAL / �i� %i /�� INGRID M HOFFMANN Si _., going (m line # 10.) Above NOTARY PUOUC -STATE OF ILLINOIS MY COMMISSION EXPIRES:0910SC STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND O OFFI IAL SEAL THIS 0 DAY 0' J ' I}-r 2 COC.f" I PAU . O'NEIL_, -CLERK : 0 PTROLLER B•( � �,�,ti ..._,� �-�n -� DEPUTY CLERK te e., . 813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 S �� Building Department Date Received `" • ZZ 7L/ Phone Contact for Permitting I a 'goo v Owner's Name a 0v - e-Q"s 1 l /� -0' iv Owner Phone Number Owners Address ' ° I I tit) • l 1 PYl o f 1 �+--` ° t Owner Phone Number Fee Simple Titleholder Name( In 1 A I Owner Phone Number Fee Simple Titleholder Address I 1 , 1 P JOB ADDRESS 1 ($2 ( 4 a9 &Q,1( 13 t d Zoo hY r1.FII 1 1. P4 33,5 LOT# 13 g , SUBDIVISION 1 L' A -rd.5 PARCELID#I 03— A - of — 0 0 att. 00006 -003o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED - NEW CONSTR ADD /ALT = SIGN IZr MOVE [ DEMOLISH - INSTALL REPAIR PROPOSED USE Q SFR COMM [—) O THER I I TYPE OF CONSTRUCTION 11 BLOCK // [ FRAME [ S TEEL i" tw OTHER I /VIAtct4Mt 51e-d It/1 n' J DESCRIPTION OF WORK H / 16 r` $ r A c L` K , r - Yc L C. • P ost51cit i 4,1 a r 7 b r • ii �4 I BUILDING SIZE SQ FOOTAGE z yr7 }e' 1 £4 HEIGHT x / / — 0 1) s BUILDING $ ..— D 0 0 VALUATION OF TOTAL CONSTRUCTION • h( ELECTRICAL $ .-- 0 �0 AMP SERVICE r PROGRESS ENERGY n W.R.E.C. O PLUMBING $ IJ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION El GAS I I ROOFING I I SPECIALTY i OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA fl1YES ONO r arorr BUILDER a COMPANY a - n 4-4-12 -n `ti 51 70`14f5'G[f 110 SIGNATURE ...41 - W ky / /� am( v� f REGISTERED O N FEE CURRENT 1 Y/ N Address ( 6 b $ 3 I / � Catme .y7-. "0,"(.1 _ 33 License# ( I e3 / 0000003 � I ELECTRICIAN Q 4 ,� e / ' 1 MMPANY � 4 ryl.,„T'' �'-141Jr : ` 7 `�- . e.CI'r SIGNATURE t �/y ✓C - ' REGISTERED / N FEE CURRENT I Y / N Address 1 1 U f 3 t Cct s ....5-e - ) , 4.3377/ License # I Fs-0000003 PLUMBER a COMPANY ( SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License* 1 I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # I 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Wort Permit for all new projects. NI commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. `""PROPERTY SURVEY required for all NEW construction. Directions: FM 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 OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C 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 Tots 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. 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 LENDE - OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 .3) �/►� /�Q(��� �} OWNER OR AGENT ' ' Q 62 '( & CONTRACTOR 4111 "4..j■ .2_4( 81�b toICAffi' e. )be f(ppre me s fu3agibed and swoTto (or affi ) fore me this A ! r o rs/ re persona y known toW or haslhave produced Who is/are personalty known to me r has/have produced _ C " ehS s as identification. L.'C e s, S as / _— _ 142 !;� - • .,; ry Public + i p f •, _ Notary Public • C C. - sic : � °vg,,. JACQ Sie n Dfl commis n N = * a , �A� U " BOGES .: t. . F th D 12, 2010 a ' "`' `': Expires D identification. K Name o f N. . * print l et t�l�'d'" � Name of Notary typed,�pnnted o r a l U 5 e r 8004,16.' 2 2010 , „ 7919 77 1 4 4VA CITY nr PINELLAS P.O. BOX'" PINELLAS PARK, FLDR 8 BUSINESS' TA hk E - T 4 STATE LICENSE it; TAX OTHER LICENSE *1 ES12000639 ot:FS ES0000003 10 pAR, r-cs0000oo3 BUSINESS NAME, OWNERS NAME fr L 0 LOCAL ADDRESS AND MAILING ADDRESS INTL SIGN 4 DESIGN CORP GRIFFIN WILLIAM 10831 CANAL ST WILLIAM GRIFFIN-QUALIFIER 10831 CANAL ST LARCO FL 13777 LARGO FL 33777 _= _ =_ =======-==--== THE ABOVE NAMED PERSON. FIRM OR CORPORATION HAS PAID A BUSINESS TAX TO ENGAGE IN THE FOLLOWING BUSINESS ACTIVITIES: CODE DESCRIPTION 3993/ SIGNS AND ADVERTISING SPECIALTIES QUALIFIER BRYAN VAUGHN ES12000639 I-ES1200639 UNITS AMOUNT BUSINESS TAX AMOUNT S00.00 =. RENEWAL NOTICE S00.00 FOR PER/OD ENDING; September 30, 2010 BALANCE DUE S00.00 === == = _= = -== =-= THIS RECEIPT DOES NOT PERMIT THE HOLDER TO OPERATE IN VIOLATION OF ANY CITY LAW OR ORDINANCE AND IS NOT AN ENDORSEMENT OF COMPETANCE OR BUSINESS PRACTICE. ANY CHANGE IN LOCATION OR OWNERSHIP MUST BE APPROVED BY THE CITY, SUBJECT TO ZONING RESTRICTIONS. p ri AUG 1 2009 1 coy OF PINELLAS PARK -! BUILDING DIVISION ZO/Z0 39Vd dd00 CST SbabtSaL 90:TO 600Z/8T/60 To Whom It May Concern William Griffin State License ES- 0000003 International Sign & Design Pinellas- I- ES0000003 10831 Canal Street 727/541 -5573 Largo, FL 33777 I hereby authorize the following individuals to act as my agent in all areas of the permitting and licensing procedure with the various municipalities. XX This is authorization � for the following location: CU Co ( I a [ iz 74// dhie Zei�yrit / // , l(S f F(. 33J _!/ Authorized Persons: Stephanie Arce, President, West Central Florida Permits Brian Kelleher, Vice President, e t entral Florida P 't Date: C f 1 I S5 I 0 `i Signed: Signed and sworn to before me on this 1 '6 day of .5 e d - ' [N ?, 0 D c? by Ga-f<V L -- C=� gri� , who is rsonally knome or produced the following identification: Notary Signature ' -A-' C Commission Number NO IAxl x .. , ;,, z- 'LORIDA My commission expires: 10111 J. Sherman Commission #DD465058 Expires: AUG. 23, 2009 Bonded Thru Atlantic Bonding Co., Inc. W Wae9 leelf CONSTRUCTION DEPT. MAIL STOP 1630 106 WILMOT ROAD DEERFIELD IL 60015 June 19, 2009 To Whom It May Concern: Walgreens Company, Property owner for the Walgreen Pharmacy # 05604, address: 6429 Gall Blvd, Zephyrhills, FL 33541-2570, grants permission to "Icon Identity Solutions" or their agent to apply for and secure pemiits for an signage at the referenrAd thermo "Icon Identity Solutions" r their aoent is aiithori7ed to complete installation for any and all .signage frie same reic- 41111 k A A11 Ttl Li Sarah RnInpr flat aNpainrppnc; Al:thnri7Pri Anpnt ;:_ibsc-ntieci and sworn to, before me, this ,( . 1 11 - 11. day of JU e • Ad' Nnry 4 iHir MID II WNW OUILIC - VAX OP ILLINOIS IN COMMON 113•1111.011=0 111111114 sorsa 11) reit 3U10/4111A11111 tntotitterSIONDISIMISIDa * (C;"n),) Corporate Headquarters Icon Identity Solutions Identity Solutions 1418 Elmhurst Road Elk Grove Village, IL 60007 Tel: 847.364.2250 June 19, 2009 Fax: 847.364.1517 www.iconid.com To Whom It May Concern: Icon Identity Solutions, Contractor for the Walgreen Pharmacy # 05604, address: 6429 Gall Bvld, Zephyrhills, FL 33541 -2570, grants permission to "International Sign and Design" or their agent to apply for and secure permits for all signage at the referenced address. Furthermore "International Sign and Design" or their agent is authorized to complete installation for any and all signage at the same referenced address. /Mg, 6// ?A Son • esek, Date Project Manager Subscribed and sworn to, before me, this \ da Y of 2009. gp i Seal Notary • ublic OFFICIAL SEAL JANE A CONSALVO NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:08/03/13 Chicago • Columbia • Dothan • Houston • Ontario • Philadelphia • Tampa 1111►7) 09 t•J 10 Z g n e 1 Iii c x Y °o 8 o a b Ca 0 I S 3 6 ¢ S z ( rN a ° rs w Vo fi , r+ a so s J J ° Ecs o a s cc A.. n .n z.r I" , / o II �^�, U O a N S "a T �� 0 y.0 r I . 2 l i y tri ALL COMPLY W . ALLw ORK S CODES FLORYD DE p ' I co P RE� SCE CODE,A -RU t o CYTY CF 1E1 ° ° W ir _ a I o a ' a. r N \ .2 O O co G T I t Q M p K J N K � y t s�+�^i"W" co r cm HE - W it ik Ks a W 03 . 4/E 0 .4/E 6 03 0 d /ll a 0 cc Q m a c ,� o 9 W ei Iv Hm 2/1. 9-.5 2/I. 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