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HomeMy WebLinkAbout10-10071 • - CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10071 BUILDING PERMIT Permit Number: 10071 Address: 6748 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 02500 -0020 Improv. Cost: 7,700.00 Date Issued: 2/18/2010 Name: FLORIDA HOSPITAL ZEPHYRHILLS INC Total Fees: 140.00 Address: 7050 GALL BLVD Amount Paid: 140.00 ZEPHYRHILLS FL 33542 Date Paid: 2/18/2010 Phone: (813)783 -6189 Work Desc: INSTALL WALL SIGN 146.66 SQ FT HOOK/UP EXISTING ELECT i .m `, " F. ` • d' a. �„.s' . '""' a w .:� y rr,F ...g6 INTE - NA 1 • AL I N & ' GN SI N 105.00 ELE TRI AL FEE 35.00 INTERNATIONAL SIGN & DESIGN 0 „, FObTER ELECTRICAL ROUGH FINAL i S — I U 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 all be made before any further permits will be issued to the person owning same "Warning to owner: Your f- lure to record a notice of commencement may result in your paying twice for impro ' ents to your pro • . . If you intend to obtain financing, consult with your lender or an attorney before » ' • • rding your not ce • f commen • ent." / CONTRACTOR • G ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER This Instrument Prepared By: „ Name Address Permit No. Tax Folio No. NOTICE OF COMMENCEMENT STATE OF L r , COUNTY OF PASccj THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of property, and street address if available) Co tit \A " "7 4 .. „r k , pJ L 2. General description of improvement: r�:^"�'�— ` Wit' 3. Owner information �' a. Name and address: CT 0 � . `� � '� ‘ \ % 4 V° � 1 / b. Interest in property: C" c. Name and address of fee simple titleholder (if other than owner): Iv tv' 4. Contractor: a. Name and address: INTERNATIONAL SIGN & DESIGN -10831 CANAL STREET, LARGO, FL 33777 b. Phone number: 727 - 541 -5573 IIIIIII IIIII IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII 5. Surety 2010015756 a. Name and address: b. Amount of bond $ c. Phone number: Rcpt:1286542 Rec: 10.00 6. Lender DS: 0.00 IT: 0.00 a. Name and address: 02/05/10 S. Shultz, Dpty Clerk b. Phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. a. Name and address: b. Phone number: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: 9. Expiration date of notice of commtincement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF 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 0: IN FINAN NG, CONSULT A YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO"DI IA R I /•FCOM ' EMENT. Si g - ure of Owner or Owner's uthorized •fficer /Director er /Manager gnatory's Title /Office Ce The foregoing instrument was acknowledged before me this t, day of �U U (year) by •Atr N iiAS to t ts..1 (name of person) as CA (type of authority, ...e.g. officer, trustee, attorney in fact) for t: LQ tit nA ktC■ 5 Pt TA L. ZEPrt Rttl LLS (name of party on behalf of whom instrument was executed). s Signature of Notary Pic -State of Florida A MY • KIMBERLY ubl Print, Type, or Stamp Commissioned Name of Notary Public :. �_ MY COMMISSION # DD774429 Commission Number EXPIRES: July 19, 2012 'R of fly' bonded 'Roo Notary Put* Undenvaters Personally Known ✓ or Produced Identification Verification Pursuant to Section 92.525, Florida Statutes Under penalties of pe jury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. / PAULA S. O'NEIL, PRSCO CLERK & COMPTROLLER Sign- of Natural Person Signing Above 02/05/10 08: 35am 1 of 1 OR BK 8263 PG 1019 3TATE Cf FLORIDA, COUNTY OF PASCO IS TO CERTIFY THAT THE FCREGriltvG iS A - I ;RLE AND CORRECT COPY OF HE DivIENT ON FILE OR OF PUBLIC RECORD IN 1 H !S OFFICE WITNESS MY HAND AND OFF "IAL r.kii-k ,-- DAY OF IlAULA S O'NEIL, r ' ' BY - 1 .. -- I r ' .' c'IRK , , .„ ..)Lr J ...,,,... ' 813 - 780 -0020 City of Zephyrhills Permit Application A000/ I Fax -813- 780 -0021 Building Department 4 t Date Received '20 - Phone Contact for Permitting -- 72 Owner's Name L (/ '/Q 4 f of / 4 )/ ,_ # / A , ' Owner Phone Number i a i Of--- 0 Owner's Address 70 U 6/}1L�LLZ) Ze7 /re/ //CIS Owner Phone Number Fee Simple Titleholder Name A4 Owner Phone Number Fee Simple Titleholder Address /4 JOB ADDRESS kt v, 64' 4 - ,‘4 <20 / / / / /LCS „,�J' LOT # SUBDIVISION PARCEL ID# ea o76 / UU /D- J rcx2 - CWQ2 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED AI k` INSTALL REPAIR CONSTR SIGN n MOVE 1 1 DEMOLISH PROPOSED USE I I SFR 1 1 COMM n OTHER I " -W / e 4. I TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I STEEL n OTHER I /j,Lc/A) I DESCRIPTION OF WORK / ,'s7�1-� WA1 06 c/ 0 / (lae°73 6 /f�7/"✓,(C76 " BUILDING SIZE SQ FOOTAGE HEIGHT /re, as t'd BUILDING $ ?‘00 cQ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ f �0 AMP SERVICE 1 I PROGRESS ENERGY Q W.R.E.C. e / ST/i✓ I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS n ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS Fi OD ZONE AREA I YES I]NO 1$f _ " ,. i�'Jr BUILDER J ijj r Ti P! COMPANY /N/ x'770, '� /6 '637'• °I,104" SIGNATURE REGISTERED / N FEE CURRENT AV® Address 0 •_ y , i License # cs dOO I ELECTRICIAN 111 II I i ill I'M �7d f2 /6 ''•1 COMPANY SIGNATURE REGISTERED FEE CURRENT Address 1 ' License # Z3 .• dck 3 PLUMBER 1 COMPANY SIGNATURE 4 S REGISTERED I Y/ N I FEE CURRENT I Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # 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 subdivisions /large 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 onsite, Construction Plans, Stormwater 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. 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 Attomey (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 r 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, 1 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 ", 1 certify that 1 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: 1 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. 1 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. 1 also certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions 1 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. 1 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, 1 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, 1 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 1 am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 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 MPROVEMENT O YOUR PROPERTY. IF YOU 1 TEND TO OBT N FINANCING, CONSULT WITH YOUR LEND - • - AN ATT. - j�. BEFORE RECORDING YO " OF C' CEMENT. FLORIDA JURAT R O - GENT S 1 ,� � OWN I . `�/ '��'1 . ONTRACTOR & . 1 / S bs7ed . - med) . ofd e '. l S/ /�y�scn d and sworn to (o ��I r affirmed) before ; ` i S / /' O by LtJ cC i« Whdis /are personally known is me o has /have pr. iced /Nho ar ersonally known t0 me or has /h ve educed N ' as identificatio as dentification. i tary Public ' .tary Public Commission No. Commission No. Name of Notary typed, printed or stam. -. Name of Notary t :� : ;` y Hag MARY HICKS ' . MY COMMISSION N DD ifO9574 d .. MY COMMISSION M DD dD9574.: ' EXPIRES: January 10, 2011 EXPIRES: January 10 t Pub4cUnderwrters 2011 " %�;p� ��,.` Bonded rnru No�ry ' Bonded Thru Notary ?ubllo Underwriters ate- 4. t City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: /lat I Y) a our S / l Date Received: /- 2-0 /(./ Site: 69 7 C4// 6 Permit Type: Ogg -Vn A (6 S� Approved wino comments:4 Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin itzer - s Examiner Date Contractor and/or Homeowner (Required when comments are present) • FLORIDA HOSPITAL ♦ ZEPHYRHILLS The skill to heal. The spirit to care. DATE: 1/6/2010 TO WHOM IT MAY CONCERN: This letter authorizes INTERNATIONAL SIGN & DESIGN CORPORATION and/or its subcontracted agent to manufacture and install signs and/or awnings at the following location: 6748 Gall Boulevard INTERNATIONAL SIGN & DESIGN CORPORATION and/or its subcontracted agent is authorized to secure permits and variances required by the local governing body. Name: 1F T , ' Title. e., Notary Public: County of: PA S c O State of: F L O DA My Commission Expires: — i • " r" °, s KIMBERLY J. HILL grits ' = MY COMMISSION 1 DD 774429 • 140 EXPIRES: July 19, 2012 Bonded TMu Nolen Pubic U idsiwi ers Adventist Health System 7050 Gall Boulevard • Zephyrhills, Florida 33541 -1399 • (813) 788 -0411 • Fax (813) 783 -6196 TDD — Telecommunication Device For The Deaf (813) 783 -1242 Pasco County Property Appraiser - Map Page 1 of 1 Pasco County, Florida Section 02, Township 26, Range 21, 1.6 miles NNW of Zephyrhills Prepared by the Office of Mike Wells, Pasco County Property Appraiser. Map Created on 1/15/2010 at 4:51:18 AM. http: / /maps.pascogov.com/ maps / print. asp? img=/ mapdata /45224504552349.bmp &id= U2Vj... 1/15/2010 [ INTERNATIONAL SIGN & DESIGN This Document, as a quotation, is firm for 30 days. When signed by both parties and an officer of ISD Corp., this document becomes a valid contract. International Sign License #: FL ES0000003. This CONTRACT, made and entered into this Date of 11119109 by and between International Sign and Design Corporation, Largo, Florida, hereinafter called Seller Hereinafter called Buyer. Florida Hospital 7050 Gall Blvd. Zephyrhills FI. WHITNESSETH: In consideration of covenants and agreements hereinafter contained on part of the Buyer and in accordance to terms and specifications on REVERSE side hereof which are hereby incorporated and made a part of this contract, Seller agrees to furnish as per approved drawings the following described Signage: Project Location Address: 7540 Gall Blvd MANUFACTURE: One (1) 4' -0" x 4' -0" SIF Illuminated FL. Hospital logo. $ 1, 700.00 One (1) 5' -0" X16' -0" SIF illuminated wall sign made of flex face w /bleed frame extrusion $ 4,500.00 INSTALL: $ 1,500.00 TOTAL INVESTMENT: $ 7,700.00 Plus any applicable PermitslSecural fees lEngineeringllnspectionslTaxes and Freight. TERMS: 50% DUE WI SIGNED CONTRACT /BALANCE DUE UPON COMPLETION. INTERNATIONAL SIGN & DESIGN CORP IS NOW ACCEPTING MCNISAIAMEX Accepted for Seller: Accepted by Buyer: International Sign and Design Corporation By: B MATT WHEELDON -SALES EXECUTIVE WILLIAM GRIFFIN -CEO BY:PRINT: International Sign and Design Corporation SIGN: Approved this Date Approved this Date At LARGO, FL Corporate Office /Manufacturing 10831 Canal Street Largo, FL 33777 Phone: (727) 541.5573 www.intlsign.com Fax: (727) 544.7745 SALES - INSTALLATION- SERVICE International Sign & Design Corp. contract terms and covenants —Page 2 W 0 M 9 ' -11" (OPENING) GU 03 0 :::''',:l'■ f ' ;: l N-o O J j j A - X ilit ,. v D m3 °T ij " cn z_I m-1 ' ' S z m o --I C O ' w to D to (1 o m oo r C . I O D a >9 Zco v' - Z - D cn Z o 0 . 'j� O 0 73 O 0 7 u. to O C A o � 2" a 111 m (-)> 4�_�" . r 4 0 r" Z —1 m — z -< O D O m �-- X � d 0 . .a T N cod m ' & �C) ^ x f � { ti ( \t : ; a r� ti C'r t ~ 1 Cr, r F0 r "` 1 1 ti 3 [ 1 t mliell 1 r k - 0 II f 6. 0, i to $ r , DO M - n M M -- I � m rnCTpC) r -. 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