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Home My WebLink About10-10423 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10423 BUILDING PERMIT Permit Number: 10423 Address: 6719 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 03300 -0010 Improv. Cost: 3,500.00 ZiidatiltraIrT4gJ Date Issued: 5/13/2010 Name: SUN MEDICAL CORP Total Fees: 75.00 Address: 6719 GALL BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/13/2010 Phone: (813)783 -6189 Work Desc: INSTALL NON - ILLUMINATED LETTER ON BLDG 115 X100 A` `L 11: A 'IN L 1 75.00 ,.: _ r f a t _ S F•• _ ELECTRICAL ROUGH FINIAL 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 recording you n • tice of commencement." . - PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 813-780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 Building Department (q Z3 Date Received '1 Phone Contact for Permitting vs , vg -- aaao Owner's Name SWt nrbie.4L Owner Phone Number &' ""• 7)4 "_ a3P7. Owner's Address I C#7/9 G4u AtUD• I Owner Phone Number I Fee Simple Titleholder Namel Owner Phone Number I Fee Simple Titleholder Address 1 JOB ADDRESS 11 &4U 46LVD• ZOyyAN/' LS , 3 '5 9c LOT# I. SUBDIVISION lzgPo cao i I PARCEL ID # Ia - a2.--a)- (w4, -0'3 - 46/ e (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED i I NEW CONSTR I 1 ADD /ALT SIGN 1 I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR' COMM I I OTHER TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL F OTHER I I DESCRIPTION OF WORK I 7?7U- 4,1 '/eW? /V,4 17 ? 2 S D ELI) &. I BUILDING SIZE let 7 SQ FOOTAGE I /45 I HEIGHT I Alh"7' I W BUILDING $ 3 ' 57)D. ob VALUATION OF TOTAL CONSTRUCTION PROGRES SE I I ELECTRICAL $ ENERGY 1 1 W.R.E.C. AMP SERVICE 1 I I PLUMBING $ 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 1 GAS I I ROOFING I 1 SPECIALTY I1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES II NO BUILDER / • I S a �) COMPANY AWE �/M) O ��///�� - SIGNATURE .� � REGISTERED I OP N I FEE CURRENT I Gifu/ N 1 ,y 33 FL License # C4 /J$ /a7 Address (f 1 in �'"'�/ 54 ELECTRICIAN COMPANY SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N 1 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 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 Igcal 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 tb 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 dug, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAIN (Chapiter 713, FloridaStatutes, 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 thefollowing restrictions apply to the use offill: • . - 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 is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIC • • PROV - TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT .4T WITH YOUR L N I ER ' . • RNEY BEFORE RECORDING YOUR NOTICE OF COM / NCEMENT. FLORIDA JURAT (F.S r • OWNER OR AGENT /—'i - CONTRACT • �' Subscribed and sworn • or affirmed before me this Subscribed and sworn to (or affirmed) be ore me this °t /I >G by MJ914 Li 071(4 9 by f /CUPS m. Li/i.'12 Who is/are personally known to me or has/have produced Who is /are personally known to me or has/have produced as identification. as identification. . r. ■ - C, ` l q/ 41.A. . Notary Public l� I i , a , .,,, 1,17 Notary Public "1�;% ,�" j c C� / `�� / Commission No. Commission No. Name • f j ', = e4; ?{ -' . • - • . Name of Nota p p teilta e. fate of Florida Deborah E Bur • , 2 My Commission DD937327 • My Commies o DD937327 40, d Expires 11/01/2013 1 ix Expires 11/01/2013 / a :,. (J/ l k � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contracto omeowner: ,�l LcJa� 7 / Date Received: q _c 9 /D Site: & 7/9 ( i9A.,C i( Permit Type: �!�? �Y Of / . Approved w /no comments Approved w /the below comments: El Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and /or plans. i +3r Kalvin witzer — • I s ' aniiner Date Contractor and/or Homeowner • (Required when comments are present) 1E �_ Apple Sign & caning, LLC LETTER OF PERMISSION TO INSTALL SIGN DATE; 3 <!' IA (4) ADDRESS: 6 s . ( I 6E4 C t, \i P 5 0 0 P f CD F. C - ( E -1 °� AS OWNER(S) OF THE PROPERTY LISTED ABOVE, WE GRANT APPLE SIGN & AWNING LLC. PERMISSION TO INSTALL SIGN. f'P *) 1 --A- 1A v A OF APPLE SIGN & AWNING LLC. TO ACT AS OWNERS AGENT TO OBTAIN SIGN PERMIT. OWNERS NAME: (.3:)N trkna t CA . ADDRESS: (i7 v ( "LL. &L--JJ CIN: 2Pt'iv1 Q4-iIL.L. STATE: - ZIP: 3bS 1 PH: %1 . -� 1 j OWNERS SIGNATURE Q / ___") ) Z--- ' ?J 2 - 1 A■ 3 i/Ro■NYD - Pa-c-PULT A I i'ln&QAcIL AGENT PRINT NAME & TITLE f i l : � L E ev1 Std - t7CQ ! - -Ds - o DRIVER'S LICENSE # NOTARY: . � � � / SEAL DATE: q /O ELAINE 64119.w , wor car COMPASSION # 00720675 j c , EXPES orro2 ( :� eor�o® ou INSURAWE • '4.1 ♦yasw Aalamai' •m ...ate 1635 N. Dale Mabry Hwy. Suite 7 Lutz, Florida 33548 813- 948 -2220 Fax 813- 948 -2403 E -mail: apple.signsl @verizon.net Apple Sign & Awning, LLC POWER OF ATTORNEY Date: 9--,,21, I hereby name and appoint PM)/ G/iM Of APPZ ' S) jay(,) 141"3/0/1)& /Jj'. to be my lawful attorney In fact to act for me and apply to the ZEA/41//2l-1/LLS Building Department for a 5/1,1 V pen and to sign my name and do all things necessary to this appointment. 1Z,4 /Y . L'/V &72 Asa) /2 e/a Type or Print Name of Certified Contractor and License Number Si nature of Certified Contractor The foregoing instrument was acknowledged before me this : Z.. -1k day of ,///) of 20 /(_=.. By FRANCIS M. LINER Who is personally known to me / who produced PERSONALLY KNOWN As identification and who did not take oath. State of Florida .-- --..•� R. MARK WILLETT County of Pasco :y = Commission DO 722666 Exnires December 8 2011 ............. Bonded Thor Troy Fam insurance 800- 385-7019 /1 1.7 y Notary public 1635 N. Dale Mabry Hwy. Suite 7 Lutz, Florida 33548 813- 948 -2220 Fax 813- 948 -2403 E -mail: apple.signsl@verizon.net 32" . , '.. Z. . q . VI . so C (.,) - $3 2 1 , Ct , ;,,. ; 3 0 ...„ 1 . ig....., ........... . t ,„ N.) ... • . 1 . 7 .. .. . ,.. 0 1 ,,..,1 , . ... ,_.... ..,.. ,.... ill os) - --I. C Z C117 CA) r. t) ou . , > , tc, ri cn 0 IM rliZVI OW= M -- n * 1 I ( 4) 8c* o Cr' 5 ft r''' F- • . - rr- rill& - (D p —32" ?ic pc,mc tom' - C r U w a-u- Sernofsi i II lrLvnihNvM STUDS 111 Drivik) (Km CMU r. S(UCON tc. & T PP P C W� V u��w Its P v e-- i orJ • Z f TOC 16- . - Pv C1 PLM'T« tT McN(rwUna o �- r ftU)( 2.5 t! A1,VrA • 4-cvds reg- t TTV2-- Apple Sigi 1 Awning 1635 N® Dale Mabry Lutz9 ppie S & /Awning LL( 1635 Mabry # 4, a Lutz FL 33 oie.; (A82220 F mom G z •■•■ 4\3_ 111111111111111111111111111111111111111111 11111 11111 11111111 This space for use by Clerk of the Circuit Court only. - . 2010067619 Court Rept:1305101 Rec: 10.00. ` DS: 0.00 IT: 0.00 \....._ 05/13/10 C. Cook, Dpty Clerk NOTICE OF COMMENCEMENT Permit Number: Tax Folio No. Di- ate— a)- ODV -1)3.5A!j-QIW0 The undersigned hereby gives notice that improvements will be matte to certain real property, and in accordance with Section 713.13 or the i ' Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT. rn 1. Legal Description of property (street address required): 1O 1,4L1. aLUD. - - -- ZiAMt .I3. _ -#(9 ZCL..c __ d & ;LS t c( S 641) 2. General description of improvements: JMSTX§lL jl 7, 5 7400 • 3a. Owner Name: t & Al s 0 0 C '� Owner Address: M� /f��1� 3b. Owner's interest in site: — 3c. Fee Simple Title holder (of other than owner) V Address: R 4. Contractor Name: 4401 jy4) > A�y��, LL .C, l Address: ._ '-N, '11'" _gme,„ Phone: ezi- 9y8 -aaao _ 5. Surety Name: �„/ — — Amott f �. Address: _ Phone: _ 5. bender Name: Contact: 1 ` Address: Phone: 7. Person within the State of Florida designated by owner upon whom notices or other do may be served as provided by ` Section 713.13(1)(a)74,('lorida Statutes. * C:3( Name: — Address: Phone Number: S. In addition to himself. Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 7I 3.13(1)(h), Florida Statutes. ,. '... Name: Address: --_ —_ -_- Q)� Phone Number: ((�1 9. Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). {J . WARNING TO OWNER: ANY PAYMENTS MADE BY TIIE OWNER AFTER THE EXPIRATION OF TIIE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF `:"..r) F� COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU v / f INTEND TO OBTAIN FINANCING. CONSULT Wrrll YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING POUR NOTICE OF COMMENCEMENT. p �- Signature of Owner or Owner's Authorized Offiicer /Director /Pat4ner /?t4anager �,/ STATE OF FLORIDA t j` COUNTY OF fIILLSBOROUGI4 �A ( � The Foregoing iins was acknowledge Ixahre Inc this O "' day or 'a V, by _ .as for -- --- - - - - -- 6.�1 Mt3�_C.4L, C�P Personally Known __ r _- OR Produced Identification Type of Identification 0.0.= 7 • • \ i \ ;n Y. COMYINSSION I / , "tom E»RESOCT 02MA ' n L ' I : net b SCHAM ROIIO t 1. ' - -- - - -- W t j W lmwMlCt =AMY Signahir otary Public J U 3 nder penalties of perj "`1. "t"nw e• . i „ !-- " ,. .. ,''-- .,. - , A/ cts stated in it are true to the best of my knowledge and belied'. I PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER Signature of Natural Person Signing Above 05/13/10 02 :5 m 1 of 1 (A copy of any bond must be attached at the time of recordation of this Notice of Commencement) OR BK 83 1 PG 1 640 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 JJITNESS MY HAND A OFFICIAL SEAL THIS � 5 DAY OF 2 t /!J PAU• "S.O'NEIL, LE & • PTROLLER BY i 4 „A ,, ,/.,.L i%✓ / DEPUTY CLERK