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10-10736
CITY OF ZEPHYRHILLS r� 5335 - 8TH STREET (813)780- 0020 10736 BUILDING PERMIT Permit Number: 10736 Address: 38011 ARBOR RIDGE DR Permit Type: SIGN .ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ARBOR RIDGE Est. Value: Parcel Number: 35- 25 -21- 0060 - 00000 -0010 Improv. Cost: 4,500.00 Date Issued: 7/20/2010 Name: ADVENTIST HEALTH SYSTEM Total Fees: 82.50 Address: 7050 GALL BLVD Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542 Date Paid: 7/20/2010 Phone: (813)783 -6189 Work Desc: INSTALLATION OF WALL SIGN 55 SQ FT W N •L 1 ,IN . 1 N 82.50 l � : v 'A`�`.(v'_. g8, F.• ELECTRICAL Ertl _l (J FINAL 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 o • - r: Your failure to record a notice of commencement may result in your paying twice for improveme • to our property. If you int - • = to obtain financing, consult with your lender or an attorney before - • rding our notice of Comm' t." /OIL, frw to 44 I I/ • NTRACTO SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION- 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ffel f•l is k City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ikeir Ceif Date Received: 7 /6 Site: 386 ( jt �JD 4Q c_ Di'c_ Permit Type: GVa /( SA S sy Approved w /no comments Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment shee : all be kept with the permit and /or plans. /.107 gs 711_r Ka fi Switze • : s Examiner Date Contractor and/or Homeowner (Required when comments are present) N 813- 780 -0020 City of Zephyrhills Permit Application _ Fax-813-780-0021 Building Department f 01 No Date Received / 16 / C) l C, g/3 - )/8 323 Phone Contact for Permitting 1 1 1 1 1 1 1 1 , 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Owner's Name n/Z ./its / „,al L Owner Phone Number '. / // Owner's Address ' / � G -S c) CA” ///?d d -- 2- - k M5 3 - / Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address l v,� � l/ y� JOB ADDRESS 3 1/ , n 1 [`ti's Y . LOT # SUBDIVISION 14/e ot3C0 / � � PARCEL ID# 3 5 2 5 2 / c' O( cae © © 70 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR R ADD /ALT 1 1 SIGN n DEMOLISH INSTALL n REPAIR PROPOSED USE ( SFR I I COMM 1' Td OTHER I I TYPE OF CONSTRUCTION I BLOCK n FRAME 1 1 STEEL J 4" /� DESCRIPTION OF WORK r E `'� NO, - i <C G)i'2l nJ �J 6< Q e.,..).0 .O / (c [G �� BUILDING SIZE SQ FOOTAGE S HEIGHT c il BUILDING $ /( cyc J zj-5 VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ AMP SERVICE ET PROGRESS ENERGY I W.R.E.C. I (PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION nGAS n ROOFING n SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOODdNE AREA I NO 111111111111,1111111111 1 1: 1 BUILDER � ffdrim / y COMPANY ( / � �E -tiT� 4/ .S G �� SIGNATURE W// i� REGISTERED N I FEE CURREN I / N 772.o > $ � Address �l to t P �^ l 336 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y / N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I Address License # 1111111111111111111111111111111111111111111111111111111111111111111 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 $7500) ** 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 if shingles Sewers Service Upgrades NC 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 Watercou rses. 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 OBTAI INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N i TICE OF CO CEMEN . FLORIDA JURAT (F.S. 117.03) - / OWNER OR AGENT CONTRACT 1 , old Subscribed and sworn to (or affirmed) before me this Subscribe nd swo . or affirmed) before me this by :50L ! Wif)by'N4r.1iG. L \) 1 L9 LL. VVho is /are personally known to me or has /have produced Who is /ard personally known to me of has /have produced as identification. !.1 A' as identification. Notary Public • Li IInLA Notary Public Commission No. Commission No. T L 41� P V @ Nota Public - State of Florida Name of Notary typed, printed or stamped Name of Notary typed, printed or s rg• ; . ,.� • „, M Commission Expires .un 1, 2011 ' e'c Commission # DD 673426 F ° ` ' Bonded Through National Notary Assn. FLORIDA HosPrrAL �► Zephyrhills June 29, 2010 Re: Property located at 38011 Arbor Ridge Drive Zephyrhills, FL 33541 To whom it may concern, Florida Hospital Zephyrhills hereby gives West Central Signs or its agent to erect a sign at the above location. Sincerely, r ilk 1 • ner's ign. re Title 4 /be � State '� ,d Gt1 County of ,6,ex--- The foregoing instrument as acknowledged before me on this do day of 20L6 by /fl& (d,�eKwho is personally known to m r who produced as identification. Signature Notary Stamp: mop- _SUSAN L. BENNETT pima • It j0 my Com. Emirs* Ave 11, at/ CommlesioN 100 811111 OWN Thiegh Mae Am 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 . to tr 1-j 4 4 .i 1, t:'■ v Oi ss nO Z ,7 t iixe- 401,40 trt•t0 viki i- , •• 4 IfitA CO t .4114 VISA ifinodstillogior Ds** 44.4. :i 4' EnCon Services, Inc. Sign Design Calculations Job Description PREPARED BY: EnCon Services, Inc. Medical Group of Tampa Bay 2272 Jaudon Road 38011 Arbor Ridge Dr. Dover, FL 33527 Zephyrhills, Florida 813 - 655 -3373 2'- 9 -1/2" Logo F 813 - 655 -9814 Design per 2007 Florida Building Code, 2009 supplement, Section 16 Wind Load ASCE 7 -05 Aaron Biedenbach, P.E. Design Specifications 1 FL PE #52949, FL EB 9394 Importance Factor 1 OH PE 60756, OC #01893 Kzt 1 KY PE #20281, P #2463 Exposure Factor B IN PE #PE 19600322 Kd 1 FL CBC #060535, QB #22527 Kz 0.7 V 120 mph GCp -GCpi 1.28 Zone 4, h < 60 Wind Pressure 33.0 (psf) Sign Information Height 2.79 (ft) Width 2.79 (ft) Area 6.12 ( ) f f Thickness 0.17 (ft) ,, , 1 f BI E p Distance grade to top 30 (ft) � Q. H� . ` N 0 . .. G S Se. • Wind Sheer Force 15.67 (Ib) 4t. : • ?' Weight of Sign 24 (Ib) , 1 r • No 5 2949 - _ Total Sheer Force = 29.06 (Ib) * * • F • Total Tension Force = 202.14 (Ib) A 0 .9 . • • • � C9 Required Provided °iis$/ONp►; :40 Fastener size (Nominal) 1/4 1/4 Minimum number of fasteners 6 6 Sheer Force per fastener (Ib) 4.8 65 Tension Force per fastener (Ib) 33.7 50 Combination Tension and 0.75 <1 O.K. Sheer ratio Fastener to be threaded stud epoxied into wall structure. 1 -1/2" embedment into concrete USE HILT! HY -20 OR EQUAL EPDXY ADHESIVE 7/13/2010 Medical Group of Tampa Bay Zephyrhills 2 -9 Togo Co sk • Page 1 • _cr., r ..,.,,,,, 44 ,0 , 4... _ ' r,IP 1 : :, ,' ,.�e Ricardo Ave r . . . r , ' 3t• ,Y ' t - r.. ' g • x . A -,-.7 4 r , , ./y. : ... ,...„ 1ijI ' �_ r � a 'v. ilk;; � j 74 X 38 1 Arbor REd : �Dr ' , Zep FL. 335 0 .:. a ce .a ,Ave j. a 1 .. r at , , .„,„ a . , 1 4 - ,- .. , -It wys f , . 4 " :7a J. .. i v . . + I • . "` ' ` - ;! , r. ' i !S , , . � U� 38011 Arbor Ridge Dr, Zephyrh FL 33540 Google Earth:Directions 6/29/2010 1g11111111110111111101011110111100111111011111 2010101576 • Rcpt:1315939 Rec: 10.00 DS: 0.00 IT: 0.00 07/16/10 C. Cook, Doty Clerk NOTICE OF COMMENCEMENT Permit No. PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 07/16/10 g33 3� 1 Property Identification No. 31 t 2/ 01 PG 590 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal descrl, lion 0 ; egele go- v PO XI 'c vV / &sr //s oP L•771 o ' 3 f'6 FVS' a) Street Address: Id 0 4 M44 i 0 v / fflniff / 2. General description of improvements: SIGNAGE E/2 <7.7 5 e"--- 3. Owner Information a) Name and address: ,ADv d ir /4iU72 S/ n leAtg Cr Aso f,� /" fl /19D 7A 4'$' /iS ./- 553// ' b) Name and address of fee simple titleholder (if other than owner) c) Interest in property e/AM4fe # 4. Contractor Information a) Name and address: West Central Signs DBA SIGNSTAR 7720 US HWY 301 N, TAMPA, FL. 33637 b) Telephone No.: 813 - 980 -6763 Fax No. (Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender 'i 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(1) (b), Florida Statutes: a) Name and address: 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 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 JO : E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDE ;aR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COM' 4 NCE EN� p, STATE OF FLORIDA / COUNTY OF PASCO 4 i A EI Sign of • er or Own. 's Authorized Officer/Dir Print Name The rms instrument was aclm swled` = d b - fore me this r - ell da o j , 20 �� by e tliatt in fact for L..j j '� -� ( type of authority, e.g. officer, trustee, attorney (name f vi on behalf of who ,1 instrument wa executed). Personally Known OR Produced Identification Notary Signature / . Type of Identification Produced J ^ T 4 O Name (print) (\ (� e tin ) , - ii <i `e.„ Verification pursuant to Section 92.525, Florida Statutes. Under penalties of pe ' , I declare tha f' eve read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. �� ii i ° S ` gn a ofNatur Person Si Above FORMS /NOC,rvsd2007 r`111;) . $(S L. g 4!1\e; Nom PION • SON MIMINIS *COWL Eging Ave 1m ing ` 4".4. ' COMMISSION �I Through Name NlNt AIN STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE A THE , MY HAND A D OFFICIAL SEAL THIS ; DAY OF :.. - 2 PAU S. O'NEIL, C';. "K & OMPTROLLER BY DEPU TY CLERK , 111 ��* ��� ' �A Q • • • 1 •• eb �•_ 4 • •,,r0 • of • _ a "p' • Z i J • ■ J ms O w N -J C d = °� . --I _se d U U y U N L _ c 7 fnm 0 C °. Z 0) c$ c 70 L m ° E CO C) Q= E c� = a 3 m o Q E o w ti V U m O d _ N o _ Q m - CZ iii. 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