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HomeMy WebLinkAbout09-9531 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9531 BUILDING PERMIT > >.'.z :e .� . '�' s4 d t ' 4 mea Nce �" Permit Number: 9531 Address: 6748 GALL BLV Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: MONUMENT 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: 2,200.00 3 '2— Date Date Issued: 9/14/2009 Name: FLO RIDA HOSPITAL ZEPHYRHILLS INC Total Fees: 102.50 Address: 7050 GALL BLVD Amount Paid: 102.50 ZEPHYRHILLS FL 33542 Date Paid: 9/14/2009 Phone: (813)783 -6189 Work Desc: REMOVE EXISTING/ REPLACE 42 SQ FT MONUMENT SIGN W/ EXISTING SVC N I E x��° -ate �•<.,.; ��., �, INT -N IA I N I N ", . �� �, 67.50 L AL E 35.00 INTERNATIONAL SIGN & DESIGN 1%' F CAL - 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 own - Your failure to record a notice of commencement may result in your paying twice for bEg rovements to our property. If you intend to obtain financing, consult with your lender or an attorney re recording our notice of commencement." 1 CONTRA • R SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER el• �e.p ‘q City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ontra r/Homeowner: 0 ?� `) 41,1,V c LSL �J U Date Received: 9 — c Site: 70.50 6 if- ,L/ Permit Type: A 4.-�.— C--" &i Approved w /no comments: it Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comm t sheet shall be kept with the permit and/or plans. Kal ' Switzer — Pl xaminer Date Contractor and/or Homeowner (Required when comments are present) _ _ 7 - 4_ - - - - - - - 813 -780 -0020 9 "J I City of Zephyrhills Permit Application Fax - 813-780 -OO21l l Building Department Date Received 9' ft = 7.2 Phone Contact for Permlttirtg . / .. Owner's Name LCJ,/4 dSn/ Z c y , e,<<es . A. e_ Owner Phone Number fa' 7r • Q 7 // Owner's Address 7055 6.tLL&CD Owner Phone Number Fee Simple Titleholder Name /I Owner Phone Number ,= Fee Simple Titleholder Address NW ; Li ( e ,i r / � &i i , r IV r^ JOB ADDRESS L •iIti 1 L £C 'l CI,O Z S 7 /,€,Ae4 ` , fj-ry/ LOT # Li SUBDIVISION PARCEL ID# Qae s U ' 0o O - 00 . 2 © (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 1 , ADD /ALT =11 SIGN X MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE SFR [ COMM 12 OTHER TYPE OF CONSTRUCTION n BLOCK h FRAME =II STEEL n OTHER 1 4,1 S./ DESCRIPTION OF WORK �r�� e6- , L r77A/C- 6 dc/.✓v > 6r/ Zci, v/ E - /S l: ( r _ f6- BUILDING SIZE SQ FOOTAGE l o HEIGHT fitowatttiNkagmffittmitEtwftwwwwwwwwwwwmgmfflumwwwwwwwwnimmitoffilmaw mamma IX BUILDING $ / ed Ctt VALUATION OF TOTAL, CONSTRUCTION X I ELECTRICAL $ /661 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. I PLUMBING $ n MECHANICAL $ VALIDATION OF MECHANICAL INSTALLATION n GAS n ROOFING [--`1 SPECIALTY 1::::1I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES f NO " . . SIONOINNW MI wn l /iv* dTd� 06^/ -t t �'3/6 I BUILDER t i COMPANY 7-- SIGNATURE igi vii REGISTERED all FEE CURRENT a N Address i + 0 L / 03/ � n License # ,e a 0006 I ELECTRICIAN / i i / ' ��� \ COMPANY I /ti, ,--7e , 5/6 J � L`37d'/ (� (I) ` j 1 REGISTERED QJm FEE CURRENT LT1 r SIGNATURE Address d, ,-/ / r si'"Cdr 7 License # e )05 -71 PLUMBER r COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT i Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 Address r License # r- COMPANY SIGNATURE R EGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N I -- _ Address r License # 6 RESIDENTIAL Attach (2) Plot Plans; (2) setsof Building Plans; (1) set of Energy Forma; R -O -W Permit for new construction, Minimum ten (10) working Os after submittal date. Required onsllte, Construction Plans, Stormwater Plans w/ Silt Fence instsll #d, Sanitary Facilities & 1 dumpter, Site Work Permit for subdivisions /largq projects COMMERCIAL Attach (3) complete sets of tuilding Plans plus a Life Safety Page; (1) slit of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working Qys after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instslllad, Sanitary Facilities & 1 dumster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineend Plans. * ** *PROPERTY SURVEYequired for all NEW construction. j Directions: Fill out application completely. Owner & Contractor sign back of applicatio, notarized If over $2500, a Notice of Conmmencemet is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attoley (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Frot of Application Oily) Reroofs Sewers Service tjgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public aadways..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 contral;-tor 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 viplation 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 Ipspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(If) 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, chajnge of use in existing buildings, or expansiion of existing buildings, as specified in Pasco County Ordinance number 89 -1)7 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the drne of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid (trier 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 iimpact fees are due, they must be paid prior to permit issuance in accordance Hvith 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 arid Consumer Affairs. If the applicant is soigncEone 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 ell !work will be done in compliance with all applicable laws regulating construction, zoning and land development. Applictitil7n 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 Opt 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 Zane "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 erllgineer 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 stern 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 acjjalcent properties. If use of fill is found to adversely affect adjacept properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than tine (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 pith in this affidavit prior to commencing construc ?ion. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installatiq,ns 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 authori;ed 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 demo1ltstrate 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 YpUR PAYING TWICE FOR IMPROVEME S TO YOUR PROPERTY. IF YpU INTEND TO OBTAIN FINANCING, CONSULT WITH YOU ' ENDE • OR A AT ;! '11. Y = F • RE CORDIN S Y S - N • TICE OF C i '_u, ENCEMENT. FLORIDA JURAT (F.S. 00� 51111.� 1111 I / OWNER AGEN _ CONTRACTOR Subscribed an sworn to (or affirme best (e me •' ( Subscribed and sworn to (or affirmed) b 're .. this by - / IC /PM _ . CY /2 ! = �! - -- b y LUG - t'.' s 1.../ Who is /are •ersonal`lknown to me or has /have produced Who i are personally know • me or has /have produced as identification. _ as identification. IP Notary Fublic Notary Pulplic N••. •H Commission No._ ,_ ••!, • GARY HIM _ ___ __ Commission No. . ' ,., . : : « MY COMMISSION # DO 809514 I - ` • - : � : pIRES: .lanuary 1Il, 2411- - Name of Notary ty. i - : or lotary PubicUnderwritcrs Name of Notary typed, . —• ,. , ,., � MY COMMISSION * DD 809574 GARY HICK: _ EXPIRES: January 10, 2011 % � . ', MY Cc tMMIS$1;?tJ " Bonded Thru rotary Pudic underwrNers W„," -� /a;` EXI IREE 43;101 w#, .. 9ondo r•Thru tarv'• • Pasco County, Florida Section 02, Township 26, Range 21, 1.6 miles NNW of Zephyrhiils Prepared by the Office of Mike WeNs, Pasco County Property Appraiser. Map Created on 8/21/2009 at 2:40:13 PM. 5 TIE http: / /maps.pascogov. com/maps/print. asp ?img= /mapdata/44211439113 525. j pg &id =U2 Vj d... 8/21/2009 . / i11 FLORIDA HOSPITAL 4*. Zephyrhills August 24, 2009 TO WHOM IT MAY CONCERN: This letter authorizes INTERNATIONAL SIGN AND DESIGN CORPORATION to manufacture and install signs and/or awnings at the following location: It also grants authorization for William H Griffin; President and qualifier for International Sign and Design Corp.to sign the permit application on behalf of the owner. PROPERTY ADDRESS INTERNATIONAL SIGN AND DESIGN CORPORATION or subcontractor is authorized to secur • -rmits and variances by the local governing body. ( 1/4) P ,N ichael W. Gardner ' Director of Plant Services Notary Public: SI M of 1W W - County of: PASC0 State of: FL OPI DA __. KIMBERLY JAIL My Commission Expires: . , MY COMMBSION 44 I s ��_ EXPIRES: July 19, 20th BondalltouNotariPubli 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 [ BD INTERNATIONAL SIGN & DESIGN This Document, as a quotation, is firm for 30 days. When signed by both parties and an officer of ISO Corp., ttls document becomes a valid contract. International Sign License t FL ES0000003, AL BC -SIE-S 41690. This CONTRACT, made and entered into this Date of 041209 by and between international Sign and Design Corporation, Largo, Florida, hereinafter called Seller Hereinafter called Buyer. FLORIDA HOSPTIAL ZEPHYRHILLS 7050 GALL BLVD. ZEPHYRHILLS, FL 33541 Attn: Mike Gardner WHITNESSETH: In consideration of covenants and agreements hereinafter contained on pert d the Buyer and in accordance to temis 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: Remove 2 eiastkrg monuments one wiled and install one with LED in 7a>hv hills Project Location Address: 5904 Gateway Blvd. Wesley Chapel & Gall Blvd, Zephy t Is FL REMOVE/INSTALL: Remove existing Illuminated monument sign w/LED from location in Wesley Chapel and $ 2,200.00 Reinstall in Zephyftdlls Note: ISD to hook up LED to enough existing power provided by others. ISD not responsible for RF or Fiber hook up. Total Investment: $ 2,200.00 PLUS PERMITS /ENGINEERING/PROCURMENT: AT COST ADDED TO FINAL INVOICE Plus any applicable Taxes TERMS: 50% DUE WI SIGNED CONTRACT/BALANCE DUE UPON COMi'LETION. INTERNATIONAL SIGN & DESIGN CORP IS NOW ACCEPTING MCMSNAMEX 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 OfficelManufacturrng Monroeville OffIcelManufacturing 10831 Canal Street 287 Industrial Park Dr. Largo, FL 33777 Monroevld*, AL 36480 Phone: ( 727) 541-5573 www.intisign.com Phone: (251) 5753881 Fax: (727) 544-7745 SALES - INSTALLATION - SERVICE Fax: (251) 575 -3047 a g Y nae a r 4=6 "mss 11' -0" 1 9 r 1 'h° rI 1/ 2' -8" 1 '/ 2 1 3" :7 3-8 '/2" 3 0 G) r,n yn;'3 > r lit E ''r ': 1 • , X it Inh I!1 4 u4 >wss YmPo• Po Po Po iiiiiiiiii:i 1111.1111111 j_... = ClinT1 .- 6Po,M"gMAA>A> V + o 4 r _ i a t } PoM4NR9Pog Po* Z Po n 0 N Z „, m o m 1 X n* m� Cn r_ � : —♦ ® O v 2 a O 4 n m 02 ° m m 73 ; C/) TI : o � 0 0 cn m z s . 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