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Home My WebLink About11-12455 _ CITY OF ZEPHYRHILLS ,� � 5335 - 8TH STREET (sis)�so-oo20 12455 BUILDING PERMIT Permit Number: 12455/11964 Address: 38135 MARKET SQUARE DR 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: 02-26-21-0010-03900-0030 Improv. Cost: 2,386.00 Date Issued: 10/28/2011 Name: FLORIDA MEDICAL CLINIC Total Fees: 135.00 Address: 38135 MARKET SQUARE Amount Paid: 135.00 ZEPHYRHILLS, FL. 33540 Date Paid: 10/28/2011 Phone: (813)780-8440 Work Desc: INSTALLTION SET WALL 30 & 20 LETTERS CB SIGN SERVICE INC ' W �-�' �� i� ELECTRICAL FINAL . � �� 2 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 � plans not at job site g) work not acxessible. 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. "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 your notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0 �s�� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS C� �S �/� --� Contractor/Homeowner: 1 Date Received: �(� r � `/ Site: 8 ( 3 �' C�Y�(e. � ' � Permit Type: _� � �C �'� �it�/,I �� l�1` Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This co e t sheet shall be kept with the permit and/or plans. ` �� " Kalvin itzer — s Examiner Date Contractor and/or Homeowner (Required when comments are present) ,�Z'.e. s�i�,�v P.e•ewrh 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department Date Received C� f—' Phone Contact for Permitti� � �7��,�� Owner's Name /�C�i�2/Q,�) /y1.�Dl GC �-- GL �V / CJ Owner Phone Number 1� �� rf Owner's Address 38'!3S �aK�`�'s4�4�e� Owner Phone Number —� Fee Simple Titleholder Name �,� �,Q� i'l' C>� Owner Phone Number Fee Simple Titleholder Address LdOIL �T' � JOB ADDRESS .�BI �S Z�/�fY J�P�!`G1cS �-y� 7 LOT # � SUBDIVISION PARCELID# Oe� �',Z 'OO�O'Q - (OBTAINED ROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADDlALT � � Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DE3CRIPTION OF WORK Z� /_Z � w /J O F ON S£T 30 �l'0�0 FLO�ti�l �p1e.1��4tKic�LQIT BUILDING SIZE � 3Q FOOTAGE �� HEIGHT �� QBUILDING $ VALUATION OF TOTAL CONSTRUCTION"� �Z38�p�Q� S1lrN 3. o Rw►PS �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/ N Address License # ELECTRICIAN SC�I�G�� COMPANY (��V s � �� I"�Cr SIGNATURE REGISTERED N FEE CURRE� Y/ N Address ��t �j0 � �-4L L �� License # ��' /� 3 �� 7 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER O � COMPANY G E n J�'�'`(/<L e. SIGNATURE � REGISTERED FEE CURRE� Y/ N Address � L � � ,��'�� License # L.cr/ (� 3 - � 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 subdivisionsllarge 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 8� 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 52500, a Notice of Commencement is required. (A/C upgrades over 57500) " 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 if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW �o.vs� � ��e�c �� / / `l �' � �3� �� w � @o.�Jsrxu ctcoa 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 Counry. TRANSPORTATION IMPACT/UTlLITIE5IMPACT 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 ce�tify 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 Aifairs. If the applicant is someone other than the "owner", I cerfify 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. 1 certify that no work or installation has commenced prior to issuance of a permit and that all work will be pe�formed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also ce�tify 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 8 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 Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If 1 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 the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YoVE� N TO YO R PROPERTY. YOU INTEND TO OBTA N FI NGTCON ULT PAYING TWICE FOR IMPR WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR A(3ENT Subs b and t r afftm►ed) before me this Subscribed and swom to (or afflrmed) before me thls �O o bY o islare rsonally known to o� hasmave produced Who islare personally known to me or has/have produced as identification. as IdentlficaBon. ` � � LL�'� Notary Public Notary Publlc / Ission No. � E � � ��° Commissfon No. w/ N S �� / F'E�l. /�. • v Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped �ENNIFER M ROLLINS � Y Ip �� MY COMMISSION �EE64386 '�� EXPIRES: FEB 14, 2015 Bonded thraugh 1st Slete Inwrance .� .._,._.��.._._..�--- LETTER OF AUTHORIZATION TO WHOM IT MAY CONCERN: This letter serves as authorization for �� .�'JG,i1/ �'.t,,�'i/�Cg �, �C, to secure permits and install signs at the following locations: �S'� /�lA�K.d'"r' St9v4�e.b �67ANY�'�i`GC..f' F�l�iE'!4�v .�3S.a� � r' �,e� �n ��t� �Ll�v� G � �� ' '�,�-h�4�1� L L�tT�Y� ��.4;�,/t)�0 yv��E DIC,oI..., GLj�t',�� l3-��'�-t�'7�� Owner Signature Telephone Number Owners Name and Address: ��i/�r`�t� ��r�� ncc P� � l� a �K� S r� �-��t��lls _� �5`?- State of ��l�c� County of I-�as c � Before me a � � � Ppeared � U'� �'�l� �C- � this � day of _(�'c�_f�be� �ir � ,�'being person, ally known of having produced as identification and who executed the foregoing instrument, and acknowledged to and before me that he/she executed said instrument for the purposes therein expressed. ; � ; rO l�� PVA�� Notary Public _ ;�'__ Notary publ c Sta e Flwida ;y,�.•'� MY Comm. Exptres Nov 5. 2011 .;��,,, �� Commission � EE 30133 �"""" Bonded Throu h National Noh My commission expires: � ry Assn. . A S and E, Inc 24710 State Road 54 (813) 948-2812 Lutz, FI 33559 Fax: (813) 949-2016 Name: American Petroleum Project Florida Medical Wind Speed 130 mph All Wind Loads meet 2009 Supplement with 2007 Mean Height 60 ft Florida Buildin Code Wind Code ASCE 7-05 Exposure C Importance Factor � Wind Pressure (WP) 35.32 psf Shape Factor (SF) 1.80 Total Pressure = WP*SF 63.58 psf �s-o -��-Y �� .�� Z:_�l �°�M � • �� +;_, �. � Florida Medica �� _� __ � 1 (;�'�� _ � _ ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE AND Letter Height (in) 2 ft 6 in Connection Notes: Letter Width (in) 2 ft 6 Irl Attach each letter to the existing structure with (8) 1/4" Area 6.25 Sq ft Lag screws per letter into plywood blocking. OR Use (4) 1/4" Lag Screws into structural wood blocking Number of Bolts $ uvith a 1" embedment depth into structural blocking Shear Value 70 Ibs Tension Value 60 Ibs Shear per bolt = Area * 10 psf 7.81 Ibs Tension per bolt =Pressure * Area 49.67 Ibs Bolt Value=Shear per bolt / Shear Value + Tension per Bolt / Tension Value Bolt Value � 0.94 < 1.00 O.K. � General Notes• Connection design only. All wind load calculations based on code reference section 1609, which references ASCE 7. Shape factor are determined per ASCE 7. If site conditons differ from stated reference contact A S and E, Inc, (813) 948-2812 6 Robert W. Wall, PE FI Reg #46021 . _ �. _ . _. . � __.. _.._ - �.� .;,�.- - �.. r. -. _., �. .,�. � � � ' �. � ( � � � � � � `�e � � �' � � �-� _ � � ° � ' 4 � �� '�: � �' � . � � � � � � �.� � � � � — � � ` -- � �� r�r� ACCOUNT N0 : 00577g f ` � YVR � -� � � � . + + �' TYPE OF BUSINESS � , " SIC CODE= 7389.14 -� - SION PAINTIMG _.,.o- _- � _ �_ _,__ � � � CB SIGN SERVICE INC ''� `' Lt?GATItlN ADDRESS� '` 19b08 DOG PATCH LANE � 19608 DOG PATCH LANf �' �� r LAND 0 LAKES � LAliD Q LAKES FL 34638-3533 .� } � .w:_, � � � ' DATE RfCEIPT A110ifNT itl�Il'i1�1�1•��I�t•l1.11�•1!l11�•�l�ll'�'�11+,�.I�r.il�'�II�IIII A7�06�11 60448a 33.75 � i i �.. .,,......... ..._....�,.__....,� .�_....,__.e .._..�..._.�._..._��, _.-..�.,.�_� _,_, � � _ _ _ t»r�.�rmo�c�..,w< .��s., w��sr.a' _ _ ' ' ..> ��s- " ° _ _ _ _ " _ _ _" � "__.,.____�.�_ � __ ' � � � � � � � � STATE OF FtORK2A - - ---- - - - - - - -- -- � f ' DEFAR ��TRICAL��C�RS LIC��N�I�� SEti� �iooaosoaZ�� $i� f 4 ., Q� �� .� �3Q�5�#91 �C�3t?031�_E�s . + i ` Bu �.siess alificatiax� � �e ��"6�R�.",�.�� R . 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