HomeMy WebLinkAbout12-12868 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' �sis)�so-oozo 12868
BUILDING PERMIT
Permit Nurr�ber: 12868 Address: 7337 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: 34-25-21-0000-00300-0020
Improv. Cost: 2,300.00
Date Issued: 3/07/2012 Name: MERCHANT STATION LLC C/O PHILLIP
Total Fees: 75.00 Address: 11501 NORTH LAKE DR
Amount Paid: 75.00 CINCINNATI OH 45249
Date Paid: 3/07/2012 Phone:
Work Desc: INSTALL LED CHANNEL WALL SIGN ON RACEWAY
75.
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FINALTRICAL ROU�,GH l � (v
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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 wnstruction c) repairs or wrrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site t) 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notiae of commencement."
Complete Plans,Specifications Must Acwmpany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received –�' ��� phone Contact for Permittin / /D –
Owner's Name ��,1���r E'��s�^� � ��'�'P�,,` Owner Phone Number .f�3'�Y"� �1 V
Owne�'s Address /1,��1 ��R�L,o/t_,E ��Q, ��'�'�•�a� O�h Owner Phone Number ��'��87� `b'�'f
Fee Simple Titleholder Name r Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS 7J� � /ti � G v� ,�,/�S t - 3��y� LOT# �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK /NJ�Q�� K'e�. �!��0�•^C-�C L-- W�L-L- SI rr✓ O''' �R Gt b`���
BUILDING SIZE L`� � SQ FOOTAGE� HEIGHT i8�
OBUILDING $ , VALUATION OF TOTAL CONSTRUCTION
23��� �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ "
��� ���� �� ,
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION w �/°�( �
� ( 1�'tP
OGAS Q ROOFING Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER � � COMPANY C �"�-0 �O 2-� 7 �1�•M l�p J � f�✓ .�y�/L ,
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 6 I /U� mfl vV K� 770'%�'��� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work PeRnit 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.5ite 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.
,��n�,����r����� ��
u�+ 1 1 1 i L1LL111I r
Oirections.
Fill out application completely.
Owner 8 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingfes 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"�ieed" restrictio�s"
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 Iocai regulations. If the
contractor is not (icensed 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 appiication 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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde�stands
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 WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florfda 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
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health � Rehabilitative ServiceslEnvironmental 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 uV"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 ce�tify that use of such fill will not adversely affect adjacent
properties. If use of�II 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 spec�cally 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 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or afflrmed)before me this
by bY
Who islare personally known to me or has/have produced Who is/are personally known to me or haslhave produced
as Identlficatlon. as identlflcatfon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
AUTHORIZATION FORM
LANDLORDLETTER
To Whom It May Concern:
I� � Property owner/Landlord of the propert�located at
�� � .do hereby authonze
—�a����—CS 1�..�.� ' and/or its agents to apply for and retain sign pe.nnits and to remove,
modify and/or erect signs,and�Qbta.u�building and electrical pernvts as required by state and local laws. I further
authorize TQ,Iy1.,�'J 4 C�lQ)').�Qj to act as agent on my behalf;and sign any
documents necessary for the procurement of vanances and pertnits related to this project. I authonze said
contractor(ar authorized agent) to sign and notatize vanance and pern�ut applicanon(s) as owner/agent.All work
will meet or exceed code requirements.
,
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rs ture Date
Tracy Heisler 813-382-8501
Chvners Prmted Name Phone Number
11501 Northlake Dnve_Cmcuinat�OH 45249
Chvners Address
Notarv:
Sworn a acknowledged before me tlus�Day o 2p12
NOTAR PUBLIC,STAT'E OF �
Comimssion Expires: �O�v�,• � ,�1�
AUILLERMO BRACAMONTES
��� Notary Pubiic,State of Florida
Commisstoni EE 58752
IJIy oomm.expires January 26�2015
I I501 NORTHLAKE DRIVE � CWGNNATI, OHIO 45249 � �513) 554-I 110 �800) 875-6565 FAX (513) 554-1009 I
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etter to have
.080 5052 backs r
.063 3003 4" returns �/2 3/8" x 3" 6061
primed and painted Toggle
black � Bolts aluminum
hanging bracket
�" White 7328 A/R
Lens Cover w/ black
Trimcap all letters
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White L.E.D. A/R � Others must supply I-disconnect
with power supplies � � 2-primary power and make
as needed -final connection to sign
I 20V w/I 2vOutput � raceway
Paint inside of U.�. isted Sign component
letter WHITE
Thi sk�tch is a conc�pt�a1 id�a
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��P�lI�'i�Shts pi�rtain to tl�e value of
S i 00 ot you�job.
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Racewav .080 ee��---+---_� �e��.:..�_ �w _s a_a_�a_ �- _n--"-.�
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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ontr�cte�Iomeowner: �„
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Date Received: � ' � � ,� (��/,�
Site: �,�� °� �� ./���?'C ,
Permit Type: F� � ���, '�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be ept with the permit andlor plans.
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EG
Kalvi Switzer s Examiner Date Contractor and/or Homeowner
(Required when comments aze present)
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