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Home My WebLink About12-13419 CITY OF ZEPHYRHILLS � 5335-STH SIREET (813)780-0020 13419 BUILDING PERMIT Permit Number: 13419 Address: 7050 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 Improv. Cost: 2,200.00 Date Issued: 9/28/2012 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 75.00 Address: 7050 GALL BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/28/2012 Phone: (813)783-6189 Work Desc: INSTALL CHANNEL LETTERS ON RACEWAY USE EXISTING ELECTRIC � . _�� .�� , , ELECTRICAL R UGH ^ Z,, 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 aonstruction 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. "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 notice of wmmencement." Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � - —__�- CO TRACTOR ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �,�-�nu-�u�u c.:ity ot Lephyrttills Permit Application Fax-813-780-0021 Building Department Date Received -,�j-'� Zi Phone Co�tact for Permittin � z 7 `("� / __ S �� Owner's Name ��r R � S � Owner Phone Number Owners Address Owner Phone Number Fee Simple Titleholder Name —� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �E� S CG r� �� LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR 8 ADD/ALT Q SIGN [�� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �1.� ( ( � �,1. �G( e �� c.��r�t �e- �. S 6�� , BUILDING SIZE SQ FOOTA(3E�� HEIGHT OBUILDING a� VALUATION OF TOTAL CONSTRUCTION � �lr�'. 6> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 QPLUMBING a � � �`( 1�I �� ('/11.��/L QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� ' ��z • ,��,� ��- � �9 � QGAS Q ROOFING Q SPECIALTY �] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �`�'L��U� � � BUILDER J ' � � COMPANY �C''��c�i��-c�� c�2 r'�c- �� :.� SIGNATURE i' �.��-u� REGISTERED Y/ N FEE CURRE� Y/N Address /��!� Ye��?✓!�� t��( � y /-��5��-� � �+- C�(a� �� License!� �� ELECT COMPANY SIGNA R REGISTERED Y/ N FEE CURRE� Y J N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreaa License# �— —� NIECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addross 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 Fadlitles&1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Sto►mwater Plans w/Silt Fence installed, Sanitary Facflities 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compUance SIGN PERMIT Atfach(2)sets of Engineered Plans. ••••PROPERTY SURVEY requlred for all NEW construcdon. DirecHons: Fill out application completely. Owner 8 Contractor sign back of applicatlon,notarized If over=2500,a Notice of Commencement is required. (AIC upgrades over=7500) •' Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authorizing same OVER THE COUNTER PERMITT�NG � {�rqnf of A�'plft:3tltm'Onlyr- Reroofs ii shingles Sewers ; Senrice Upgrades pl/C �nces(PbVSurvey/Footage) : ,,;� ' +� K Driveways-Not over Counter if on pubflc roadways..needs ROW ! .. ,.._ _ . . ,.c NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more rest�ictive 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 Iicensed 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 misdemyan�op�iolation under state law. if the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 entiNed to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACI'AND RESOURCE RECOVERY FEES: The undersigned understan s that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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 "ce�tificate of occupancy" or final power release. If the p�oject does not invoive a certficate of occupancy o� 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 Depa�tment of Agricuiture and Consumer Affairs. If the applicant is someone other than the"owner", i ce�tify 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with ali 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, WateNWastewater 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�estrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill mate�ial 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 a�y 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 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 FINANCINT, CONSUL7 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N FLORIDA JURAT(F.S 117.03) C� OWNER OR AGENT CONTRACTOR me th j Subscribed and swom to(or affirmed)befo�e me this Subscribed and �(qf e �)L 0.r b by :c 4,,«✓ y Who re erson Ily known to me or has/have produced Who islare personalty known to me or has/have produced �r,�r ��,,,N c. as identlficaGon. as ldentlficadon. ��- � Notary Public Notary Public � Comm sl ��E� Commission No. � ear.a 1h.tmr�rr.�a.looa�a»w Name of Notary ryped,Prfnted or stamped Name of � United Sign Systems August 21, 2012 Letter of Authorization To whom it may concern: Un�ig��hereby authorizes S to act as its affiliated agent to obtain sign permi e Florida Hospital Zephyrhills located at 7050 Gall Boulevard in Zephyrhills, FL 335 . .�' -- � _�- /`� � Date: � Z� / � tt W n as United Sign Systems Agent State of Florida County of Pinellas S'r Sworn to and subscribed to me this Z� day of��5� 2012, BY�..�-C�]4v2R,.��^ being personally known to me. � � Notary Public My commission expires: ,_,..s�.a,. �u�''Y� DAVId16� t�'��-ELLI� ?i' � ;«� pnY�(aMMISSION#DD956545 EXPIRkS►vlarctti 30.2014 ' �`` FlorideNotnrySesvice.com �3�gg-0153 (407) 206 Tower Drive, Oldsmar, FL 34677 P: 888-704-1516, F: 813-855-3351 � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��I�.�r �( � ��'t.�C�t�-- Date Received: ��—� Z Site: �'1 r, �`� �'04 �� ( U J � Permit Type: ,�Q� � `ia,� �e� /��- ��.5,� ex�s e l�G�'� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: O This comment sheet shall b ke with the permit and/or plans. � � � Kalvin S 'tzer—Pl xaminer ate Contractor and/or Homeowner (Required when comments are present) LETTER OF AUTHORIZATION TO WHOM IT MAY CONCERN: This letter serves as authorization for UNITED SIGN SYSTEMS or it's agents to obtain any permits or variances required to erect signage on the following property: 7050 Gall Blvd. Zephyrhills, FI. 33541 - - -- �- - -- ------------- -�-`��-�%�3�_4�I�I ---- wner ignat e Telephone Number Owner Name and Address: �� ' � �` � h �o�� ) ,�1 v� . �-� � ►�;1� � �� , � , State of ��`�_I�GU_______ /� County of __��'c,�°--?'�________ , .� �� F �� ; � ,t_ _ ___ this __ � Be re e appeared � /�jC�_G�:�� ---LC�L-�.��-- �� day of __ � _ _____ , 20L eing personally known of having produced �� < ��.,L� _ ��2�s identification and who executed the foregoing instr,�m nt, and acknowledged to and before me that he/she executed,�aid instrument for the purposes therein expressed. �- -� f�'( �"� , ,, . � L�_��,:• ,� /� �,1� , r..w.�. "-^--- — ----- --y------ -----� --- .a'r"►"a,, SUS,;.P;L 6c�h:TT Notary Pu IC -- `r': Notary Pub�ic-State of FlotN� •i My Comm Expires Aup 11,2012 a�= C��inm�SSir !� DD 81211Z My commission expires: �;,,,�''` An�aF� �- •��a.. 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