HomeMy WebLinkAbout12-13762 CITY OF ZEPHYRHILLS
5335-8TH SIREET
` (sis)�so-oozo 13761
BUILDING PERMIT
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Permit Number: 13762 �����`�
Permit Type: SIGN Address: 6043 HARRIET ST
Class of Work: MONUMENT SIGN ZEPHYRHILLS, FL.
Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0010-11100-0010
Improv. Cost: 400.00 �
Date Issued: 1/11/2013 Name:�� PINECREST MHP-CLUBHOUSE � r
Total Fees: 60.00 Address: 6043 HARRIET ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/11/2013 Phone: (813)782-6112
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Work Desc: CONSTRUCT 4 X4 SIGN EMBEDED W/CONCRETE
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ELECTRICAL ROUGH
FINAL `
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c) when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resup Iting
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 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 property. If you intend to obtain financing,consult with your lender or an attorney
Com lete Plans S ��Ore�O��ng your notice of commencement."
P , pecifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Dec 20 2012 1:05PM HP FaxSigns By Tina & Tom 8137827636 page 1
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �j�(,>�j��--�'
Date Received: �— �_��
Site: - � ��� /7�y>'�7L ��
Permit Type: 7`�`t S�' '�"�� S�ir'�s�-.�Gf�Ce'1-�e�e.
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comme t sheet shall be kept with the permit and/or plans.
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Ka1vi 'Swit —Plans Examiner Date
Contractor and/or Homeowner
(Required when comments are present)
813-78��-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Date Received , � G^ N �
Phone Contact for Permittin p d�_
Owner's Name �//✓� ��G ,sf g.�?p�jLG��,�rw� �� pWner Phone Number ���" ��.— � �,�
�a �j ��.�r�f f z�%�, �c;��s 1�3s�.3- �----
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS O A �L� „S7'� Z�1�/ ,e�( C L �"'�. �� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM P ERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT �� SIGN � O DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK x $� 1JS f�AC� �0 3AGlr U}! � .,3 �'Y� 136 S f f��,
BUILDING SIZE �G ��I 1lj/Ai SQ FOOTAGE �e j lCt '� HEIGHT f� /G� �/ ��� `pE -JC-���
.� �C�o•
QBUILDING $
Cf`j C1,p v VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY
Q W.R.E.C.
OPLUMBING $ ��J/ „�
--�f ' `��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER �'� ;. COMPANY
SIGNATURE CL- REGISTERED Y/ N FEE CURRE� Y J N
Address License# �— �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� 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,
Mlnimum 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 subdiv(sions/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 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 8 Contractor sign back of applicatlon,notarized
If over s2500,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 nota�ized letter from owner authorizing same
)VER THE COUNTER PERMITTING (Front of Application Only)
teroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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 complianGe with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIl.IT1ES: 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 misdemyan�opyiolation
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 entitled to permitting privileges in Pascv
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ER onstrusti n of neweb udi gsnchange of
that Transpo�tation Impact Fees and Recourse Recovery Fees may app y
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 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, Florlda 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 A�gfi{�uetabove d scr bed document and prompseantgood fa th to
other than the owner , I certify that I have obtained a copy
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 all applicable laws regutating 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 t understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify Env�ontmental Protect on Cyp ess Bayhe ds SW tland Areas and E viro mentla lyt Sensitive
- Department o
Lands,Water/Wastewater 7reatment.
- 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.
Fede�al Aviation Authority-Runways.
I understand that the following restrictions appty 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 ce�tify that fill will be used only to fill the area within the stem wall.
tf fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. If use of fill is found tv 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, � P tio�S I'u de�stanld thatna�s parat permit may be�requ ed for Ielectr cal work,
this affidavit prior to commencing construc lication. A
plumbing, signs, wells, pools, air condai��cense to p oceed with the work and not as aulthor ty to violateecancel, alter, or
permit issued shall be construed to be
set aside any provisions of 1he technical codes, no n oa�violat ons of any codesPrEverytperm t iss ed shall become inv I d
requiring a correc tio n o f e r r o r s i n p l a n s, c o n s t r u c t i o
unless the work authorized by such permit is co a of s x 6Wmhonths after the t mpe the two k as commenced. An exte Sate
the permit is suspended or abandoned for a peno ( )
may be requested, in writing, from the Building �or'nine{ ag0)rconsecutive days, the job isocons dee d balndolledst
justifiable cause for the extension. If work ceases Y�
WARNING TO OWNER: YOUR FAILURE TO RECROPERT1f.TIF YOU INT�END TO OBTA N FANANC NG, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR P
WtTH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. .03) Lii�O'—"
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or afflrmed)before me this
Subscrlbed and swom o(or affirrr►ed)before me this bY
��6y Who Is— la— re persanally known to me or has/ti ae���Hon.
Who is/are personall known to mas Identl�atl�r�uced
Notary Public
� � �.�,e � Notary Public
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Commisslon No.
Com�nl sion ,,
:+�1 , ;: ���#���� ed, rinted or stamped
t , Name of Notary tYP P
Name of Nota w,,,,w+,eoa��o�e
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