HomeMy WebLinkAbout13-13793 CITY OF ZEPHYRHILLS ''
5335-8TH STREET
� ' �si3��so-oo20 13793
BUILDING PERMIT
Permit Number: 13793 Address: 7860 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: ZEPHYR COMMONS
Est. Value: Parcel Number: 35-25-21-0130-00000-0140
Improv. Cost: 5,000.00
Date Issued: 1/24/2013 Name: SF ZEPHYR COMMONS LP
Total Fees: 150.00 Address: 2851 JOHN ST STE 1
Amount Paid: 150.00 MARKHAM ON CANADA L3R 5R7 CANAD
Date Paid: 1/24/2013 Phone: (352)521-1569
Work Desc: WALL SIGN 131X7 4.75 DEEP RACEWAY FOR DOCTOR OFFICE
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ELECTRICAL R.At7'GH�d�a- 1 Z -�
FINAL "Z- ZO l 3
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 fauity 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 properly. 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
' Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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trac fHomeowner: �> .,,� �� �� �
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Date Received: ,��'✓�� ' /�
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Site: '��G, U ���.�[, � ��,� �
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Pemut Type: L .
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Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑
This comment sheet shal ept with the permit and/or plans.
, �� �
Kal ' S —Plans Exaxiiiner ate Contractor andJor Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit App(ication Fax-813-780-0021
Building Department
Date Received� � ' � b�
-" Phone Contact for Permittln ��Z 2� v
Owner's Name 2��j �OL t0�G e�L C�G ats aG Owner Phone Number
Owner's Address " '� �O (� d A 1/! Owner Phone Number —�
Fee 5imple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � �C'S A �l.l.� LOT# �
SUBDIVISION � PARCEL ID# -�Zcj`•2� ��3�-���0 Q — ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN �r� Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��/ � � C��L�, �Y)o U,�J%�� �.J ��G 'i >�/
BUILDING SIZE SQ FOOTAGE�� HEIGHT
BUILDING $`,� O�6 c�o VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER ' / �� COMPANY �, .�G�S SP�} �,�5 j Q�/��i�,J � ��
SIGNATURE !/ REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# � �
ELECTRICIAN `n�� COMPANY � �'� ' ; �/
SIGNATURE V�U REGISTERED / CURRE� Y/N
Address ,3� License# �C��d b/.i���
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 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit 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)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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.
uireciions: - •
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 57500)
" Agent(for the contractor)or Power of Attorney(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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIIITIES: 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 nvt 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
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT 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 fu�ther 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-cerk�cate 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
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'SIOWNER'S AFFIDAVIT: I certify that atl 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 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 prope�ties, 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 othe� 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 co�rection 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 NOTIC M CEMENT.
FLORIDA JURAT(F.S. 117.03)
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OWNER OR AGENT G�NTRACT
Subscribed and sworn to(or affirmed)before me this Subscn'Eed and to(or affirmed)before me this
by bY
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as idenNfication. as identificatfon.
�
Notary Publlc Notary Public
� . ,r;k�: �• JACQUEU BO(3ES
Commission No. Com ion N . ='�
� �pltee bs�mbel'12,�014
M9,�cr 60G�M7019
Name of Notary typed,printed or stamped Name of Notary
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TodaysGra hiCS Invoice
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lnur�in�i�f�, cnir a�ru�rih Date Invoice#
13634 US 98 Bypass �iivzoi2 36088
Dade City, Fl. 33525
Bill To
Internal Medicine of Pasco
P.O No Terms Project
Quantity Description
Rate Amount
1 Manufacture 10"channel letters reading°Internal Medicine"and 8"
"Of Pasco".All are illuminated with Led's and raceway mounted. 4,000.00 4,00O.00T
i Installation of Channel letters to building which includes connection
of electrical and all permitting required for installation. 1,000.00 1,00O.00T
7.00% 350.00
f'�('�G � �-�l�.�
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Fi�d us on:
face �
Tota I $5,350.00
Phone# Fax# E-mail
Web Site
352-518-0466 352-518-0468 Jo ce si b i.com
Y @ �S 3'�g facebook.com/TodaysGraphicsUSA
Payments $o.00
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• ' 2013014682
a�„��. �n�i�n ao �S-7 5-,2 J �L�13{) —OOC�4 t5—1�Q
��--� NOTICE OF GOMMENCEMENT
swte or ��0 4/ o R c��My af .�'J�SGC�
THE UNDER310NE0 hsreby givas notice thaf irry�rovemeM yy�yQ�de to certam real prapersy,and in accordancs�ith Ctwpte�7�3,Fiqrida Statutos,
the fotowinp iMomution is pmyided in thk Notks�Comn�ncam�t:
1. Deuription ai ProWnll' Parcal tdentiikatbn No...i.�' w�rJ"' 'v'�I "�(�/��Q"'Q C�10(��l° ��
s{,a.�,��� _ �8 6'c� G-'�aru, �3z u� .��..�.�,;, .�z �sy r
2. Ganaal C�scr)plion of ImprovertneM .��t'�r� �.J �V/ L 1,'��r► '�
3, Owner yr(ormatian or I.essaa'qrformatipn if the�essae coMtatted tpr[he�ovement:
s�o �} r M►A P S�ci a �. C .
35 ec�i ca� fi�;d2 C-� .� 335�$
aarkess
1r3iarest in Proparty: ��` State
Name o(Fee Simpb Titlehddur:
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Name
Address Rept:1491677 Rec: 10.00
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lrnder's Tekphono PIo.. C� 3Wte
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Sedlon 713.13(1)(a) Flohdp ShtW :
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ta receive a copy o1 Ma Lienor's Notice as providad in$action 713.13(7)(6),FlarMa Statutas.
Telephone Number M Persun ar HMhy Deslgnated by OYmst
9• Expiretion date of Notice M Com�r���nhe exprafion data may not be befora the canplet{nn of aonstruction and(irtal paymeM ta the
wntraetar,but y�Nl p,ana year ttom(hs date o1 recvrdu�y imlou a dlfarom dace is spueifiad)
WARN�N6 TO OU4NER: qNy pqy�EN7S MAt1E 9Y TNE OWNER AFTER THE EXPIR,qT�rjy pF THE NOTICE Qf COAdMENCEMENT
ARE CONSIDERED IMPROPER PRYh1EN7g UN6ER CHAPtER 7f3, PAR71, 6@CTION 713.13, FIORlpq g7qT�TE6, AN� CAN
RE$CL'fRDED AD PpSY'Ep pN 3'N�B SITE B�Fpqf T}{�Ery ST N3PE��qN R!f YOU IN7�E D O 08T�A N�F NAMLlNG,CONSU�
W1TH YOUR LENDER OR AN AT70RAlEY BEFORE C6MhfENC1lVG Y1+ORK OR RECORb�NG YOUR NOTIC:f OF(�MMENCEMENT
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STATE OF FLORI�A •
COUN7Y OF PASCQ
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