HomeMy WebLinkAbout13-13938 Y
CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-ooza 13938
� • BUILDING PERMIT
Permit Number: 13938 Address: 7010 GALL BLVD
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-12100-0030
Improv. Cost: 7,500.00
Date Issued: 3/04/2013 Name: FLORIDA HOSPITAL ZEPHYRHILLS INC
Total Fees: 75.00 Address: 7050 GALL BLVD
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33541-1347
Date Paid: 3/04/2013 Phone:
Work Desc: DEMOLITION OF BILLBOARD SIGN 10'6 X 36'
L a 75.
_
A
�� �l
,�
.
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 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
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
O TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii�iiii iiii iiii
2013038571
1\'OTICE UF C�MMENCEMENT Rcp!:15@ 1425 Rec: 10.00
Perrni#No DS: 0.00 IT: 0.00
03/04/13 K. Garcia, Dpty Clerk
PropertyIdentificatianNo.�3s as a�"����--/a/()(, -(��,3�
THE UNDERSIGNED hereby gives notice that improvements wi1I be made to certain real property,and in accordance with Seciion
713.13 of the Florida Statutes,the following informatian is provided in the NOTICE OF COMME1�iCEMENT.
1. Description of praperty(tegal descriptzan:) (.l � (/�CT U t
a) Street Address: U
2. General descnption of improvements
O c�/= A �> �o� �
3. Owner Information
a) Name and address: � G.=f} .� - -
U) Natne and address of fee simple titleholder(if other than owner)� � ° ,. �/ �1��/�
c) Interest in property L�,�_�,�. " '/_ Z�� ���
� 4 Contractor Infarmation ,
a) Name and address: ��t � B Clit ��Q N W �7 C'f `�L i G.h,�� �l. �j 3� co b
b} Telephone No,:_7�7- S��' - ��.�- '� Fax No {Opt.}
5, Surety Information
a) Name and address: k,.} ',�
b} Amount of Bond: ;ti; .�i-
c) Telephone No.: Fax No.(Opt.)
6 Lender
a) Name and address: h.}�
7 Identity of person within the State of�'lorida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) 'I'eicphone No.: Fax No.(Qpt.)
8. In addition to himself,owner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section
713.13(I)(b),Fiorida Statutes: • Y lf � C�P�+t�
a) Name and address: �'CS � - �,�,fGr
b) Telephone No.: �� - 571 � a��`'� Fax No.(C7Pt.} 3,j)60
9. Expiratinn date of`Notice of Cornmencement(ihe expiration dafe is one year fram the date of recording unless a different date is
specified):
V4'ARNING TO�W�ER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIQN OF THE NOTICE OF
COMMENCEMENT ARE CaNSIDERED IMPROPER PAYMENTS UNDER CHAPTER'713,PART 1,SECTI�N 713.13,
FLORTDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FQR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED A2tiD PQSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTIt�N.IF YOU INTEND TO QBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF CO1t�I 'r,
STATF,OF FI,ORIDA
COL'ri'TY OP PASCO .
Signature OF Own or QHmer's t�uthorized OfficerlD'uector/Pazmer/lvianager
��Tr�rn �;' ' tie ` �
rru�c Namc
Tlye fq;egpi�ng i�lstrumet t was acknowledged before me this�day of� /L _ Zp� �Y '���� � o I 1 �'
�t- � • � /�
� -- -- {ty e of authority,e.g.officer,trustee,attorney in fact)for
--.-- � � d' �, (name of party on 6ehalf of whom instrument was execut ).
Nersona!]y Known �012 Produced Identi�cation _� I��tary Signature � '
Type of Identification Produced_ _ Name(prini). —
� l�/�
Verification pursuant to Section 92.525,Florida Statutes.Under penaltie of pe �u , declare that 1 ave read the foregoing and that the facts stated
in it are true to the best of my knowletlge and belief.
FORM5/NOC,rvsd2007
�"'�., aNre of Na on Sig�ing Abovc
;��•"ry�;_ JANINE E.AI.LEN
=.: r_ MY COMMISSION�t EE 181891
:;•., o: EXPIRES:March 21,2016
'i�;��M�'�� BondedThruNotaryPudiclhderv�rite�s PqULA S 0'NEIL Ph D PRSCO CLERK & COMPTROLLEF
030R4BK3 ���� PG�f1885
Buflding DepaRment
Date Received Phone Contact for Permitting �I --
� � � � � � i � / - -- rr
Owner's Name V f� /� Owner Phone Number
Owner's Address ssr � �� wll W � (0�Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O V � G y /L I/( LOT# �
SUBDIVISION PARCELID# �5�����40���� OQ-� Vy3�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK � FR.4ME � STEEL �
DESCRIPTION OF WORK ll�I O� , I ' V T (p ) S,)�p
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION 8 ����U
�ELECTRICAL g AMP SERVICE � PROGRESS ENERGY � W R.E.C.
�PIUMBiNG $
�MECHANICAL g VALUATION OF MECHANICAL INSTALLATION
OGAS � ROOFING 0 SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER, '" COMPANY• �. � I�. �l �4f`.� DLt J�,�r "��
SIGNATURE �"� � � ��, REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
ELECTRICIAN COMPANY -�
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGIS7ERED 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#
1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 1 1
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 subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence mstalled,
Sanitary Facilities&t dumpster.Site Work Permit for all new pro�ects All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
D�rections:•
Fdt out appbwtion completely
Owner&Contractor sign back of application,notanzed
If over$2500,a No[ice of Commencement is required. (A!C upgrades over$7500)
" Agent(for[he conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authonzing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs rf shmgles Sewers Sernce Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubhc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'
whith may be more resUictive tfian County regulations. The undersigned assumes responsibility for campliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISILITIES: If the owner has hired a conuactor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
conhactor is not licensed as required by law, bofh the owner and contractor may be cited for a misdemeanor violation
under state law. It lfie rnmer or intended coMractor are uncertain as to what licensing requirements may apply for the
iMended work,they are advised to contact the Pasco County Building InspecGon DiviSior�Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conuactor(s) slgn
portions of the'contractor Block'of this application for which they witl be responsible. If you,as the awner sign as the
oontrdctor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION 1MPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Trdnsportation 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 idendfied at the time of
pertnitting. It is further understood that Transporta6on Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate ot occupancy'or finat 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 wiih applicable Pasco County ordinances.
CQNSTRUCTfON LIEN LAW(Chapber 713,F[o�ida Statutes,as amended): If valuation of work is 52,500.00 or more,l
certity that I, the applicant, have been provided with a copy of the 'Fbrida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Fbrida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner,i cer0fy that t have obtained a copy of the above described document and promise in good faith to
dellver it to the"owner'prior to commencement
CONTRACTOR'SlOWNER'S AFFIDAVIT• I certify that all the infortnaGon in this application is accurate and that all work
will be done i�compliance with all appficable laws regulating construction,zoning and land development Appliqtion is
hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or i�stallation has
commertoed prior to issuance of a permit and that aIl work will be perFomied to meet standards of all laws regulating
conshvction, Counly and Ciry codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my respons�'bility to identify what actions I must take to be in compliance. Such agencies indude but are not limited to:
- Department of Environmental Probection-Cypress Bayheads,Wetland Areas and Environmentally Sensi6ve
Lands,WaterNVastewater Treatment.
- Southwest Ftorida Water Management District-Wells, Cypress Bayheads, Wetland Areas. Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Departrnent of Health & Rehabititative Services/Environmental HeaRh Unit-Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protec6on Agenq-Asbestas abatement.
- Federal Aviadon Authority-Rurnvays.
I understand that the following restridions appy to the use of fill:
- Use of fill is not allowed in Flood Zone"V'unless expressly permitted.
- If the fitl maberial 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 Fbrida.
- If the fi11 material is to be used in Ffood Zone"A" in connection with a pertnitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If filI material is to be used in any area, I certify that use of such fill wilt not adversely affect adjacent
properGes. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the oonditions of the building permit issued under the attached pertnit appfication,for lots less than one{1)
acre which are elevated by fil,an engineered drainage plan is required.
If I am the AGENT FOR 7HE OWNER, I promise in good taith to inform the owner of the pertnitting conditions set forth in
this affidavit pnor to commencing construction. I understand that a separate pertnit may be required for elecVical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifiqlly included in the application. A
pertnit issued shalt 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
requi�ng a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
untess 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 eutension
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 e ion. If work ceases for ninety(90)consecuUve days,the job is considered abandoned.
WARNING TO : YO FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWI F R PRO ME TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOU N R R AN NEY BEF RE RECORDING YOUR NOT CE OF COMMENCEMENT.
�oRtDn.N (F.s. ) .
OVYNER OR AG GONTRACTOR / � .
Su sxom to r affirmed)betoro me this Subsmbed and swom to(o an ed) me s ���j/3
����y '� a/i� 6��D�i� by
o is/are rsonal known tarnQ'Ohqasfhave producetl Wha islaro personaly knawn to me or hasThave produced
_� , as W fntifiption. �'� as Identitkation.
` �^-'�'�" Noqry Pubtie 6 ���;��"`� Nomry Publie
C ission N mi i o.
;�ti �;; JIWINE E.AL1EN
Name of Npta 91 Nart�e oi Noqry lyped,pnnted or sWmped
,;�, - I ES:March 21,2016 �*':�"'.'•, JANINE E.Al1EN
Pf�R�,•� ��mN Notary Public Undenvriters :'•� �:' MY COMMISSION k EE 181891
�:��d' EXPIRES:March 21,2016
%�;pf��,g`�'�' Bonded Thru Notary PuWic Urdenwiters
projs�t p�scMptbn Takedown Skucture
MOP/ Qwnhun 1� From Printsd Requtrod MOP Typs Authaiz�d By Lsase�
MOOt6318 Tom O'Naill 01/31/2013 3/25I2013 414 05367-00
�e; asca mncorpora
Media RepoR Work
StrucWre J Panel Product Typo Market Route ILL OMer
10784/018178 US 301 ES 3mi WO SR 54 FM-1 Builetin '!6016 9 16 Panel
10784/016179 US 301 ES 3mi NIO SR 54 FJS-2 Bulletin 16016 9 18 Panel
DiaQram � Ovm�r Psmdssion ❑ PHority: N
Lease terminated by new landowner. Structure must be removed no later than 3/25/13.email sent on
1-31-13 intemaliy to charting, FM,GM, SM, and OM.
Estimated remaval t$7,500.00:�Demo permit required through City of Zephryhills, contractor WiBiam
Hull. �.�—�''
C
App Date� ���C mpleted By Date
Fusion Quattro�Key Systems 2013-Central Standard Time Page 1 of 1
Bobbie Swetland
From: Allen, Jan [JanAllen@clearchannel.com]
Sent: Friday, February 22, 2013 2:29 PM
To: Bobbie Swetland
Subject: Contractor Registration and Billboard DEMO permit
Attachments: 20120905140404324.pdf; Zephyrhills DEMO Permit.pdf
Good afternoon Ms. Swetland:
Thank you for speaking with us earlier this week regarding our removal of our billboard sign. I have attached our
contractor State License, authorization form and permit application for the removal of our sign structure. I am aware of
the$75.00 fee associated with the DEMO and understand that this can be processed at the counter upon submittal.
Please advise if there is any further information needed prior to my visit to your building department for said permit.
Should you need to reach me by phone, my direct number is 727-299-2471.
Thanks very much.
���"{�17f1G'� C?L:tC�t��r
Jan Allen
Sr Real Estate/Public Affairs Representative
5555 Ulmerton Road
C�earwater,FL 33760
O 727.571.2224 e�ct.2058
F 727.561.9094
clearchanneloutdoor.com
Unless expressly stated otherwise�the intormation contained in this e-mail and any attachments is confidential and may be privileged.It is intended for the sole
use ot the addressee(c).Access to this e-mail antl its attachments(if any)by anyone else is unauthorized.If you are not the intentled recipient,or an employee or
agent■esponsible for delivering this message to the intended recipient,any qi5semination,dictribution w copying of the contents of this e-mail is strictly prohibited
and any action taken(or not taken)in reliance on it is unauthorized and may be unlawful.If you have received this e-mail in errar�please inform the sender
immediately and dclete it irom your computcr
1
�
LEASE TE�INATION
COME NOW the Parties, A B M M INC. ("Landlord") and CLEAR CHANNEL
Ot7TDOOR,INC.,a Delaware corporatiob("TenanY�.
RECITALS
WHEREAS, Landlord has an addirive billboard lease agreement with Tenant, referred to
by Tenant as Lease Agreement No. S3G7, for the lease of billbvard property on Pasco Cauuty
Praperty Appraiser's Tax ID No. 35-25-21-0010-12100-0030, which parcel of real property is
located on U.S.Highway 301 in unincorporated Pasco County; and
WHEREAS, Landlord has advised Tenant that Landlord is selling the subject parcel of
property, and has requested Tenant, pursvant to the tezms of the lease,to confirm termination of
the lease term and removal of the subject billboazd;and
WHEREAS,Tenant is agreeable to removal of the billboard and termination of the lease
na later than ninety(90)days after transfer by Landlord to its purchaser,FLORIDA HOSPITAL,
on the terms and canditions contained herein.
NOW,THEREFORE,the Pazties hereto agre�as follows:
1. That Landlord shatl provide a copy of the dee�of the property subject to xhe lease
agreement to Tenant and immediately after closing of the purchase transaction with Florida
Hospital;
2. Tenant agrees that the lease shall be terminated no Iater fhan ninety(90)tlays after the
closing ot'the purchase transaction with Florida Hospital.
1
3. The Parties acknowledge that Tenant is the owner of tb.e fucture conn�tions,
electrical supply connections, panels, signs, copy and the equipment and accessaries placed on
the leased property (collectively, the "Structures"). Tenant may remove the Structiues if it so
desires, within ninety (4Q) days aftcr ciosing of the purchase agreement transaction between
Landlord and Flarida Hospital. Such removal, if desired by Tenant, shall be at Tenan.t's sole
cost and expense. In the event that Tena.nt dces not elect to remove the Struchues within such
ninety (9(}) day period, Florida Hospital or its designees may remove same, with no further
claim,therefore, fram Tenant.
IN WITNES�S�V��OF,the Parties have hereto set their hands aud seals this ��day
� ?
of ` �l/ �` , 2012.
1 Signatures to Follow/
W�lclientU.�1ABMM(lrlorids Hoapitai 5ale)iLEASE'TBRMINATION.docx
2
Witnesses: A B M M INC.,
! / ��/� G
�
'nt Name: � .�� By: Andcea Nye
Its: President
`' •••.—� F•_�y,�
����,�,''"%:?` j�
y ,>� . �__...�
< nn am �� ��t,�-� �i
r�� ��
,
,
�
�
i
�
�
STATE O FLORI�A�'`
'� � ,��.�--
Y OF
1 HEI2EBY CERTIFY that on this ��� day of ��-�.��u �^-�d , 2012, befare me
personally appeared Andea Nye, as President of A B M M INC., who is personally known to me, or who
produced a Florida Driver's License as identification.
WITNESS my signature and official seal in the County and State last aforesaid, the day and year
last aforesaid.
�y ,�r ..- �._..
My Commission Expiradon �f ,j
and Com.mission Number: ;` 'nt N e
1
r
!
Notary ubiic—State of Flarida
� �;'..rr .`_""""'.--.-..�,..�,,...,..........:...�.......„,
_',•: .µ .f;�)i,.)Cat_>.. J
����, c++.���� .,�-;�^w f'� i,
f;, � (�R .�t? �'.;,�
:<<..Sj' :^�,. .Y f�C'%�.�i:;;';^��;.rJ
':�'::fi:a,� #'£'���%7:�T2
�':iii-"�i:wF�`,fuh�' �
�-C,�rt,';;,;::�;s:< �7.7.�i'€S
,,,, ,,,,,,,,,,,,,......r�C/iN6hNe�.4r,y7
""°'""e.+.....
3
Witnesses: CLEAR CHANNEL OUTDOOR,LLC,
a Del ware corporation
! +
Print arr► :�_�c t� BY: � �� e-' ,
Its: ...� t F ,.,(� u�tt��vcr�.
_------------
Print ""(���irv►►el C���7�'n-
.
STATE OF �! ��� ,_._
COUNTY OF j � �r �
�U!3--
I HEREBY CERTTFY that on � day of � ,_, 2�'I'�before me
personally appeared > ru►�� of CLEAR CI�f��NNEL OUTDOOR, LLC, who is
personally Irnown to me,ar who produced a Florida Driver's License as identification.
WiTNESS my signature and official seal in the County and Sta.te last aforesaid, the day and year
last afore�id.
t /�"l� t N(c //
My Commissian Expiration �J ` � �� 1`7!!��
and Commission Number: Print Name � �C���.�.
Notary Pu ' -State of Florida
'� ,u�a��.AU.ia+
AIYCQAM�S910Mt ff 181�1
EXPIf�S;Meod►21,2018
Brndedtlru NofayP�A1c11nd�w�Ms
a