HomeMy WebLinkAbout13-14645 , CITY OF ZEPHYRHILLS
5335-8TH STREET
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BUILDING PERMIT �
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Permit Number: 14645 Address: 36819 EILAND BLVD UNIT 1
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: 04-26-21-0000-00100-0060
Improv. Cost: 1,800.00
Date Issued: 10/18/2013 Name: BILL NYE REAL & SIMPLY THREE LL
Total Fees: 67.50 Address: 34619 SR 54
Amount Paid: 67.50 ZEPHYRHILLS FL 33541
Date Paid: 10/18/2013 Phone:
Work Desc: INSTALLATION 12' FLORIDA MEDICAL CENTER�
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ELECTRICAL ROUGH
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 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 properiy 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,wnsult 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.
NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� �,�-�au-uozu City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Cothact for Permfttin �, . _7
�–i`<
Owner's Name /• }C,A� �L,�1J�G Owner Phone Number
Owner's Address 3�'13S/s'lA.ek�sT SQu�a,4� �,o�yry,�;� p�er Phone Number —1
Fee Simple Titleholder Name Wl� Owner Phone Number �
Fee Sfmple Titleholder Address —
JOB ADDRESS �o�I9 E�LQN.� BLVD. � ',e�yi,G�CS LOT# ��
SUBDIVISION PARCEL ID# G���,Ea pZf-dODD' OO�OO'U�D
(OBTAINED FROM PROPERTY TAX NOTICE)
MVORK PROPOSED e NEW CONSTR 8 ADD/AL7 [—� SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTIUN OF WORK 'T �
•Q io�/ t.v�l.�.l�Tr��e.s �a''Fzo�eip„ �r�o�c,e L cc..��,t c�,
BUILDiNG SIZE SQ FOOTAGE�� HEIGHT
QBUILDING � f8Vv pJ�o VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING a ��� ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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# �—
IVIECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - '' License# �
OTHER / � � � COMPANY G { C/i'c> � .�V1C�
SIGNATURE ���� REGISTEREO Y/ N FEE CURRE� Y/N
Address k/ � � C- .�.�. 3y(�,� License# �'i�.3� f 7�
RESIDFNTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities 8 1 dumpster;Site Work Permlt for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buflding 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,Constructfon 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 consVuction.
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� irec idns• � ,'°'�-, '
'F���' ir� t� .. °., : �� ��
' s n �o appllcaHon,notarized •• ''� ��
If o�ek• „�;�,e�tic� encement is required. (AlC upgradea over 57500) i ���„� .y
" `"°�''''`"/tgerSt(for the� r 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 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 mo�e restrictive than County regulations. The undersigned assumes responsibility fo�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 �ccordance with state and local regulations. If the
contractor is not licensed as requi�ed by law, both the owner and contractor may be cited for a misdem�anpopyiolation
under state law. If the owner or intended contractor are unce�tain 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 contracto�(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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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 spec�ed 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 occupa�cy" 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 appilcable Pasco County ordinances.
CONSTRUCTION LtEN LAW(Chapter 713, Florida Statutes�as amended): (f valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Flo�ida Consuuction 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 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 compUance. 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 Envi�onmental 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 properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots 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 eodes. 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 fo� a period not to exceed ninety (90) days and will demonstrate
jusiifiable cause for the extension. If work ceases for ninet�r(90�censecutive 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, CONSULT
WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YO OTI
FLORIDA JURAT(F.S. 117
OWNER OR AGENT CONTRACTOR
Subscrl ed and swom to(or affl bed and sworn to(or aiflrmed)before me this
by �'� Nw auai a Flo' . by
Who is/are�persvnally known to m o I e IMMRM N�ott �Nho lare personally known to me or has/ha p �ry q,eik�a F�
DIEIVB�Ql'G[(�6�5'd s �tl !C���^EE119W3 e s G 'f NSfc as Id � � V�Mids M MoM
«w xv�►••oenar�o,a � j w�E�++�
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�Gt�.�.�.G+..w-����e� Notary Public ��"G`�Y� � Notary Public
Commission No. /�
�E � r 90 43 Commission No.�� � ��6 4 3
�/\'7�-�Uit ✓►'� � I^'�b`''7 Y>4'72f c.i�k � ' M a�
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�_� _�
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
.
Contractor/Homeowner: � �/ f ��C
Date Received: �a� �(�—�
Site: �� �C��7 .�/ /C�`�G� �J l�� G�'l�t���
Permit Type: `5�,� ���/ �'Z 1
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall b kept with the permit and/or plans.
; � /�,- i�
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Kalvin S itze�—P s Examiner Date Contractor andlor Homeowner
(Required when comments are present)
�
Florida Medical Clinic
Parcel ID # � - ��-�J -(� p � - p 0 - 00�0
Address � R` /� _/ �►iv D �1 vn. 7�'pt,�Y-�°�hlr�Ll.S, �L
To whom it may concern:
As the owner of the above referenced property, I hereby authorize CB
Sign Service to apply for permits and to install signage at this property.
Owners Signature Owner
llerr� �,c. {� �� 3 s rvv�.. r�f -u��
Print Owner's Name Owners a dress
�-,'l�S� 1� 3 3 S�l Z.
Owner's ity/State/Zip Code
g(3 ��l�- � 7� �-1
Owner's Telephone Number
Sworn to and subscribed before me this /y� day of ,2013
�a�' � ` '��
N�t`� Pubil�•i A�:�5it1` kL�dIN A.MIeH€3fiHUR
�'���: NUTARY PUBUC
�� -�STATE OF FLORIDA
'� , Comm#EE155651
Expires 12/26/2015
_�A6 i n � �N�4,-�4,� ,-
Print Notary's Name Notary Seal
Legal Description � 04-26-21-0000-00100-0060 � Pasco County Property Appraiser Page 1 of 1
Mik@ W@IIS PascoCountvPraoertvMoraser
Legai Description
04-26-21-0000-00100-0060
Assessed in Section 04,Township 26 South, Range 21 East
of Pasco County, Florida
COM AT SW COR OF SE1/4 OF SE1/4 OF SEC 4 TH NO2DEG 34'22"E A�G WEST BDY OF SE1/4 OF
SE1/4 523.24 Ff TH S89DEG 51' S3"E 40.39 Ff TO PT ON EASTBDY OF PARCEL DESC IN OR 4515
PG 408 FOR POB TH S89DEG 51'S3"E 333.89 FT TH S70DEG 36'40"E 152.10 FT TH S56'36'28"E
308.69 Ff TH S57DEG 35'39"E149.75 Ff TH SOODEG 06'13"W 84.00 Ff TO NORTH R/W LN OF
EILAND BLVD TH N89DEG 53'30"W ALG SAID NORTH R/W LN g76.67 FT TO EAST R/W LN OF
SIMONS RDTH NO2DEG 17'00"E 384.09 FT TO POB; EXC PARCEL 2 AS DESC IN OR 8872 PG 2585
&EXC PARCEL DESC IN OR 8872 PG 2587 SUBJECT TO DRAINAGE EASEMENTPER OR 8872 PG
2590 OR 7082 PG 1183
Please be advised that our legal descriptions are for assessment purposes only,and are not
intended for use in legal conveyances.
http://www.appraiser.pascogov.com/search/parcel-legal.aspx?parce1=2126040000001000... 10/10/2013
17'-9"
Elevation: with Proposed New Letters General S�ecifications:
Illuminated Face Lit Channel Lettei
Letters are Aluminum fabricated.
Faces are flat Acrylic, color Red, v
20'-O�� Red 1"trimcap. Return color is Brc
Letters are illuminated using Red L
modules. Power supplies are remc
Ali items flush mounted to stucco
over plywood wall. 120 v. 20 a circ�
required; provided by others.
, 5��
� Aluminum fabricated ��
FLORIDA MEDICAL CLINIC �1e���1e�.
Acrylic —►
trimcap faces.
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. 1l8"stucco over metal lathe -
I lathe,8'h"grade e�ior
— ' I - - plywood sheathfng..
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Presented By:
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