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Home My WebLink About13-14646 CITY OF ZEPHYRHILLS . 5335-8TH STREET (si3)�so-oo20 1 6 BUILDING PERMIT Permit Number: 14646 Address: 38021 MARKET SQUARE DR 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: 02-26-21-0010-04000-0050 Improv. Cost: 1,856.00 Date Issued: 10/18/2013 Name: HEALTH CARE REIT INC C/O CPAC Total Fees: 67.50 Address: 38021 MARKET SQUARE Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542 Date Paid: 10/18/2013 Phone: (813)780-1543 � Work Desc: INSTALL 1-6' WALL SIGN FLORIDA MEDICAL CLINIC & LOGO I I .5 � i t ELECTRICAL OUG - 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 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 fnancing,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 TRAC OR SIGNATURE PERMIT OFFI R P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: C �j� �C, Date Received: ��(��3 Site: ��CJIJ� � /f � S p�_ Permit Type: _ �,��l �;� !- � ��Yl��'e`�"/�C Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comm she s e kept with the permit and/ar plans. l `�y �� l � Kalvin S itze —Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) �,s-�du-uozu City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received l'��'-� �� Phone Contact for Permittin �3 )� __ l 7�vb Owner's Name �p cAL.,�l.��h;� Owner Phone Number Owner's Address 3.S"1�17QQ,�� ,�G�,, Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number �- Fee 3imple Titleholder Address JOB ADDRESS G �I ' �j � LOT# � SUBDIVISION PARCEL ID# (OBTAINED FO PROPERTY T�ncE)DEMOLISH M/ORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN INSTALL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK ,Y1� S�6-1'V L�ej�� 1 ` 1- L�+V lG � L..OS-� BUILDING SIZE � SQ FOOTAGE C� HEIGHT QBUILDING S VALUATION OF TOTAL CONSTRUCTION / .G'� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 QPLUMBING � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY �] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRER Y/N Address License# �- PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECNANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER �1""" v �, COMPANY iC �lJC-• SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N Address /9608� �:a'L �„ 3g License# �� 13G�.3�� 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,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisfonsAarge projects COMMERCIAL Attach(3)complete sets of 8uflding 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 FaciliHes 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consVucUon. *"••"�DM1fe�ctions: . " � Fill out appNcatlon comptetely. •�'��` � ' ' Owner 8�ontractor sigri back W appHcation,notarized '� . d; If a.ver s2500,a Notice ot Commencement is required. {A/C up�radea over 57500) v,�` " Agent(for dhe contractor)or Power of Attomey(for the owner)would be someone with noNarized letter frqm oamer authorizing same OVER THE COUNTER PERMITTING (Front of Applicatlon Only) ' Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/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 �estrictive 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 undenake 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 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. Fu�thermore, if the owner has hired a cont�actor 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 entitied to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 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 identifled 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 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 amendedj: 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'SlOWNER'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 compliance. Such agencles 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, Attering 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�II 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 prio� 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 pe�mit 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 YOUI2 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINT, CONSULT WITH Y UR LEN ER R AN ATTO Y BEFO E RECORDING Y U F FLORIDA JURAT(F.S. 11 �j�,��`�� OWNER OR AGENT CONTRACTOR � Sub�D�p�d swom (or aHirmed)before me this Subscribed and swom to(or affirmed)before me this by /2�0�.!' bY Who is/are petsonally own to me or son�lty known to me or has/hav Notary Pubtk St�a ot F� (��j��IUS� as Id tl N�Y P�k StaM �/ Gl N � as id •�; Patricia M Mott . . PrtrlCle M Mott My Commiallo�EEt�9043 � My Commbsion EE119043 �aa Expiros OB/2412015 �6�u�' r�,�_ •� �p h� Expiros OSM4/2015 . . �'Y� Yl''� •� Notary Public Commissfon No. Fy � �� p y 3 Commfssi No. �E �� 9�y 3 P+�-T/Z i C i/� � • ��^"YT ft72:c-�A !�l . YVL t 7 T Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Florida Medical Clinic Parcel ID # b2-2 Lo-2 I - CaC71�-�'�DCY� -o�5� Address ��t>� � �A,�,rsT' ��,ae.� Z6p�,�-,ejl.'LG�' F��i1�9 33S�a-- 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. C� Owners Signature Owner (.� ll e �n Cu�{-c 3�135 rv►a�� r ��,�, ,�1�,,1�s �L 33 S�r z- Print Owner's Name Owners a dress �o ��tLS, � 335�� Owner's City/State/Zip Code g13 � �o -87 � � Owner's Telephone Number Sworn to and subscribed before me this Iy� day ofC�c,�1�,2013 �o� � � � � Notary Public ROBIN A.McARTHUR ��-. NOTARY PUBLIC ;': STATE OF FLORIDA �=,,., 'e Comm#EE155651 `'` Expires 12/26/2015 �ob�n IA I�Y��,,.�r Print Notary's Name Notary Seal Legal Description � 02-26-21-0010-04000-0050 � Pasco County Property Appraiser Page 1 of 1 Mike Wells Pasco CaunN Propertv Anorasa Legal Description 02-26-21-0010-04000-0050 Assessed in Section 02,Township 26 South, Range 21 East of Pasco County, Florida ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 COM SW COR OF NWl/4 SEC TH NOODEG 13'24"W ALG W LN SEC 662 75 FT TH N89DEG 54'S1"E112.00 FT TO E BDY R/W US HWY 301 TH NOODEG 20'42"E ALG R/W 382.70 Ff FOR POB TH CONT NOODEG 20'42"E 200.00 Ff TH N89DEG 57'16"E 150.00 Ff THSOODEG 20'42"W 200.00 FT TH S89DEG 57'16"W 150.00 FT TO POB OR 8578 PG 2019 Please be advised that our legal descriptions are for assessment purposes only,and are not intended for use in lega!conveyances. http://www.appraiser.pascogov.com/search/parcel-legal.aspx?parce1=2126020010040000... 10/10/2013 C 13'-10 1/2" Stone veneer % B 6'-8 1/2" .... .. .... � Reverse � � channel 5 orl a ,e�e� ;� r � i- Reverse �: ; �� n channel ; : •Lengths e State profile � �.... .... la T'-1° i :a17'-9" � • Reverse :s�.o�� 1 n 1 C channel letters ....... ation• with Proposed Letters : . eral Notes: �� t Illuminated Channel Letters,&state profile. Reverse �p aluminum febricated�elters,de state. channel num faces&returns painted Dk.Bronze. (etters �re Illuminatad with White Leds.,for a °°°°�° �ffect.Backs are clear acrylic. .... ............ �re stud mouMed to stone veneer wall. � r supplies are remote. 20'-0" :o display UL label. cated Letters Sectior �n separate sheet — °—� i�•� ; ��- �I�'� _ , ' l��e� � � C�i� ' i , i , , , � , _, � , _ - ' � � , r.r� � � Presented By: dina Elevation: with Proposed Letters A�e�a� pe�►�eu� ant• or a e ca n c Locat on•�2t� J b r : hannel Lt . ate: -7-13 ca e• o � � m � o m � m � � D r r � � � � � a� � � � � � � 5•»' .� �' �' � � � -� `D m ,� '� � � N. � � � c� c� , u Q" �" � � � � n. � C � o. ,� � � � � � -p n = Cn Q � � o � _ � � � � � Q � �,�,1� � � � -� �. . � � � � � o . 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