HomeMy WebLinkAbout13-14651 CITY OF ZEPHYRHILLS
' "° � 5335-8111 SIREET `�
(si3)�so-oo20 14651
BUILDING PERMIT
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Permit Number: 14651 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: 1,056.85
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: WALL SIGN URGENT CARE
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ELECTRICAL R UGH
FINAL a r -� ��
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 t) 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 Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-�nu-uuzu ��,,,� City of Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received Cr�— � l� _
� �� Phone Contact for Pennittin
Owner's Name �Q yl( ' j�j,1`j�('� Owner Phone Number
OvNner's Address 38135 l�NQ,ek3�e� V,d Q� Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS �� � ` � 1 � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
MIORK PROPOSED B NEW CONSTR 8 ADD/ALT �_] SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK [� FRAME [� STEEL [�
DESCRIPTIUN OF WORK T�S'[',QZG�'(1G� DF Sl`� �f — �
BUILDING SIZE SQ FOOTAGE C� HEIGHT
QBUILDING $
/iOScli.�� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING a
MECHANICAL �jE � ����
� $ VALUATION OF MECHANICAL INSTALLATION ,t-�
[�GAS Q ROOFING Q SPECIALTY C] 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 CURRE� Y/N
Address �
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— —�
AAECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
.--•,
Address ' License# �
OTHER � COMPAHY s� p'' G
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address / (p p 3 $� �icense# E��3o c731�a �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pe►mit for new construction,
Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilftles 8 1 dumpster,Site Work Permit for subdivisionsAarge 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 submittai date. Requ(red onsite,Construction Plans,Stormwater Ptans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMI7 Attach(2)sets of Engineered Plans.
�..���,�.-•.. - , _ ;",'P.FtQPE�T.Y,�URVEY required for all NEW constructlon.
',� � �rr��n���rrre��„y��.����.��■�...� , i aaiaua
� DireCtlon�, e,,�� �N� r � ��
'.e .�Il6vyt�AF�v4►I+G�n! I, y� �
� Owr1eC�C��aatot slg�a elF o�applicaHon,notarized "" "` � `
'��"• ""'nl�over SZ500,a Notfce,of Caminencement Is requlred. (AJ�'upgrades over;7500) �
'" Agent(for the contractor)or Power of Attomey(for the owner)vi!ould be someone with notartted.letter,�olf�owner authorizing same
OVER THE COUNTER PERMtTT'ING (Front of Appllcation Only) '
Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTION Coune u egulat9ons. The undersign d a'ssumest resp nsibilbty for c mpl a^nce tw th any
which may be more restnctroe t tY
applicable deed restrictions.
UNLICENSED CONTRAC�TORheA ma beNequ�ired o be IEf ensedsi BacicoEdance th st te and locale egulations c Ifrthe
contractors to undertake w , Y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vif�lat{he
under state law. If the odv sed toncontact the Pasc�o Counry Bui�lding inspectivni D v sjion—L cens ngtSection at727-847-
intended work, they are a
he is advised to have the contractor(s) sign
8009. Furthermore, if the owner has hired a contractor or contractors,
portions of the "contractor Block° of this application for which they will be responsible. If you, as the ow1e�esgn Pasco
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p 9
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uction 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 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 invofve a certificate of occupancy or
��
if Pasco County WaterlSewer Impac
final power release, the fees must be paid prior to permit issuance. Furthermore,
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 "Flo�ida Construction Lien Law—Homeowner's
Protection Guide" preparsd by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", 1 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 ce�tify that all the information in this applicatfon 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 ce�tify 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 regulatioos, 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 A�eas 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 Se�vices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following�estrictions 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 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 other installations not specifically included in the application. A
permit issued shall be cons�he echnical codesenor shall ssua'ncehof a pe mitp event the Bu ding Officeal from therteafter
set aside any provisions of
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invali
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 Bui�ding 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 T't`� �7WN�R: YOUR EN'TS TO YOOUR PROP RT1f.TIF YOU INTEND TO OBTAINnFINANC NG, CONSUL7
PAYING TWICE FOR IMPROVEM Nr.
WITH YO R LENDER R AN ATTOR EY FO E RECORDING Y U NOTI
FLORIDA JURAT(F S. 117.0
OWNER OR AGENT CONTRACTOR
Substx�ed and to(or aflirmed)before �k����
Subscrf ed and swom to(or affirmed) efore me this �o«��by
by o Is/a personaHyJcnown to me ar haslhav '��M�
Who is/are personally known to me or has/h � as� M�r Comnf�Mon EEt t�ota
,�//e%��K GIG6i�Fac as Identlfi tlor�" Nofary Publk Sho�of FbAd� N Expns MlZW20�S
t
;P , Patrkk;ia M Mc+ft //''��
° � My CortunbNon EE71�
; �----• , d� p oen4rtot5 � ��.yv�— Notary Public
;Gi ��zc.Gc..t�c.i�•
�� I� cr�/��i Commission No. �� � � q °N 3
Commissfon No. �
PA'7K-i c�`f� � • 1''tiLQ'r'T ,4--t2:C��+- iM- ✓ti'�d7-C
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
,�..e ..._.,..,����.,�.
Florida Medical Clinic
Parcel ID # [2 -Z(o -Z I- Q'�1� -C��foo�- �o��
Address 3 8�0�.! ��a�e,�sr �r�e.�.s,�_�-,�,otl:�l t t�i,�� 33.�'�ra--
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 Signa Owner
!�e�►� �c 3�8l 3 S �t.t�c✓1� � u�-� Z�� r�-/ls �
Print Owner's Name Owners address 3 3 S�l 2�
�—CQh��lu'Ils, � 3 3 s�-l2�
Owner's City/State/Zip Code
�►3 ��o -8���-1
Owner's Telephone Number
Sworn to and subscribed before me this �y� day ofC�,�o��,2013
�� ����
Not Publi� �QB1N"'.�"�''""�"`�R
� NOTARY PUBLIC
STATE OF FLORIDA
' , Comm#EE155651
Expires 12/26/2015
�ok�n ►� 1(Y��4 ,-
Print Notary's Name Notary Seal
t.��
Legal Description � 02-26-21-0010-04000-0050 � Pasco County Property Appraiser Page 1 of 1
Mike Wells PaecoCauntvPraaertvAmraser
Legai Description
oi-Ze-Zi-ooiaoa000-ooso
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 NW1/4 SEC TH NOODEG
13'24"W ALG W LN SEC 662.75 FT TH N89DEG 54'S1"E112.00 Ff 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 FT TH N89DEG
57'16"E 150.00 FT THSOODEG 20'42"W 200.00 FT TH S89DEG 57'16"W 150.00 Ff 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 legal conveyances.
http://www.appraiser.pascogov.com/search/parcel-legal.aspx?parce1=2126020010040000... 10/10/2013
- � ��� ��
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� S/ S ���
Date Received: ��—f� —/�
s�te: -�� /�1�,���`` �' . 1�,�—
Permit Type: G�/'�l ( �i;�'1 (�fA'��°I����
Approved w/no comments:Lly� Approved w/the below comments: ❑ Denied w/the below comments: ❑
N
This comment sheet hall b�,kept with the permit and/or plans.
�
��� ���� ��
Kalv n Switzer s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
5"
19'-4" Aluminum fabricated r---►I
channel letters
to be remounted
in new location,
see Buiiding below.
Blue Acrylic Wa��j
trimcap faces. with c
conn�
� powe�
housE
Elevation: with Relocated Letters appra
Aluminum fabr�cated channel letters
to be remounted in new location. LED.,i
Faces are flat Blue Acrylic with 1"trimcap. 1/4"stucco with house
Cross or t face 1s red. lathe, �3/4"Exterior �xes,
Internal LEDS.for illumination. plywood backing.
Power supplies a�e remote.
• End View: Relocated Lette
—T –'-�. ��"
i ;��� ' __ i
1������ �
��` _ �
� Illuminated Letters 8 state
_� ; proflle, see on separate sheet.
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a
in�Elevation: with Proposed Relocated Letters
Presented By:
E���1"�it`RD �e�'Q�#�1
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