HomeMy WebLinkAbout13-14722 , > CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 14722
BUILDING PERMIT
Permit Number: 14722 Address: 36819 EILAND BLVD UNIT 1
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: MONUMENT 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: 2,485.00
Date Issued: 11/22/2013 Name: BILL NYE REAL 8� SIMPLY THREE LL
Total Fees: 75.00 Address: 34619 SR 54
Amount Paid: 75.00 ZEPHYRHILLS FL 33541
Date Paid: 11/22/2013 Phone:
Work Desc: INSTALLATION MONUMENT 15' SIGN
75.
/
�
F'
ELECTRICAL ROU H �
FINAL ��Z• ��
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) oondemned 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 f) 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ONT CTOR SIGNATURE PERMIT OFFI R
PERMIT 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: � � �( ���
Date Received: � j�—Z�—��
Site: �J b �� 1 �� l�� IJ! U�
Permit Type: �'j(�� � �� �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
/��i`-/
Kalvi " itzer— lans E iner Date Contractor and/or Homeowner
(Required when comments are present)
a's-�tlauul° City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ,_2 � 2
`� _ Phone Contact fo�Permittin �/ � __ �
Owner's Name . ` �
Owner Phone Number
Owner's Addresa !3� yv�„���a,�b
61�� Ow�er Phone Number
Fee Slmple Titleholder Name
Owner Phone Number
Fee Sirr�ple Titleholder Addrosa
JOB ADDRESS 3�o�/ �J' �i(„„d LV ��
.' r - 04 �oT�
SUBDIVISION PARCEL ID�I� � - -
-0000 - aoroo - 6
1MORK PROPOSED e (OBTAINED FROM PROPERTY TAl(NOTICE)
NEW CONSTR ADD/ALT C� SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK � � �S-/ ��
O.H. wt SI b•ru
BUILDING SIZE SQ FOOTAGE C� �
HEIGHT
QBUILDING a
�yBS(rD VALUATION OF TOTAL CONSTRUCTION �
[�]ELECTRICAL a AMP SERVICE
Q PROGRESS ENERGY [� W.R.E.0
OPLUMBING a
(�✓���
OMECHANICAL a VALUATION OF MECHANICAL IN �
STAIUTION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
ELECTRICIAN
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURREP Y/N
Address �
License#
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
Llcense# �—
OTHER �bMPANY G Q s j(�,.JJ S' �,
31GRIATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address j .3 (�3 g` License# E �
� G/� a03 �70
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Fortns;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 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 submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for atl new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out applicaBon completely.
Ovmer 8 Contractor sign back of application,notarized
If over 52500,a Nottce of Commencement fa required. (A/C upgrades over 57500)
♦• � .. ..�Hy�nwy•...:+�
Agent(for the contractor)or Power of Attomey(for the owner)would be someon�witti notarize�e r f�o��owner
OVER THE COUNTER PERMITTING (Front of Applfcation Only) ' '' " �� �� "���A9 same
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvAy/Footage) �.","�"` "� " �..�,'* �
Driveways-Not over Counter if on public roadways..needs ROW . . �',•�° � ` '•�'�"R•��,y:���
��� . � ., ,..- , . . ., , �"' ' - r . . :a vw*�,°^,�,'•�'
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NOTICE OF DEED RESTRICTIONS: The undersignes The undersigned a'ssu�mes sp nsibiliry for compi ance w'th any
which may be mo�e restrictive than County regulation
applicable deed restrictions.
UNLICENSED CONTRACTORS In►ND CONTRAe�TOR e E e��edsiBaLccoEdancef th s ate and local egulationsc Ifrthe
contractors to undertake work, they may be req � for the
contractor is not licensed as required by law, bot�h��thare uncerta n asnto whatr licensingte qui em n'ts may apP Yto`847-
under state law. If the owner or intended contra Building Inspection Division—Licensing Section at 727
intended work, they are advised to contact the Pasco County
8009. Furthermore, if the owner has hired�cationtfor wh ch theyrwi I�be espo�s bleelftyoua s the ownea sign assthe
portions of the "contractor Block" of this app i rivileges in Pasco
contractor, that may be an indication that he is not property licensed and is not entitled to permitting p
County.
TRANSPORTATION IMPACTIUTILITIES IMPACe A�ND R eeOmRy ap ECOVh R onstrustion of neweb 9de gsnchangand
that Transportation tmpact Fees and Recourse R rY
use in existing buildings, or expansion of existingrstand's9that such fees,'asPmay be due, w Itdbe dentified at he tme of
90-07, as amended. The undersigned also unde
permitting. It is further understood that TranspoWer�eleaseaClf the projecRdoesrnoRnvolve a certificatetof occ pancy o�
receiving a "ce�tificate of occupancy or final po
if Pasco County Water/Sewer Impac
final power release, the fees must be paid prior to permit issuance. Fu�thermore,
fees are due, they must be paid Pra rter 713,IFlorfda Statutes ras amenided)Pllf valu ton of work is$2,500 00 or more, 1
CONSTRUC710N LIEN UAW(Ch P of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Floade obtained a copy of the above described docum'ent and promPseantgood fa'th to
other than the"owner", I certify that I h
deliver it to the"owner" prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVI able law's regulatingeconstruction!zoning anldaand developmentn Applicaltion is
will be done in compliance with all applic
hereby made to obtain a permit to do W and that'all work wil�l be perfoemed�t meettstandards of al) laws"aegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development ri9to the ntended�work! a1nd thatat is
certify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions I mus tect on�C press Bayheads SW tland A�easnand Environmentla lyt Sensitive
- Department of Environmental Pro Y
Lands,Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Southwest Florida Water Management District-Wells, Cyp
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 Floo at {me of permitti g wh ch�s p epared rby a9pro essionalr eng neer
"compensating volume" will be submitted
licensed by the State of Florida.
_ If the fill material is to be used in Flood��?I°to filAthe area w'thin thetstem Hr mitted building using stem wa
construction, I certify that fill will be used y
If fill material is to be used in any area, I certify that use of such fill will not adverbe'cit d for v�o at ng
properties. If use of fill is found to adversely affect adjacent properties, the'ca{ion, foa lots less than one (1)
the conditions of the building permit issued under the attached permit app'
acre which are elevated by fill, an engineered drainage plan is required.
m the AGENT FOR THE OWNER, I promise in good faith hatna�se arat permit may be requ ed for'electrical work,
If I a �ication. A
this affidavit prior to commencing construction. �as�oe�ther nstallations not specifically included in the app'
plumbing, signs, wells, pools, air conditioning, g
P
ermit issued shall be construed to be a license to proci es�a�ncehof a pe mitp event thehBu ding Official from thereafter
set aside any provisions of the technical codes, nor shal codes. Every permit issued shall become invali
requiring a correction of errors in plans, construction or violations of any
unl
ess the work authorized by such permit is commenced withonths afte�t e t me the work is commenced Anhext nsioe
the permit is suspended or abandoned for a period of six(6) m da s and will demonstrat
may be requested, in writing, from ihe Building Official for a Qer'i onsec�kive d�s,thee�(s�con.dered abandoned.
��stifiable causz fc�:he ext$nsi�n. !, :ti��k -sa�e..f... rir.ety �
� �.
NING TO OWNER: YOUR FAILURE TO RECORD A NOTi�YOU INT�END TO OBTA N F NANC NG C'ONSULR
WAR T.
P�IYING TWICE FOR IMPROVEMENTS TO YOUR PROPER T�
WITH YOUR LENDER R AN ATTORNEY BEFORE RE ORDING Y �
FLORIDA JURAT(F S 117.03) •
7f CONTRACTOR
OWNER OR AGENT �� Subscxibed and m to(or aflirmed)be��e�thl�s! �r`'�
Subscribed and swom o or affirmed)before me this �ti d �= by ��,,�,�,�S
O c._ t 7=U 13 by 'f!.c:,.i.�� � . �2�..�L1�
Who islare personally known to mas id ndfica8onroduced
Who Islare personally knovm to me or haslh dentlficatl n•
frM' �� i� ~rn ''� Notary Public
Nof�rY ShM d�NN� ...t c� 7'1�
����v Public
w �ttq�ul (� T� � r 9 �4 3 —
�!t Commission No.
Commissfon No. �= r= ` 7
/� 1�"f2�C_t !i M • ;^�t-c)'7
I� '��'`��� Name of Notary tyPed�Printed or s ed
Name of �,pflnted or stampe�F�or;uv
pM�� Notary Public StW of flori0a
, •�ao:a . � P�trk�a M Mott
��• rk s
ar•• �� � �!'C���EEt t9Ws
4,•.•.•�.�„�.f ww Expir«Oa12sl�0�s
..�,�
Florida Medical Clinic
Parcel ID # Q�-�6 - �l - OOpa-a0/4�- DO�
Address����Q �,L,�, •
���/l/����_.L"Q7--�Cr�i�� // � �L��b
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 Signatur Owner
CoGI�P,� Cu�'z g13 s -
a rtc�- ,-� �, 61 � 3 3s�lZ
Print Owner's Name O w n e r s a d d ress
�t.ph�-�,,'��s� � d�3 b�! Z.
Owner's City/State/Zip Code
�813 � g� '��� y
Owner's Telephone Number
Sworn to and subscribed before me this y� day of c�I�,2013
�c�,' `{� `�Y1�-
Notary Public �,,�:z KUBiN A.McARTHUR
NOTARY PUBLIC
STATE OF FLORIDA
. Comm#EE155651
Expires 12/26/2015
�0(�;n � I(I'1� -�I�►�
Print Notary's Name Notary Seal
S�r� PL�N
Legal Description � 04-26-2]-0000-00100-0060 � Pasco County property Appraiser P e 1 of 1
�
Mike Wells P�cp,,,n�P,�,,, _.----
Legal Description
Assessed in Section 041 own�sh p�26�So t�h Range 21 East
of Pasco County, Florida
COM AT SW COR OF SEl/4 OF SEl/4 OF SEC 4 TH NO2DEG 34'22"E ALG WEST BDY OF SE1/4 OF
SEl/4 523.24 FT TH S89DEG 51' S3"E 40.39 FT TO PT ON EASTBDY OF PqRCEL DESC IN OR 4515
PG 408 FOR POB TH S89DEG 51'S3"E 333.89 FT 71i S70DEG 36'40"E 152.10 FT TH S56'36'28"E
308.69 FT TH S57DEG 35'39"E149.75 FT TH SOODEG O6'13"W 84.00 FT TO NORTH R/W LN OF
EILAND BLVD TH N89DEG 53'30"W ALG SAID NORTH R/W�.,1�g76.67 Ff TO EAST R/W LN OF
SIMONS RDTH NO2DEG 17'00"E 384.09 Ff TO POB; EXC PARCEL 2 AS DESC IN OR 8872 pG 2585
&EXC PARCEL DESC IN OR 8872 PG 2587 SUB]ECT TO DRAINAGE EASEMENTPER OR 8872 PG
2590 OR 7082 PG 1183
Please be advised that our legal desc�iptions are for assessment purposes only,and a�e not
intended for use in legal conveyances.
http://��,.appraiser.pascogov.com/search/parcel-legal.aspx?parce1=2126040000001000... 10
/10/2013
11�-10�� General Notes•
10'-8" Fabricated Aluminum
1'�" $'A" ,�,�„ decorative top,to have
stucco type�inish, beige color
to match building. Trim is
_ White.Address
�— numerals are non-illum;
_ flat cut out material painted Red.
36819
— Fabricated aluminum cabinet
Florida with internal aluminum angle framing.
Stucco type finish,color
Medical to match building.
Faces are flat aluminum with routed
Clinic out logo 8 lettering. Logo 8 lettering
are'/:"thick acrylic pushed thru the
face,with vinyl decoration on top
surface in standard est.colors.�nyl
/� /� is translucent; sides of acrylic light up
C,L ���,,G for halo effect.
Fabricated aluminum cabinets
�la��/5�CJ with intemal aluminum angle framing.
J Stucco type finish,color
to match building.
OBSTETRICS Faces are pan formed WhiteAcrylic
with vinyl decoration.Davita color to be
AN D determined.Colors to be translucent.
Bottom face to have Black vinyl copy.
GYN ECOLOGY Flo�ida Medical Itrs.���o;8 all faces
will be internally illuminated with
fluorescent lamps.
Decorative Trim is White
, with stucco type finish.
Intemal support
steel pipe as needed,size
per local eng.codes
• Concrete footings per local codes.
Front Elevation: Double Faced Momument Sian �zov./20A.Circuit required;brought End Eleva�
to sign area by others.
Presented By:
American Petrolenm l
ent• or a ca n c�
R . i
n
/� ate:
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