HomeMy WebLinkAbout13-14799 � CITY OF ZEPHYRHILLS
5335-8TH STREET
, (sis)�so-oozo 14799
BUILDING PERMIT
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Permit Number: 14799 Address: 5540 GALL BLVD
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0250
Improv. Cost: 2,150.00 ` "".;�;;.x� :,. :;, � ""�
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Date Issued: 12/19/2013 Name: WELLESLEY DEVE CORP C/O NYE COM
Total Fees: 75.00 Address: 34619 SR 54
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/19/2013 Phone:
Work Desc: INSTALLATION WALL SIGN 20 X 6 W/ELECTRICAL HOOK UP ZEPHYRHILLS NAILS
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ELECTRICAL ROUGH
FINAL
REINSPECTlON FEES: Reinspection fees will compiy 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 performed in acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACT SIGNATURE PERMIT OFFI R
J PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, a��-�ao-oo20 � Cfty of Zephyrhills Permit Application FaX-e��-�saooz�
Buildiny Depertment
Dab Rseeivad �IQy � LZ • (3 Phont Contaet for Petml O r _ ` �b �
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Ownars Name 1� F �F��EQ..-�/4�- '� Own�r Phone Numwr g �3� 9 7�'OLI
thmer's Addross Q O O �Jl�(n� a-� C��`• ONmer Phorw Number Z 60- 3 t 6_i��
Fee SN»pla Titleholdsr Nams � i � Ownsr Phona Number ��
Fse Sfmple Titlehold�r Address �
JOB ADDRESS �C� ��I� �-V(�� -�FYR��LL S ��• LOT# C�
SUBWYISION PARCEL IDA �
�osrur�u crta�weoaeaTr T�z ewnoR
WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DENFOLISH
INSTALL REPAIR
PROP�^ED USE Q SFR Q COMM [� OTHER -�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME L STEEL Q ��
DESCRIP7IONOFWORK ��,r� �N��"1-t- � ��S►TiNt1 ELEei12�cA�� �l-paK- l�
BU{LDtNG 81ZE Z G 1� G tl gQ FOOTACiE� MEIGNT ��
BUIIDING �� VALUATION OF TOTAL CONSTRUCTION � 2� Sd�—
�JELECTRICAL S AMP SERVICE � PROCaRESS ENERCiY O W.R.E.C. ,�
QPLUMBING S " ' �� �{ ���
QMECHANICAL S VALUATION OF MECHANICAL WSTALLATION '�� ��
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��S � ROOFING p sPECU�TV � orHeR � ��(
FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA QYES NO
BUILDER � C�P� �
��((�,�A�(� REOISTERED Y I N FEE CURREN Y/N
naaress � uc�se s �—�
���'P' L- .R F(,Ec,�Q ��.l
ELEC?RICIAN l l o� (=R,l�N G 1 t COM ANY
�G�'T'()(� REOISTERED Y/ N fEE CURREN Y!N �
nad.ess ��nse s C �t Q 0 O L-$0 �I
PLUMBER � C�p� � �
�G(�p]v�� RE6ISFERED Y/ N FEE CURREN Y/N
Address Lioense 0 ��
MECHANICAL � � COMPANII � �
�GNA7U� � RE�ISTERED Y! N fEE CURREN Y/N �
{WdMSS License/ ��
OTHER �P�Y
31(3NATURE � r�o�sreneo Y/ N �cuawer+ Y 1 N
Addreaa License�F ��
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RESIDENTIAL Attech(2)Plot Plans;(2)sefs of BWldiny Plena:(t)set M Enerpy Fortns;R-aW Pem�ft Por new oonsbudbn.
Mk�fmum ten(10)woAcinp days aRer subrtuttal date. Required onsite,Conshucxion Plans,Stortrnwetx Plans wJ Silt Fence instaUed,
Sanitery FacNides 8 1 dumpste�:Site Worlc Pam�it for subdiviabnsAarye pmfects
COMMERCIAL At�ch(3)complmte sels of BuNdinp Pl�s plus e Life Satety Pape;(1)aet of Ene�py Fortns.R-O-W Permlt for new construction.
Min'unum t�(1�wprkinq daya s11x submittel dete. Raquired onsile,Conatrudion Wans.Stomiwater Plarro w/Sifl.Fence instelled,
Sanitary FacflNtes&t durr�ster.Site Work Pertnit fw alI�w projects.All commercial requirements must meet connpliar�ce
SIGN PERMIT Attach(2)sets of Enqlrbered Plens.
"'"PROPERTY SURVEY requirod fw�NEW�dion.
D1reeUons:
FIII out appNcation compbtely
Owrrer 8 ConUada aiyn baGc ot application,notarized
If over S2b00,a Notic�of Comman�ament is requlnd. (NC upprades over i7600)
`� P�gent(for the oontrector)or Power of Attomey(for the owner)vwuld Ee someone with notar�ed letter irom owner euthoAZing sert�e
OVER TNE COUNTER PERMIT7ING (Frorn of Appication Ony)
Reroots iT shinples Sewers Service Upp�ades A!C Fences(PIOUSurvey/Footape)
DrNeways-NOt over CouMer'rf on pubNc roedways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive 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 undertake 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 misdem�anPoPyiolation
under state law If the owner or intended contractor are uncertain 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 727-84T-
8009. Furthermore, if the owner has hired a contractor 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
contracior,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pascv
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESUURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construciion of new buildings,change�f
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,wili be identified at the time of
permltting. 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
finai power release, the fees must be paid prior to permit issuance. Furthermore, ff 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,Florfda Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided wilh a copy of the 'Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by ihe 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 ali applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and fnstallation 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 ali laws regulating
construction, County and Ciiy codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that 1 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, WeUand Areas and Environmentatly Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wetls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Artny Corps of Engineers-Seawalis,Docks,Navigable Watervvays.
- Department of Heallh & Rehabllitative Services/Environmental Health Unit-Welis, 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 flll materiai 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 Fiorida.
If the fi►I 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. �f 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 appiication,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 permifling conditions set forth in
this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded in the application. A
permit issued shall be construed to be a license to proceed wfth the work and nat as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official Trom thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permft issued shall become invalid
unless the work authorized by such permit is commenced within six months of permft issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months afler 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 eutension. 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 YOUR
W YINIG R'LENDER OR AN ATT RNEY Y FO P R C R DING YOUR NO CE OF OMM NCEMENT.�CONSULT
FLORIDAJURAT(F.S.117.03) �jZ Q,J,���
OWNER OR AGENT CONTRAC'TOR ��
Subserl a fli ed)before m
Subsalbed and swom to(or aflirmed)before me thls � y
by re onally ave produced
Who islare personally knovm ro mas iden fipUonrod� as Iden tion.
, '— �
Notary Public _ �.
Commisslon No.
Commission No.
Name of Notary tYped.P�nted or stemped Name of Notary typed.Printed or stamped
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � // � �[���� C•
G�'
Date Received: ( �� 2��` 3
Site: �SS�O � /� �� �� � V J
Permit Type: v�'� �,F'�-• L� X l�
Approved w/no comments• Approved w/the below comments: ❑ Denied w/the lbelow comments: ❑
�
This comment sheet shall be kept with the permit and/or plans.
� /` ,
(_ � _� _�
Kalvin Switzer— Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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State of Florida
POWER OF ATTORNEY
Date: l I - I Fr ' �3
I hereby name and appoint S��'�� �° ���S'
Of L . � ,��-FGT�'1 C ;i�G . to be my lawful attorney
In fact to act for me and apply to the �, �S
Building Deparbment for� ��a n.S � permit
For work to be performed at a location describes as:
Section Townslup Range Lot Block
Subdiv�ision
s� G,�-�-ti- I�-�l.v�i�. 2.._E"1�i�-�4-c�1-� '�I- 3 3 �Z
(Owner of Property and Addreas)
and to sign my name and do all things necessary to this appoint.
G S � � o C5 2 O
or Print N e of Register or Certified Contractor and Contractor's'cense Number
Cl,yd C�RANC�c
Signatare of Register or Certified Contractor
The foregoing instrument was acknowlidged before me this��day of���of ao� 3
By �1�►�-����, � -
Who is personally known to me/who produced ' ���
As identification and who did not take oath.
__.__
State of Florida ��►^"�B•� MA1 T NGUYEN
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