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Home My WebLink About14-15790 : CI OF ZEPHYRHILLS . ��, 5335.;8TH STREET . �(si3��so-ooza 15 0 B ILDING PERMIT � PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 15790 Address: 39030 BLUE JAY AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EASY ACRES Est. Value: Parcel Number: 13-26-21-0100-00000-0320 Improv. Cost: 5,229.46 OWNER INFORMATION. � Date Issued: 11/21/2014 Name: AUSMUS CARL & JEANNIE Total Fees: 65.00 Address: 39030 BLUE JAY AVE Amount Paid: 65.00 ZEPHYRHILLS FL 33542-2201 Date Paid: 11/21/2014 Phone: 813-618-0958 Work Desc: REROOF SHINGLES CONTRACTOR S � APPLICATION FEES � RYMAN ROOFING INC REROOF RESI ENTIAL 65.00 �r�� _ � _ a `f v�=� In ections Re uired - � DR IN ROOF INSP TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corr ions not made when inspections called d)work not ready for inspection when called e) permit not po ted on job site� plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this p rmit, 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 anagement, 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 int nd to obtain financing,consult with your lender or an attorney before recordi g your notice of commencement." Complete Plans,Specifications Must Accom any Application.All work shall be performed in accordance with City Codes and Or inances. NO OCCUPANCY BEFO C.O. CONT CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED PROTE CARD FROM WEATHER � 813-780-0020 City of ephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received � Phon Contact for Permitting -- __ � Owner's Name ��'r! S m�s Owner Phone Mumber g�3 J ��g� �G S� Oumer's Address ��d 3O ��ue- �� e- Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number I Fee Simple Titleholder Address JOBADDRESS 3�b3u �� a '� ^ LOT# 32 I SUBDI!lISION �5 ��e� PARCEL ID# �3�Z�" L l— O i d0^ CSCaOt�0 — 0 32p I i __ -�._-_ - _ ._�__ ,- - _ - - -�-- _�--- --_ - -- -----,-�OBTAINED°FROM PROPERTY-TAX NOTICE)----__�_-��_ - - WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH INSTALL B REPAIR u�R{_ r�,F' PROPOSED USE [� SFR Q COMM Q OTHER 7YPE OF CONSTRUCTIOM [� BLOCK Q � FRAME Q STEEL Q - DESCRIPTION OF WORK `�� d�"� �1� rG J �� ' ��" 5 u'P��'L �� BUILDING SIZE SQ FOOTA E� HEIGHT I QBUILDING $ -- � V LUATION OF TOTAL CONSTRUCTION II �22.�'t . �(o QELECTRICAL $ A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �� s QMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION �� QGAS �] ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER -- -- — — --COMPA7VY�--- —-----—=— ------ -— -- -- - - -- SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y J N FEE CURRE� Y/N Address License# PLUAABER COMPANY SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IVIECHANICAL COMPANY SIGIdATURE REGISTERED Y I N FEE CURRE� Y/N Address License# � OTHER COMPANY '�y rn�'+"' �1 i �c . SIGRIATUitE REGISTERED Y/ N FEE CURRE� Y/N Address 3b413 S25�f, �cph �h�1ls� 335�1 _ �icense# CCG 132S5d5 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI s;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submit I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work ermit for subdivisionsAarge projects � COMMERCU�L -Attach(3)complete sets of Building Plans pl s a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submit I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.�Site Work ermit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"""PROPERTY SURVEY required for all N W constructlon. - Directions: � � Fill out appiication completely. Owner&Contractor sign back of application,notarized If over 32500,a Notice of Commencement is required. (AIC upgrade's over 57500) ' " Agent(for the contractor)or Power of Attomey(forthe own r)would be someone with notarized letter from owner autliorizing same OVER THE COUNTER PERMITTIIVG (Front of Applicatio Only) • �� Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs OW ' ( NOTICE OF DEED RESTRlCTIONS: The undersigned understands that this permit may 6e subject to"deed"restrictions" which may be more restrictive#han County regutatiorts. The undersignecf assumes responsibilify for compEiance with any applicable deed restrictions. UNLICENSED Ct'�NTRACTQRS AND GClNTRACT�R RESPQNSIBILITIES: If the owner has hired a contractor ar contractors #o undertake work, they may be required ta be licensed in accordance with sfate and local regulations. if the contractor is not licensed as required by law, both ths owner and contractor may be cited fvr a misdemeanor violation under state law. if fhe owner or intended contractar are uncertain as to what licensing requirernenfs may apply far fhe intended work,_they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8{}09. Fu�thermare, if the owner has hired a contractar or cantractors, he is advised to have the cantrackar{s} sign portians of the "contrac#or Black" of this applicakion for whiah they will be�respansible. If you, as the awner sign as the contractor, that may be an indica#ion that he is nat properfy licens�d-and.is not entitfed ta permitting privileges in Pasco Counfy. 'CFtANSPORTATION IMPACT/UTILITIES IMPAC�'AND RESOURCE RECOVERY FEES: The undersigned understands #hat Transpartation Impact Fees and Recourse Recovety Fees may apply to#he constructian of new buildings, cfiange af � use in existing buildings, or expansion of existing�buildings, as specified in Pasco Caunty l7rdinance number 89-07 and 90-07, as amended. The undersigrted aEso undetstancfs, that suc� fees, as may be due, wi1E be Identifed at the time of permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. !f the project does not involve a certificate of occupancy or finai pawer re(ease, the fees must be paici prior to permit issuance. Furthermore, if Pasco County WaterlSewer impact fees are dus, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION L1EN I.AW(Chapter'T13, Flartda 5tatutes,as amended}: !f valuation of work is$2,5Q0.00 or mare, t certify that I, the applicant, have been provided with a copy af the °Florida Constructian Lien Lavu—Homeowner's Frotection Guide" prepared by the Fiorida Depa�tment of Agricuiture and Consumer Af�airs. if the appiicant is someane other#han the"owner", I certify that I have obfained a copy of the above described dacu,ment and promise in gaod faith to deliver it to the"owner"prior to commencement. CQNTR�4GTt?R'SlU1�11NER'S A�F1DAViT: 1 certify that all the infarmation in fhis application is accurate and that ail work will�be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is hereby made to obtain a perrr�it to do work and installation as indicated. t certi#y that na work or instailation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating canstruckion, Coun#y a�d City codes, zoning regulations, and land develapment regulatians in the jurisdic#ian. 1 also certify that i undersfand that fhe regulafions of ather gavernment agencies may apply to the infended wark, and that it is my responsibility#o-identify what actians I must take to be in campliance. Such agencies include but are not limited ta: - Depar#ment of Enviranmental Protec#ion-Gypress Bayheads, Wetland Areas and Enviranrt�tentally Sensitive 4ands, Water/Wastewater Treatmenk. - 5authwest Florida Water Management Dis#rict Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - A_rmy Corps of-Engineers-Seawa!!s, Docks, Navigable Waterways. - Depa�tment of Health & Rehabilitative Services/Enviranmen#al NeaftF► llnit-Welts, Wastewater Treatment, Septic Tanks. � ' - US Enviranmental Protection Agency-Asbestas abatemen�. - Federal Aviation Authority-Runways. I understand that the fotiowing restrictians apply to the use of fill.� - Use of fill is not a0awed in Fioad Zone"V°unless expressly permitted. - !f the fi!! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be subfnitted a# time of permitting which is prepared by a professianal 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 us�ng stem wall ' construction, I certify tha#fill will be used only to fiQ the area within the stem wall. - 1f ffl material is #o be used in any area, ! certify that use of such fill will not adversely affect adjacent properties. If use of fili is found to adversely affect adjacent properkies, the owner may be cited for violating the conditions of the building permi# issued under the attached permit applicatian, far Iots less than one (1) acre which are eSeva#ed by ftll, an engineered drainage plan is required. If I am the AGENT FOR 7HE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing constructian. ( uncferstand 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 appiication. A permit issued shatl be construed to be a lioense to proceed with the work and not as authority to violate, cancel, alter, or sef aside any provisions of the#echnical eodes, nor shall issuance of a permit prevent the Building O�cial frotrt theresfter requiring a correctian of errors in plans, construction or violations af any cades. Every permit issued shall become invalid untess the wark aufhorized by such permit is commenced within six mQnths of permit issuance, ar if work aufhorized by the permit is suspended ar abandoned for a period of six(6) months after the time the work is commenced. An extension _ may be requested, in vfrri#ing, from the Building Official far a period not to exceed ninety (9Q) days and wil! demonstrate justifiable cause far the extension:-lf work ceases for ninety�9U)consecu#ive days,the job-is-considered abandoned.. _ __ .�___ WARNtNG TO i)WNER: YCtUR FAIlURE TO R�CCiRD A NQTICE QF COMMENCEMENT MAY R�SULT EN YOUR PAYING TWICE FOR IIUIPROVEMEIVTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT WIT-N-YQUR LEMDER OR AN,AT"CCiRNEY BEFQRE-RECQRDING YOURNOTICE O�C{)NIMENCE11tl1ENT.______,._ _ , FLORIDA JURAT(F.S.117.03) QWNEft Oit AGENT � C�NTRAC7C}Et '".� 1�S bscr bed and swom to(or ffi ed)before me this bscnp ed nd swom o or i ed)before me this ?��bY `�Le�r+'r'�ti e,rd�duz.� Lc'�1 l�- by 4''Z/da�l.,e./a Who islare ersonally known me or hasli�ave prodaced o Islare personally known to or haslhave producsd dentlficaUon. as identification. Notary Public Notary Public Commisslon No. Commission IVo. ��1g.YP{��9'r ��li�� :�1T�'�'p, ' �io�5�� 5°"�� Name f_ ,ot ,pe��ar��e�EE070468 Name of Nokary typed,prin n� . rtsPe�yY COMMISSION#EE070468 �y;., , v =TF.. ' �}CF'tRES�ay�6,2015 '��;.�,.� EXP(RES May 16,2015 q-r,,�,r ,��t• '�"' (A07)398-0153 FioridallotarySc3rvica.corn (407)358-0153 FlorfdaNc4ary5ervlc�.cOtYl s.... - i I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII aoi4i84s94 , 'Rcpt:1643442 Rec: 10.00 � DS: 0.00 IT: 0.00 11/21/14 D. Williams, Dpty Clerk Permit No. Parcel ID No �3°2(a— 2l— b I OC�—Cc..�A— 03Z0 NOTICE OF OMMENCEMENT Stateof ��b�� Countyof �GISCO THE UNDERSIGNED hereby gives notice that improvement will be ma e to certain real property,and in accordance with Chapter 713,Florida Statutes, the follouving information is provided in this Notice of Commencement: � 1. Description of Property: Parcel Identification No. �3—Z�o Z�= b�� '�d Uc�O — �3z0 StreetAddress: �JR030 13�u� � �Ve, � hc, rhi(Is F(, 335�Z 2. _ General Description of Improvement }�e_ (00�1' _ _ � y _ � , _ I 3. Owner Information or Lessee information if the Lessee contra ted for the improvement: �d*'i �t�smu. ' �u�0� a (3luL 1 }�c/e. �hUrl��lls �t. 3354z Address � City State Interest in Property: �W�� Name of Fee Simple Titleholder: (If different from Owner list d above) t Address r1 City State 4 Contractor• Y1'1 1'�-�b� �� • 3�O�f l3 Na 2 5�{ �-c.�hurh�IlS FL 335�I Address City State Contractor's Telephone No.: g�3��S Z' �O��l� 5. Surety� ' Name •PpULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER '_ Address '11/21/14 10:56am 1 of 1 Amount of Bond: $ OR BK g 114 P� + r �*� — 6. Lender: Name ` li Address City State Lender's Telephone No.. 7. Persons within the State of Florida designated by the o er upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. � Telephone Number of Person or Entity Designated by Owne: 9. Expiration date of Notice of Commencement(the expiratio date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording u less a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY TH OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER HAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEME TS TO YOUR PROPERIY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COM ENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the fore oing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA J COUNTI'OF PA5C0 �-- Si nature of Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this �S da of N av. ,20��,by �� S as (type of authority,e.g.,officer,trustee,attorney in fact)for (name of rty on behalf of who i strument was executed). Personalty Known OR Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) � �f -- :i�,4rY� �+;N�.�.:.. if96J6�1f r'i��0�� ='�� ,�'" ft/VY COPdIMISSIOf��#E�070468 `;?SQ,y,.c�`^'� fcXPIRES May 16,�C15 a< ��, (d07)3�b'8-OS�� FloridallotarySz.^.�:c�.csm wpdata/bcs/noticecommencement_pc053048 . � � --� , , —�-�? ERICAN r�_�,a y'�" - , DO�RES �"Ca4� - �':� �� _ _ /,� ��C, 5%fee for credit cazd processing. a�s��. ADivision.ofRyman Constructi ,Inc. � , Proposal# 36413 SR 54 •Zephyrhills,,Fl rida 33541 0 6 � 2 INC. Phone(813)782-6094 • Fax(813)788-6773 Estimate# �� '��'/ 1-855-Go=Ryman (1-855-467-9626) • ic:#CCC 1325505 Serving all of Centr I Florida ' �ob# OwnedPurchaser. �l.�r 1 u S Date: �/-]�'-!S/ Claim#: ' Ins ranceCompany: � � , Policy# Address: 3�1�3� u• � City: �� i.� ��S zP: 3�Sy� Home#: �i�- (n��'- (l°1'S� Cell #: Business#: � E-Mail Address: ' (�Complete tear off of existing, 3 ' n ft�S ' AdditionalNotes/SpecialConcerns: l�i>:a,e �.�i�,YO' ��S � - �� .d Irs d� s� �� s � � ��d �Secure all loose roof decking as needed according � yi� � ,�� 'to Florida Building Codes �f�` ��P m'��r �`s �soe.v,S� �� ___ _ f!a Roof dried in with 2 - � o : f-�C` �°Wo��'f��rn � 5�1� yw ��S p�� '� ��s�4 //u,�.i,y , � ZJ L at �iun c�fP 5 �//'�� /'� . Cu� ❑ Install new valley metal with galvanized metal oq„� �ivN,,.� a,,�y�rS t°'x��ir�Sf'o ' f�lnstall new fv "drip edge color: l:ti � � �Install new lead boots � [�]�I stall all new general roof vents �C�v��S �(� ��n�s�s �� 2 �� r0%,u�� In,stall new � '�' 3 ,'n �5 Z(� 1�� u�� 1 x ` �c.rSc.'� ' ��'no� ,��fiL��-�o� ��`v►� - , �i(Vlanufacturer: ' � S Or r�� f.�� _ ,j•�� ,� zt G �Color: b [�All roof related debris removed from job site, pick-up loose . nails using commercial.grade magnet , ' �All materials, labor and permits furnished � f�Provide a ��..� ,� labor wa ranty Tota.l Investment$ �(,(�Z� �6 Additional ltems: �nG � �7 - C � a �da�t,n , � � ( P 4aS ;� �','n- �n �G�'(�e � . , , i Payment Method: ., ❑ Check# ❑ C sh Financing ❑ Insurance Claim ' � ❑ Credit Card# �Exp. Date CC ID# Down Payment:$ Amo nt Financed:$ Approx.Monthly Payment:$ Paym ntTerms: � � Ex s: G � Deficient 1/2"plywood replaced at a cost of$ � �`� per sq.ft. in the roof field,which includes labor&materialsa.All other wood work/ad- ditional labor, such as,but not limited to,valley rebuilding, after replacement, 1 x decking,etc.will be a rate of$ �5�. per man hour plus the cost of materials. ' THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE 0 PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS,CONTRACL _ I ACCEPT THIS�PR�POSAL AND HEREBY CERTIFY THAT I HAV READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. C./ � � � � Purchaser:� � Date: � — � � �I Purchaser: ' Estimator: �'G,1/�d1� � , CI OF ZEPHYRHILLS ' S335-8TH STREET ° �. ' �sis)�$o-0020 789 UILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15789 Address: 6830 GALL BLVD BLD B 101 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: 02-26-21-0010-02400-0010 Improv. Cost: 1,958.00 OWNER INFORMATION Date Issued: 11/19/2014 Name: SYNC II LLC Total Fees: 127.50 Address: 18608 AVENUE MONACO Amount Paid: 127.50 LUTZ FL 33558-5316 Date Paid: 11/19/2014 Phone: (813)780-8774 Work Desc: INSTALL CHANNEL LETTE S 30' FL MED CLINIC NEW PHYSICIAN OFFICE CONTRACTOR S APPLICATION FEES GILLETTE SI N&LI HTIN INC SIGN 67.50 ELECTRICAL FEE 60.00 GILLETTE SIGN&LIGHTING INC � �� In ections Re uired FOOTER FINAL RICAL F��r/� l / REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the fol owing reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for inspection when called e) permit not po ed on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this p rmit, 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 m nagement, state agencies or federal agencies. "Warning to owner: Your failure to record notice of commencement may result in your paying twice for improvements to your property. If you int nd to obtain financing,consult with your lender or an attorney before recordi g your notice of commencement." Complete Plans,Specifications Must Accom any Application. All work shall be performed in accordance with Ci Codes and Or inances. NO OCCUPANCY BEFO C.O. CONT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED PROTE CARD FROM WEATHER O� l � , ��` + ' . .. . �° �1' y� �.. �-uw`1i � / .. .. ' - ity of Zephyrhills BUILDING LAN REVIEW COMMENTS Contractor/Homeowner: � �� "� �� Date Received: �� site: �O � (�j ( V t Permit Type: �a- � ��r � r Approved w/no comments:❑ Approved w/t e below comments: ❑ Denied w/the below comments: ❑ ��; � E. IIk� 1� 1� 1{ This comment sheet shall be kept with the permi and/or plans. � ,� ;� i Kalvin Switzer—Plans Examiner Da Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City f Zephyrhills Permit Application Fax-813-780-0021 Building Department 3$�. -�5 6 -aa�s- n�v�� Dat�[?eceivec9° Ph ne Contac!for Permittln -- Obrner's fdame � Owner�'hone Idumber Owrner's Address 3 � �� j, �wwner Phone Mumber Fee Simpie Titleholder Name � � Owner Phone RRumber � -� Fee Simpte Titteholder Address - JOB d►DDRESS 1v�13� - LL LVd� L(� � , �OT# � 7��T�� /l`/�, SUBDINISION ��w �1;6N�' PARCEL ID# �+`�� Il) � ' G , � (OBTAINED FROM PROPERTY TAX NOTICE) lfNOR�C PROPOSED B NEW GoNSTR ADD/ALT � SIGM � Q • DEMOLISH - INSTALL REPAIR , �ROPOSED U5E Q SFR GOMM Q OTHER TXPE OF CONSTRUCTIOfd Q BLOCK FRAME [� STEEL 0 DESCRIPTIORI OF WORK . �� {�L�)J�e•(L(�(,J j�J�G i116 L. L877�i� �UILDI(dG SIZE �1�,��'"'¢�N SQ FOO GE� HEIGMT QBUILDING $ �9�� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ^yA� �f� „l ��b �r r OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� _ �G•f1�� v `� 1 QGAS Q ROOFING SPECIALTY Q OTHER _ � � p��pju,�� FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ►VO /� 1�� `"' �� V IBUI�DER COMPANY SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N �lddress - License# • �IIECTRICIAfd COMPANY -��Li-',i i ,�G �.='�✓ �L��J'� I SIGWATURE REGISTERED Y/ M FEE CURRE� Y/N ��- � Address / License# PLUI�lBER COMPAIdY SIGEdATURE " REGISTERED Y/ IV FEE CURRE� Y/1� , alddress License# MECHANICAL COMPANY ' SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N Address icense# OTHER /,��j ' � � COMPAIdY SLGfdATURE ��LGt�c� ��G'� L��M.�� C'REGISTERE / N EE CURRE� Y/IV �►ddress �[59 � ��`��ST� 1f' EJ'.� ,33�'S�� icense# �S� �1� RESIDEMTIAI. Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Forms;R-O-W Permit for new construction, �Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facflities 8�1 dumpster;Site Wo k Permit for subdivisions/large projects ' CORAMIERCiAL Attach(3)complete sets of Building Plan plus a Life Safety Page;(1)set of Energy Forms.R-0=W Permit for new construction. Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Wo k Permit for all new projects.All commercial•requirements must meet compliance SIGR�PERMIT Attach(2)sets of Engineered Plans. � •'"'PROPERTY SURVEY required for all NEW constructlon. � ' Directtons: . . � Fill out application completely. Owner&Contractor sign back of application,notar(zed If over 52500,a Notice of Commencemen4 is require . (AIC upgrades over�7300) " Agent(for the contractor)or Power of Attamey(for the wner).would be someone wlth notarized letter from owner authorizing same OMER THE COUNTER PERIlAITTIMG (Front.of Applica'on Only) Reroofs if shingles;,- 'Sewers = •Service Upgrades N Fences(Plot/Survey/Footage) Driveways-Not over'Counter if`on public roadways..`ne s ROW � . •- • �_ ;' � i � � ,. ' ._ ., ._ � � .' . , ..._ _ .. <- - - ,. _. � ,. . ��,,: ,, , .. . , ., ,- .... -� . , ,��,.� . ' ,-, -_ - .. - ... . . ; . � � , - fdO�ICE OF �I��cD PtE��RICYIOPl�: 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. U�fLIC�PISED COIVTf�ACT0�3� �i�9� COPI�'I��T�f� ��OPISI�ILIYIf��: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance writh sfate 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 iniended work, they are advised to contact the 4'asco County �uilding Inspection Division—Licensing Section at 727-847- 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 contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. - 7�►R��O�T�YIOR9 Iflfl��CY/U�IL�'�'I�� f1��+�Y�P�D f��OUf�C� ��C�V��Y F��: T'he undersigned understands that Transportation Impact Fees and Recourse �ecovery Fees may apply to the construction of-newr buildings, change of use in existing buildings, or expansion of existing buildings, as specified in �'asco County Ordinance number 89-07 and 90-07, as amended. The undersigned also undersfands, 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 occupancy" or final power release. If 4he 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 VVafer/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. COR9ST'6�11C7lON.L.I�Gd Lki�(Ch�p��r��93, �Im�i�� SQ��u��,.�s aen�r�d��): If valuation of work is $2,500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by 4he 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. CO�9TR�iC70�t'SIOlf�R��d'S 6�fFF�f�l�VIV: i certify that all the information in this applicaYion is accurafe and that all �nrork will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit fo 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 o�other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I musQ take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress �ayheads, V1letland Areas and Environmentally Sensitive Lands, 1lVater/Wastewater Treatment. - Southwest Florida V1later iVianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waferuvays. - Department of Health � �2ehabilitative 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 "f�", it is understood that a drainage plan..addressing a "compensating volume" uvill 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 a,ffect adjacent properties. If use of fill is found to adversely affect adjacent proper�ies, 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 AG�fdT �OR TH� OW9Y�fEY�, 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 �nrork, 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 permit is suspended or abandoned for a period of six(6) months after the time the virork 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 wrork ceases for ninety(90)consecutive days, the job is considered abandoned. Y�lAF2NIf�G T'O OWIPl�6�: �011�t �AILUf�� O ��CO�D A R90TIC� O� CONfl�N�NC��P1T fl��Y ��SIJLY IN YOIJR ��8YIP1C TWiICE �OR Ci�I�fI�OV��lVfERI��O YOl9F?I��O�'��YY. 1�lfOl! VP17EP1D�O 0�7l�iliV FINk�HICIW(�, CO�ISUL.Y 1d4!!V'�V��9� �.fER9��G�.��F�N!��t�9�Y�I�� t�iPiG Yf3�9R ��YI�� O�C�Ufi�i�NE�9��Ifl�RlY. -- -- FLORIDA JURAT(F.S. 117 0 OWidER OFt AGEW COWi'i2AC70 Subsc bed and sw or a irm d fore e this Subscr'bed o to(or ed)�efo�g mg�his 1� "1 1 by ll l by��t�.>>� �i � '�C–� Who is/are personall kn wn to me or has/have produced W o(s/are personally knr�wn to me or has/have produced s Ident(ficaGon. C 1 vs as identification. � °�� .-� PVotary Public ��— Notary Public Commisslon PJo. Commission No. �,,,,,, ;?o�:�:��.,, LORI ROLLA ,.o.�n::�;�.,, LOR!ROLLA �= Commission EE 853699 �Vame of PJota ' 'e r1P'�e PJame of Notary typed,p � ' " ��Ires November25,2016 ;;; •i: .xpires vember25,2016 '-�;p;��y�:•' 6ondedThNTrayFatnlns�rtance800-3857019 %:�qd�°,: Bonded ThN Troy Fan Insura�e 60a385�7019 ; : . . , .�, �h 5 and �, I NG. PLORIDA TEX,�S ��F'i 10 5Tf\TE ROAD 4 a�OI D LI TTLE HARB�R WAY LU'I�c, �LORIDA 33 KAIY, 7'�XAS "t�14a4 FIAR:DA @iStTwERN'a 1.1'�,&7G5E GA7 TEX.�.l�'E�'4 I�I�EI�'!S LIGEI'U'�L Y^pSQO -P+�atv�: i=f8i3J-a�8=z iz Q�or�: i-ta8i)3�7-SOO-r �Ax: i-(8i�)-a��-2 �6 �AJC:�. 1—f281)-34"►-8008 - Ship To Bill To : American Petroleom Imageing American Petroleom Imageing Terry Gillette Terry Gillette PO Box 54 - PO Box 54 Dade_City,FL 33526 Dade City,FL 33526 Invoice Date Invoice # � 10/29/2014 37262 i Project Client P.O. No. Terms Due Date AY14-003 Net 10 11/8/2014 Task Description � Item Amount 2'-6"Channel Letters 54-Wall Sign 65.00 Florida Medical Clinic Zephyrhills,FL Thank you for your business ° Total: $65.00 Remit to: � AS&E Balance Due: $65.00 24710 State Road 54 Lutz,FL 33559 , . � ' ' . GILLEITE SI N & LIGHTING INC. , - , I Charlie N. Deal appoint David L. iilette as my Agent (power of Attorney) to act for me in any and all matters oncerning Licensing and/or permitting. This ' power of attorney is efFective im ediately. Signed this �� day of 20� � � [Charlie N. Deal] STATE OF FL�DA COUNTY OF ��-a � . (> \ � This docu ent was acknowledged before me �C � �� on S l [ ate] b 1�_ � �c�l [name of principal]. [,V� ary S if any]: � (Signature of Notarial Officer) �Y;��-• ,�;� �,; LORI ROLLA Notary Public for the State of Flori 8 *� ;� Commission#EE 853699 �a. ,;: Expires November 25,2016 My commission expires: '%,�„�;,� Bondodlhm7royFzlnlnwrsnceG74395�7013 - 11 r�---°�-l� 1609 Warbler S PHONE 352-256-2225 Zephyrhills,FL 3540 EMAIL davegillette352@gmail.com