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Home My WebLink About15-16454 �� CITY OF ZEPHYRHILLS �� . 5335-8TH STREET ($i3)�so-oozo 16454 ANNUAL ASSEMBLY PERMIT I _ . . . . ; :�PEi2MiT:INFO.RMATION�� .y - � - - � - '�,��"LOCATION-INFORMATION;�� ` �-:,,-�°` � Permit Number: 16454 Address: 5707 GALL BLVD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: � � -�;' OWIVER�INF�RMATION : - -� - - Date Issued: 7/20/2015 Name: CRYSTAL BAR Total Fees: 50.00 Address: 5707 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/20/2015 Phone: Work Desc: PLACES OF ASSEMBLY- CRYSTAL BAR 07/2016 .., .. , _ � ,. . ,. . "..` CONTRACTOR S . -� .�, � ': � ` '._ AI?PLICATION=FEES". -_�' - � , . ' ° � . O NER FIRE PERMIT FEES 50.00 C��`-� � I / I �r / v � _. ,_ ,. _- - _ - - � - .= � • _ `-� Ins ections.Re. uired' �=_F� - _ =•� : _� . _ _ ,� .� - FIRE S TE INSPECTION-Final OCCUPi4NCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occ�upant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1..2 PERMIT OFFIC PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED I�N VISIBLE LACATION IN MAIN ASSEMBLY AREA ZEPHYRIiILLS FIRE RESCUE DEPT - 6907 Dair�/ Rd, Zephyrhills, FL 33542 a��-7ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 �� Pe�mit Application s Date Received �- �0� ( 5� Phone Contact for Permit R I � , ��- �� r...--w:..,._.<_w_,._�.,�a�-_--_ ._.____�___.�_...,_�......�._..�,....:.b_..,,,��r..�_ __..r.M�— - —��-_....u._.r_n�__...,,_..�___° - - - °_ �i� � � �� Owner's Name � ��2 ,r /Z 5��-- R��.�-vL�- Owners Phone Number 3 7c�oZ � �j�-�' � Owner's Address � L U � l� Y�tL�- ��✓� �� { E�l-l��-.� �(.� 3,3 S �- Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � �._�...�,._.,_.._,._�..�.-..-�. _ �-.a.-:!�'.:�_' - °-�--°��..: - -- __._e............. — Job Address �,1��I�� (Ti�t L�' �'�� Y ,�►L�l ��L .�3 �T�a — -- Lot# � Sub Division Parcel# ...�..__a.�.�..,...,�....v_�__...a..,.,.,,,,...,a.n.�..-.�.,...r..�,,.,__.,-_�_-_.N-.M.�.,�...,.�...�<_,..a._�.. ,...h...=.,a,.a<—_...�....ne..,.�..._..�_��.._�..m,W.e.�_.._�_.�..�.�..-�_.. ._..�___�._._..�.._�.�__..,=�� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL tr y emi � t er Sprinkler � ❑ ❑ ❑ I � Recreational Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks � Other: C.0 � �vtn�L.� �_-____�,�..,__..��....,.._....�._.e:.__..,.�_._.b__.---�..__,�, �.�_..w_;��..-�,..a.,.,_��..��._. -.�,�:.eti,.,_... - -.�.__....��._a_.r_...�_,�_..,�>...�_.._a.�.,��.� Contractor � Company Signature Registered Y/N Fee Current Y/N Address � License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address � License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address � License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address � License# � OTHER Company Signature Registered Y/N Fee Current Y/N Address � License# �: .�.__.� __---°_...._._�.,..--_� �..__e�.a.,�__�,_.�.........._..__..._.._vw �. y__,�---_.�.°__....._..,.:..�._r�_.-__.�,.._....�__._,� _�.....,�_.,�,...�_._.-_-=--__...____._-�---°-�---°-- Directions:� Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Comme�cement is required(Mecha�ical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) NOTICE OF DEED RESTI2ICTIONS: The undersigned understands that ihis 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 restrictlons. 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 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 7Z7-847- 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 entiUed to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT�AND RESOURCE RECOVERY FEES: The undersigned understands 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 underslgned also understands,that such fees, as may be due,will be fdentified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to rece(ving a°certficate 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,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 °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'S/OWNER'S AFFIDAVIT: I ceriffy that all the information in this application is accurate and that all work will'be done in compiiance with all appHcable 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 otfier government age�cies may apply to the intended work, and that it is my responsfbility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigabie Waterways. - Department of Health 8 Rehabilitative 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 flll:� - 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 Fiorida. - 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 propertfes. If use of flll Is faund to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building pertnit Issued under the attached permit application,for Iots less than one(1) acre which are elevated by fill,an englneered drainage plan is required. If I am the AGENT FOR THE OWtdER,I promise in good faith to inform the owner of the permitting conditions set forth in this affldavit 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 shail 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 cades,nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction af errors in plans,constructlon or violations of any codes. Every pemtit issued shall become invalid unless the work authorized by such permit is commenced wlthin six months of permit issuance, or'rf work authorized by the peRnit 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,fram 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,ih�job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IRlIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR PIOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.117.03) OWNER OR AGENT CONTRACTOR Subsalbed and swom to(or afflrmed)before me thls Subsctibed and swom to(or aftirtned)before me this by y Who islare persanalty known to me or haslhave produced Who Islare personally known to me or haslhave produced as identlficatlon. as IdenBfication. Notary Publlc Notary Public Commisslon No. Commisslon No. Name oi Notary typed,printed or shamped Name of Nofary typed,printed or sfamped