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Home My WebLink About15-16479 ,. �� CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 16479,�` ANNUAL ASSEMBLY PERMIT �,.�'' � PERMIT INFORMATION ' - LOCATION I , FORMATION Permit Number: 16479 Address: 38333 COTTONWOOD PL Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: , rRange: Book: Proposed Use: NOT APPLICABLE Lot(s): i Block: Section: Square Feet: Subdivision: DRIFTVUOOD Est. Value: Parcel Number: 02-26-21-021B-OOR00-0000 Improv. Cost: OWNER INFORMATION Date Issued: 7/30/2015 Name: DRIFTWOOD CONDO ASSOC Total Fees: 50.00 Address: 38333 COTTONWOOD PL Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/30/2015 Phone: Work Desc: PLACES OF ASSEMBLY- DRIFTWOOD CLUBHOUSE -EXP 7/2016 CONTRACTOR S APPLICATION FEES FIRE PE M T F E 50.00 � �� - V � � ., f � J� �� Ins ections Re 're FIRE SITE IN PECTION-Fina OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Ocoupant 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 IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 I � 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 � - �;, Permit Application Date Received Phone Contact for Permit _�T� � �'=�-•--.,�_.�_.-..�r..._.---- - ---__-._ _-�_e_._� _-- .. ...��s.-° _._..._..,.�_....^_��___.._�,e.___ ._�..�_---- _._..�._.e�_�__._._ ...�. �` Owner's Name / ,� � Owners Phone Number � � � Owner's Address �� 'Q � � Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � Job Address N"--v - — - - - — -- �Lot# '�."� Sub Division Parcel# ._...-a,..,_._........__�.._._�._.w.__._...,..�,-x.�._.�e,....:,,�...w._;,�.._..-A...�.d,..��..,,.._.�..,,_ .9_.�,..�w...__.__.A�u,e_._._...__.v_._.�_..__,�.....- - ._ ..,.--_»...��e_.�..._.�..___...�_� a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � C/�,,,,C�?% F� / � 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 ❑ t y emi �n �t er Sprinkler ❑ ❑ ❑ I Recreational Bum 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 � Fuei Tanks Q Other: � ��.��.....__...�._.�. ._��-.�_�__-._.._.._,.�._ �_ _ .��...�..L_..�e.�.�.:.:_.__:...,�e_�_�.�.,,_ - -�..mW.=._...�___�..�....�.�--..�._�,._...�.,..�.��_�.=_:..a Contractor � Company Signature �' Registered Y/N Fee Current Y/N Addre � 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 I Company Signature Registered Y/N Fee Current Y/N Address � License# OTHER I Company Signature Registered Y/N Fee Current Y/N Address � License# c_ . �_ :.�-:._.__._�_..._...�__..,.__,.__...-__�...,.-._ __�>M_.._..__a__M_.�_,...._�_...__.:._v..�_�.w_.,__v...._�_._:._____ --_.�,...-r.��...�w�_---__.._._.....__�.__.��°� __�_�. . Directions: Po I Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical 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) I NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" K � • + 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 727-847- 8009. Furthermore, if the owner has hired a contractor or conhactors, he is advisad to have the contractor(s) sign portions of the"contractor Block" of this application for which they wiil be responsible. If you, as the owner sign as the contractor,that may be an indication that he Is not properiy licensed and is not entided 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 expanslon 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 ihe time of � permitting. It ls further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to recefving a'certificate of accupancy'or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prlor to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be pald 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 tha 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 all applicable laws regulating consUuction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certity that no work or fnstallation has commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating canstruction, County and City codes, zoning regulations, and land development regulatlons in the jurisdiction. I also certify that I understand that the regulations of otFier govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must iake to be in compliance. Such agencies include but are not limited ta: - Department of Environmental Protection-Cypress Bayheads, VVetland A�eas and Environmentaily 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 ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment, SepUo 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 fili is not allowed in Flood Zane"V°uniess expressly permitted. - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a °campensating volume"will be submilted at time of pertnitting 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 wlll 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 flll,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 aifldavit 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 instailations not speciflcally 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 shail Issuance of a permit prevent the Buildirig 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 work is commenced. An extension may be requested, in writing,from the Building Official far a per(od not to exceed ninety(90)days and will demonstrate just�able cause for the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned. 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 FLORIDA JURAT(F:S.'117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or aflirtned)befare me thls Subsaibed and swom to(or aftirtned)befare ma this by by Who Is/are personally known to me or hasRiave produced Who is/are personally known to me or hasas iden8ficati na asidentlficatlon. Nohary Public Nohary Pu61ic Commisslon No. Commission No. Name of Notary typed,pr(nted or stamped � Name of Notary typed,printed or stamped