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Home My WebLink About15-16366 CITY OF ZEPHYRHILLS ' �� I .:� `; �/' , 5335-8TH STREET (si3)�so-oo20 �66 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16366 Address: 3751 LAUREL VALLEY BLVD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-OOCO Improv. Cost: OWNER INFORMATION Date Issued: 6/16/2015 Name: MAJESTIC OAKS LLC Total Fees: 50.00 Address: 3751 LAUREL VALLEY BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/16/2015 Phone: Work Desc: PLACES OF ASSEMBLY-MAJESTIC OAKS CLUBHOUSE- EXP 6/2016 CONTRACTOR S APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 � d'J I ./ ( I ,�f l �� .\ � Ins ections Re uired F RE ITE INSPECTION-Final OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Floreda Fire Prevention Code, PI FPA101, 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 813-780-6020 Gity of ZephyrF�i(Is Fire Fax-813-780-4021 �r- , . � Permit Application Dake Received �_� Phone Contact for Permit �.,��, � ___.__�.___._, �---,___._ _ , -. - - -- - _ _.°:_-_..__-� ... _.__ ._...._�.� ._._-�.._.____._�. _.. _.._. _..._.____w�_�._...�_�_.. ..a__ - - — ._�n . . .. �..��.wv a....�,�,.�_�. ..-;n_ .__. . -.�._..�__ _ ._._ __..._ _ __�M� Owner's Name ,�G.r�i Owne�s Phone Number �� C� �� ow„ers Aaa�ess �"/ � �°s L--. ��S�� Fee Simple Titleholder Name Titleholder Phone Number t� C� � Fee Simple Titleholder Address �-------__...u_.. __.__.___._._ :...--..-,.-__�...__„_.-,�,..-�..,...�.r.,..,�...�...�,_,�.,--.—,.,,.��.„,��_.._��_..,..,...a-.-- - _ °- - __..._.,. __."- .,�_ JobAddressY � Lot# � Su0 Division Parce!# ..-.__.�.._..,e-._. .._,.�___._.�:._..�.,.,�..,�u�...._P_z_e.,..._- -�--�- - _�� -m._,�_�_��...�_..��_...»...�_�____,.__�__.._r___ .�.__�,._:._.�..W..a,�.�_«__.__...-�� Lyp".L�'_M�p{��-j�� Bio-Hazard Waste Storage-ANNUALLL.�..,__......�._.__.--- - --� � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � tiazardous Dfiaferia{(Tier 11 or RQ Fac9lify}ANNUAL � Controlled Bum � Hood Installation � Emergenoy Generator<30 kw Q lP/Naturai Gas-insta(lation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL 8ale � Fire Protection Maintenance-ANNUAL Places of Assembly-,4idNt7AL �trT] emi � t er / �� /' Sprinkler � O [� Q � Recreaf'sanal Bum _+� �f f� Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � C� Q � � � Sp�nkler System Enstallatians Hood Suppression � ❑ ❑ ❑ C] � �tandpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofingfTar Ketfte � Fire Pumps Waste Tire Storage ANNUAL � Fiammabie Appiication-ANNUAL �!•—� Vaivation of Project � Fue!Tanks QOther: c,��._..�w.__ �; �. .�.. .��..._____:.�.__._,�.....�,._w,.....�.�.__..__e�°m°��__... .�_a�.r;,._.___.._�__.ti�—.�___..� - ...�__�._�.,.�_�..�M_.�-�� Contractor � /� Compar�y Signature � � / �� Registered Y/N Fee Current Y/N Address ��# ELECTRICIAN Company Signature Registered Y 1�l Fee Gurrent Y 1 N Address License# PLUMBER ComR��Y Signature Registered Y/N Fee Current Y/N Address �icense# MECHANICAL Company Signature Registered Y/N Fee Current Y 1 R1 `° Address License# QTHER Company Signature Registered Y/N Fee Current Y/N Address �icense# �....,m��,_a,�.,... - - - �. ..--._._ . --�.� � .. -��_ �„. _ tia,�.._.._ �..:�_...��.___..�__..._.�..."M.:.�.__�.,_�..,.:.__.�. ,..__. .....�...�,.�._.,,.._,.j.-.:.._ • �__ -._,....,._..<u�-..�__��.�.-..__�,_�.._��._�,�.._ _ . ._ Directians: - . _ __<........,�,._---_._._._d,.� __ Fifi out application completely. Qwner&Contractar sign back of application,notanzed(Or,copy of signed contract with owner) 1f over$2500,a Notice of Commencement is required{Mechanicai wark over$5000} Supply two(2)sets of drawings with applicable documentation Allow 30-14 days far review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) 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 responsibflity for compiiance with any appiicable 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 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 contractors, he is advised to have the contractbr(s) sign portions of the"contractor Blocl�'of this appl(cation for which they will be responsible. If you, as the owner slgn as the contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPi4CTNTILITIES IAflPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of i use in existing buiidings, 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,will be identified at the time of permitting. It is fu�ther 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 invoive a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact fees are due,they must be paid prior to permit issuance in aocordance with appllcable Pasco County ordinances. CONSTRUCTION LIEN LAVV(Chapter 713,Florida Statutes,as am�nded): If valuation of work is$2,500.00 or more,I ce�tify 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 li other than the°owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver(t to the"owner"prior to commencement. CONTRACTOR'SlOWNER'S AFFIDAVIT: I certffy that all the information in this application is accurate and that all work will be done in compllance with all appiicable 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 wiil be pertormed 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 govemment 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, Wetland Areas and Environmentaily Sensitive Lands,WaterNVastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wefland Areas, Aitering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health 8� Rehabilitative ServiceslEnvironmental 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 ftll material is to be used in Flood Zone nA", it is understood that a drainage pian addressing a °compensating volume"wiil be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If ihe fill material is to be used in Flood Zone°A" in connec�ion with a permitted building using stem wall construction,I certify that fill wili be used only to fill the area within the stem wali. - If flll 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 pertnit issued under the attached pertnit 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 affidavit 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 inciuded in the application. A permit issued shali 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 Buildirig Qfficial irom 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 ff 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 for a period not to exceed ninety(90)days and will demonstrate just�able cause for the extension. If work ceases for nineiy(90)consecutive days,th�job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEPICEMENT MAY RESULT IN YOUR PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR API ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) OWNER OR AGENT CONTRACTOR Subsafbed and swom to(or affirtned)betore me this Subsalbed and swom to(or aflirtned)before me this by y VYho Is/are personalty known to me or has/have produced Who Is/are personally Imown to me ar has s Ide bficatlon. asidentlficadon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped � Name of Notary typed.Printed or sfamped i �.�;��.::;:;�,; - . -CIT.Y OF.ZEPHYRHILL'S . 5335-8TH STREEi' - (s13)�so=oozo 9829 � - : AN,NUAL ASSEMBLY PERMIT - ° P�RMfT INFL�R�tIATiON � :LOCATION:IN�QRiVlATtON ° P.ermit Number: 9829 Addcess: 3751 .LAUREL VALLEY BLVD Permit Type: FIRE PLACE�OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES�OF ASSEMBLY To.wnsh'ip: Range: Book: Proposed Use: RV PARK � Lot(s): Block: Section: Square Feet: Subdivision: Mi4JESTIC OAKS Est.Value: : Parcel'Number: 24-26-21-0030=000,00-OOCO Improv. Cost: ' ' ' � �.�OWNER�INFORMii1T10N � � Date Issued: 12/01%2009 Name: MAJEST,IC-OAKS LLC Total Fees: 50.00 Address: 3751 Li4UREL VALLEY�BLVD �� Amount Paid: 50.00 , ZEPWYRHILLS, FL. 33542 , Date Paid: 12/01/2009 `Phone: Work Desc: FLACES�OF ASSEMBLY MAJESTIC QAKS-CLUBHOUSE �C�NTRACTDR�S � ° � APP1�tCATiON FE S ° � '` �FI E•P .MIT. EE 50:00� ,t �� , . _ � / ' � '�t'i$ BcflotlS'�R@ Ulf@tt . � - , I. N= inal � � ;� � �, 9 �� OCCU�PANCY LOAD�: �- -� ' Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load deter-mined �by Florida Fire � o Prevention Code, N'FPA101, Section 7.3.1,2 � �FIRE MARSHAL O'FFICE: 813-780-0041 � � � ' � ' - I�� IC R � PERMIT EXPIRES IN ONE' (1) YEAR�FROM QAT.E�OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED.IN.'VISIB'LE�LOCATION IN MAIN ASSEMBLY AREA � ZEPHYRHILLS FIRE'RESCUE DEPT - 69OT Dairy. Rd, Zephyrhills, FL 33542 -� - . - . _ , . , L�