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Home My WebLink About15-16390 / ._ L CITY OF ZEPHYRHILLS � 5335-8TH STREET (si3)�so-oozo 16 90 ANNUAL ASSEMBLY PERMIT � PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 16390 Address: 38112 15TH AVE 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: 11-26-21-0010-01200-0250 Improv. Cost: OWNER INFORMATION Date Issued: 6/23/2015 Name: NYE, McALVANAH & HENSON Total Fees: 50.00 Address: 38112 15TH AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/23/2015 Phone: Work Desc: PLACES OF ASSEMBLY- BRIGHT BEGINNINGS - EXP 6/2016 CONTRACTOR S APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 � �C� � � � ��> i Ins ections Re uired FIRE S TE INSPECTION-Fina OCCUPANCY LOAD: � � Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant 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 813 780-d420 City of Zephyrhills Fire Fax-813-780-0021 ,. , � Permit Application Date Received �2.�,�1 Phone Gontact for Permit C�_�� r=�..�.....,.____, .__ �,�_.-e_.�_._....7___....�..,___..:,r__-�...»,_:.-�w. ,.L._,..»...–�.,.....��ti_.....,.:�__�._._•_--.�_�.>,A..._____,...-�..w.._._��.b.__�.._,....�a<;.....�._.ti.._,.�._, Ovme�s Name � � ,' �n . p� Owne�s Phone Number � � �� Owners Address „� / / �'�+ /'�V e Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titieholder Address r-- -- --,.°--°—�.._---' _i' - ' - - -- - - - - " ��__ __._. - Job Address lof# �� Sub Division Parcel# £,._ �_.._�.,d_�.�._.._:n.:_��._.._......� n.,..s�v_-� .,.,.._v._.�.,�..,..._.a��..___....--^��:A.,.._,---_.__..�.�..,.W..�__...:..,,_�,�,_�-�w__°____...._�_°_...�.Y_._,...._.._�..-.�.��...,�_..�_�._.—� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Gomm E�aust Kitchen Hoodlduct Q Flazardous Materiai{Tier II ar R{2 Facility}ANNUAL � Controlled Bum a Hood Installation � Emergency Generator<34 kw � l.P/Natuta!Gas-tnsEaltatian QEmergency Generator>30 kw !.P/Natural Gas-ANNUAL Sale � Fire Protectian Maintenance-ANNUAL Places of Assembly-AI�tNUAL "' ❑� emi � t er � n/,��'{ Sprinkier C3 � ❑ FtecreationaE Bum j �l � �� Fire Alartn � ❑ ❑ ❑ � � Sparklers � � Hood Gleaning � ❑ ❑ ❑ � � 8prink(er System Installations �� Haad Suppression ❑ d ❑ Standpipes(Sprinkler Sys) � �� ❑ � � Fire Atarm Installatton Q Torch RoofingtTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � FlammablsAppliaatian-ANNUAL �� —, Valuation af Project � Fuel Tanks Q Qth2t: s-;��__.._._ - � b --..�...�-�.._..�_._.._�_�....�.�._.....,_�___�.__�,.._,.��_�...._._.._ __ ,..�_w�..��.^��a Confracfor Company 8ignature Registered Y/N Fee Gurrent Y/N I Addrass �ieense# ELECTRICIAN Company Signature Registered Y 1 N Fee Current Y/I� Address License# PIUMBER Company 8ignature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y I N Fee Current Y 1 N j Address License# � � OTHER Company I Signature Registered Y/N Fee Gurrent Y/N � Address License# ' r --.--..w.�,r_._ , _x.�.,v_..__.._�_�._.._:.:-,_..__:_..;_.... �..s._w _..____.�.. _...H._._..-=�4_.._._.n._...,,_._.�.__.___�_� ., . , . _ ,: .-. .. _ , , .._ Directions:`_.__._.�___._�...._,:.._..,..�._.�_. .___,�,._-._._«.._�._,._._..__------- - Fili out application complefely. , Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) if over$2500,a Notice of Commencement is required{Mechanicai work over$5044) � 1 Supply two(2}sets of drawings with applicable documentation ' Allow 10-14 days for review after submittal date. Parcel#-obtained fram Property Tax Notice(http://appraiser.pasaogov.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 compliance with any applicable deed restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,ihey may be required to be licensed in accordance with state and locai regulations.; If.the, � contractor is not licensed as required by law, both the owner and contractor may be cfted for a misdemeanor violation under state law. If the owner or intended contractar are uncertain as to what licensing requirements may.apply forthe • intended work,they are advised to contact the Pasco Couniy Building Inspection Division—Licensing Section at 727-847- 8009. Furthemtore, ff the owner has hlred a wntractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block°of this applicadon 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the�onstruction 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 undersigned also understands,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 flnal power release. If the project does not involve a certifioate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, ff Pasco County WaterlSewer Impact fees are due,they must be paid priar to permit Issuance in accordance with applicable Pasco Caunty ordinances. CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): ff valuation of work is$2,500.00 or more,I cerYdy that I, the applicant, have been provided with a copy of the "Florida Canstruction Lien Law—Homeowner's Protectlon Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certiiy that I have obtained a copy of the above descrlbed dacument and promise in good faith to • deliver it to the"owner°prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certliy that all the information in this application is accurate and that all work will be done in compllance with all applicable 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 constructian, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also certify that I tinderstand that the regulaiions of otNer govemment agencies may apply to the intended work,and that it is my responsibility to identNy what actians I must take to be in compliance. Such agencies Include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensifive Lands,WateNWastewater Treatmenk - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Dacks,Navigable Waterways. - Department of Health & Rehabllitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protectlon Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictfons apply to the use of ftll:� - Use offill is not allowed in Flood Zone'V"unless expressly pertnitted. - If the flll materlal is to be used in Flood Zone °A, it Is understood that a drainage plan addressing a 'compensating volume"will be subm(tted at time of pertnitting which is prepared by a professional engineer �, , licensed by the State of Florida. ---,._ ' - � .. - If the fill materlal is to be used in Flood Zone°A° in connection with a permifled building using stem walf�-—�-\, , construction,I certify tf�at flll will be used only to fiil the area within the stem wall. � - If flli 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 aHached 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, afr condltioning, gas, or ottier Installations not spec�caliy included in the appiication. A permit issued shall be canstrued 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 8ufldirig Official from thereafter requiring a correction of errors In plans,construction or violatians of any codes. Every pertnit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or'rf work authorized by the permit(s suspended ar abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Buiiding Official for a period not to exceed ninety(90)days and wili demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the Job is considered abandaned. 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 WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.117.03) OWNER OR AGENT CONTRACTOR Subsalbed and swom to(or afiirmed)before me fhls Subsalbed and swom to(or afflrtned)before me thls by by Who islare personalty known to me or haslhave produced Who islare personally Imovm to me or ha as IdentlficaU na asldentlficadon. Nohary Public Notary Pu61ic Commissfon No. Commission No. Name of Notary typed,printed or stemped � Name of Notary typed,pdnted or stamped �