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Home My WebLink About15-16050 CITY OF ZEPHYRHILLS 5335-8TH STREET __ (813)780-0020 160 0 `` ANNUAL ASSEMBLY PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16050 Address: 39013 CR 54 Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 01-26-21-0010-05700-0000 Improv. Cost: OWNER INFORMATION Date Issued: 2/27/2015 Name: PASCO BUSINESS CENTER LLC Total Fees: 50.00 Address: PO BOX 89395 Amount Paid: 50.00 TAMPA FL 33689 Date Paid: 2/27/2015 Phone: Work Desc: FPM- PLACES OF ASSEMBLY-AMIE'S SANDWICH SPOT & MORE LLC EXP 2/2016 CONTRACTOR S APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 I E� I / '! �j �� // ! Ins ections Re i � FIRE SITE IN PECTION-Final 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 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 :� '� '�= Permit Application Date Received ;, �'�p— l� Phone Contact for Permit .4-�r:..�'*4=�:Y�ia.�...._,.';,.:�._�>.,,.a.«..`.�q�..-a,.�. ,.,.,. ...,»-.,.�,-,.n:.Tr:.,..,�__;:a-::��Cr��:.�:..:a..�w.h}ns-�...��'?�c^�:.-,.�'s.sr.;..,... ._ i. ..`:iiY—w-":�.Si .;wa...��..a..�..w.�.<:.�.....i-.-.n.a.m..e�3'�.....v -r��.K>�... Owners Name ` f� Owner's Phone Number � � ��a., Owner'sAddress ��d � � � �y �� +�H-� �S —(� �j �jS �_ Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address I tf=-:_'��m°"__�..,,..Y..<`:?; - �a�".;.c�.:...- ^-�s�_.1�.�-�-,-^�--�-�,�,,,L"' -- s°r'..r,�.:.':� -- -- - . -�.�..,_ - .-..:.�....-+a..�.�.�•s-.�....rs....-... �.,-..'°u:m'�..:. _u.-.1.�:.-_ ..�. ..".'�'�"�..,`_�"'��"'p""�! Job Address � 1 J �11`�� Lot#` � Sub Division Parcel# ti._�.._ �=:�.,'.-�..;t:��:�y,_�•_,��,�..,-:�.....<_......d��K<::.f..�,.....,..�...�,.,�-;=�;•�;..Y.:...�-�..::.:.�.-�_�,,�.,.�.b;tr..::�-_,,,..�r_.��r°-�,.;.::�:...u..�.y�.:��r;w��.�;�...�.� � 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/Naturai Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL �y emi �n er Sprinkler � ❑ ❑ ❑ B � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers ! �(� Hood Cleaning � ❑ � ❑ � � Sprinkler System Installations /� I�t��J � «�qr� \ Hood Suppression � ❑ O ❑ � � 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 Q Other: s�.�":^_.."r"Y.'�;�:r>...�. ..,�..t:_,.�7s'��.«_�,�....�.,,.<ny......:.......:._s...,.:.�'-_:..`^..�'i..:_-.,.:,.2;��..- ,..,.»,. .L.�_.,.z„� ^•- ,�....,..�,y., -«�,...>. .._ ��.-.�e,...z.' . . --<._z.:.-.,,., �r-.»�."'�°......-�.-".:.:....-.��:.o..._,'.:a-.-.- ,cs.�.-�s,.-,av ...::� Co�ntractor y/��n\��1^, , ` Co9 pany Si nature � v "� Re istered 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# ��^__..4.w�..�,,__, _ � ��.�..��:-_ ..x :n•..._�_..d..�..,� .,.1w�.�-.-.___�,e.v�.._��..�.t-..� ,.��;;�=-_ ,a.-;�,c�;�.�:��::s'.��w�:.::K:r_ -'--.:_.,.,.,:>,,;�.„ z_.._....-e..._:. :._..�.,::..�.�_ ::..:,.: .._.._ ... .., _... ..._.,: _.. <... � . . _ .. �._..,:�_4.,.�...��, w,_w__.,._„�._-._�,_... ,.. Directions: Fill out application completely. Owner 8�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) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" -Pr- -�'4 which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any < < applicable deed restrictions. � ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the awner 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, ff the owner has hired a conhactor or contractors, he is advised to have the contractor(s) sign poriions of the"contractor Block°of this application for which they will be responsible. If you, as the owner sfgn as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting,privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AfdD RESOURCE RECOVERY FEES: The undersigned understaniis 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 undersigned 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 ta receiving a'certficate of occupancy"or flnal power release. If the project does not invalve a cert�cate of occupancy or � final power release, the fees must be paid prior to permit issuance. Furthermore,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permft Issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statu�es,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided wlth a copy of the 'Florida Constrvction Lien Law—Homeowner's Protection Guide°prepared by the Florida Department of Agriculture and Consumer Aifairs. 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'SIOWNER'S AFFIDAVIT: I certify that all the fnformation in this application is accurate and that all work will'be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installatlon as indicated. I cerlify that no work or Installatfon has commenced prior to issuance of a peRnit 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. ( also certify that I understand that the regulations of attier government agencies may apply to the intended work,and that it is my responsibility to identffy what actions I must take to be tn compiiance. Such agencles inciude but are not limited to: - Department of Environmental ProtecGon-Cypress Bayheads, INeUand Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. ' - 5outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Carps of EngineersSeawalls,Docks,Navigable Waterways. - Department of Health 8 Rehabil(tative Services/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental ProtecUon Agency-Asbestos abatement. - Federai Aviation Autho�ity-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 permftted. - If the flll mater(al is ta be used in Flood Zone "A", ft is understood that a drainage plan addressing a °compensating volume"wlll be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - - If ihe fili material is to be used in Flood Zone°A° in conneclion with a permitted building using stem wail � construction,I certify that fill wlll be used only to fill the area within the stem wall. � - If fill material is ia be used in any area, 1 certlfy that use of such fill will not adversely affect adjacent propertfes. 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 aflached permH application,for lots less ihan 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 awner of the permitting conditions set forth in this affidavft prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, afr condiGoning, gas, or other installations not speciiically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authorfry to violate,�ancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the 6uildirig Official from thereafter requiring a correction of errors in plans,construction or violadons of any codes. Every perinit 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 ls suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in wrfting,from 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,th\Job is considered a a�e . � WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM ��RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO D T TAIN FINANCI ,CONSULT I WITH YOU LENDER OR AN ATTORNEY BEFORE RECORDIN NO OF COMMENCEMEN� FLORIDA JURAT(F:S.177.03) - OYVNER OR AGENT �T�R Subsalbed and svuom to(or afiirmed)6efore me this ubsalhed end swom to(or affirmed)before me this I by y Who Is/are personalry known to me or hasRiava produced Who Is/are personally known to me or haslf�ave produced asfdentlficadon. asldentlfiration. Noiary Publi _ Notary Pub' Commisslon No. Commission No. Name of Notary typed,printed or shdmped �Name of Nohdry ryped,printed or stamped