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Home My WebLink About15-16093 / CITY OF ZEPHYRHILLS = 5335-8TH STREEf �` (sis��so-oo20 160 ANNUAL ASSEMBLY PERMIT - PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16093 Address: 39317 AIR PARK RD 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: 13-26-21-0000-00100-0020 Improv. Cost: OWNER INFORMATION Date Issued: 3/16/2015 Name: CITY OF ZEPHYRHILLS Total Fees: 50.00 Address: 39317 AIR PARK RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/16/2015 Phone: Work Desc: PLACES OF ASSEMBLY- ROTOR OF AMERICA FLIGHT ACADEMY-EXP 3/2016 CONTRACTOR S APPLICATION FEES FIR PERMIT FEES 50.00 / C� �,b , � /�q � . � Ins ections R r FIRE SITE IN PECTION-Final OCCU PANCY LOAD: �� ._ .� � b �, �'�-�. 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 s�saao-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Reeeived ` Phone Contact for Permit �__�__� �._m-..__________.:_r__..__.�...�_._______._�_.�_..:_.,._.��_:_...,..�.._..,_.��-.......__,..__�._-...,....-�,..�u_..._-_.—_..<._� _ ___.___.�._._---___e_�.�_v_______.____ Owner's Name ��. cS p �►'Y�e r�ect �� A�e,m Owner's Phone Number � � � Owner's Address �Jq�11 �� O-d� �d�. Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address _�.,_.��.H....-�..__...�, -- - - ,��.w-=:—.._--�°°-._.,�. ��..� �-�.'°i Job Address Lot# '� Sub Division Parcel# c..�_1�.��.,w�..M__x�._....,.. .....-._.a._._r.,�.,.�.-_,.__..�..._v...-...�n._._..�.,.,....._..�,__..,�._._,._-.�a�=_.�_.._m.�__.___�..�._..___°_�._. .T-r..,____.-________-_-..�.... _..__._�__..—, � 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 t y emi �n t er Sprinkler � ❑ ❑ ❑ � � Recreational Burn r �� Fire Alarm � ❑ ❑ ❑ � � Sparklers � �I� 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 Q ther: .��..�.._..�____.._— _ — -.e._v�.ew��...-.....w._.-:.,.�.L.._�-,..�-_�-.._.-..�_......�....�....�.......«.n-a,..�.�__f�....�a�,e.e.�.�.�.`�,s.a-.�...._e.-.e-,..-�...-r..,,...�.�_�..e._=�.�,....,.�..�:�.�.�...e..>'._-.'�;�3 Contractor � Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Curzent 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 Curcent Y/N Address License# ° - �.__�,. ...�_�_._...�.�.�__—.---___,.,.�_.._�___�_n_._...__.. _.._��_ __._�..__-a-°_~-___."_,.�___,.._��...._._.___�..�____�_._._��_�Y--°---�- -� �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 PropeRy 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 responsibility for compliance with any _ appficable deed restrictions. � UNLICENSED CONTRACTORS AfVD CONTRACTOQ� RESPONSI�ILITIES: 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 contractor(s) sign portions 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 entiUed to permifling privileges in Pasco County. TRAPISPOFtTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVEFtY 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 undersfgned also understands,that such fees, as may be due,will be(dentified at the time of permitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to receiving a°certificate of occupancy"or final power release. i�the project does not involve a certifioate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counry Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordan�e with applicable Pasco County ordinances. COtdSTRUCTION LIEPI LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more, I certify ihat I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide°prepared by the Fiorida 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"awne�'priar to commencement. COPITRACTOR'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 appHcable laws regulating construction, zoning and land development. Appiication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenoed 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 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 Environmenta( Protection-Cypress Bayheads, V1letland Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management DisVict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, 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 fill:� - Use of fill is not allowed in Flood Zone°V°unless expressly permltted. - 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 Florida. - If the fill material is to be used in Flood Zone "A" in connection w(th a permitted building using stem wail 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 properties. If use of fill fs 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 AGEPIT 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 included in the application. A permit issued shall be construed to be a license to proceed wfth 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 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 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 abandoned. W/�RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAY7NG TWICE FOR IRflPROVEMENTS TO YOUR PROPERTY. IF YOU OMTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR PdOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.117.D3) OWNER OR AGENT CONTRACTOR Suhscribed and swom to(or affirtned)before me this Subsal6ed and swom to(or aftirmed)before me thls by by Who Islare personally knovm to me or haslhave produced Who Islare parsonally known to me or has s Idendfip6on. as idenllficatlon. Notary Publlc Notary Public Commission No. ' Commission No. Name of Nolary typed,printed or stamped Name oi Notary lyped,printed or stamped