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Home My WebLink About15-16518 CITY OF ZEPHYRHILLS _ ' S335-8TH�STREE7 " (si3)�so-oo20 165:�8�. ANNUAL ASSEMBLY PERMIT i PERMIT INFORMATION � LOCATION INFORMATION ' ' Permit Number: 16518 i Address: 7909 GALL BLVD 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: I Subdivision: CITY OF ZEPHYRHILLS Est.Value: � Parcel Number: 34-25-21-0010-00100-0000 Improv. Cost: ; - OWNER INFORMATION Date Issued: 8/17/2015 � Name: RUBY TUESDAY RESTAURANT Total Fees: 50.00 � Address: 7909 GALL BLVD Amount Paid: 50.00 � ZEPHYRHILLS, FL. 33542 Date Paid: 8/17/2015 I Phone: Work Desc: PLACES OF ASSEMBLY- RUBY TUESDAY -- CONTRACTOR S - ; APPLICATI N FEE OWNER FIRE PERMIT FEES 50.00 i - � 1 ' �� "� � - � � ` � i I i� � i I Ins ections Re uired - FIRE S TE IN PECTION-Final I � � � 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 Dair�r Rd, Zephyrhills, FL 33542 � i � i 813-780-0020 City of Zepliyrhills Fire Fax-813-780-0021 Permit Application Date Re�eived � I Phone Contact for Permit��,�'� �a..�-----.m.�.�..__.,._�..�.__..._._._ �__.-��_r_..�.�a__�_,.,�.___ .._�.,__.__.__a.:_..�_,..o�,..,_,.u.�...��_._..�.,...,._..�_._..._._...Y______._._._... .....-,�,.. Owner's Name � Owners Phone Number � � � Owner's Address � � �1r � Fee Simple Titleholder Name j Titleholder Phone Number � � � Fee Simple Titleholder Address ; �`.:r,�.x.r?�ar...�� .....,.._�.,°°'.-_ - ~�..._..-�.�:'�-i~..-= ° — _�.,.._..._.a._.� -=.:s ' Job Address � Lot# � I Sub Division i Parcel# �,:vv..,_._....w�..a......�,."...r�_.�___.>___.......��.�.,,.......,�...�.'�.,:�;..._..:.�n:.�.a��.,.,,..,....�!�.�_�..�...°e~�..:__v...4._,_.._-,�.._,..��_#...,�,_.u_>v__..-...,_.__. _.,_...t.. - -�-_..;.� � Bio-Hazard Waste Storage-ANNUAL i � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct I � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � � Hood Installation I � Emergency Generator<30 kw j � LP/Natural Gas-Installation � Emergency Generator>30 kw � � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL d Places of Assembly-ANNUAL try emi �n t er I Sprinkler � ❑ ❑ ❑ B � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation I � Torch RoofinglTar Kettle i � Fire Pumps � � Waste Tire Storage ANNUAL ' � Fire Works i � FlammableApplication-ANNUAL i Valuation of Project � Fuel Tanks � Q Other: � - ._.�:�,,,.� - _�._...__._..,_..,,..�.____._....�.-,V.._.__.___�----°�i ..�_�.�.__�...... _.�.,_,._,.,.�_...�_�.._d_.�...__�.__.�=M�,.�.��,..,._.._..n�_�._-�—� Contractor � � Company Signature � Registered Y/N Fee Current Y/N Address ; License# ELECTRICIAN � Company Signature i Registered Y/N Fee Current Y/N Address � License# PLUMBER I 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 � Company Signature i Registered Y/N Fee Current Y/N Address � License# c��_=..°.�;.�.�_...._..,_�.�,_A__._-�.,.�__�_._.,o�_��v.��__r� �_ ._:.-�.__......_.�_......�_...__.�.,.._..___..�_....._._.-.�...,_....._,�.....__:.<„_..k._.._._..�.�,�____�._�.s Directions: Y I� Fill out application completely. j 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) < � I ; NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to`deed"restrictions" � which may be more restrictive than Counry regulations. The undersigned assumes responsibllity for compliance with any ; appiicable deed restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be requ(red to be licensed in accordance wfth 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. Furthemtore, if the owner has hired a cantractor 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 entitled 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 canstruction 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 to recefving a°cert�cate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact � fees are due,they must be paid prior to permit fssuance in a�cordance with appl(cable Pasco County ordinances. COMSTRUCTION LIEN LAW(Chapter Z13,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I cert'rfy that I, the applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's Protection Guide°prepared by the Florida Department of Agriculture and Consumer Aifairs. if the applicant is someone v btained a co of the above described document and romise in ood faith to other than the°owner",I certify that I ha e o py P 9 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 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 commenaed 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 tinderstand that the regulations of otlier government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compiiance. Such agencfes include but are not limited to: - Department of Environmentaf Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health & Rehabilitative Serv(ceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Fe�eral 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 flll 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 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 wail construction,I certify that fill wlll be used only to fill the area within the stem wall. - If fli 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 permit application,far lots less than one(1) acre which are elevated by flll,an engineered drainage plan fs 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 eftidavit 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 consWed to be a license to procee,d 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 Bufldirig O.fficial 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 withln six months of permit issuance,or'rf work authorized by the permit fs 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 justiflable 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 WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR PIOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.117.03) I OYYNER OR AGENT CONTRACTOR Subscribed and svuom to(or afNrtned)before me this Subsaibed and swom to(or aftirtned)before ma thls � by Who Isfare personalty known lo me or haslFiave produced Who Islare personally iviown to me or has/have produced asidentlficatlon. asldentlfication. Notary Publlc Notary Public Commisslon No. Commisslon No. Name oi Notary iyped,printed or stamped Name of Nohary typed,printed or stamped _ i I -- -