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HomeMy WebLinkAbout15-16598 CITY OF ZEPHYRHILLS a . 5335-8TH�STREET (sis)�si-oozo 165 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 16598 Address: 39602 AMETHYST WAY LOT 5 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: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0050 Improv. Cost: I OWNER INFORMATION Date Issued: 9/17/2015 Name: EMERALD POINT RV Total Fees: 50.00 Address: 39602 AMETHYST WAY LOT 5 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/17/2015 Phone: (920)840-7890 Work Desc: PLACES OF ASSEMBY- EMERALD CLUBHOUSE POINTE RV- EXP 9/2016 CONTRACTOR S I APPLICATION FEES FIRE PERMIT FEES 50.00 O d� �. � _�� � � � � � Ins ections I e ired FIRE SITE INSPECTION-Final � ' � l�U� r S (J� �>�i (� `� � OCCUPANCY LOAD: � � z-�a 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 f :y ^ Permit Application Date Received Phone Contact for Permit 1�— JI �Y3,_"".-e.'t`_ci r"...:.`"'L.:F?i'�'._,�a:...w..x.._i..,...-a-.�o_..v.,.�. .�..,;w......�,.nw...-.e�'l:_ti`:«.:—r..,.-k&'..«.�.:..e.-„w�.s.....�-:a:l't..'*""..'CE:..:4,'��.'�...'a:.=�=4.`.,.,.-er�.:;��:?,4'.°v-�.:�^=f..'n.�i+A.-":....�,s�.....,....-�w.,^-.=r�+w�.:� �Owners Name /� �'� ��('/T L1J ��'`U l I Owner's Phone Number � � � �Qwner's Address ��-�o� %� ��1�7� -J�% ��j Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � f z:__..<,=.�._...,. F:_._.._�� ° .,.._:��:r:.,e.�:�-..�. °--�i�.� .,�.-�°�.�.^----��..��.�:..:�^� ��-..�..�. _.�>,_r_,.::��`-�°�.�.� Job Address Lot# � Sub Division Parcel# e_ery°�xx�'Y"._ —,-_ a>.._.�.,,.�.�.-�.,.,.�...��.�......���. ,.»��..:..=..,.-:�'S'.;=::,.�.�v-,:::R-,:��r,�;�.::.:'°.�=.,..��c�,.�.,...�"w".e.;..n_.:..,.=,...9:._�__�.:r�r.•�r-:^�-�-�°..'�-�w.t�-.-�....:'�.�""".-..�...�":.'� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)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 er � � �� Sprinkler � ❑ ❑ ❑ � Recreational Bum �� Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works I � FlammableApplication-ANNUAL Valuation of Project ��I � Fuel Tanks Q Other: � ,5' _f;^'�.:.y�^;�..^:�:.":.'. :.2i:^:: .,::.7_°.,?`::;�.i�'��F.'...'".��",.:....�—�-'_^`i..:....��:::t;."f;ti.._..`�s"^a�Y_;F;:-'='-..'t,'«:. ;.-..t;�`f.".u.,�,w:.u,�..9^°'-..w.-`°'•�:�...��i�;.�,7''.�,'�"...:.'��°.'.�..`..'.;.'.,a=.s^^s'��n:'�:.a.�-",._...^.-.."'^.'""�:.'.x": ntractor� �b 4 Company Signature ��L�2�'`�� Registered 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# y,�.._,.�:;�•�--.x;-�.,�_;...._,_�..<F:,..�..:�.�.:�::.:..:...:......4_t_..-«,_>L-.�........,.:___�_..,,..a.�. -_r.-_,.r....�°..:.._ _ .. ..::>:�«�_�.:�.-_ ...s_._,. .._t__.y_..,..__. .__.,_..---.:_....-. __..... . . . .. .. ..,-.. ,..,., . .._. ..� ... .. _ :__r: 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 worl��over$5000) Supply two(2)sets of drawings with applicable documentation i Allow 10-14 days for review after submittal date. Parcel -obtained from PropeRy Tax Notice(http://appraiser.pascogov.com) i I NOTICE OF DEED RESTRICTIONS: The undersignl d understands that this perntit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsib(lity for compliance with any `` ° � applicable deed restrictions. � UNl(CENSED 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 appiy 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 contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block°of,this application far which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly Iicensed 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 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 understaod 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 cert�cate 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 pald prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provlded wlth 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 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 certNy tNat all the informatian in this application is accurate and that all work will be done in compliance with ali applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and InstallaUon as indicated. I cerlify that no work or instatlation has oommenaed prior to issuance of a permit and that all work wlll 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 certity that I understand that the regulations of otfier govemment agencies may apply to the intended wark,and that it is my responsibility to identffy what actions I must take to be in compiiance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Weiland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. � - Southwest Florida Water Management District-Wells, Cypress 8ayheads, Wetland Areas, Altering Watercourses. 'i - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviatian 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 permitted. - If the flll material is to be used in Floo�d Zone 'A", it is understood that a drainage plan addressing a °compensating volume"will be submilted',at time of permifling which is prepared by a professional engineer � licensed by the State of Florida. - If the flll material is to be used in Flood Zone'A° in connection with a peFmitted buiiding using stem wall construction,I certNy that fill wlll be used only to fill the area within the stem wall. � - If flll material is to be used in any area, I certlfy 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 permit issued under the attached permit applicalion,for lots less than one(1) ' acre which are elevated by flll,an enginee�ed 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 affldavit prior to commencing construcQon. I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, afr conditioning, gas, or other installations not speci�cally inciuded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authordy to violate,cancel,alter,or set aside any provisions of tha technical codes,nor stiall issuance of a permit prevent the Buildirig Official from thereafter requiring a�orrection of errors in plans,construction o�violations of any codes. Every pem►it issued shall become invalid unless the work authorized by such permit is commenced within six months of permft issuance, or'rf 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 jusiifiable 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) I OWNERORAGENT � CONiRACTOR Subsal6ed and svuom to(or aRirmed)before me this I Subsaibed and swom to(or aflirtned)betore me thls bY Y Who Is/are personalty known lo me or haslhave produced i Who Islare personally known to me or has/have produced asidentlficatlon. I asidentificatlon. Notary Public I Notary Pubiic Commisslon No. ' Commisslon No. I Name of Notary typed,pr(nted or slamped '�Name oi Nobry typed,printed or stamped � Ia I i i