HomeMy WebLinkAbout16-17598� CITY OF ZEPHYRHILLS
r, 5335-8TH STREET
., ; � ` , (813)780-0020 175�8
ANNUAL ASSEMBLY PERMIT F
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17598 Address: 5939 GALL BLVD �'
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: 10-26-21-0020-00000-0050
Improv. Cost: OWNER INFORMATION
Date Issued: 7/22/2016 Name: JOHN-MARY ENTERPRISES INC
Total Fees: 50.00 Address: PO BOX 17072
Amount Paid: 50.00 TAMPA FL 33682
Date Paid: 7/22/2016 Phone:
Work Desc: PLACES OF ASSEMBLY-THE LOCAL GYM EXP 7/2017
CONTRACTOR S APPLICATION FEES
FIRE PERMIT FEES 50.00
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Ins ections Re uired "'
FIRE SITE INSPECTIO -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 df Zephyrhills Fire Fax 813-784-0023
fPermit Application
Date Received 2 1 Phone Cortact for Permit yl�
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Owners Name� ��j,,,,,(,., y CMmer's Phone Number ��� �2 `3��
Owners Address �`�3� �t11.-�.� g 4-.�� � , �Ur'Z.
Fee Sim le Titleholder Name t c� �'�'� ��2 `��...
A M'�-�c,Sg c,l l . �iJ" 2. Titleholder Phone Numbe'r
Fee Simpie Titteholder Address � Le'�}(,,,�„ � ��� � ° �
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� Blo-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm 6chaust tCitcfien Nood/Duct Q �Haiardou"s Material{Tier 0 or RQ Facilify}AtdNUA�
� Controlled 8um � � o Hood Installation
r Q Emergency Generator<30 kw � CF/Natural�as-Instal►atian �� i
� Emergenay Generator>_30 kw. LP/Natural Gas'-ANNUAL Sale � l ��� �
Q Fire Protection Main#enanae.-ANNUAL places af Assembly ANNUAL
, ry emi 1�"fn er..- ,
Sprinkler �'`1 O ❑ i3}y� �F2ecreational Burn
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Fire Alarm 'a ❑ ❑ CJ�4�� Sparklers �
liood Clsaning � ❑ O t� �� � Sprinkler Sysfem insfai}ations
Hood Suppression a ❑ ❑ C] � ' � Standpipes(Spririkler Sys)
QFire Aiarm tnstallation a Torch RoofingJTar Kettle J
� Fire Pumps o INaste Tire Storage ANNUAL
� Fire Works .
Flammable Application-ANNUAL �� Valuation of Pro ec#
� ���1 �
� fuel Tanks .
QOther: , . , , . . . ,
C,::3-.�:>i;�::;;-::-�:�.:�..x�:v _..k.,.�:��.._.::��`::�..•..�.�w--:.�::.~� ..:�'.�.�A.:�.~z�.�::..:.., -<,�.�...^�-�„.�.<�r:�....:�:'�-°~ �y�,,.::�«=_.���- �,.
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Contractar �� ' , ` , ° Company �:.. -
� , ..,.
Slgnature � . Registered 'Y i`N Fee�Gu'rrerit Y/N
Address 4 � � � � ' ` ' ' � L'icense# - �� '
ELECTF?ICtAN , Company �
Signature Registered ' :'"'Y l N Fee Current Y/'N
Address ` ` � Liceirse# � �
PLUMBER • � Company � � � ' •
Signature Reg�ste�ed �Y 1 A4. Fee Current - Y 1 N
Address "' Lice�se# �.,.,.
MECHANICAI Company �
Signature Registered Y/N Fee Current Y/N �
Address ' ' License# -
OTHER Company �. `
Signature Registered Y!N Fee Cunent Y 1 N
Address License#
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Directions:
FII out application completely. •
Qwnsr 8�Contractor sign back af application,�atarized{Qr,copy of signed contract with owner}
If pver$2500,a Notice of Cammencement is required(Mechanical wark over$5000)
Supply two(2)sets of drawings wiih agpliceble documentation
A11ow 10-34 days for review aftee submittal date. Parcel#-obfained#ram Praperty Tax Natice(httpJlappraiser.pascogov,cam}
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that thls permil.may be subject to"deed'restrictions°
which may,be more restrictive than County regulaQon's. The undersigned assumes resporisibility for compliance with any ,
appiicabie deed restrictlons. ' . . , `" - ,
UNLICENSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: !f the owner has hired a contractor or -
contraciors to�underfake work,they rtiay be required to be licensed in accordance with state and local regulations. If the
contractor is not�icensed as requlred by lew;tioth ttie owner arid contractor mey be cited for a misdemeanor violatlon
under state law. If the owne�or intended contractor are uncertain'as'to what.11censing iequ.irements may apply for the
intended work,they are advised to cont�ct the Pasco County Building Inspection Divislon--Licensing Section at 727-847-
8009.�Furthermore; if the owner Fias�hlrecf a eontrector or contractors,'.he is advised to�.have the contraotor(s) sign
porUons of ttie"contractor Block of this application for.which they will be responsfble. If you, as the owner sfgn as the
contractor,that may be an indication th�t he ts not properly licensed and Is not enUtled to permitting privileges tn Pasco
County. '•
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCL RECOVERY FEES: The undersigned understands
that Trensportation ImpacCFees and Recourse Reco'very 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 diie;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 s'ceitificate of ocbupancy"or tlnat,power release. ff the project.does not involve a certificate of.occupancy or
final power release,the fees musf 6e paid prior to permit issuanoe. Furtfierinore,if Pasco County Water/Sewer Impact
fees are due,they.must be paid prior 10 permit Issuance�in accordance with;applicable Pasco County ordinarices.-
CONSTRUCTION LIEN�Wh►.(Chepter.713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
ceriify that I, the applicant,''have been pro'vided wftFi a-copy of the 'Florida Construc8on Lien Law—Homeowner's
Protection Guide"prepared by lhe Florida Department,of�Agriculture and Consumer Affairs. If the applicant is someone ..
othe�than the'owner",I certify lhat I have qbtained a copy of the above described document and promise fn good faith to ;�' �
del(ver ft to the`owner"prior to commencemenf: � � "''�` ���� .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify-that all;the:information in thls apppcation Is accurate and that alLwork
wili'be done in complfance with all applicable laws regulaQng constructfon;zoning and land development. Application is
hereby made to otitain a permlt to do virork and InstallaUon-as'indicated. I oertffy,_that no,work or'itistallation has
commenced prior to Issuance of a permft and that all work will be„performed�to meet;stan'd'ards�of ell`laws regulaUng
• construction, County and City codes, zoning regulaUons, and,land;�levelopment regulaUons in,the jurisdiction. i atso
certffy that I understand that the regulaUons of otfier govemmenf agencies may apply to,the intended wortc,andthat it is
my responsibilky to identffy what ections I must take to be In compliande. Such agencles i'nclude but are not I(mtted:,to:
- Department of Environmental F?rotection-Cypress Bayhead's;`WeUand Areas and Environmentally`Sensitive �
Lands,Water/Wastewater Treatmerit'`�`'' `' ' - ' -
- Southyuest Florida Water Management District-We11s', G�press Bayheads, WeUand Areas, i9lterfng
Watercourses. � � ` �
- Army Corps of Engineers-Seawalls;Docks,Navigable Waterways. �
- Department of Health 8 Rehabllitetive,ServiceslEnpiro�inental Health Unit-Wells, Wastewater Treatrnent,
Septic Tanks. ��� � � i �" ' ` -
- US Environmental Protection Agency Asbestos abatement.
Fed"eral AviaUon,Authority-Runyirays. � `" `'��" ;
I understand that ttie fo0owing restrictions apply-to the.use of fill:� _°
- Use of.flll Is not allowed in Flood Zone'V°unless expressly permitted.
- N"the flll"mateilal is�to•`be used�In Flood Zone 'A°, It is understood that a drainage plan addressing e
'compensating_volum,g"-wlll.:be submftted at time of permitting which is prepared by a professional engineer
. Iicensed-ay;tfie:St'a{e of Florida._;",�e";_ ` - _ •
)f,the fll,material_is to be used In Flood.Zone R'A7;,in.connection wftH a permitted building using stem wall
- . �� ..,..;.... ,
•constniction;I cQriffy_that yfill virilf be used'oniy to fiil the,area wi4tiin the stem wall. __
- �.If�flli�mateMal,isyta�,be.used'_In`�ariy,�area, I aertify-that use.of.such.fll-will,not_.adve[sely affect adJacent � - .
";prope�ties.,,if use of fill_is found to edversety;affect adJacent properttes;the owner may 6e cited for vlolaling
- . -�the conditions=of`the.building'pemiit:lssueil unde�ihe attached'permft�.application,-for,lots,less than one(1) ,
- .acrewtilcti.are_elevated_by�tili,:an.enginQered drainage.plan Is�required. " `
-•:, . ,
if I am the AGENT FOR:THE OWNER;I promise,in good.failh,to,inform the awner of the permitting conditions set forth in
th(s affidavtt-pnor-to.commencfng�conshuction::_:I.,understand�thet a separete;permit.may..be,cequired for elecMcal work,,
.� plumbing, signs,wells,.,pools,..air__conditioning, gas, or other.installations;not specftlbally'Included in the application. A
` permit issued-stiali be constiued to be_a license to proceed wRh lhe work�and nof.as-autliority;to:violate;cancel,after,.or . �.�
set�aside arry:provisions�of 1he technical codes,nor shall issuance of a permft prevenfihe Butldirig�O�icfal iroFn thereafter
requiring a corr,ection,of errors�in�plans;constiuction or vloleti�ns_of any coiles. Every permft Issued shall bscome invalid
unless the work°euthorized by�such pertnit:is:coinmenced wfttiin six montFis of pertnit Issuence;or,ff,work authorized by
the permtt is suspended�or abandoned.for a_period of�six(6)months aiter the(ime the wo�k i's"commenced. An extension �
may tie requested;In writing;•irom the Building.Officlai tor a period not to exceed ninety,_(90):days and will demonstrate
Ju'st�fable cause for the extension, if work ceases for ninety(90)consecutive days,th,job Is considered abandoned: ,
WARNINGf TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF,COMMENCEMENT MAY-RESULT IN YOUR
PAYING TWICE FOR;IMP_ O MENTS TO YOUR PROPERT1f.=1F YOU INTEND TO OBTAIN FINANCING,CONSULT
H YOUR�LENDER'O TTO NEY FO E ECORD NG YO NO CE F CO ENC MENT
FLORIDAJURAT 6:�,117.03)i , � ` �
i �
OWNER OR E� CONTRACTO� '
Subsalbed and swom tv(or a ed e me fhis Subavlbed end swum to(or afflrtned)before rne lhis
by ,. '_. Y
Who Islare personally known to me or hasRieve produced Who Islere pe�sonally Imown tn me'or has/ha��p�mfl d�u�ce�d
asidentl6cadon.
Notary Pubilc Notery Publia
Commission No. Commisslon No.
Name oT NoNdry typed,pdnted or stsmped �Name oi Nohary Wped,pdnted or stamped
.
_ - , CITY OF ZEPHYRHILLS - CODE ENFORCEMENT
5335 EIGHTH STREE YRHILLS, FL 33542
13-780-0 20
VIOLATION NOTICE
BY ORDER OF CODE ENFORCEMENT OFFICER
IT SHALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A
RESIDENTIAL/COMMERCIAL BUILDING OR STRUCTURE, OR
PROPERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR
THE OPEN STORAGE OF ANY:
❑ UNLICENSED VEHICLE ❑ INOPERABLE MOTOR VEHICLE
❑ HIGH GRASS & WEEDS ❑ DEAD TREES OR TRIMIVIINGS
❑ FURNITURE ❑ TRASH
❑ UNKEMPT ALLEY ❑ UNSECURED REFRIGERATOR
❑ APPLIANCES ❑ UNSECURED SWIIVIlVIING POOL
❑ BUILDING MATERIAL t� OTHER: �.1G..2� �c�,�a,�� -
�s a� /�-••e �l�r►a � �.SS�� � ��s� , �
ADDRESS: S� 3 � C.s�-�-� ���!!� DATE: � s aco-
UPON NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTY AND
RESPONSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH
PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS LISTED ABOVE.
FAILURE TO COMPLY MAY RESULT IN FINES ASSESSED UP TO $500.00.
- ��' �- �b' /!>
CODE E RCEMENT OFFICER DEADLI E
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�- `�k.' jr CITY OF — - - ' M1,���:�I
� � --_----�..��r ZEFEIY@HILLS — - -- _ - - - -
3>�sa•eozo_...�, " t i �;
PERMITlNF ANNUAL q$$EMB �~ _�'��__ �
�Pormit IVumber: 9892—�R��ATION LY PERMn- . t,;�„-, � � -
Porrn7t 7 IRE P �
, Class of Y�O' F _--`-- `
�I Work: FIRE- �'CE OF ASSEMBLY � Atldre gOC�qTiON INFORh�AT10_N`--_ ---_�1 �,
Proposed Uso• NOT P�C�S OF ASSE;�g 3-GALL BL\�D---'- `
'= � S4uare Feet• APPLICASLE �Y Townshlp`PHl'RNILIS.�l. ,
� ��P ov.value: � �.ot(s): R°nflo: �ook: t!
� Cost: Su6divisfon; B��ck: ������T�, 4
, � Date lssued: Parcel Nu CITy OF��pHYR}i1LL5 1
f To;al Fees: �2/�4/2009 mber: �
Amount Pa;d- 50.00 Name �WNER tNFORMqTION �
' Address: D�U��EtV7ERPR15[S INC -----++ �
' r._____.__Da2e pa�d: � 50.00 5939 GALL BLVD
Work Desc--2�14�z�09 ` ��
_� L CONT P�CES OF ASSEA�g�F Phono; Z��HI'RHILLS,FL,3�gyZ
;o�rnr�R �CTOR S OR`7HE LOCAL GYM
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, � ��'�-��ER7:1i`F�g APPLICATIO���EES------______,�----
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, «�r- Ins ections Re uired
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P14NCl� LOAD■ _ _ , r.�
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Qccupan ----' �
cy by more than the number of persons above sha11 be considered �
. dang�rous and unlawful. 4ccupant load determined by Florida Fire
PrQvention Code, NFPA101, Section 7.3.1.2
FIRE MARSHAL OFFICE: 813-780-0041 l-�--� `-- --- --
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, PERMIT �XPZRES IN ONE (1) YEAR FROM DATE OF ISSUANCE 1G��` �� I
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� THiS PERMlIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY ARE� ��
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� ZEPHY�HILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills� Fl 3354z
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