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Home My WebLink About16-17150 CITY OF ZEPHYRHILLS I 5335-8TH STREET .�'` � y (sis)�so-oo20 171,50'� ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17150 Address: 5506 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: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05700-0256 Improv. Cost: - OWNER INFORMATION Date Issued: 3/10/2016 Name: PHIL MOOK ENT.INC Total Fees: 50.00 Address: 1108 W BRANDON BLVD Amount Paid: 50.00 BRANDON FL 33511 Date Paid: 3/10/2016 Phone: Work Desc: PLACES ASSEMBLY- KENTUCKY FRIED CHICKEN - EXP 3/2016 CONTRACTOR S APPLICATION FEES OWNER F RE PERMIT FEES 50.00 , � � /� �`� � � - Ins ections Re uired � FIRE S TE N 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 � sa�-�eo-oa2o Ci#y of Zephyrhilis Fire Fax-s�3asa-ao2� Permit Application Date Received �—�� Phone Cantact for Pertnit cn.--�r.-„_;.::�;:.�'�-�-_.,�.:....>-......>z,...�_-.._d.,...$�,,.P...._�.._,__,.-,.....a.�� nr�:.:�,��•:,...>..,�^�;:�,;:,._.s.._�,...v;—�x#s,�..^�r..,_�-^rcv's�t..L..,M... _.:a..�..___....�,��.,>_4.�,F.-.,.,.�.v:�..s:=_.<-� Owne�s Name .Y} 3 _'' Owners Phane htuinber �� Owners Address () � Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple'Titleholder Address ' _Kr - c.;n�-> :x..7,: ..�r� �.�:�r �-^.Mr�x-rst�„ -_:,yr:-..-,�...,o.rr�, np,�.,;^n;.,`..^' _;r-;r,-,;:K-.,. ...r�x,,,.-,,, ;r,,:�;..: ,,.,:i::.>__»�a.:e,.-...�.r.. ,:`",.�»`r.':"' ..::,�i:Yau.f`"'..,.'.J� ..;C_a..w..�... -.:;�:c".:reC`:�.;,.a.� :a,s'a::.�s...t..ts.�.._•v�s�r.::"'z.��a.'r'...a.«wF_..��;:f•�'�='-F:..t.�_..,'.3..¢. .rob Aaaress �ot# �� Sub Division Parce3# � �.'.-..(::.:K2::.".,..,...-..�a..... .t z�..,.r....—..x_....r�.-.i.'i.i:et�`"'w-".i:-,....�s;:f`..-'«..;u:�<F°!'<...""';s_:?':...-;;-.."::.-''_...,.......,.�?i<:.,:::'��=:..'::�.;.'L»'.�L. - .,._e�...-re...a.`..';�}=�::�."�`.�.�:_�w��""`ww.."."':.'w_tii.=a�...�.��-,..."`�.._... � Bio-Hazard Waste Storage-ANNUAI. � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai(Tier 1!or t2Q Faciiity}ANNUAL � Controlled Bum - Q Haod Installation `� � Emergency Generator<30 kw �.� LP/Naturai Gas-Installation � Emergency Generator>30 kw Q LP/Natural Gas-ANNUAL Sale � Fre Protection Maintenance-ANNUAL . Q P(aces of Assembly-ANNUAL �f'rfiy emi �n er Sprinkler � � C7 Q � � F2ecreat3onat Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood CEeaning � � ❑ ❑ C� � Sprinkter 8ystem tnstailations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Atarm instailation Q Torch Raofingtfar Kettie � Fire Pumps ,t Q Waste Tire Storage ANNUAL � Ffammable Application-ANNiJAI �— � Valuation of Project � Fuel Tanks [� C)ther: E:_...�.i.aC"..y....:........... ..-�'::i':'e,""$'�'<''�`C�.:.:��-,.;.�—�n.�...+..�.,,,��......_""'.--�`.�.'""::°«.:'�.�...G'�:�`+.�"''..,.,':�c�^�"""_"°�'. ':Y�.�.�'.�"'"":e.,�°"":s�L�."""-,:�`-�.+�:x=i�'.'=...�..�.s�.e'""...s��"�^-^'�i*.,�.'.�,.......,....:.�:�:""�,..�,^.;�,•.,.se�„�'. .6' Contractor Company Signature Registered Y/N Fee Current Y/N Address �icense# f �LECTRICIAN Company r 8ignature Registered Y 1 N Fee Current Y 1 N Address License# PIUMBER Company Signature Registered Y/N Fee Curren# 1�/N Address License# MECHANICAL Company � Signature Registered Y/Id Fee Current Y/N Address Lieensa# OTHER Company Signature Registered Y!N Fes Current Y/N Address License# c�.,:s`-=r_-.�:G:.:._...,_:,._....,rW._...K_._x��.v.,_._-.._,::rw:;.__.. ,..r..._...�.::..�a:c.��.,........_...._.....-,.u::3,.....w_�.:.��.!.:..:_�.,._...._.,__'<u,r_,-__.......�._.a..._�.w_,_.__, ., <i:..va:._.__.....�,_.,e, _.._.:�;a_v-..��.._..,..,.�-., ..��._.... .�..._...�. .. .�,.. ..�.._ ..:,:.> .a,,-,• . -- -r .- , . <.. . .... :. . ... ,. .�.> . . . : .. . ._. ... . ..... ^- ' ' Directions: Fiil out appfication compietely. Chnrcter 8 Cantractor sign back of appBcation,notarized(Or,capy of signed contract with owner) It over$2500,a Natice af Gommencement is required{Niechanical work over$5400} Supply two(2)sets of drawings with applicable documentation Allaw 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The unders(gned understands that ihis permit may be subject to"deed'restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibllity for compliance with any applicable deed resUictions. � r • •_ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILtTIES: if the awner has hired a contractor or contrectors 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, 6oth the owner and contractor may be cited for a misdemeanor violatfon I 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 ta contact the Pasco County Building Inspection Division--Licensing Section at 727-847- � 8009. Furthermore, ff the oinrner has hired a contractor or contractors, he is advlsed to have the contractor(s) sign portions of the"cantractor Block"of this application for which they will be responsible. if you,as the owner sign as the I contractor,that may be an indication that he fs not properly licensed and is not entiUed•to.permitting privileges in Pasco i County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that TransportaUon Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion oF exisGng buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The unders(gned also understands,that such fees,as may be due,will be IdenCified at the time of permitting. it is further understood that Transportation Impact Fees and'Resource Recovery Fees must be paid prior to - receiv(ng a'certificate of occupancy"or final power release. ff 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 issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of auork Is$2,500.00 or more,I - certify that I, the applicant, have been provfded wRh a.copy of the 'Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Aifairs. If the appiicant is someone other than the'owner",I certify that I have obtained a copy of the above described document and promfse in good faith to deliver it to the"owner"prior to cammencement. . ' . CONTRACTOR'S/OWNER'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 constniction,zoning and land development. Application is hereby made to obtaln a permit to do work and installation as indicated. I ceriify that no worK'6r�fnstallation has commenced prior to issuance of a permit and that ali work will_be qerformed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certi(y that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibilily to identify what actfons I must take to be in complfance. S'uch agenales include but are not limlted to: - Department of Environmental Protection-CypreSs Bayheads, 1NeUand Areas and Environmentally Sensitive Lands,WatedWastewater Treatment , ' ' - Southwest Florida Water Management Dlstrict-Vllells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - - Army Corps of EngineersSeawalls,Docks,Navigable Waterways. - Department of Health & Rehatiilitetive ServiceslEnvironmental Health Unit Welis, Wastewater Treatment, Septic Tanks., � - US Environmental P�otectlon Agency-Asbestos abatement.= - Federal Aviation Authority-Runways. 1 understand that the following restrictions apply to the use of fill:� - Wse of�fill is not allowed in Flood Zone'V°unless expressly permitted. - If the fill materlal is to be_used in Flood Zone °A", ft 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 th�fll.materlal.is to be used in'Flood Zone'A° in connection with a permitted building using stem wall con'struction,I certffy tf�at flll vuill be used oniy to fill the area wfthin the stem wall. . - If flll�mate�ial�ls ta be used in any area,-1 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 far violatfng the coriditions of the building pertnit�.issuecl under the attached permit appllcation,for lots less than one(1) acre wh(oh are elevated by fill,an engineered'drainage plan is required. If I am the AGENT FOR THE,OYYNER,I promise tn good faith to inform the owner of the permiHing conditions set forth(n this affidavft prior to commencing canstruction. I understand that a separete permit may be required for electrical work, piumbing, signs,wells, pools, alr conditioning, gas, or other installations not specffically included in the application. A. pertnit issued shall be conshued-to be a license to proceed with�the work and not as authority to vialate,�ancel,alter,or set aside arry provisions of the technical codes,no�shail fssuance of a permit prevent the Butidirig.Officlal from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit Issued shail become invalid unless the work autliorized by such permit is commenced wfthfn six months of permit issuance,or'rf work auihorized by ihe permit is suspended or abandoned for a period of six(B)months after the iime the work is commenced. M extension may be requested,�in wrHing,from ihe Building Official for a period not to exceed ninety(90)days and wiil demonsVate justffiable 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 NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:5.117.03) OYYNER OR AGENT CONTRACTOR Subsalbed and swom to(or aflirmed)betore me this Subsalbed end bsvuom to(or affirtned)before me this by Who lslare personaity knovm to me or hasR�ave produced Who Islare personatly Imovm to me or haslh'�v np�%dau�n asidentlficadon. Notary Public Nohdry Public Commission No. Commission No. Name oi Nofary lyped,printed or stamped � Name of Natary typed,printed or stamped 3