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Home My WebLink About15-16673 �ITY OF ZEPHYRHILLS � � � � ' ' S335-8TH STREET � (sis)�so-oozo 16673 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION ` � -- ' � LOCATION INFORMATION- -� Permit Number: 16673 Address: 7645 GREENSLOPE DR Permit Type: FIRE PL-ACE 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: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-OOCO Improv. Cost: - OWNER iNFORMATION -.. Date Issued: 10/14/2015 Name: LIFE'S HARBOR CHURCH INC Total Fees: 50.00 Address: 7645 GREEN SLOPE DR Amount Paid: 50.00 ZEPHYRHILLS FL 33541-7660 Date Paid: 10/14/2015 Phone: (813)508-8673 Work Desc: PLACES OF ASSEMBLY- LIFE HARBOR CHURCH EXP 10/2016 CONTRACTOR S - - - � � � � . APPLICATION FEES - - - � � F RE PERMIT FEES 50.00 ,. �J I(�r ` f V �/ / � � � ll � � � - ' � �' Ins ectioris Re uired ` � � - � - - - � FIRE SITE INSPECTION-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 of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Receivet! I� _ Phone Contact for Pertnjt- � F�n."_:..-,�..�.._�':3.�.5:`_,`,��;�3'x:�.n-"�r.,..ca..c,.0 �.+r.�.a.'u.'_ " '�...w_ss...>r'�y.s`.»,.`s3:.piY''��£a�":R-.��"'>,3'-'T_.:+i85;..,'t:�`-�'Y,"'u..:�_..�.�:'F%:>:i`k..^•.....'f"f:'.ai.i<_zz,.P.�...��5..�':S�s'�^."��7«3!3_..�:z�-.�� .. ,z, f' � f � � � ��4wners Name � C i/�Q� Owners Phone Number �Owner's Address /(p � Cj � S �� Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address . •$'-S��Y�<Y�.�'. . x.. - -__^.f::k.s .-s�.-[7°..- `"';."_,=-�Sr s.Co^,.-:-� �..a�33::=*.:r =!3'x 'i'-'.+y;'S�"""!'C= - �'�'a - '�y�'s, - .- .�..s,..,w";u�ru{=s. �x:r`.,z��=` •yx:'.t:' �:,�-�. =.:.=i.s'£�....>z�a:��::ur".,:�._�.s�.:'�..."'F'"-� -�.�..=:;:;rti.�5'^...�...�ctrs;._��.=.>��-`;.:�..�'�•'cc.�-�;:<s.--��.,-,ti�c.,��,..r,t':.ea� .�3..� - Job Address Lot# �� Sub Division Parcel# �:S�L�:a`.-N:`�-:a;;4-`.�5�.....:,'�-�`.".":t._"Y::-x.="'t.'" ty,-�a^..� .c.F�,..�,-.,,-,n-vr.r�.t`,��'�.r' ,�y;.:,..�.s_n_s;-�>a a-< -:;y._,vy; ' _ :„�� _ A,��-�- - `'`s_ z:�"'_s _.t=7� ..�......�>_�..�ar..,.,�.s��.......�...,��T.v�.L....?��....r.�4�...d,�..., ..,�-a..,..�.�".,ysr:"�:..._,.�iP::�..,.,,.,:>a��m.�""-+�.5,.�.,�.�:,'^�:-.�.£�>sa_.;�.`�'.;.��''a',��::x=.�'"a...._--�'s..�'�.-,.'�-._`��. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � �i � 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 I� � Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale � a Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL , � emi �n er_ `0" ' ��, Sprinkler � ❑ ❑ ❑ B � Recreational Bum � Fire Alartn � ❑ ❑ ❑ � � Sparklers � Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Flammable Application-ANNUAL Valuation of Project i ❑ Fuel Tanks , Q Other: , s.�...,..�._�:-<.,.;�`...;c��„�s:.=,,.,.�;:_.,;�,�.'.u,�;��^�,°--.-,�� _--�..�',_"H'�..,�.:.,�-`-�*''�"":.......t;�'�.-^��Y.'.....�'^�"''a.��" '"�F��-:� -- �-.�.~..;.�°�`':-�.�""`�,T> n~m' ,,.�--...�'�-"�" - _._.. ,:.-=,w, .,..r - _ .-�.:.. .:,.�,.. - u..:....,.,.a - "'a'�`.�-.=��z;., ��. - �'�:::�...=:,"c,.�`�-''��.:'".--`",.T"i.�.-.:.. ?:� Contractor � Company � � Signature " 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# �x�.;�...,�-��>=,�,.rT..- _. . . .,.,,.; .,- , - - - - - �-:v�.,..,...c_...� ..._�.x=r�:�atrr.z._. a��d,,:Fb,s..��r<:<::;r,a�.._:4rr�...s...,<,.,,»��.z+.m--�:r_=z�,.,..c�.:a.�v,r.c-.._,_.« __,:..,..-.-....._a.,a°�:�a,.u.�.r3..,.x-,.._c-:...�...,...:..-�..,,..v..r....._a.�1..s..�s�t_-�_,��v;:>,^a.:;:f«�z,t...,=_�.....,. �m -..,,,.�,. ,-..�.. _ . .... ..�,.�.�,, n.�,.,�. , �a.-.�:,....h_ . ..;::K;c. � .......-,;.��n,_..>�:, ,-.,, .:._ Directians: Fill out application completely. Ovmer 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) j NOTICE QE DEED f2ESTRiCT10MS: The understgned understands that this perm[k may be subject to"deed"restrictians" f which may be more restrictive than Caunty regulaftons. The undersigned assumes responsibltity for comptiance with any � � appficable deed restrictions. i UNLICENS�D C4NTRACTORS AND CONTRACYOtt RESPONS{B!L!T{ES: If the owner has hired a conttacfor or � confracfors to undertake work,they may be required to be licensed In accordance with stafe and tocal rega{afions. If the contractor is not licensed as required by law, 6oth the owner and cantractor may be cfted for a misdemeanor violatlan under state taw. IE the owner or lntended conUactor are uncertain as to what licensing requirements may apply fflr the in#ended work,they are advised to contact the Pasco Gounty Buiiding inspecf3on Divislor►-=ticensing Section a#727-847- , i 8009. Furthermore, ff the owner has hired a conhactor or contractors, he is advised to have the contraator(s) sign ; portions of the"contraator Block"of th(s application fo�`wtiich they wiA be responsible. !f you,as the awner sign as the cantracfar,thaf rnay be an indicatian fhat he is not praper{y 13censed anc!�§nof erititled#o pemti#Eing privileges in Fasco County. TRANSPORTA710N IMPACTlUTLLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersfgned understands that Transporta#lon Impaof Fees and Recoarse F2ecavery Fees may apply ta the conshucfion of new buitdings,change of use in existing buildings,or expansian af exisling buildings,as specified in Paseo Gounty Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identffied at the time of permitting. 1t is#urther undersfood that Transpactatlon lmpact Fees and Resottrce Recavery Fees mnst be paid prior to receiving a'ce�kificate of accupiancy°br final power release. If the project does not involve a certificate of occupancy,or final pawer release,the fees must be paid prior to permit issuance. Furthermore,ff Pasco County WatedSewer Impact � fees ate due,fhey must 6e paid prlor fo permlt Issaance En accordance w3th appllcable Pasca County ordinanees. � CONSI`RUCTtON LIEN LAW(Chapte�713,Flailda Statufes.as amended); if vatuation of work is$2,500.00 or more,1 certify that I, the appflcant, have been provided wikh__a copy of the 'FloNda Construction Lien Law—Homeowner's Protec#ton�uide"prepared by the Florlda Departrrt�at oE AgrlctaEture and Gonsumer Affairs, tE the applicant€s someone . other tF►an the'awner",i certify that 1 have obtained a copy of the aboue desceibed dacument and promise irt gaod faifh to deliver it to the"owner°prior to commenc:ement.y, � CONTRACTOR'SlOWNER'3 AFFlDAVIT: 1 certlfy that ail the it�farma#fon in this applicatian is accurate and that sIl wark � wifi be done in cdmplfance with ali appticabia lativs regulatirtg consfruc8an,zgning and tand development Applicaf�on is hereby made to abtain a permit to do work and Installation as indicated. I certify that no work or installation has commenced prlor to issuance of a permit and that ail.work wiA,be per�6rmed to meet standards of ai(laws regu(aEing conshucfion, County and City codes, zaning regulations, and land development regulafions in the jurisdicfion. 1 also � certify that I understand that the regula#ions of otfier govemment agencies may apply to the intended work,and that il is my respor�sibiltty to identEty what ackions i must�ake to be(n compEfance. Sach agencles inctude but are not limtted to; - Department of E�vironmentai Pioteetidn=Cypress 8ayheads, 1htaNand Areas and Environmentatly SensiC�ve ' Lands,Water/Wastewater Treatment. ' - SovthwesE Ffarida Water Mar�agemerit Distrtat-Wetls, Cypress _Bayheads, WeUand Areas, Ritering , Waterconrses. - Army Carps of Engineers-Seawalls,Docks,Navigable Waketways. - Departmenk of Health &� Reha6lCitative'SrarvicesfEnvironmenta! Nealth Unit Wells, Wastewater Treatrnent, Septic Tanks. `� - US Environmentai Protection Agenay Asbestos abatement. ' - Pede�al Aviation Authnrity-Runways. � !understand tha#Fhe foltawing restrictions apply to the use of fill: - Use offill is not allawed in Flood Zone�N"uniess expressly pertnitted. - If the fl(1 matehal ts to be used in Flood Zone "A", it 1s understood that a drainage plan addressing a "compensa#ing votume"w11[be submitted at fime af permttting which is ptepared by a professianat engineer licensed by the State of Florida. - If the fiA materfal is to be used.in..Elo.od Zone A° in connection wfth a permitted building using stem wall consfructian,l cetfity that flli wi[t be used only t�fill the area withln the sfem walt. - If flll materfal is to be used�in any area,-'I certtfy that use of such fill will not adversely affect adjacenk praperties, If use of fUl is.faund ta adversely afiect adjacent properties,the owner may be cited for vlolating �, the condlftons ai the buitd3ng permifitssued unde�;the attached pertnif applicatian,far lots less than one(1} acre which are elevated by fill,an.engtneered dralnage plan is required. If i am the AGENT FOR THE OWNER,I promise tn good fafth'to:inform the owner of khe pertnitting condifions set forth in th€s affldav�t prlor ta commencing cans#rucction. t undersEarcd that a separafe permik may 6e required for elecbical work, plumbing, signs,wells, poals,..air conditioning, gas, or other tnstatlafions nof specffieaity incladed in the applicafion. A ° permit issued shall be consWed to be a license to proceed with the work and not as authority to,violate,canael,alter,or set aside sny provlsRons of the technic�!cades,nor sfialt�ssuance of a permit ptevent the SuOdirig C}iftctal fro'hrt thereafter _ requining a caRecfion of errors in plans,construcfion or violafion"s of any codes. Every permit issued shaii become'snvalid unless the work authorized by such permit is commenced within six monfhs of permft issuance,or ff work autkrorized 6iy the permit is suspended ar abandoned for a period of six(6}months after the time the work fs commenced. Ar�extension may 6e requesfed, in wriking,ftom the Buiiding C}ffciat for a pe»od na#ta exceed n(nety(90)days and will demonstrate justifiabie cause for the extenslan. If work ceases for ninety(9D)consecutive days,th�)ob is cansidered abandoned. WARNING TO OWNER: YOUR FAIl.URE TO RECORD A NO'fIGE OF COMMENCEMENT NlAY RESULT IN YQUR � pAYING TWICE FOR IMPROVEMEN75 TO YOUR PROPER7Y. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � WITH YOUR l.ENDER OR AN ATTORNEX�EFORE RECORDING YOUR N0T10E OF COM�Il9�NCEMENT � FLORtDA dURAT(F:5.1i7.d3) OWAIER OR AGENT CONTRACTOt� � Sabscrtbed ar�d sxrom to(or afrirmed}before me this Sabsalbed and swom fo{or aRtrtnedj 6efore me this by ay Wha is/are personally known to me or hesfiave produced Who is/are personaily Imom1 Ro me or haslhave produced asidentlfieatlon. asldenHfioadon. Notary Publlc Notary Publ[c Commisston Nn. ` _ + Commisston Nc. , � , Name ai Nohary typed.Rdnteri or siarttped - ,_ 'E+7�me o!Nohary iy{sad.Pd�fted ar stamped � ' I r._ � r �