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Home My WebLink About15-16769 , / CITY OF ZEPHYRHILLS 5335-8TH STREET x ;�-. �sis)�so-oo20 1676 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16769 Address: 6834 GALL BLVD BLD A 101 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: 02-26-21-0010-02400-0010 Improv. Cost: OWNER INFORMATION Date Issued: 12/14/2015 Name: SYNC II LLC Total Fees: 50.00 Address: 18608 AVENUE MONAC Amount Paid: 50.00 LUTZ FL 33558-5316 Date Paid: 12/14/2015 Phone: 813-780-8774 Work Desc: PLACES OF ASSEMBLY-TERRA- EXP 12/2016 CONTRACTOR S APPLICATION FEES WNER FIRE PERMIT FEE 50.00 ,� � z�� Ins ections Re uired � FIRE SITE INSPECTION-Final OCCUPAIVCY LOAD: � 2� 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 $13-780-Q020 City of Zephyrhills Fire ` i Q�� Fax-813-780-OQ29 Permit Application �� Date Receivgd �� Phone Contact for Permit �� r:s:u�-_�_,..✓i_':�:�,.�...� � _+..::,,,.,,.�..<r.s...o..� ...w....,-..a.,,..r_,.-_..,uw.�.4.�:�,s,^...".x.:+:��_F..s....�.�._........:.'_�c..�r..9�..-�,t':7:',..._..�^�"':C='`;tes;.:.>-.._..'_:7a�. — .» '__.>...w..-,^Y _ .._.i.w� Owne�s Name f �� 1/� Owner's Phone Number � � ' Owners Address (.� �� r Fee Simple Titleholder Name Titleholder Phone Number � � � ( Fee Simpie Ttlehoider Address ..�<r -ce-.._;,w.q,:..,....�.-s�.:..�...�:c,:..�z.-,.. .,.....n�:..;.r.ir.-.--nf�y..-G•�.." - _" ' ' »��^,ti: ':^,�1:-, -`..z,^ '-" _" yr`^.?'"r -�Mi"-`,',ro -- ...,. 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Jab Address Lot# �� Sub Division Parcel# • _ : _.s-. , ._f-��..a..�.,<-�.�r -,v�,.�_...:n-��...__.�..*�:�.��._.u_....,._.>.._:_.:,.�._. ,�.�..�:,��.;�......_.. - ��..�;.�M-:�::,�.�__..,..�.<_�..�-....�_:z.,:..�':��:�:r:�-�_.y,. _1_� ...:s:�:,..,-.�� ...�..t�. . .,... � Bio-Hazard Waste Sttarage-ANNUAL �� Fumigatian Tent , � � Comm Exhaust Kitchen HaodtDuct Q Nazardous Materiai(Tier II or R4 Facili#y}ANNUAI. � Controlled Bum - � Nood Installation '� Eme enc Generator�30 kw LP/t3aturai Gas-lnstailation r� � r9 Y � �' � V� � Emergency Generator>30 kw LP/Natural Gas- L Sale � ''1� � c J Fre Protec#ion Mainfenance-ANNUAL Places o Assembly-ANNUAL �y em � er Sprinkter � ❑ O O � Rec�eatlonai Bum Fire Alarm � ❑ � ❑ � � Sparklers Flaod Cleaning � Cl ❑ ❑ �� Sprinkler System 4nstatiations Hood Suppression � ❑ ❑ ❑ � � Standpipes(3prinkler Sys) � Fire Alarm Instattation � 7orch Roofing/Tar Kettte , � Fire Pumps � Q Waste Tire Storage ANNUAL � F{ammabie Applicatian-ANNUAI ' r— 1 Valuation of Project � Fuel Tanks II fi-:�,..._.a�_�,.v��:��-.�er�. .._,._r:��*..'�`,�-�;:':�w ��,..�:�:�-�......�..�-':.ar�w.��,-.�w:.�.�>xr�.�.�.=:�.�_�,�-�-- _ -��-�^:^.�_�„ _... �..�:�,w..�::�-�:�.:�:��... .. Contractor � /'� Company Signature � �„/ Registered Y/N Fee Current Y/N Address License# � ELECTRICIAN Company , Signature Registered Y I 1� Fee Current Y 1 N � Address License# � i PLUMBER Company ' Signature Registered Y/N Fee Current Y/N � Address L,icense# MECIiANICAL Company � �� Signa#ure Reg�stered Y/iU Fee Current Y/N �, Address l.icense# I � dTHER Company I Signature Registered Y(N Pee Current Y(N I) Address License# ,,....e ._:i.:✓� ... ..�.��...... ..: ._3Us..-.._� -:e.,._...__-c.,..........-..a.u..-:.+,,..,..,.u....a..x_�......-u.._ . _ _.:�..n,_...-.�1`«.�..u.e.,...,.��_ ,..._=�..x.i:_,-.F... ,.v....�..1._..r:- �-�.saenh�csXr.:i>Y._.,w. �Directions: Fit(out application completely. Owner 8�Contractor sign back of application,notarized(Or,copy of signed contract with owner) Ef over$2500,a Notice af Cammencement is required{Mechanicat work over$5000) Suppiy two(2)sets of drawings with applicable documentation Allow 10-1 A days for review after submittal date. Parcel#-obtained from PropeRy Tax Notice(http:!/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictfons" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any K__ � applicable deed restrictions. � � UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or contractors to undertake wo�k,they may be required to be Iicensed in accordance with state and local regulations. If the contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a inisdemeanor 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. Furthermore, if the owner has hired a contractor ol contractors, he is.advised to have the contractor(s) sign portions of the"contractor BIocK'of lhis application for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he Is not properly licensed and is not entiUed to'.permitting privileges in Pasco County. TRANSPORTATION IMPACTNTILITIES IIWPACT 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 specffied in Pasco County Ordinance number 89-07 and , 90-07,as amended. The undersfgned also understands,that such fees,as may be due,will be idenfrfied at the time of permitting: It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to recefvfng a'certficate of occupancy"or flnal power release. K the project does not involve a certificate of occupaney or final power release,the fees must be paid prior tb permit issuance. Furthermore, ff Pasco County WaterlSewer Impact fees are due,they must be paid prior to permit Issuance fn accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LA1fY(Chapter 713,Florida Statutes,as amended): if valuation of�hrork is$2,500.00 or more,I certify that I, the appflcant, have been provitled with a,copy of the 'Fiorfda Construction Lien Law—Hortieowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than.ihe:'owner",i certify that I have obtained a copy of the above described dacument and promfse in good faith to ' del'rver_It to the"owner°prior to commencement. • CONTRACTOR'S/OWNER'S AFFIDAVIT: I cerUy that all the InformaUon in this application Is accurete and that all work will be done in compliance with all applicable laws regulating oonsVuction,zoning and land development. Appiication is hereby made to obtafn a permit to do work and installation as indicated. .I cerlify that na'wo�k or installation has commenced prior to issuance af a permit and that ali.work,will.be performed to meet standards of all laws regulating construction, County and City codes, zoning regulaGons, and land development regulations 1n the jurisdiction. I al"so certffy that I understand that the regulations of otHer govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies Include but are not Iimited to: - - Department of Environmental Protection-Cypress Bayheads, Vlletland Areas and Environmentally Sensitive Lands,WaterMlastewater Treatmenk , - Southwest Fiorida Water Management Dlstrict=Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8 Reha6111tative Services/Environmental Health Unit Wells, Wastewater Treatment, Septic Tanks, � : - US Environmental ProtecUon Agency-Asbestos abatement.' - Federal Aviation Authority-Rumflrays. I understand that the following restrictions apply to the use of fill:� - Use of fill(s not,ailowed in Flood Zone"V°unless expressly permitted. - - If the flll matehal is.to be used in Flood Zone "A", It Is understaod that a drainage plan addressing a 'compensating volume"will be submttted at time of permitting which is prepared by a professional engineer licensed by the State.of Florida. - If th�fill_materlal is to be used,fn Flood Zone 'A° in aonnection with a permitted building using stem wall construction,I cettify t6at flll will be used only to fill the area within the stem wail. - if flll material is to be used in any'area;-1 certify that use of such fill wlil not ad'versely affect adjacent properties.. If use oF fll is�found to adversely affect adJacent properties,the owner may be cited for violating the coriditions�of the building permit•.issued under�the attached perrnit application,for lots less than one(1) acre wtiich are elevated by.fill,an engtneered'drainage plan is required. - K I am the AGENT FOR THE OWNER,_I promise in.good fafth to inform the owner of the permitting conditions set forth in thfs affidavft prior to commenc(ng construction. I understand that a separate permit may be requfred for electrical work, plumbing, signs,wells, pools, air conditioning, gas, or other InstallaGons not specffically included in the application. A. permit issued shall be construed to be a license tb proceed wfth.the work and not as authorily to.violate,cancel,alter,or set aside arry provisions of the technical codes,no�shall issuance of a pertnit prevent the Bufldirig Official from thereafter requiring a carrection of errors in plans,construction or,yiolations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced w(th(n six months of permit issuance,or'rf work authoriied by the permit is suspended or abandoned for a period of six(B)months after the time the work is commenced. An extension may be requested,In writing,from the Building Officfal for a period not to exceed nlnety(90)days and will demonstrate justifiable cause for the extension. If wark 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 IMPROVEMEfVTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YUUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) ' OWNER OR AGENT CONTRACTOR - Subsalbed and swom io(or aRirmed)betore me thfs Subsafbed end bsxrom to(or affirmad)before me thls by Who Is/are personally knovm to me or haslhave produced Who Islare petsonally Imown to me or haslhave produced as fdentlficadon, as Idendfi�adon. - ' Nohary Public Nohary Public Commission No. Commission No. Name ot Nofary typed,pdnted or stemped � Name of Notary typed,printed or sfamped