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Home My WebLink About16-16885 CITY OF ZEPHYRHILLS 5335-8TH STREET � (sis)�so-oozo 1 85 � ANNUAL ASSEMBLY PERMIT PERMIT INFO,RMATION � . LOCATION INFORMATION, " Permit Number: 16885 Address: 39309 6TH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-002B-00700-0020 Improv. Cost: � . OWNER INFORMATION - Date Issued: 1/07/2016 Name: IGLESIA EVANGEL3�3�L CHURCH Total Fees: 50.00 Address: 3836E 6TH AVE 9 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 � �(� Date Paid: 1/07/2016 Phone: (813)404-9329 Work Desc: PLACES OF ASSEMBLY- SOLDIERS OF CROSS - EXP 1/2016 CONTRACTOR S - � - - - � � ` APPLICATION FEES � - - - OWNER FIRE PERMIT FEES 50.00 ' � � 2 C c - ` - � ' Ins ections Re ui�ed � FIRE ITE INSPECT ON-Final OCCUPANCY LOAD: . O�cupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by F.lorida 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 f a�3-7ao-�o2o Cify af ZephyrhiHs Fire Fax-813-78d-4021 Permit Application Date Received ;� � Phone Contact for Permit rF:-��,_. -_ . ....:.._ u.. ..�_� - .M-�,. ..>>r.,�.e�_-��....a:v=:.�,..:«.r�:-�.=.:wi,�:�j;a�::,..t_,-F�:;,:5's;�:a.s,:�_: -.u._,.,.�.,...4.._.,F._._-�._,�'Y��•,_.u..j.. _�...:.r_�.e.c-��.:,4.:.eu,.�...�:_ Owne�s Name� � lers Phone Number �,, �V Owners Address , �? '� " � � 1 '�� 6� , Fee Simple Titleholder Name 7itleholder Phone Number Fee Simpte Tit{eholder Address � _ " %:,R�' :f;i _ �y+✓�.?Y.`� rrn:tc, _ � - . .. �s+�;..^T w*.nr^sT�v� Y�G-�z- > 5=-M`^i'. +_ «,'.i:�.:.�"'_..'.'=Ts`.v.+<.+�.�._. ..:f..i�'. :.�:r:`!-+.. vNa' �""��'��-ef.a-r.��w ...i.'a«'%L�y .+u.-�'..Wb`3luiC.�-_<a�v'..:..r'.i��Y�1'i.w.c�._•• -r.�m'�.i.F+Y::ziw.,+1�'t.c.J...... .`.�-�."�"..w.:�...,[.,;�..v...,..,G:.w--cAo. Job Address Lot#� �� Sub Division Parcei# � �r-�--� ��_-.�.:,.,.:,.�:-.. �.:;a,:,....5."&ti:�.�<t:2.u.<<':a':�...F'..�.._..<..�.z;:,,,.�,�'�"�.vu.>,_._.""��.m">.�...<-�`�:�:.''[.'n.':::?:;�.'�.:.�%nt�.r'.�:'.....�.E.�...:"35'_:?t'�e_s:.L'�.:�r<d.'a."_=`r�:�'�.�'-'>...'w''.:��.n'�:.,....._�.�.........�__....... ..:a�w.: 'Y'.� � Bio-Hazard Waste Storage-ANNUAI. � Fumigatian Tent � Camm E�chaust Kitchen Haod/Duct � Hazardous Material(Tier II or RQ Facitity}ANNUAL � Controlled Bum - � Hood Installation '� � Emergency Generator<30 kw Q LPtNaturat Gas-InstaNation . �� Emergency Generator>30 kw PlNatural Gas-ANNUAL Sale �(i-�'�] � Fire Protecfion AAaintenance-ANNUAL � Places of Assemb(y-ANNUAL� �'� ❑� emi �n i er - ----�.. .. �� Sprinkler CI O CI Recreafianal B'um Fire Alartn � ❑ ❑ ❑ � � Sparkiers `�� ( Haod Glsa�ing � t� � C] � � Spdnkler System Installations Hood Suppression � ❑ d ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm InstallaGon � Torch Roofing/Tar Kettte ' � Fire Pumps , � Waste Tire Storage ANNUAL � F{ammable Appiicakion-ANNUAL �_—• � Valuation of Project � Fuel Tanks ' [� Uther: .;:Rx.:1e"...: :`•"'"'.:.-,�"aVT "' �.��:,.."_ ..�"^"#.'_'v`:�.:�.,'�.'w�"'"-:w.`.""e» _-_ ..a�-z��.,>.�..., r_-,�..-...y-a.-"'a--�.�..,r�x-�v-�.e.M.,-,... G".:::�.» ..f"",..-".•� ._.,.- �:'�f� �.'.�`„-"..�:._ .�,�.s......�� - v,.,�.+..,�_...,.-,_.:,...,....-,...s�..}W..— - .�`--..�...--.....�».....i.._._...a..<-�_.�.t.........._....�....��.�.,.� Gontractor • � . Company Signature � Registered Y/N Fee Current Y/N , ' Address License# r ELECTRICIAN Gompany S3gnature � Registered Y/Itl Fee Cusrenf Y/N Address License# � PLUMBEF2 Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL C��Pa�y 8ignature Registered Y/N Fee Current Y 1 N i Address License# ' I OTHER Company Signature Registered Y!N Fee GuRant Y/N Address License# �.»"��y+e��.'..'+�.°.�.:W�..n�y' .1.�'tLY ..�_�.._�.Awva'.3'�....««�...:5',uv�:L.......�w..��4±:i..i+:«.'.✓.�...i..........n:.�.....�.s..N.��i.'..L:�..q-.t:.:f.Y........�a:Y"G::,.:-�_.�.r..r...�.a...a....-.:..J.en..v....-...7a��...t.u_ ._� r.....K.....r 'L'+a...,n..a'1.�..'.�,� n �:!:.'Tn^..:s wR:.v..`a'i:� Directions: Fi1t out appiication completely. Uwner&Contractor sign back of appUcation,notarized(Or,copy of signed contract with owner) i�over$2500,a htotice of Gommencement is required{Mechanical work over$5000} � Supply iwo(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) 1 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit inay be subject to"deed'restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibllity for complianae with any ; applicable deed restricttons. i �' � ; UNLICENSED CONTRACTORS AND CONTRACTOR RESPON�I��L,�TIES:�;-If the owner, has hired a cont�actor or "' contractors to undertake wark,they may be required to be Iicensed in aci�dt'�'atjce�wi�h stat��ii;bcal,r��l�ti�rts: If'tHe, "��,`_z,��'t :? � ,� coritractor is not licensed as reguired by law, both the owner and contractor inay be cited foF a misdemeanor v�olat�onr ,� ,1,,� under state law. If the�oinrner-.or intended`.c:qr�trac�o��re,uFlcer�aln;a'�tg what IfceAsl�g�equ feme��its may}a}�ply,.for the �"`� c�`� C,;,, intended work;they'are ad�vised to•c'ontact�the Fasi:o'Cdunty�uitding inspectlon Division�=Cicen�ing Sectlon�t 7�7'-847- 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign portions of the"cont�actor BIocK'of this appllcatlon for whlch they will.be responslble. If you,as the owner slgn as the contractor,that may be an indication that he Is not properly licensed and is not enti8ed to permitting privlleges in Pasw 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 exlsting buildings,or expansion of existing buildings,as spec�ed 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 fdentified at the time of , permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta receiving a'certificate of occupancy°or flnal power release. If the project does not involve a certificate of occupancy or final power release,the fees must be pald prlor to permit issuance. Furthermore, ff Pasco County WatedSewer Impact ' fees are due,they must be patd prior to permit Issuance in accardance with appllcable Pasco County ordinances. CONSTRUCTION LIEN CAW(Chapter 713,Florlda Statutes,as amended): If valuation of�rork is$2,500.00 or more,I certify that I, the applicant, have been provlded with a.copy of the 'Florida Construction Lien Law—Homeowner's Protectlon Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the'owner",I certity that I have obtained a copy of the above described document and promise In good fafth to deliver It to the"owner"prior to commencement. CONTRACTOR'SIOWNER'S AFFlDAVIT: I certify that all the Information In thls application Is accurate and that all work will be done in compllance with all applicable laws regulating construction,ioning and land development. Application is hereby made to obtaln a permlt to do work and Installation as ind(cated. I cerCify that no. work or:installation has commenced prlor to Issuance af a pertnit and that all work,wlll_be.performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regula8ons in the jurisdiction. I also certify that I understand that the regulations of otFier govemment agencies may apply to the intended work,and that it is my responslbility to fdentity what actions I must take to be in compliance. Such agenoles include but are not limlted to: - Department of Environmental Protection=Cypress Bayheads, 1hleUand Areas and Environmentally Sensitive Lands,Water/Wastewater Treatmenl ' ' - Southwest Florida Water Management Dlstriot-Vllells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of EngineersSeawalls,Docks,Navlgable Waterways. - Department of Health 8 Rehabllttative ServlceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks, ; - US Envirorimental Protection Agency-Asbestos abatement.; - Federal Aviation Authority-Runways. I understand thafthe foffowing resfriciions appiy fo tne use�'r fiil:� -- - - - - - -- - - - - - - - Use of fill is not allowed in Flood Zone'V°unless expressly pertnitted. - If the flll materlal (s to be used in Flood Zone "A", It Is understood that a, drainage plan addressfng a;- . ; - .� 'compensating volume"will be submltted at time of permitting which is prepared by a professional engineer��._ ;',.``l ,* '�.' _ licensed by the State of Florida. �.�,�' ''� .•1-:�•. "_ - If the fll.materlal,is to be used_In Flood Zone'A°in connection with a permitted bullding using stem wall `----'`L�_,�,;:--`��'� .-��'�• ' construction,I certify tf�at flll wlll be used only to fill the area withln the stem wall. ' ` - If flll material is to be used in any area,-I certtiy that use of such fill will not adversely affect adjacent � propertie.s.. If use of fill is found to adversely affecf adjacent propertles,the owner may be cited for vtolating the'condltldns of the building permitz.lssued under the attached permit application,for lots less than one(1) acre whlch are elevated by.flll,an engiheered dralnage plan Is requlred. - � If I am the AGENT FOR THE,OWNER,,1 promise in good falth to inform the owner of the permifling conditions set forth In thls aifidavlt pNor to commencing construction. �I understand that a separete permit may be requfred for-electrical work, plumbing, signs,wells, pools, afr conditioning, gas, or other Installations not specffically included in the application. A, permlt issued shall be construed to be a lioense to proceed wlth the work and not as authority to.violate,cancel,alter,or set aside arry provisions�of the-technical codes,no�stiall tssuance of a permft prevent the Bulldirig Official frorti thereafter � requiring a carrection of errors in plans,constructlon or yfolations of any codes. Every pertnit Issued shall become invalid unless the work authorized by such permit is commenced wlthfn slx months of pertnit Issuance,or if work authorized by the permit is suspended or abandoned for a period of slx(B)manths after the time the work is commenced. An extension may be requested,fn writ(ng,from the Building Otficlal for a period not to exceed ninety(90)days and will demonstrate , justffiable cause for the extension. If work ceases for ninety(90)cansecutive days,the 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) ' ONRiER OFt A(iENT CONTRACTOo Subsalbed and swom io(or afArmed)before me fhfs Subsalbed and swom to(or affirtned)before me thls by by VYho ls/are personalty known to me or harJhave produced Who Islare petsonally Imovm to me or ha as Idenptlfication. as Identlficadon. � Notary Publlc Nohary Puhlic Commissfon No. Commissfon No. Neme oi Nolary typed,printed or stamped �Name of Notary ryped.pdnted or sFamped �