The URL can be used to link to this page

Home My WebLink About16-17860 j', ,� _ � CITY OF ZEPHYRHILLS '` �. � 5335-8TH STREEf 1 ; (sis)�so-oozo 17860 ' � ANNUAL ASSEMBLY PERMIT ,� , PERIdIIIT INFORMATION LOCATION INFORMATION Permit I�lumber: 17860 Address: 6251 FORT KING RD Perrriit 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: 03-26-21-0010-09500-0000 Improv. Cost: OWNER.INFORMATION Date,l Issued: 10/26/2016 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 50.00 Address: 6251 FORT KING RD Amoh nt Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/26/2016 Phone: (813)782-8865 Wo�k Desc: PLACES OF ASSEMBLY-ALLIANCE CHURCH OF ZEPHYRHILLS- EXP 10/2017 CONTRACTOR S APPLICATION FEES FIRE PERMIT FEES 50.00 i � � �� I .. �/ � � Ins ections 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 i 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 � ii � i s�3-7 02o Cityr of Zephyrhilis Fire �ax-$�s-7so=oo2� w:��f - Permit Application Date Receit"d I� � �� Phone Contact for Permit �__�� c�-�- . �_..��-_._...v-.�.�...�::��-1.....,� - -..�u.�.�._.��....;.:,-��.�-_�..:_.r__._.�.�.--.-�--� . - - . �-�:.,.�..�,.- �rs r� �� . .. . � 6� c-� t �. ,. - �� {� t Gt Yt�'� ��l� � t Owner's Phone t3umber ers Addr ss � �o`Z�� 't'• �t�'�6 1Q �. Fee Simple Titlehol�er Neme Titleholder Phone Number � � � Fee Simple Titieholder Address ��.,;�,�.��,.,. ` ,�;�.,;..._�.�.T....�.;.,r�-,_<-,-�-�-�.�-,,..�,,,.,w..:�..r.=.,,�,_,,,.P,,„�.�,..-.;:.�,-�---V---•�--� .._.._._...�.."','�"."� -`....',`�'u; . _:�uw �",.,�:�'"'"""''_._.' :>.u.:' __��..;,.�,,... a� _,�....... �o�aaa�ess �I� LQt#� �� , Sub Division Parcel# �ti..,.,..�..�.,,u.._.. �.�=..�.��..,.w�..�k.��_�_.:.,::..��.._�_.�_w�:s�_...,.�.v_Yw..�.__--__.�.,.m.;..w_.w �..•�:�-,:--��-.::.?=:,--�-j.-�-:^�,�w_..__��,n�_..�-_:�� ',�� Bio-Hazard Waste 5torage-ANNUAL � Fumigation Tent (� Comm Exhaust Kitchen HoodlDuct � Hazardaus Material{Tier II or RQ Facility}ANNt3A1. � Controlled Bum � Hood Installation ` (� Emergency Generafor<30 kw o �PJNatural Gas-Instatlation � � Emergency Generator>30 kw � LP/Natural Gas-ANNUAI.Sale �� Fire Protectian Maintenance-ANNIIAL � Piaces of Assembly-ANNUAI Iry em� � t er Sprink{er � ❑ ❑ ❑ � Ftecreationai Bum Fire Alarm � ❑ ❑ ❑ '� � Sparklers I Hood Gleaning � ❑ � O C� � Sprinkier Sys#em Instailations �j-,� � Hood Suppression � ❑ ❑ ❑ C] � Standpipes(Sprinkler Sys) � � �V �{ Fire Alarm Instattation � Torch Roofingf('ar Kettte � � ,� Fire Pumps - a Waste 7ire Storage ANNUAL � Flammable App{ication-ANNUAL �`�� Valuation of Project . � Fuel Tanks I Q Other: u�.:d.�r=`:...T 'S�'=�y�i�..1—_�w_4.�.r.....�`��;::.a'._."Y".,�..r.m'.,:''"�..'y`W`wa:;.�"�c-a'`"�..v�.....�_...,..,,a.�"'u"_'"...�n�..'�...,..2L'cSai..-�.;.✓..2��,..w�a.t...:,..'"rn'°'".._,.r:.�5:.:.Y.:.::-�.av"`�.�.c.'.��'"a.'»..«"`a-'"=�,::..w.t'�^"�.",'4', .."'�--T»-,.�-`"��a..�.-�.,:..,�...i.�,�.Y�+::.�:a Contractor �` .` / Company Signature I� C..� .- bb >-r""'" Registered Y/N Fee Current Y/N ress � �icense# ELECTRICIAN ' Company Signature Registered Y/N Fee Curreni Y/h Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address �icense# MECHANICAL � Gompany Signature Regisfered Y 1 N Fee Gurren# Y/N Address License# � a � OTHER � � Company � Signature Registered Y/N Fee Current Y/N Address iy License# ' , .,�,,..,.�,., �_.,;:.,. . ..�..�.:�..a�,Ya._,;...�w_.��=�� , _��.t,�..�.,..M- ._ ....G-�...>.�.�.�.,_�.._:_�,..w,..�.___..��..�_w,.�.,�,..w..,�..�..�..��:'��:~�^-�:, _ .... :.�.;_,..... .�: - D ections: _.__��_,.� _ .< < __ ��.. - �ill out appiication completeiy � Qwner 8�Contractar sign back of applicatian,notarized(Or,capy of signed contract with owner) ��over$25QQ,a Notice of Commencement is required(Mechanicat wack over$5Q00) uppiy two(2}sets of drawings with appiicabie documentation �� Ilow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.00m) � , � � � � NOTtGE OF DEED C2ESTRIGt10N8: The undersEgned understands that this permlt may be subject to"deed'res#rictEons" �y which may be more resi�ictfve than County regulations. The undersigned assumes responsib(lify for'compiiance with any ; applicable deed restrictions. ' UNLtCENSED CONTRACTORS AND CONTRAC70R RESPONSiBSL1TlES: (f the owner has hired a con#ractor ar contractors to undertake work,they may be required to be iicensed in accordance with state and tocal regulat3ons. (f fhe contractor fs not liaensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. if fhe awner or intended contractor are uncertafin as to what ticensing requtremenfs may apply for the infended�wark,they are advised to contact the Pasco Counfy Buflding inspection Division—Licensing Seetion at 727-Sd7- � 8009. Furthermore, If the owner has h(red a contractor or contractors, he is advfsed to have the contractbr(s) sign parttons of the"contractor 81ock"of this appilcaYson for which ttrey vt�ll be responsibie. tf you,as the owner sign as the confracfor,fhat may be an Endication that he is-not properly iicensed and ts nof enfiUed to permitting privrteges tn Pasco County. TRANSPORTATiON tMPACTNTlLlTIES IMPACT AND RESQURCE RECOVERY PEES: The undersigned underslands that'iransportafion lmpact Fees and Recourse Reasvery Fees may apply ta ffie consfructian of new bu#Idings,change af use in existing buildings, or expansion of existing buildings,as specified in Pasco County prdinance number 89-07 and 90-OT,as amended. The understgned alsa understands,that such fees,as may be due,will be tdent�ed at the time of permitting, tt is further undersfood that Transporfation Impact Fees and F2esource Recavery Fees must be paid prior fo receiving a"certficate of occupancy"or final power release. if the project does nat involve a certificate of occupancy or final power release,the fees must be paEd pr(or to permit tssuance. Furthetmore,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior ta permit issuance In accordance with appticable Pasco Caunfy ordlnances. CONSTRUC710N LIEN LAVN(Chapter 715,Flodda Statutes,as amended): If valua6on df work is$2,500.00 or mare,I certify that I, the apQlicant, have been provided with a copy of the °Florida CansVucHon Lisn Law—Homeowner's Protecfion Gulde"prepared by the Florida t3epartrnenf of Agticuifure and Consumer Affairs. if the apgl'scant�s someane � other than the°owner",I certify that I have obtained a copy af the above described document and promise fn good faith to deltver it to the"owner"prfor to commencement. Ct}iVTRACTOR'SlOWMER'S AFFIDAVlT: 1 certify that a11 the tr�forrnation in thts application is accurate and that atl work , will'be done in compfiance with all applicable laws regulating cons#nuction,zoning and land development. Application is hereby made to obtain a permit ta do wark and installelion as indicated. I certffy that no work or Installation has commenced pr'rar to issuance of a permit and that a11 work w111 be perFormed fo meet standards of al! laws regutafing construction, County and Cily codes, zoning regulations, and Iand development regutattons in fhe jurisdiction. t also i certffy that I underskand thak the regulations of otFier govemment agencies may apply to the intended work,and that it is � my responslbiiity fo fidentlfy whaf actions 1 must take to be In carr�pliance. Such agencles fnclude but are not 13mlted ta: - Department of Environmentai Protection-Cypress 8ayheads, Wetland Areas and Ernironmentatiy Sensifive j Lands,Water/Wastewater Treatmenk ' - Southwest FEorida Water Management Dlstric#-Wells, Gypress Bayheads, WeUand Areas, Alter3ng � Watercaurses. - Army Carps of Engineers-Seawalls,Dacks,Navigable Waterways. - Department of Health & Rehab!lltative SetvlceslEnvironmentat Heaith UniE-Weiis, Wastewater Treatrnent, Septic Tanks. ` - US Environmental Protection Agency-Asbestos abatement. - Federai Avlat'son Anthor3ty-Runways. 1 understand that the foilowfng resMctions appiy to the use af fllt:� - Use of fill is not allowed in Flood Zone"V"unless exprassly permitted. • If the fli) matetiai 1s to be nsed in Fiood Zone "A", it is understood that a drainage plan addressing a °compensating votume"witt be svbmitted at time of permiffing which fis preparet!by a professional eng4neer ' licensed by the State of Florida. � - !f the fiii materiai is to !�e used !n Flood Zone°A" in connec[ion with a permilted building uaing stem waA consfrucfion,1 certiiy tha#fitl wilt be used only fo fill fhe area withln fhe stem walt. - If flll material is to be used in any area, 1 certffy that use af such flll will not adversely aifect adjacent propettfes. If use of fill Is found to adversely affect adJacent properdes,the awner may be cited for vfolating the conditions of fhe buiEding perm[f issued undet the attached permK apgtication,for iots iess fhan ane{1} acre which are elevated by flll,an engineered drainage plan is required. If 1 am the AGENT POR THE OWNER,1 promise i�good faith to inform the owner of the permitting conditions set farth in this aftidavt#priar to cammencing construction. !understand that a separate permlt may be requlred far electrical work, plumbing, signs,wells, paols,air conditioning, gas, or other installations not speaHically inciuded in the application. A permik lssued shall he construed to be a Ifcense to proceed with the work and not as authority to.vialate,cancel,after,or set aside atry provis'sons of the technlcal eodes,nor shall tssuance of a petmIt prevanf fhe Bu€Idirig Officlal firorrt thereafter requfring a correction of errors in plans,construction or violaGons af any codes. Every permft issued shall become invalid i unless the work authorized by such permit is cammenced wlthin six months of permit issuance,or if work authorized by i the perm3t is suspended or abandoned for a period af si�c{8)months after the fime fhe work�s commenced. An extension may be requested,in writing,from the Building Official for a periad not ta exceed nineiy(90)days and will demansfrafe JustHiable cause for the extension. If work ceases for nfnety(90)consecutive days,thiJob is considered abandoned. WARNINC,TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEfdT MAY RESULT fN YdUR PAYING TWICE FOR IMPROVEIYIENTS TO YOUR PROPERTY. IF YOU IiVTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LEt1DER dR At+t A'FTt}Rt+9EY BEFOF2E f�ECORD1Nfa YOUR 1�OTfCE QF COMMENGEMENT. FLQRIDA JURAT(F:S.117.03) OWNER OR AGENT CQNTRACTOR Subsestbed and swom io(or aiflrtned)betare me#t�fs Subscsibed and swom ta{nr affirmed}befire me thts by by Wha islare personally known to me or haslliave produced Who Is/are parsonally known to me or has/have produced asidentlficaSon. aslde�NficaBon. Notary Public Notery Pu68c Commission No. Cpmmission No. Name of Notaty iyped,pdnted or stamped �Name of N�tary typed,printed or sFamped t