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Home My WebLink About17-18086 i �� , CITY OF ZEPHYRHILLS .: , i 5335-8TH STREET � (813)780-0020 18086 ', ANNUAL ASSEMBLY PERMIT ' PERMIT INFORMATION LOCATION INFORMATION Permit�Number: 18086 Address: 5444 4TH ST Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class�of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Propo,sed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-06300-0110 Improv. Cost: OWNER.INFORMATION Date Issued: 1/18/2017 Name: CHURCH OF CHRIST Total Fees: 50.00 Address: 5444 4TH ST Amo�unt Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/18/2017 Phone: (352)424-0144 Work Desc: PLACES OF ASSEMBLY CHURCH OF CHRIST EXP 1/2018 CONTRACTOR S APPLICATION FEES OW ER I FIRE PERMIT FEES 50.00 i � C\\/ _ - � � ./6 � /� I ' Ins ections Re u ed IRE SITE INSPECTION-Final � OCCUPANCY LOAD: � � � I 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 i� ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 � � � i � , s�3-780-002o C9ty of Zephyrhil{s Fire Fa�c-813-780=4421 , ,. Permit Application Date Received ��—� Phane Contact for Psrmit ��_t._�.r.l—t �•��..�.. .L,��>_,__.�__-�.._...� - -��ra,_ ..._� - ��_.:�—._-..,�.__r_._.._�.._�_...�.�t.v� ��.._...�...._......�.._�__.:.� o�� R..._. .__ .,__ ��., ��"°"`" _ ��_ py�,ne�s Phone Number � � �� Owner's Name Owners Address� Fee Simple Titlehlolder Name Titleholder Phone Number �� Fee Simple TitteEiolder Address (:.._"__._��"""..,...:_...' _ ,...,:=ri.: ---•7...-�;.... _ .., .,w�---',-�.-.__��._...,--.. . :::r�,.».:".._:`�' ��:._,..�.. "''"�.,:::._..F.:3 Job Address / m�� Lat# �C� � Sub Divisian Parcel# c,:-.,t��..� _--~+--�.____....,.w-.�_.��__�.�,��.._,_...�_t.�..___u�,��-.-t<.�.�.::�z.��..._. _.,_._._..�,..._�..V..._,�,a.._.�..��::�,:,.�-.4��-��__��....._-�.__...._._�_._. � � Bia-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm E�chaust Kitchen NoodlDuct � Hazardous Materia!{Tier 11 or F2Q Facility)ANNUA� � Controlled Bum � Hood Installation -' � Emergenay Generator<30 kw � LPIRIatural Gas-tnsta]lation � '� Emergency Generator>30 kw � LP/Natural Gas-ANNUAI.Sale n ��j., �� Fire Pratectiors Maintenance-ANNUAL � Places of Assembly-ANNUAL �Y;�/-� � t y emi (A�n t er �I Sprinkter � ❑ ❑ ❑ ,� � Recreationa!Bum Fire Alarm � ❑ ❑ ❑ '� � Sparklers � Nood Cieaning � ❑ Ci ❑ � � Sprinkier System installations �} Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) r� ' � .�� ) Fire Aiarm Instaliafion � Torch RoofingiTar Kettie � �� Fire Pumps • � Waste Tire Storage ANNUAL (� FEammable Appiicatlon-ANNUAL C�� Valuation af Praject . � Fuel Tanks Q C)theC: t.;.:__...�,�:M�:,��;�..f.�.._-,ti_, ._...�..�:T:�_e_,,....�... �,_.��..,�.� �.._,_._..�...,..._ri... ��...__....r_.w��w.._ _._...j,.b..��.._ .�-.—� �---N_ri�-�:r:=.,,,,-.�4�---�-•� Cantracfor i�,{��r,�/'�v l ?�`L(/t/ ,� Campany Signature � ��j Registered Y/N Fee Current Y/N Address 'j L.icense# ELECTRICIAN ' Company Signature Registered Y/N Fee Current Y/N Address ''� License# PIUMSER Company Signature Registered Y/N Fee Ciirrent Y/N Addtess � �icense# MECHANICAL Company Signature RegSsfered Y 1 N Fee Gurrent Y 1�1 Address � License# OTNER Company Signature Registened Y/N Fee Current Y/N Address i� ticense# ' Directions::��:�,_�__��_�_.:..�.._._�...............�_,,�L.s�,..�._��,..._��_�.M.�__._,w,�._�,»-.��...�"....._�_._�.��.._.._�__.r.��._..__.__.�<.. �___....�,.�.�.___='�? II FiII au#application completely. Owner&Cantractor sign back of application,notarized(Or,copy of signed contract with owner) f If over$2500,a Natice of Commencement is required{Mechanical wqrlc over$5040) i Supp)y fwo(2}sets of drawings with appticable documentatian Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:Uappraiser.pascogov.com) I � I NOTiCE OF DEED itESTRICTiONS: The Undersigned understands that this perm'st may be subject to"deed'restrictfons" � ` whioh may 6e more restrictive than County regulations. The undersigned assumes responsibility for'compiiance with any appUcable deed restrictions. Utd�ICENBED GONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ff the owner has hired a contractar or contractors to nndertake work,they may 6e tequired to be licensed in accordance with state and iacal regulations. 1f the contraotor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vialation under state law. if the owner or tntended contractor are uncertaln as to what licensfng requiremenfs may appty far the infended work,they are advised to contac#the Pasco County Building Inspection Diviston—�icensing Seetion at 727-847- 8009. Furthermore, ff the owner has hi�ed a contractor or contractors, he is advised to have the contractor(s) sign gortions of the"contrackar 81ack"of this appllcation for which they will be responsible. !f you,as the owner slgn as the con#ractor,thaf may be an ind'scafion that he fs not properly Eicensed and!s not entitled to permitting priv�leges En Pasco County. TRHNSPORTAT(ON lMPACTNTILlTIES lMPAC�'AND RESOURCE RECOYERY FEES: The undersigned understands that Ttansportaf3on tmpact Fees and Recourse Recovery Fees may appty ta the ctrrtstruction of new buildings,change of use in exisling buildings,or expansian of ex(sting kauildings, as specified in Pasco County Ordinance number 89-07 and 9D-0?,as amended. The undetsigned also understands,that such fees,as may be due,will be idenfrfied at the tlme of permitiing. If is turther understood thaf Transportation Impact Fees and Resource Recovery Fees must be paid prtar to receiving a°certificate of occupancy"or flnal power release. If the project daes na#involve a certiticate of occupancy or final power release,the fees must ha paid prior to permit Issuance. Furthermore,if Pasca County Water/Sewer Impact fees are due,fhey must be pald prlor to permit issuance In accardance with applEcable Pasco Counfy ordlnances. CONSTRUG710N LIEN LAW(Chapter 713,Florida Statures,as amended): If valuation cif work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Flor�da Departmenf of Agriculfure and Consumer Affairs. Et the appiicant Is someone __ other than lhe°owner",I certify that I have obtained a capy of the above desc�ibed document and promise in good faith to deliver it to the bwner"prior to commencement. GONTRACTOR'SIOWNER'�AFFIDAVIT: 1 certlfy that atl the Informatian Irt thls appllcation 3s accurate and that a13 work will'be done in compliance with all applicabie laws regutating construciion,zoning and land develapment. Applicafion is hereby made to obtafn a permit to do work and installation as indicated. I ceriify thet no work or instailation has commenced pr�ar to Issuanae of a permit and that a11 work wlll be periormed to meet standards of atl taws regutatang construction, County and City codes, zontng regulations, and land devetopment regutations in the jurisdiction. i also certffy that I understand that the regulations of otlier govemment agencies may apply to the intended work,and that it is my responsibi(i#y ta identify what actions 1 mast take to be In campllance. Such agencles€nciude but are nat tlrnited to: - bepartment of Environmental Protection-Cypress Bayheads, NVetland Areas and Environmentally Sensitive Lands,Water/1Nastewater Treatment. ' - SnuthwesE FloTida Wa#er tVlanagemen# Dlstrict-Wells, Cypress Bayheads, Weftand Area's, Aike�€ng Wafercourses. - Army Corps of Engineers�Seawails,Doaks,Navigable Waterways. - Department of 4ieatth & Rettab0ttative 5ervtceslEnvironmentai Heaith Unit Welis, Wastewater Treatment, Septic Tanks. ' - US Environmentai Proteclion Agency-Asbestos abatement. - Federa!AvlaYson Authority-Runways. 1 undersfand thaf fhe foliowing restrictfions apply fo tfie use of fltt:� - Use of flll is not allowed in Flood Zone°W unless expressly permttted. - lf the fili materlat is ta be used in Flood Zone "A", t# is understood that a drainage plan addressing a °compensating vo{ume"will be submitfed at time of permiffing which is prepared by a professlonal engineer ' licensed by the State of Florida. - !f the fl!i materiai is to be used in Flood Zone°A° in cnnnectian with a permitted bullding using stem wall construction,1 cettify that fili wlll be used aniy ta fiil the area wifhin the stem wall. - If flll material is ta be used in any area, I certffy tha# use of such fili will not adversely afFect adjacent propertfes. If use of fill Is found to adversely aliect adJacent properties,the owner may be cited for violating fhe candttions of the buiEding perm€t issved under the attached permit appficatlon,for iots less fhan ane{1} acre which are elevated by flll,an engineered dra(nage plan is required. t#!am the AGENT 4�QR THE OWNER,1 promise in good fafth to irtform the awner af ihe permitting conditions set farth in this aflidavtt priar to commencing construction. 1 undersEand thaf a separate percn{t may be requlred for electcica!work, plumbing, signs,wells, pools, air conditioning� geS� or other installations not specfficatiy Inoluded in the appticat(on. A permit issued shal!be conshued to ae a license to ptoceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of tbe technlcal codes,nor shalt isstaance of a petmit prevent fhe 8ulldirig OfFciaE from thereafter requiring a correctian of ercors in plans,construction or vlolaUons af any codes. Every permit issued shail become invatid unless ihe work suthorized by such permit is commenced wrfthin six months of permit issuance,or'rf work authorized by the perrr�3f ts suspended or abandoned far a period a#sin(fi)tnonths aRec the fime the wark Is corrsmenced. An extension may be requested, in writing,from the Build(ng Official for a period not to exceed ninefy(80)days and wilt demonstrate justifiable cause for the extension, If work ceases far ninety(90)consecutive days,th�Job is considered abandoned. WARNING TO OWNER: YOUR F1AtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YdtFR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 70 OBTAIN FINANCING,CONSULT WITH YOUR�ENDER OR AN ATTORAIEY BEFOfiE REGORDIHG YOUR NOTiCE OF COMMENCEINENT FLQRIDA JURAT(F:S.117.03) OWNER OR At3EHT CONTRACTqe Subsaibed end sxom to(or affirsned)before me ihSs Subsaibed and svwm ta{or ai�rmed}before me fhls by bY Who Is/are personally known to me or haslheve produced Who Islare personally knovm to me or haslheve produced as ldentlfication. as Identlfip�on. Notary Pu611c Notary Public Cammission No. CommissSon No. Name of Noiary typed,pdnted or sffimped �Name of Notary iyped,p8nted or stamped }