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Home My WebLink About17-18134 � CITY OF ZEPHYRHILLS �'c�� ' � 5335—8TH STREET , �sis��so-oozo 1813 ANNUAL ASSEMBLY PERMIT � PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 18134 Address: 5534 5536 GALL BLVD 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: 11-26-21-010-05700-0250 Improv. Cost: OWNER INFORMATION Date Issued: 2/09/2017 Name: WELLESLEY DEVELOP CORP Total Fees: 50.00 Address: 34619 SR 54 W Amount Paid: 50.00 ZEPHYRHILLS FL 33542 Date Paid: 2/09/2017 Phone: Work Desc: PLACES OF ASSEMBY-FRIED PENGUIN BAR EXP 2/2018 CONTRACTOR S APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 � � � V Ins ections Re uired FIRE SITE I SPECTION-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 i s�3aso-oa2o Gity of Zephyrhills Fire Fax-813-780-0021 �,,,� ;, Permit Application Date Received ..�ja� 7 � Phone Contactfor Permit �� .�++� 2 / G?�"',....c��'�..,,.s.e.:a_'x'3:„;.��T.a:,:.x..//a.,..�_ ...K..,a..:�:�:K.`:S:^s"_;�.."w'�'...'�„1::�".�':',a,,."",�'-...j��....w�,:a._.u�=..i:-.-..�.,...w�e:s::o,�:.':r�'.�.�'�='.'a',"".`�,..-�s-� "",::.-'°w,�.-'�"�.-�C'�,aa.•.�"' ��.�.-.'��.�.�--'�"ec"",,,v,_.,...4�� J f� � Owners Name ��vu1✓�l i � �tt 7�� Uwne�s Phone Number .�O Z{ � '�'t� �{3��i Qwne�sAddress ��'� 'f'�Y�"�� - Fee Simpte Titleholder Name TiUeholder Phone Number � � � Fee Simple 7ifleholder Address ' l':.h__.,..._..,-�'....r.",`.�.�..�;:"�"�"4:`i=:'..:`��"'''..'.�"..zi.::��".�..::��'�.,�--r,*�:r: n.+..- '±F„z,""""�'`,,,..rs�xzc.,�*�z.�-.-. �.:-yy5c• w.^,..':»z,�^^aa-�wm-«a-.*...».y�m-;,��-x.w�,..;,..��e+r,�tm. �+.^�:r,c a_lm+.., "s`m..,ra�.� va:.<,.b..4,.__.a :h..w..,kzF., �.ow°�'.'�.e:�w..:...a�....t-.�..:c.,._.,..e.ss.:.. ��!;w.' ,a.a�'',_.�,„.".'-r.o%:.c....�.,.....s.w.::s��"v�.'-�e:'i�.-'_'.�'p�,"''u-.cae.�� Job Address S�R'S�"I ,� � 3� �A,t� �j t � Z� t� t"t1 r �t S �G 3 �,j� �.- Lot# � Sub Dtvision Parcel# F�.�-.. .,r•�-,,,.w,s._:�...,..., .-�.--.�......,r-^^.;—,��-„-a,�_ . �.�,-�a�^.,.�^,,�.;. � .�.�.,.c:_,.,,>„"-•r,— r�-;�.:--�r^ _:-^^,rr-�=��o-,...:� ��r�.........s�-u-..-a:an...'C.:.'-'�'-.....-.:,"a;"'s:.'.`'�>�':`..a�...�,:�-.x.:..��:�'...»a_�..,�,..:..".�".?E'.-'"..'.k:.. _.'�i.."'"`c..a°^;:i�`�m, i..,,.._�.a.........:,_ �v".:'i'�."�'-".ws..r...m._�.r..�:r:�.'`.`.=..�..a..,. .""'e..--.,•'»v'.'-=w ri:a".:..;k....a.'i � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Camm Exfiaust Kitchen Hood/Duct � Hazardous Material(Tier ti or RQ Faciiity)ANNUAL „ � ControAed 8um � Hood lnstallation _ � Emergency Generator<30 kw � L.P/Natural Gas-installation � Emergency�enerator>34 kw � l.PMatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembfy-ANNUAL ❑� emi � ' er ❑ Sprin&Ier O O O Recreatianal Bum Flre Alarm � ❑ O O � � Sparklers Hood Cleaning � ❑ , ❑ ❑ � � Sprinkler System tnstallations Hood Suppression � D !� C! C� � Standpipes{Sprinkler Sys) . � Fire Alarm Installatian Q Torch RoofingtTar Kettte ' � Fire Pumps � Waste Tire Storage ANNUAL � Flammable Application-ANNUAL � � Valuation of Praject � Fuet ianks Q Other: � r'-�:..��'-:�.W r�:.:�'�.,.:.:�;�-'-��':'^.��,w"�'.�-r_�'a .�•'�.��._�.�-:;�,.�.�--, .�.,-s.�:...,.�=^4°n�.y�-..'�.. .��.�....._.__'�:_�.�.,.,y._.:�.-�--�r..��.-, ......' .,�- �:.�:.:-3'-�^.__..».a.�- ..-'�""��i:'b�.`,'.'u"»'.�'�„:...'�;""�.."`...."a:-.33 Contractor �� e Company Signature �^"� �'"�"r� Registered Y/N Fee Current Y/N Address l.icense# ELECTRIClAN Company � Signature Regisfered �Y/�1I Fee Current Y 1 N Address L.icense# PLUMBER - Company Signature Registered Y/N Fee Current Y/N Address License# MEGHANtGAL Company Signature • Registered Y I N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee CuRent Y/N Address Licensa# t�:z�=,�•�u.>,��.�.,:�;�.vw.�_� ..., ..._..._, u.�.v.�r�.<.._,.._.�__�r. _.,» >_,__.._.�,.,.,.;��-�,.^::��:..w.w . ,�v,., . a�:s�c.��.. a...wu.K �r.m_. .�.w.�:�:, ...t�N:.�r., ...jkMxi<..,;xxKsc�.,,m ;:+wa::tix;�-.s.:sz:::a"..�,"`W.."_+�'�.',L�:::.i:r.4:.. . _.�.,,., �.., :,._..: :.-.., .:-.�.. � .,...,....�.� � :v�.. ,,,...->--. .n+.�. ,,.,�..,.,..._ D�G6GtIQ!"IS: Fill out application completely. Owner 8 Contractor sign back of application,notarized{Or,copy of signed cantract with owner) lf over$2500,a Notice of Camme�cement is required{Mechanical work over$50�d) Supply two(2)sets of drawings with applicable documentation A!!ow 1 Q-94 days for review after submitta{date. Parce!#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permit may be subject to"deed°restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any " -: ?'� applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPOtdSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be I(censed In accordance with state and local regulations. If the contractor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or Intended contractor are uncertain as to what licensing requtrements may apply for the intended work,they are advlsed to contact the Pasco County Building Inspection Divisiorr=L(censirig Seetfon at 727-847- � • 8009. �urthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block°of this application for which they will be responstble. If you,as the owner sign as the contractor,that may be an indication that he is not properly licerised and Is not enUtled to permitting privileges tn Pasw • County. - � ' , TRANSPORTATION IMiPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportetion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use tn exlsting buildings,or expansion of existing bufldings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The underslgned also understands,that such fees,.as may be due,will be(dentffied at the fime of permitting. It is further understood ihat Transportatian Impact Fees and Resource Recovery Fees must be paid prior to recetving a'certificate of occupanc�'or flnal power release. If the proJect does not involve a cert�cate of occupancy or final power release,the fees must be paid prior to'perrnit issuance. Furthertnore,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 773,Florlda Statutes,as amended): ff valuaUon of work is$2,500.00 or more,I certify that I, the applicant, have been provided wrih a copy of the 'Florida ConshiicNon Lien Law—Homeowner's Protection Guide°prepared by the Florlda Department of Agriculture and Consumer Aifairs. If the appiicant is someone � othe'r than the'owner°,I certify that I have obtained a copy of the above described document and promise In good fafth to �-- deliver ft to the`owner"prior to cammencement. ' CONTRACTOR'SIOWNER'S AFFIDAVIT: I certlfy that all the Infortnation In this application(s accurate and that all wark will'be done in compilance with all applicable laws regulating construction,zonfng and land development. Applioati�n is � hereby made to obtafn a permlt to do work and installation�as indicated. I cerlffy that no work or fnstallation has commenced prior to issuance of a permit and that ail work will be perFormed to meet standards of all laws regulattng construction, County and Ciiy codes, zoning regulaQons, and land development regulations in the jurisdiction. ( also certify that I understand that the regulations of ottier govemment agencies may apply to the intended work,arid that it is my responsibility to identffy what actfons I must take to be in compilance. Such agencies include but are not Ifmft�ed to: - Department of Environmental Protect'ion-Cypress Bayheads, WeUand Areas and Environmentally Sensifrve Lends,WateNWastewaterTreatment, ' - SouthwesE Florida Water Management District-Welis, Cypress Bayheads, WeUand Areas, Aitertng Watercourses. • ' - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health & Rehabllitetfve Servtces/Envlron"mental Health Unit-Wells, Wastewater Treatment, Septi�Tanks. • - US Environmental Protectlon Agency Asbestos abatement., - Federal Aviation Authority-Runinrays. I understand that the foilowing resMctfons apply to the use of flll:• , - Use of fiil is not eliowed in Flood Zone'V"unless expressly permitted. - If the flll material fs to be used In Fiood Zone "A', ft is understood that a drainage plan addressfng a °compensating volume"will be subm(tted at time of permitting wl5(ch is prepared by a professional engineer , • - licensed by th.e State of Florida. - If th�iill material is to be used (n Flood Zone'A°in connectian with a permitted building using stem wall _ � constFuction,I certify that flll wlll be used only to flll the area wfthin the stem wall. - If flll material is to be used in any area, I certify that use of such flll will not adversely affect adjacent propertfes. ff use of fll Is found to edversely aifect ad)acsnt properties,the owner may be cHed for violatfng the condiQons of the building.pertntt issued under the attached pertnft appllcation,for lots less than one(1) acre which are elevated by flll,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise iri good failh to inform the owner of.the permitting conditions set forth in this effidavft prior to commen�ing construction. I understand ihat a separate permit may be requlred for electricai work, � plumbing, signs,wells, pools,air cond�ioning, gas, or other installations not specifically included in the application. A ` permft issued shall be construed to be a license to proceed with the work and not as authority to,violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Bulldirig Officfai irom thereafter requiring a correction of errors in plans,construction or violaUons of any codes. Every permft Issued shall become invalid uniess the work authorized by such permit ts commenced with(n six mordhs of permft Issuance,or ff work authorized by the permit is suspended or abandoned for a period of�six(6)months after the time the work is commenced: An extension may be requested, in writing,from ihe Building.Otficial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extens(on. if work ceases for ninety(90)consecutive days,th�Job(s considered abandoned. - WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP.ERTY. 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) � ' OYVPIER OR AGENT CONiRACTOR Su6salbed and svuom to(or a}flrtned)betore me this Subsalbed end swom to(or aiflrmed)before me this by bY Who Islare personaity known lo me or hesRiave produced Who Is/are personally Imoxm fn me or has/have pmduced as identlficadon. as idendfipdon. Notery Public Nohary Public Commission No. Commission No. Neme oi Notary typed,printed or slamped �Name of Notary typad,printed or shamped . �