The URL can be used to link to this page

Home My WebLink About17-18611 I �� , CITY OF ZEPHYRHILLS I � �' S335-8TH STREE7 � ' (s�3)�so-oozo ��I ANNUAL ASSEMBLY PERMIT � � PERMIT INFORMATION ` LOCATION INFORMATION Permit Number: 18611 Address: 38112 15TH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. I Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: � Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-01200-0250 Improv. Cost: OWNER INFORMATION Date Issued: 6/28/2017 Name: NYE, McALVANAH & HENSON ; Total Fees: 50.00 Address: 38112 15TH AVE ' Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/28/2017 Phone: (813)715-0228 ' Work Desc: PLACES OF ASSEMBLY BRIGHT BEGINNINGS TOO , � r/ � CONTRACTOR S APPLICATION FE S- OWNER FIRE PERMIT FEES 50.00 � i � I " ' /� I / � / � � I � � I Ins ections Re uired FIRE SITE INSPECTION-Final i �I i I I OCCUPANCY LOAD: �� ' Occupancy by more than the number of persons above shall be considered j dangerous and unlawful. Occupant load determined by Florida Fire I Prevention Code, NFPA101, Section 7.3.1.2 ; ,. I PERMIT OFFICER 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 e F�3-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Agplicatian Date Received �w � Phone Contact far Permit ��M�� :�.�.:,�:...._:,...�:::.�,-.:.�.�,..M.:.,�:�:...�:...��:..�.�. -'�"�::..::.-��=:.r"�.��_.�-� �...:�.��.>..::.�:..,�,.._:�,:.:�,w:.a Owner's Name R�.'�� h� � c n d1 �(1 S "�'Op Owner's Phone Number t� �� C�_� Owner's Address , � f h �/�. i Fee Simpie Tfitieholder Name �� Titleholder Phone Number �� C� ! Fee Simpie Titleholder Address � m�.�.�»..�n,^^^.p�--^�`,""-^"�:!z^�-;-..�»:::�*�i-��'"� �.w.w..'�,..,u»�w.�,.,,. .��,__,,.�,:�::�'»��'i��...._::.,c,c��. �.:.��;u:::-�.»;,-`�"°"��''.'_....,.-�r•,�"'M� � t.�.s,:::,,,�:.,.�.::.a.:..,...r.<�....:..:.c.,,...Ma.c�.<...s.��,.:.,...:.......».,.u>�.::..........=w:....:�.."�.�.cx�:«.,.....v. „t+.a.s�:.. . , r.,...,..�..w...� I ' Job Address Lat# �___� � I � Sub Divisian Parcel# , � -..�_.--�-�---». .�.:-�x< . �,.,.,-..-,.�,,.�:�,. �.�-, ---_--�-•�-�,-�-_�-:_-�-..�.�- -°--��;�.�--. -�--=-�-w� ,,..,;<;��,, ,�._. �- ..�-K�,-m--. ....�., .,ro-�,�----=.-.,R.,t I _ � :.,... ��.._..�..,,.�,....�,�.�.��...�.:.�..,�.,.»�.,�..�....:Y��.��-... . :::.:�:,�.�.:.._�.�.,,>�,.»_::.;.�:..�.....�.�.,.,,...�....�..�.,��;,.. ,.�..�,..�:..,.�..,�.,�� .��:�: ,-..�...::.,._;.:,..:d:.�...... �r..�....,� � Bio-Hazacd Waste Starage-ANNUAL � Fumigation ient , � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �' � � Controlled Rum � Haad lnstal(ation � • Q Emergency Generator<30 kw � LP/Natural Gas-Installation � � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale i� � Fire Protectian Maintenance-ANNIlAL �Piaces af Rssembiy-ANNIlAL ' Sprinkier � � Recreational Bum �, Fire Aiarm � � Sparklers f��j C� � ��l (J , - Hood Clean/8uppression � � Sprinkler System Installations � � Fire Alarm Installation � Standpipes(Sprinkler Sys) , � Fire Pumps � Torch Roofing � , i � Fire Works � Waste Tire Storage � � � Flammable Appl'scation-AhliVUAL oFuel Tanks Q other: � P....--�.....�--,.x-.,-.-.�:. . ..... <ar�,.,�a,�,-�--m.-,.-�.-� -��---,--��_��„- --�-t-- �,,,W;�; . .�,.�..�:> u�..�::�. ,��..�y,.��.:z�.w.��.,��:..:.��.�-..��..:�.:.�..�.:�,:..�..,...;..:�.:�.�.:�^..�:,.:-.�;.�. ' Contrac#or Company ( Signature Registered Y/ N Fee Current Y/N � Address _License# � ELECTRICIAN Company � Signature � Registered Y/N Fee Current Y/N � Address Licerrse# � PLUMBER Campany i Signatt�re Registered Y I N Fee Current Y/N Address License# MECHANICA� Campany ; Signature Registered Y/N Fee Current Y/N !, Address License# ; , 4TFiHFt Company � Signature Registered Y/N Fee Current Y I N Address License# E:�i�`��.�'�a:c::«a;::x:�am�:�,a.a.�,.��;�: �.......^�u.�ia.. :.� k - '�.s:z'.��s. -- ..�.�..,. ' , Directions: Fill out application campletely. ' Owner&Gonb'actor sign back of applicafion,notarized(4r,copy of signed contract with ovmer} If over$2500,a Notice of Commencement is required(Meahanical work.over$5000) � Supply two(2)sets of drawings with applicable documentation � � , Aliow 10-14 days for review after submittal date., . �.� % _.. �._____.__.._._._.�.,_.,.._.._.a�.....__.._.�.,........,.,..__..,,_.._._....._,,.._.��..__. __...�._. ._., _ .._._. ti ._ �a NOTICE��OF DEED•RESTRICTIONS: The undersigned understands that this permit may b.e subject to°deed" restrictions" -wiiich may be more restrict�ve.than County regulations. The undersigned assumes respansibility for campliance with any applicable deed restric#ions. UNLICENSED CONTRA�TORS AND CONTRAGTOR RESPONSIBILITIES: If the awner has hired a contractor ar contractars to undertake work, they may be required ta be licensed in accordartce with state and local reguiatians. If the contractor is not licensed as required by law, both the owner and cantractar may be ci#ed far a misdemeanor violation under state law. if fhe owt'ter or intended carttractor are uncerta9n as to what Eicensirtg requirernenfs may appiy for the intended work,they ar�advised ta con#act the Pasco Counfy Building fnspection Divisiori—Licensing Section at 727-847- 8Q09. Furthermore, if the awner has hired a con�ractor or contractars, he is advised to have fbe contractor(s) sign portions of fhe "cantractor Block° of this application for which they will be responsibie. If yau, as the owner sign as the con#ractor,-that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter?13, �lorida Statutes, as amended): If valuatian of work is $2,500.00 or more, I csrtify that !, the applicant, have been pravided with a capy of the °Florida Construction Lien Law—Hameowner's Protection Guide" prepared by fhe Fiorida Departrnent of Agriculture and Consumer AfFairs. If#he appiicant is sameone other than�the°owner", ! certify that l have obtained a copy of the above described document and promise in good faith to de(iver it to the"owner"prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all.the information in this application is accurate and � .. - - #hat a11 work will� be done in compt9ance �with-�all--applicable�-taws regutat9r�g�-cons#ruction;-zonEng�-and-land---- ---•-- development. Application is hereby made to obtain a permit to do work and installa#ion as indicated. I certify that no work or installation has cQtnmenced pcior to issuance of a permit and that al!work wil! be pertormed to meet standards of all iaws regulating construction, County and City codes, zoning reguiations, and tand development .regulations in the jurisdiction. I also certify .that I understand that the regulations af other gaverr�ment agencies may apply to the intencfed work, and fhat it is my respansibility to identify what acfions 1 must�take to be in compliance. � lf 1.am the AGENT FC}R"CHE OWNERt 1 prom'sse in good#aith to infocm#he owner of the permit#ing canditions set fo�th.in this affidavif prior to commencing construction. I understand that a separate permi# may be required for e�ectr�cal wark, plumbing, signs, wetls, pools, air conditioning, gas, or other installa#ians not specifically included in the app[ication. R permit i5sued shali.be construed fo be a iieense to proceed with the wark and nat as authori#y to vialate, cancel, aiter, ar set.aside ar�y p�ovisians of the technical codes, nor shall issuance of a permit prevent the Building Official from the�eafter " requiring a.correction of errars in pians, construction or violations of any coc3es. Every perrnit issued shall become invalid unless�tfie:work authorized by such.permit is commenced 'within six months of permit issuance, or if work autharized by #he=perrrizt�is suspenc�ed or abandoned for a period of six{6}months after the t9me the work is commencsd. An extensian �may�be reques#ed, in�writing, from fhe Building Official #or a Period nat to exceed ninety (90) days and wili demonsfrafe just�able cause for fhe extension. If work ceases far ninety(90)consecutive days, #he jab is considered abandoned. 'INARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC�MENT MAY RESULT IN YOUR PAYENG TWICE fQR IMPRC}VEMENTS TO Y4UR PRQ3?ERTY. IF_Y.,Q.U.[NTEND.TO,t?BTAtN..FINANGtNG, CC?NSULT . ._.. ..s ...._ a ...-_i..�.-..�.�._. .�..-.,-..k?_.—..�.: _;an:.:..�u . .. . . WI'CH YOUR.�LEMD.ER-ORAN�-ATTARNEY�B'EFORE-`R��f3RDIN'G YOUR�1110TICE OF COMMENCEMENT. . . . ... ',i:..Mw��F.LG�l3tDX1'.:l,t7RA�"{(�F:S?*1:97�Q3j ` " ' ' _ _-_. . Fi ' t' �-:._ ..». "' ".".,. "_.� _._. _ .. ._. ..' "". ..-. _.._...."_' "'""""'""'_'"_"""" ...."_""""_.. _._. ..."_""' "_'_"" ' .. ._. ,. ._......_ OWNER OR AGENT • GONTRACTOR Subscribed and swam ta{ar affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who is/are personally knawn to me or has/have produced Who is/are personally known to me or has/have produced as identificaflon. as identificatian. Notary Pubiic Notary Public Carrtmission No. Commission No. Name of Notary typed,printed or stamped Name af Notary typed,printed or stamped