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Home My WebLink About17-18823 • CITY OF ZEPHYRHILLS � 5335-8TH STREET : (sis)�so-oo20 18823 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18823 Address: 38333 COTTONWOOD PL 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: � Subdiv�ision: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-0216-OOR00-0000 Improv. Cost: OWNER INFORMATION Date Issued: 8/31/2017 Name: DRIFTWOOD CONDO ASSOC Total Fees: 50.00 Address: 38333 COTTONWOOD PL Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/31/2017 Phone: Work Desc: PLACES OF ASSEMBLEY- DRIFTWOOD CLUBHOUSE CONTRACTOR S APPLICATION FEES FIRE PERMIT FEES 50.00 ; i � /�� 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 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 � � 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received 3 P � Phone Contact for Permit T�_��_� �-�_�_,.�.!-��_..._w..w�,......._�....�,_.__��__.�...�. -�-��:-x._,.;�zyz;��-.....�-�� - -...�-,._�....w..-�,..._.,�:N.�� :.._._ , ._.e... _. _...: Owners Name �/�'� � (,!%� �l� � �++ners Phone Number r_� � � Owner's Address �p �33 - ��(,C� L� Fee Simple Titleholder Name Titleholder Phone Number � O � Fee Simple Titleholder Address ' C:`.._"�'.''�-^,'�;'�'ys�'-,^�''.�'�'*•"�;^ - - - ' '��._YE.,�=r'"'°`:�:�.`:`'.��:"` -_c�_..�K�y„�.:s-_- .,,. -. ,.�_,_:e__=:�_��..�""`z�'..,"`-��.r„�.,__'z`��"T�":' Job Address 3 g 33� �(,QJ ��- s ��7 ��'�.6.,(--� L� v Lot# '-- � Sub Division Parcel# (y`�.."-r�.��.r,,:�7.:;�ak.i•`.:;,i�..::�7""3:�"�.�-�.�."-�_'�`:?=;ti'�.....__.�<��.;..- �._��.�,.�...:.....�...:s>1—_a!•Nx-`-..�..��;u`.^..'�-..';r: -" �..._..�.,�,..«_.�i...�.�:t,�s`^�.:>�i w-..r.....,:......:.-��''.�s,'-_'.'��.-`.�'a«....,,.�.�...r...�,.......e�^`�:.-`".�.�.-�-�a".c'%a � Bio-Hazard Waste Storage-ANNUAL W� Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � � Controlled Bum � Hood Installation _� � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � L atural Gas-ANIdUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL 0 �y emi �n er � Sprinkler � ❑ ❑ ❑ � � Recreational Bum Fire Alarm_ � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ , ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � � � Waste Tire Storage ANNUAL /� , Fire Pumps v � Flammable Application-ANtdUAL Valuation of Project � Fuel Tanks Q Other: ,_�,.-�-___.-�-._.�_.,�;_..�.r __�-_.,_. . - - - � - �--=-;��--�r------_. ..., _,��._...__�.�:.�,�.-.� .:_.,«�. ...-.�.�,.�.,.u.,,�.�.,�V,.,� r_. w,x.a�� .�:... _, _",�s:::t...ws._�,._._=..�u____..�.�,�.�.-�....�.. .�.__._�:�.s�,...u, - _�._..�..._....�..- _�..:.__ __:::._.�_ �_�. Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered l�/nl Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature • Registered l�/1� Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# 4. _ - '�L�:S�.--�_..1..x.�....1.i__�...`..:.`_«...i,..S.��.�.:S4�t..._�_._,..�.....+�.:T.�.�..e.�_.r��..1.7s.x.�.,_,..✓�.�.v�.__......-4..._.:...+�.,..;.-��..-_:-::�`.:n„_�...w_-�..�_r.....�Y,.a_-.,r,4....�........_:.2'�....' _.��«�i-'�i`:�:� ......... .... .. . ... :» ..• -, .,. .r-r..:. - .:... � - ',2.�,s'..x_ I Directions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(AAechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subject to"deed°restrictions" � which may be more restrictive than County regulations. The undersigned assumes responsibllity for compliance with any � applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or � contractors to undertake work,they may be required to be licensed tn accordance with state and local regulatlons. If the conuactor is not licensed as requlred tiy law, both the owner and contractor may be cited for a misdemeanor vlolatlon . under state law. If the owner or Intended cantractor are uncertaln as to what licensing requirements may apply far the intended work,they are advised to contact the Pasco County Buflding Inspection Divislon=Licensing Section at 727-647- 8009. �urthermo�e; ff the owner has hired a wntractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor BIocK'of this application for which they wfll be responsible. If you, as the owner sign as the contractor,that may be an indication that he Is not properly licensed and is not entltled to permitting privileges in Pasco • County. ' • " TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands , that Transportstion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use tn existing buildings,.or enpansion of existing buildings,as specffied in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be fdentified at the time of permitting. It fs further understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a'certtficate of occupancy°or firral power release. If the proJect does not involve a certificate of occupancy or final power release,the fees must be paid prior f6 permit issuance. Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit tssuance in accordance with applicable Pasco Couniy ordinances. , CONSTRUCTION LIEN LAW.(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I certify ihat I, the appiicant, have been provided wRh 'a copy of the 'Florida ConstrvcNon Lien Law—Homeowner's Protection Guide'prepared by the Florlda Department of Agriculture and Consumer AfFairs. If the applicant fs someone other than the'owner°,I certify 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'S/OWNER'S AFFIDAVff: I certtfy that all ihe informaiion in this application(s accurate and that all work will'be done in compliance wfth all appllcable laws regulating construction,zoning and land development. Application is hereby made to abtafn a permit to do work and instellat3on as indicated. I certffy that no work or InstallaUon has commenced prior to issuance of a permtt and that all work-wfll be performed to meet standards of ail laws regulating • conshuction, County and City codes, zonfng regulations, and land development regulatlons in the jurisdiction. t atso certity that I understand that the regulations of otHer govemment agencies may apply to the intended work,and that it is my responsibility to identiFy what actions I must take to be In complfance. Such agencles Include but are not IlmKed to: - Department of Environmental Protection-Cypress Bayheads, 1Netland Areas and Environmentalty Sensitive Lands,WatedWastewaterTreatment ' - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. • - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabllitative Serv(ceslEnvlrorimental Health Unit-Wells, Wastewater Treatment, Septic Tanks. � • - US Environmental Protection Agency Asbestos abatement. - Federal Aviation AutFiority-Runways. � 1 understand that the following reshictions apply to the use of flll:� - Use of flll is not allovired ln Flood Zone'V"unless expressly permltted. - If the flll material is to be used in Flood Zone "A, it Is understood that a drainage plan addressing a °compensating volurrie"will be submitted at time of permitting wFifch is prepared by a professional engineer . • - licensed by the State af Florida. - If tFie flll material Is to be used In Flood Zone'A° in connection with a permitted building using stem wall ' construction,I cettify that flll wlll be used only to fill the area within the stem wall. - If flll material is ta be used in any erea, I certify that use of such fill will not adversely affect adjacent propertles. If use of fiil is found to adversely affect adjacent properties,the owner may be cHed for violating the conditions of the building pertnit issued under the attached permft applicat(on,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 promfse in good fafth to inform the owner of.the permitting condftions set forth in this affidavft prior to commencing construction. I understand that a separate permit may be required for ele�trical work, plumbing, signs,weils, pools, air conditioning, gas, or other installations not specffically included in the application. A ` permft issued shall be construed to be a license to proceed wfth the work and not as authority to.violate,cancel,aiter,or set aside arry provisions of the technical codes,nor shall issuance of a permit prevent the Bulidirig Official from thereafter requiring a correction of errors In plans,construction or violations of any codes. Every permit Issued shail become invalid unless the work authorized by such permit is commenced withfn six morrths of permft Issuance,or ff work author¢ed by ihe permit is suspended or abandoned for a period�of�s(x(6)months aiter the time the work is commenced: An extension may be requested, In writing,from the Building.OifiGal for a period not to exceed ninety(90)days and will demonstrate Justifiable cause for the extension. ff work ceases for ninety(90)consecutive days,th�job is considered abandoned. � WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWlCE FOR iMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTiCE OF COMMENCEMENT. FI.ORIDA JURAT(F:S.117.03) OWNER OR AGENT CONiitACTOR Subsatbed end swom to(or afflrtned)before me thls Subscribed end svwm to(or afirtned)before me thLs by Y Who Islare personalty known to me or haslhave produced Who Is/are petsonally Imown to me or haslfiave produced as identlficatlon. as Identlfication. Notary Public _ NoTary Public Commisslon No. Commission No. Name of Notarytyped.pdnted or sFamped �Name ot Notary typed,prirrted or stamped �