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Home My WebLink About18-19579 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19579 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19579- Address: 39602 AMETHYST WAY LOT 5 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: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0050 Improv. Cost: OWNER INFORMATION Date Issued: 4/17/2018 Name: EMERALD POINT RV Total Fees: 50.00 Address: 39602 AMETHYST WAY LOT 5 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/17/2018 Phone: (920)840-7890 Work Desc: PLACES OF ASSEMBLY- EMERALD POINTE CLUBHOUSE -EXP"4/2019 CONTRACTORS APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 1 FIRE SITE INSPECTION-Final Ins ections lZequired 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 OFFIC11-1 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� -_ Phone Contact for Permit J' Owner s Phone Number Owner's Name 7G — 'j t r A nGt� SSOGi 4 Jd Owner's Address Fee Simple Titleholder Name Titleholder Phone Number L� Fee Simple Titleholder Address Job Address Sub Division Parcel# r_._a-_- __= - QBio-Hazard Waste Storage-ANNUAL Fumigation Tent Q Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier 11 or RO Facility)ANNUAL. 0 Controlled Burn Hood Installation Emergency Generator<30 kw LP/Natural Gas-installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Q Fire Protection Maintenance-ANNUAL r---O P-laces of As 7 mbly-ANNUAL U y emi t er Sprinkler ❑ ❑ ❑ F-1 Recreational Bum Fire Alarm ❑ ❑ ❑ = Sparklers Hood Cleaning ❑ ❑ ❑ = Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ ❑ Standpipes(Sprinkler Sys) QFire Alarm installation Torch Roofing/Tar Kettle Fire Pumps a Waste Tire Storage ANNUAL Flammable Application-ANNUAL —� Valuation of Project ❑ oFuel Tanks 0 Other: _- r__ Contractor- , Company -9 I �/ Registered Y/N Fee Current Y/N Signature YPS! Address License# ELECTRICIAN Company Signature Registered I Y/N Fee Current LY/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y I N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# 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(Mechanical 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(http://appraiser.pascogov.com) -- NOTICE OF DEED The undersigned Vnderotamdnthst this' permit may bo subject to"deed" which may be more restrictive than County ned-assumes resppnsibility.for compliance with any oppx�uoao��orma�xumna' ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner ' contractor or contractors to undertake �onk, they may be /�quhedbmbeUoenaedinouumnomno� v unaxow ��no |od'a/ regu/anonm' If the contractor is not licensed 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 wMs* licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—LicensingSection at727-847- BO0B' Furthernl if the has hired a omnb � c m � ornontnacboro. he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as ttia owner sign as the contractor, that rnay.be an indication that,he is not properly licensed and is not entitled to permitting privileges in Pasco County. ii CONSTRUCTION LIEN LAW(Chapter 713" Florida Statutes, as amended): |f valuation cf work ie$2,5OO.00ormore, / certify that |, the app|icant, have been provided with a copy of the "Florida Construction Lien Lav+—HomMmomne(m Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs: |f the applicant iosomeone other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver itt6 the"omner"pbortocommencement. - CONTRACTORS/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in oom' Uance. mith all applicable laws naQu|etinQ oonetruobon, zoning and land development. Application is..hqre0y.rnpdeJo obtain a permit to do work and installation as indicated. / oedifv that no work or installation has commenced prior to issuance of-a permit and that all work will be performed to meet standards of all |swve regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also certify that } understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take hobaincompliance. If| anm the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that separate permit may be required for electrical work, p|umnbing, signs, vvel|o, pools, air conditioning, gao, or other installations not spad�ooUy included in.the application. AU permit issued ahabeoonabuodhobeoUoensebo proceed with the vvorkand not ag authority tn violate, cancel, after, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid un|aem the work authorized by such permit is commenced within six months of permit ismuanco, or if 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 requeoted, in vvhting, from the Building Official for m period not to exceed ninmty(QO) days end will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA (F... ..'.~~/ `OWNER OR AGENT CONTRACTOR Subscribed and sworn m(or affirmed)before methis Subscribed and sworn to(or affirmed)before me this ` by Who is/are personally known to me or has/have'produced Who is/are personally known to me or has/have produced as identification. asidentification. Notary Public Notary Public Commission No. Commission No. ' typed,Name of Notary typed,printed or stamped Name of Notary printed or stamped � '