Loading...
HomeMy WebLinkAbout18-20372 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20372 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20372 Address: 6251 FORT KING RD 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: 03-26-21-0010-09500-0000 Improv. Cost: OWNER INFORMATION Date Issued: 10/22/2018 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 50.00 Address: 6251 FORT KING RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/22/2018 Phone: (813)782-8865 Work Desc: PLACES OF ASSEMBLY- EXP 10/2019 -ALLIANCE CHURCH CONTRACTORS APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 ( c FIRE SITE INSPECTION-Final Ins ections Required 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 813-780-0020 Glty of LepnyrhlllS 1-Ire Fax-d1;5-18w-UU21 Permit Application Phone Contact for Permit _- Date Received Owner's Name �LJ A1�1 GL� C N C k D Ze (� (�S Owner's Phone Number Owners Address Z S l J%o eT Kr kC? (2 of Ph r P,C 33 S-4 Z Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address (,Z 27a �1-2W ZePk '-A;11 - jL_ Lot# Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier li or RQ Facility)ANNUAL 0 Controlled Burn Hood Installation 0 Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale El Fire Protection Maintenance-ANNUAL © Places of Assembly-ANNUAL try emi � ter Sprinkler El ❑ ❑ ❑ Recreational Bum Y Fire Alarm ❑ ❑ ❑ F_� Sparklers Hood Cleaning El ❑ ❑ ❑ Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Flammable Application-ANNUAL Valuation of Project Fuel Tanks 0 Other: Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company , Signature Registered Y/N Fee Current Y/N _ Address License# Directions: a 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) ' ~ ��.�. N��[��E OF DEED �� The nedundan�ondmthat this perm�nnaybe subject oo""��" nasthoUnno" which may bomo� �m����a County . The undersigned a�um�� resp�abN�h�oom��nce�� any a'o|icab|ed�ed'remt-dicbone' ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired e contractor or contractors bnundedakevvork. they nnaybmraquinadbzb licensed in accordance with state and local regulations. If the contractor is not licensed as required by (avK 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 requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor orcontractors, he is advised to have the contractor(s) sign portions of the '^contraxctor,Block" of this,application for which they will be responsible, |f,ynu, as tlie owner o|Qn as the contractor, 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 713° FloMda Statutes, as amended): |f valuation of work is $2.5OO.00nr more, | certify that |, the appUnant, have been pna/|dad with o copy of the "F|ohdo Construction Lien Law—Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs: If the applicant is someone other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver itto the"owher" prior tocommencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in oom' |ioncewith all applicable {omm nagu|oUnQ construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. | codifv that no work or installation has commenced prior to issuance mfmpermit and that all work will be performed bm meet standards of all |oxvm regulating construction, County and City codes, zoning ragu|otimns, and land development raQu|eUone 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 hobmincompliance. |f( ann 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 o separate permit may be required for electrical work, p|umnbinQ, signs, xveUs, pocds, air oondibuninQ, gms, or other installations not apedifiooUy included in the application. /\ permit 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 Building Official from thereafter requiring a correction of errors in plans, construction or violations,of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit isauoncm, 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 neqummhed, in writing, from the Building Official for a period not to exceed ni (QO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(9D)consecutive days,the job haconsidered abandoned. WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT -N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 1FO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 'L"R'"°^"=°' (''S' ''''°) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)beibre me.this Subscribed and sworn to(or affirmed)before me this by by Who-is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced asidentification. as identification. Notary Public Notary Public Commission Commission Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ` '