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Home My WebLink About18-20383 CITY OF ZEPHYRHILLS 5335-8TH STREET / (813)780-0020 203 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20383 Address: 38545 5TH AVE 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: 11-26-21-0010-15100-0140 Improv. Cost: OWNER INFORMATION Date Issued: 10/24/2018 Name: CITY OF ZEPHYRHILLS Total Fees: 50.00 Address: 5335 8TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/24/2018 Phone: Work Desc: PLACES OF ASSEMBLY-WOMEN CLUB - FEE WAIVED CM- EXP 10/2019 CONTRACTORS APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 I V 1 � Ins ec io s Required FIRE SITE INSPECTION-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 ty 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 Owner's Name ®� Z \��115� Owner's Phone Number Owner's Address s 3 3 S S-)i- A�A-s L S LA D Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address ��5 S r~�1i�i f— 3 5 Li o� Lot# Sub Division Parcel# OBTAI_ED.:EROM:PROP-ERTY_TAX_NQ-CE --- — Bio-Hazard Waste Storage-ANNUAL 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-Installatior Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL 571 Places of Assembly-ANNUAL Mo Semi Anl Other Sprinkler ❑ ❑ ❑ Recreational Burn Fire Alarm ❑ ❑ ❑ Sparklers Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL H Flammable Application-ANNUAL Valuation of Project Fuel Tanks 0 Other: Contractor Company {� Signature Registered I Y/ Fee Current Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N 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: 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) a, - s NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" j which�may be rAore restrictive than County,regulations. The.undersigned assumes responsibility for compliance,. th any,,, ,. appl!cable deed:restrlctions.: `; ;. - ;, ;,:..: UNLICENSED;CONTRACTORS'AND,CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or contractors'to undertake.work;th'ey`maytie requi�6dio be licensed in-accordance with state_and.local regulations:"�If tile' contractor is not licensed as required by'.,law,.both the owner and contractor may be cited for a misde''Mdirior violation understate law. If-the-owner or,Intended'coritractor'are-uncertain as-to-what;licensing requirements-may..afooly for the" intended work,they are advised to contact the Pasco.County Building inspection Division--Licerisigg Section at 727-847- 8009. Furthermore, if the owner-has'-hired''a contractor or.contractors, he.is-advised to have the cohtractor(s)'slgn portions'of the"contractor BloW of this'application for-which they;Will 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 entitled to permitting.privileges,in-Pasco County: TRANSPORTATION JMPACTiUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fee's.and Recourse Recovery.Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings'.as,specified 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 identified at the tiirt 6f' permitting...lt is further understood that-Transportation-Impact_Fees and Resource Recovery,Fees must be,paid:prior.to receiving a"certificate of occupancy"or final power release: If the-'project does riotinvolve a certificate of occupancy.or final power release,the fees must.be paid prior.to permit issuance. -Furthermore,if Pasco County Water/Sewer'Impact, fees are;due.they must be paid prior to permit issuance an accordance with applicable Pasco County ordinances:`' CONSTRUCTION LIEN.LAW(Chapter:718,Florida Statutes,ai-iiibe'nded)::�If valuation of work'is$2,600:00 or m" 'ore,1 certify that 1, 'the applicant; have been provided with a copy of the "Florida Construction Lien Law—homeowner's Protection Guide"prepared by the,Florida Department of Agriculture and Consumer Affairs. If the applicant!s'sordeone: othedthan the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it.to the"owner'prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT:�1icertify that ail,the information in this:application is accuraWand that all work Will be done in compliance with all applicable laws.regulating Construction,zoning and land deveiopment. Application is fiere6y made to obtain a permit to do work and.installation as indicated. _1,certify that no work or installation has commenced prior to issuance, a permit and'that all work will.be.performed to meet standards of all laws-regulating constriction, County and Clty codes, zoning regulations, and land development,regulations in the jurisdiction. also certify that i understand that the regulatlons of other government agencies may apply to•.the:intended work,and that it is my responsibility to Identify what actions i must take to be In compliance. Such,"agencies include but are not limited to: -, Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterMastewatei Treatment. i - Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks;Navigable Waterways. Department of Health & Reh'abilltative Services7Environmental Health Unit-Wells, Wastewater Treatment, i Septic Tanks. ..: . -; US Environmental P'rotectiogency=Asbestos abatement. Federal Aviation Authority-Runways. understand that the,following;restrictions•apply to the use of`fll. -i Use of frills not allowed!n FIood�Zone°V"u n I Zs expressly permitted. -I If the fill material is to,be_used in Flood Zone "A", it is understood that a drainage plan addressing a j "compensating,volume"-will:beaubmitted.at time of permitting which is.prepared by a professional engineer licensed by the State of Florida. - if tha"fih material;is-to'be used-;in+lood Zone,",A".in:;connection with a permitted building using stem wail construction,I certify.that fill will'be used only to''. ll.the'area within.:the.stem wall. i i If frll.,material,Is to.be used,;in any area, I certify,that use,of such fill will not adversely affect adjacent 'properties. If use of fill is found-to adversely affecf adjacent properties,the owner may becited for violating the,.conditions,pf••the building permit issued under-the attached permit application,.for lots less than one(1) acre iiGhich•are'elevated by fill;'an engineered drain' !plan is.required. If I am the AGENT'FOR THE OWNER,I promise i`ri good faith-to-inforrn-the owner of the permitting conditions set forth in this;affidavit-prior to commencing construction. I understand.-that a separate;perm it be.required for electrloal work; plumbing, signs,wells;pools;'air conditioning, gas, or other installatlons-not'speciflcally included in the application. A 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'anyprovisions,of the"technical codes;no''shall issuarce'of a permit prevent the Building,Offlcial.from thereafter requiring a'correction of errors in plans,construction or violations of-any codes."Every permit issued shall become invalid unless the Wo*authorized.by;such permit(s commenced within six months.of.permit issuance,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 maybe requested;in.writing,;from the.Building Official for a-period'notao exceed ninety(90)days and will d,`emonstrate justifiable cause for Uie extension: if work ceases for nlnety'(90)'Jrisecutive days,the job is considered abandoned' WARNING;TO:OWNER:,,YOUR FAILURE.TO,RECORD,A NOTICE-. COMMENCEMENT MAY.RESULT.IN YOUR PAYING TWICE FOR I PROVEIIIIENTS`.t*d YO*1PROPERTY .IF YOU INTEI�D'TO`OB FAIN FINANCItdG,Ct1NSClEZ WITH YOURIENDER OR-AN.ATTORNEY,BEFORE RECORDING`YOUR.NOTICE OF'COMMENCEMENT. i FLORIDA JURAT(F.S.117.031OWNER OR GENT-` CONTRACTOR. Subscribed`and swam to,or fif mred)before me Subscribed and swom to(or affirmed)before me this' by :. .- by, Who Is/are personally known to me or has/have produced Who!stare personally known to me oe hasrhave produced as,ldenti foation. as identification.' Notary Public _ .Notary Public Commission No, Commission No. Name of Notary typed,printed or stamped Name of Notary.typed,printed orstamped r