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Home My WebLink About21-1342 a City of Zephyrhills an PERnniT NunneE- V 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001342-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/13/2021 Permit Type: Fire iaa,+'F 4s - ^c.'.Y.:s T, . •n i n• ..`y "<<a" J"'.'s'.-'l'+1°byk a JF#'bT ' PropertyNumberStreetA'ddress. �3 -�- 11 26 210010 05000 0010 5855 16Th Street O ner lnfor�mation a Pie mit" In ormation a Contr�actoc,lnforIm ionn A Name: ST ELIZABETHS EPISCOPAL Permit Type:Fire Contractor: ST ELIZABETHS CHURCH Class of Work:Places of Assembly EPISCOPAL CHURCH Address: 5855 16Th St Building Valuation:$0.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)782-1202 Mechanical Valuation: Plumbing Valuation: Total Valuation:$0.00 Total Fees:$50.00 Amount Paid:$50.00 �� !•� Date Paid:1/13/2021 11:25:26AM P o ect Descritron. ANNUAL ASSEMBLY ST.ELIZABETH EPISCOPAL CHURCH EXP 1/2022 74 Application Fees, , ORWKW Places of Assembly Permit Fee $50.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "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." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE70 IT OFFICE PERMIT EXPIRES IN 6-MONTHS-WITHOUT APPROVED INSPECTION - CALL FOR INSPECTION --8 HOUR NOTICE REQUIRED - PROTECT CARD FROM WEATHER 813-780-0020 '44 City of Zephyrhills Fire Fax Permit Application Date Received Phone Contact for Permit Owner's Name � ners Phone Number Owners Address c f "V Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel# 1:1 1 NOME 0 Blo-Hazard waste Storage-ANNUAL Q Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL Controlled Bum Hood Installation F-1 Emergency Generator<30 kw LP/Natural Gas-Installatior M Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale E-1 Fire Protection Maintenance-ANNUAL EFV Places of Assembly-ANNUAL M Us"e-Mi 1 Other Sprinkler El 0 C1 n F-1 Recreational Bum Fire Alarm F-1 11 11 0 [--J Sparklers Hood Cleaning 0 0 0 Sprinkler System Installations Hood Suppression 0 0 0 F7 Standpipes(Sprinkler Sys) oFire Alarm Installation Torch Roofingrrar Kettle Fire Pumps Waste Tire Storage ANNUAL 8Flammable Application-ANNUAL Valuation of Project FuelTanks ther: Contractor Company Signature Registered Y/N' Fee Current nY NLj Address License# ELECTRICIANI Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current N Address License# MECHANICALI Company Signature Registered Y/N Fee Current Y/N Address License# F- OTHER Company Signature F Registered Y N Fee Current L_X/N J Addres s 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$5000), Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) o$ti GEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"r`estrictiOns" titio° -y be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ��++ole.dead restrictions. -�iG ket) CONTRACTOR$ AND CONTRACTOR(RESPONSiBILITiES: If the owner has hired a contractor or ,oiitractors to undertake work,they may be required to be lice ed in-accordance with state and local regulations. If the cQiitractor is not licensed as required by law, both the owner and contractor may be cited for a.miisderneanor violation tinder:-state laW. If the-owner or intended Contractor.are unce in as to what lioeneirig retauirements may apply for.the intended work,they:are advised to contact the Pasco ivounty B itdin inspection Divis ori- lac using Sethi.of Z 1-847- 80g9. Fur#hermore; if the ovi►ner has Hired a contractor .or o ntractors, lie is advised to have the contractors) sign portions of the."contractor Block"_of this,application for uvhich tley wiU be resp6nstble. ,g yoti, as rile owner sign a"s the contractor, that maybe an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County.. CQNSTRUCTION LIEN LAW(Chapter 718,Florida-Statutes, s amended}: if valuation_of work is$2,500.00 or more l I.,. , certify that I; .the="applicant; be "risen proWidad with;'a Cop of the "1"I rid' 'Co lstrtadon* 'Lien-I ew rt�lomeowner s Protection Guide" prepared by'the Department,of Agric�iture and Consumer Affairs: Ifthe applicant-issomeone other than the`'owner", I certifythat I Have obtained a copy of the above described document-and promise-in good faith to deliver It to the°owner-prior•tq cornmerioernbnt. CONTRACTQR!$JdWNER'S Al 0101AVIT: I certify that all the information in this application Is accurate and that all work will be done in'ctrrlpliance with all ppliCable laws regulating construction,,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. i certify that no work or installation has commenced:prior to issusince;of a permit and that'all work witibe performed to meet standards of all lawws regulating constructio i, County acid City codes, zoning regulations, and land development regulations in f "JUrisoiction. I alsp.certify that I understand that the regulations of other government agencies may apply t6the intended V rk,and that It is my'ies'- bibility to iderit'ify"what actions I musttake.to be in compliant e.If I am the AGENT FOR THE OWNER,1 prornise in good faith to inform the owner of the permitting,conditions set forth In this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air:conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to.be.a license_ to proceed wit 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,cor'inmence&within six months of permit issuance,:&if work authorized by the.permit Is suspended or abandoned for a,period;of six. .).. riths,aftertheF#itrie:the work is.commenced. An extension may be requested;in writing;'from the Building Offcial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work i;eases for ninety(9a consecutive days,the.Job is considered abandoned. WAaNiNG TO. OWNER: X PAYING T1AliCE t OR iMPROVBMENTS TOTO RECORD,A OTICE OF COMMgNCEMENT MAY ftB$UI-T IN YOUR YOUR iPR01EfTY. 1F YOU INTEhih TO OBTAIN FIt ,ANC#NG,CONSULT WITH YOUR;Ll`NDEMOR AN:A&6kEY BEFORE MOOING YOUR NOTICE OI*COMMENCEMENT. FI PRIDA 30RAT(F.S.-117.03) OWNER OR AGENT. . Co CTOR Subscribed and sworn to(or affirmed)before me this Subserl ed and sworn to(or affirmed)before me this by by Who islare personally known to-me or has/have produced Who isl'm.personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Comnmsion No. Name of Notary typed,printed or stamped Name f Notary typed,printed or stamped