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HomeMy WebLinkAbout21-1452 tion�on City Of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001462-2021 y; Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/03/2021 • Permit Type: Fire Property Number Street Address 12 26 210020 00400 0110 5626 20Th Street Owner Information Permit Information Contractor Information Name: OUR SAVIOUR LUTHERAN CHURC Permit Type:Fire Contractor: OWNER- Class of Work:Places of Assembly Address: 5626 20Th St Building Valuation:$1.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation:$1.00 Total Fees:$50.00 Amount Paid:$50.00 Date Paid:2/3/2021 1:35:50PM Project Description OUR SAVIOR LUTHERN CHURCH-T/C HALL-EXP 2/2022 Application Fees 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 PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application gate Recated Phone Contact for Permit ra, — Ownoes Name I u Ll/Or- h Chu= Owner's Phone Number Owner's Address Fee Simple Titleholder Name .TitieholderPhone Number .. .� Fee Simple Titleholder Address - Job Address 02� ' S1-I't?e-fi' Lot# Sub Division Parcel# WN Bio-hazard Wade Storage,-ANNUAL Fumtgabon Tent. RComm Exhoust KitchenHood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum R Hood Installation Emergenc Geoeretor<30 kw LPfttural Gas-Iristallatior y Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL IWO We_M3® er rte, Sprinkler ❑ ❑ ❑ Recreational Bumf FlreAlarrr El ❑ ❑• ❑ E] Sparklers Hood Cleaning El ❑ b ❑ � Sprinkler'System installations Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) V Q l � Fire Alarm Installation Torch Roofing/Tar Kettle 'Fire Pumps a t/Wdste Tire Storage.ANNUAL Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other: l Contractor Ccmpahy Signature Registered YIN N. Fee Current Y IN Address License# ELECTRICIAN Company Signature Registered Y/--N _: Fee Current I Address License# PLUMBER Company Signature Registered 'Y/N Fee Current` Address License# MECHANICAL Company Signature Registered I Y/N' Fee Current Address License# OTHER Company Signature Registered I Y/N Fee Current X-/N Address License# Directions: Fill out application completely. Owner&Contractor sign beck of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$50001, Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.paseagov.00m) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which maybe more restrictive than County regulations. The undersigned assumes responsibility for compliance with ary .; applicable:dead restrictions. UNt LENSED dONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or contracto's to unoodake work,they'may tie required to be licensed in accordance with state and loca�regUlations. If the coriltactor is not licensed as required by law, bath the owner and contractor may be cited fora_misdemeanor violation =6d state law. If the owner or intended eontiactbr are uncertain as to:what lic6fi$irtg requirements may apply for.t work,they are advised to contact the Pasco County Building Inspection Division-�Licsnsing Section at 727-847- 80009 Fur(hermore, if the owner has hired a ;contractor or contractors, he is advised to have the contractorts) sign portions of the°contractor Block° of this.application for which they will be responsible. If-yoU;as the ouvrier sign as tfie contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County- C}N$TRUCTI©N LIEN LAtNAChapter 713,Florida Statutes,as ar»enogft If valuation of work is$2,500.00 or more, I certify.that I, the applicant; sieve 1i'een pro�rid_e.d with:'a copy of the "plorida Construction Lien sew--Homeowner's Protection Gulde" prepared by the Plonda Department of Agriculture and Con' mer Affairs. If the oppticant is someone other than the"owner", I certify#hat t nave o!?tained a copy of the above described document and promise in good faith to deliver it to the°owner"prior to 6mmericert�tgtlt. CONTRACTt3R`SfOiIUNER'S I;FftDAVLT: i certify that all the information In this application Is accurate and that all work will be 'done in`:.Oi'i ipllance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. i certify . u:u that,no work or installation has,c6mmenced'prior,to issuance_of a permit and that all Works will be performed to meet;standards of all laws .regulating construction, County find City:codes, zoning regulations, and land �leveloprnent regulations in sets juristlictibm 1 also certify that I understand that the regulations of other govern r +e[A agencies may apply to'the intended Wai k,and that It is my responsibility to identify what actions I mustldTi a to be in caom��p.tliance. If I am the AGE"1T FOR THE OWNEtt, l promise in good faith to inform the owner of the permitting conditions set forth in this afridavit`pn6r io=ti ommencing 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 with the work and not as authority to violate,cancel,alter,or set aside any provisions.of the technical codes, nor shalt 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 ware authorized by such perrriit is cotlitmenced Within six months of permit Issuance, or ti work authorized by the permit is suspended or abandoned for a.periad of six.(6)tntinths after.the time,the Work.is commenced. An extension may'13e requeStetl; in writing,from the Building Official for a period not to exceed ninety(90)days and Will demonstrate justifiable cause for the extension. If work ceases for ninety(.90)consecutive days,the job is considered abandoned. WJ Ii;NtNG TO-t}tA(NER: YOUR FAIL.tJRE TO RECORD_ NOTICE.tat= CON1Mi NC€MENT MAY RESULT 3N YOUR PAYING 1W.ICE'FOR IMPROVEMENTS TO YOUR PROPEiI''X'Y. 1F YOI,M INTEND`�O OBTAIN FINANCING,CONSULT M&Il k YOUl3 L 'N DER - OR i�N:ATTORNEY BEFORE RECORDING Y_.OUR I+IOTICE OF COMMgk&I rNT. Ff,°.RDA JU T(F.S.111.03) OWNER OR AWENT- CONTRACTOR Subscribed and sworn to(ouaffirmed)before 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 as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped