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Home My WebLink About21-1510 m City of Zephyrhills PERMIT.NUMBER 5335 Eighth Street ...r, . Zephyrhills, FL 33542 FIRE-001510-2021 Phone: (813)780-0020 �. Fax: (813)780-0021 Issue Date: 02/12/2021 • Permit Type: Fire Property Number Street Address 02 26 210010 01200 0000 16851 Wire Road Owner Information Permit Information Contractor Information Name: ZEK INC Permit Type:Fire Contractor: OWNER- Class of Work:Places of Assembly Address: Po Box 1406 Building Valuation:$1.00 ZEPHYRHILLS,FL 33539 Electrical Valuation: Phone: (813)782-4604 Mechanical Valuation: Plumbing Valuation: Total Valuation:$1.00 Total Fees:$50.00 Amount Paid:$50.00 Date Paid:2/12/2021 9:13:16AM Project Description PLACES ASSEMBLY ELKS LODGE-EXP 2/12/2022 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 8137780-0020 City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit Owners Name ® � Z'Z S Owner's Phone Number �. Owners Address t (D-4 Q -2�P Fee Simple Titleholder Name .TitlehoiderPhone Number• .. Fee Simple Titleholder Address " Job Address Lot# Sub Division - Parcel.# 0 WIN ON I IN" 41111 Bio-liaz rd Waste Si Orage-ANNUAL Fumigation Terit. Comm Exhaust Kitcheh Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum El Hood Installation O Emergency Generator<30 kw LR/Naturat Gas-Installatior finergehcy Generator>30 kw LP/Natural Gas-A.NUAL Sale Fire Protection Maintenance-ANNUAL aces of Assembly-ANNUAL em ® er ` v V Sprinkler El ❑ ❑ ❑ ecreational Bum V ! Fire Alarm ❑ ❑• ❑ Sparklers n Hood Cleaning ❑ O ❑ Sprinkler System Installations I Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage.ANNUAL HFlammable Application-ANNUAL Valuation of Project Fuel Tanks [� Other: Contractor Company Sign atu Registered Y'/N Fee Current IN A dress License# ELECTRICIAN Company Signature Registered Y/�N Fee Current Y!_N Address License# PLUMBER Company Signature Registered I. 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 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$50001, Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.00m) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed°restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. Ui AdMSED CONTRACTOR$ AND CONTRACTOR(RESPONSIBILITIES: If the owner has hired a contractor.or contractors to undertake work,they"may be required to be licensed in accordance with state and local'regulations. If the cpitfactor is not licensed as required.by law, both the owner and contractor may be cited for misdemeanor vioia#on 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 of 727-847- 8p09. Furthermore, if the owner has hired a Contractor or contractors, he is advised to have the contractors) sign portions of the °contractor Black"-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.. CQNSTRUCTION LIEN LAW(Chap."ter 748,Flotilla Statutes,as amended): If valuation of work is$2,500.00 or more, i certify that I, the applicant; have b6en providie d with a copy of the "Florida Construction-Lien'kaw Homeowner's Protection Guide" prepared by theiorida t3epatment 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 it to the"owner".prior to aomme'666 sent, CONTRACTOR'S1dW.N R'S A�'hDorr: i certify that all the information in this application is accurate and that all work will be done in`.compliance with all applicable laws regulating eonstructton, 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 issuance.of a,permit and that sell work will be performed to meet standards of all* laws regulating construction, Gounty and City-cones, zoning regulations, and land development regulations in the"Junsdic#ions t also certify that t understand that the tegutat'ions of other government agencies niay apply to the intended work_,and that it is my'responsibility to ideiitifji what actions I must take to be in compliance. If I am 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. 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 techrilcal 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 work authorized by such permit is 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 alter the time,the work is commenced. An extension maylae requested; in writing,from the Building &total 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. ViIAFtN#NG TO.OWNJER: YOUR FAILURE TO RECORD,A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT$TO YOUR v OPER'N. IF YOU INTEND TO OBTAIN(FINANCING, CONSULT WITH YOUR LENDER OR AN,�ATTORNEY BEFORE RECORDING YOUR t+(OTiCE OF COMMENOEMENT. FI0RIDA'JUA':1 (F.S.ill.03) OWNER OR AGENT. CONTRACTOR Subscribed and sworn to(or affirmed)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 istare personally known to me or hasthave 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