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Home My WebLink About21-1586 m ri'n�i,ae City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001686-2021 Phone: (813)780-0020 Issue Date: 02/25/2021 • Fax: (813)780-0021 Permit Type: Fire Property Number Street Address 1126 210010 15300 0130 38421 5Th Avenue Owner Information Permit Information Contractor Information Name: FRATERNAL ORDER OF EAGLES Permit Type:Fire Contractor: OWNER- ZH AERIE 3752 INC Class of Work:Places of Assembly Address: 38421 5Th Ave Building Valuation:$0.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: (�Phone: (813)355-3313 Mechanical Valuation: Plumbing Valuation: Total Valuation:$0.00 Total Fees:$50.00 Amount Paid:$50.00 Date Paid:2/25/2021 10:25:41AM Project Description PLACES OF ASSEMBLY FRATERNAL ORDER OF EAGLE EXP 2/25/2022 Application Fees Places of Assembly Permit Fee $50.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner:Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. J o pI/,g 8 )3 - 3 4 0 ^ sly CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780.0020 , City of Zephyrhills Fire Fax-813.70M021 U Permit Application Date Received Phone Contact for Permit Owner's Name �e� '�� d,..j�D�/4 o f ��'�� Owner's Phone Number. J j- Owners Address � � �� ZF PIY Y R hf .3 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel.# Bio-Haztrrrl llJlaste$forage c ANNUAL Fumtgefion Tent. Comm Exhaust Kitchen ilood/Duct Hazardous Material(Tier ii or RO Facility)ANNUAL Controlled Bum R Hood Installation 0 Emergericy Generator<30 kw LP/Natural Gas-installatior Emergency Generator>30 kw UAL Site Fire Protection Maintenance-'ANNUAL ®� Places of Assembly-ANNUAL em er $pritikler ❑ ❑ ❑ Recreational Burn Fire Alarm El ❑ ❑, ❑ Sparklers XJ Hood Cleaning ❑ CI ❑ Sprinidei System Installations Hood Suppression ❑ ❑ ❑ R Standpipes(Sprinkler Sys) Q Fire Alarm Installation Torch Roofing£rar Kettle /` 0 Fire Pumps a Waste Tire Storage.ANNUAL (/ Flammable Application-ANNUAL r Valuation of Project Fuel Tanks Other: _ Contra r ,,,," •• Company Signetured f D G5 Registered Y"/N, Fee Cu�riant~� Address License# ELECTRICIAN Company �� Signature Registered I Y hN :: Fee Current _I -Yl* Address License# PLUMBER Company Signature Registered U Y/N I Fee Current Address License# MECHANICAL Company r -� Signature Registered !__-Y/N• Fee Current Y/N. Address License# OTHER Company Signature Registered I YIN Fee Current Y 1 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$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.paseagov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'° which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSEb CONTRACTOR$ AND CONTRACTOR(RESPONSIBI<LITIES: If the owner has hired a contractor or contractors to undertake work, they that'tie required to be licensed in accordance With state and local regulations. 0the ceiltr.c1pr is not licensed as required. by law, both the owner and contractor may be Clted for_a-misdemeanor violation tinder state law. If the.owner or intended contractor are uncertain as tQ what lit�ensing requirements may apply for.the interded work,they are advised to contact the Pasco CoUnty Building inspection Division—Cleansing SeCfion at 7.27.847- 90n9. Ftar#henrore, 0 the owner has hired a :contractor or contractors, he is advised to have the contractortS) sign po Vons of'the "contractor Block" 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 QoVntyu CQ.,NSTRUCTION LIEN LAW.(Chapter 713,Florida-Statutes,as a[mended): If valuation of work is$2,500.00 or more, I certify.that 1, the applicant; hive baen provided with,•a dopy of tlae '"�lorida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department.of Agriculture and Consumer Affairs. if the applicant is so one other than the"pwner°, I certify that.1 have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior,to p9mmencempht. CONTRACTOR'SIOWNER'S A001hAVIT: 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 construction, zoning and land development. Application is hereby trade 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 ail Wbrk'will tie performed to meet standards of all*Saws .regulating construction, County antl City:codes, zoning regulations, and land development regulations in the jurisdiction: I also certify that I understand that the regtilafions of other government ageridieS may apply to the intended'Wofk,and that it is my ies'onsibility to identify what actions I must take to be in CO .fiance. If I am the AGENT FOR THE 03WE ER, 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 technical codes, nor shall issuance of a permit prevent the Building Official ftom 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 auhorized by the permit is suspended or abandoned for a.period of six(6)mpnths.after-the time,the work,is.commenced. An extension maybe requested--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 consideredabandoned. WI .-NINE TO OWNER: YOUR FAILURE TO RECORD.A NOTICE OF CpMMitNC€MENT MAY RESULT IN YOUR PAYING 1'1AlICE' OR iMPRQVEMENTS TO YOUR PROPERTY, 1F YOI;I iNT-ND TO OBTAIN FINANCING,CONSULT WITH ICI YOUR NDER OR AN:ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMPNT. F... MA JURAT(F.S.111.03) OWNER OR AGENT. CONTRACTOR Subscribed and swom 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 is/are personally known to me or hasihave 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 I