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HomeMy WebLinkAbout21-1595 City of Zephyrhills PERMIT NUMBER* 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001595-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 03/01/2021 Permit Type: Fire Property Number Street Address 1126 210010 18100 0110 522010Th Street Owner Information Permit Information Contractor Information Name: CROSSROADS PENTECOSTAL Permit Type:Fire Contractor: OWNER- CHURCH Class of Work:Places of Assembly Address: 5220 10Th St Improve Cost: , ZEPHYRHILLS,FL 33542 (✓" Total Fees: 0 Phone: (813)714-3822 Amount Paid:d:$50.00 Date Paid:03/01/2021 Project Description Places of Assembly Application Fees Places of Assembly Permit Fee $50.00 Inspections Required Final Inspection Chapter 633 Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications, and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Safety Inspector or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00,whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "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." ta!�W*^ CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED CITY OF ZEPHYRHILLS BUILDING DEPARTMENT -813-780-0020 813-780-0020 City of Zephyrhills Fire Fax-813-780.0021 Permit Application Date Received Phone Contact for Permit Owner's Name OSS,�Ozl u°N' G S !1 1JY G Owner's Phone Number . Owner's Address eNime zd.: !' ? J fir" f� ��� 7/ Fee Simple Titleholde .Titleholder Phone Number Fee Simple Titieholder Address Job Address Lot# Sub Division - Parcel.# . BiaHazard tlllaste Storage ANNUAL Fumigation Tent. Comm Exhaust Kitchen Hood/Duct ED .Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation a Emergency Generator<30 kw LR/Naturet Gas-10stallatior Emergency Generetor>30 kw LP/Natural Ga"NNUAL Sale Fire Protection Maintenance-ANNUALLjjj Places of Assembly-ANNUALILI We-ml® er . Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑, ❑ Sparklers 5 Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations J ` Hood Suppression ❑ ❑ ❑ R Standpipes(Sprinkler Sys) MFire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage.ANNUAL 8 Flammable Application-ANNUAL Valuation of Project Fuel Tanks . Other: Contract Company SiPI)Ii5"4 &A-Mg� Registered E / , Fee Current 1. ,YFN Is License# ELECTRICIAN Company Signature Registered Y/-N Fee Current I WN. Address License# PLUMBER Company Signature Registered Y/N I Fee Current I /N 1. Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company71 Signature F 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$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may-be more restrictive than County regulations. The undersigned assumes responsibility for compiiiance with any :R sppilca'bie deed.restrictions. 040006ED CONTRACTOR$ AND CONTRACTOR RESPONSIBILITIES: If.the owner has hired a'contractor or eontr,gt9ts too undertake work,they"may tie required to be licensed in accordance with state and locat,'regulations. If the cf3*ctor is not licensed as required,by law, both the owner and contractor may be c€ted for a m€sdemeanor vlo€anon understate law. if the.owner or intended d6ri"icttir are. unceii. in as to.what!€cyan €ng requirements may apply for.the €nto6ded work,they are advised to contact the i Pasco County Building Inspection Division-licensing Sectlbii at 727-847- 13p09. Furthermore, if the owner ties hired a contractor or contractors, he is adv€sed to have the contractors) sign port€ons of the-"contractor Block. of this.application for which they will be responsible.. if you;`a5 the ov+mer sl'gn as ttie c�r,that may be an Ind€cation that he is not properly licensed and is not entitled to permitting privileges in Pasco 004rity� 0006TRUCTION LIEN LAW(Chapter 713,Flortida Statutes,as amen090): If valuation of work is$2,500.00 or more, I certify that I, the applicant; h ve Been pro deed with a copy of the '°Fli r€da Coh61Wctiori L€en'Law--�Momeowrter's Protection Guide" prepared by'heo l lofida i3e isrtment of Agriculture and Consume r Affairs. If the applicant is someone other than the"owwner°, I certify that.I have obtained a copy of the above described document and premise in good faith to deliver it to the°owner".prior to commahc omarit, • CONTRACTOR'SJOWNER'S"AFfIDAVIT: i certify that all the information In this application is accurate and that all work will be done €ri-16"'p0' with all oppi€cable taws regulating construction, zon€ng and land development. Application is hereby rnade to obtain a permit to do work and instillation as indicated. I certify that no work or installation has commanced'pr€or to issuance:of a permit that all work'will be performed to meet standards of alf laws regulating construct€On, Comity and City codes, zoning regulations, and land- development regulations'in #lie`juri6alctionr I also certify #hat I understand that the tegwlsitions of other government age6oke may apply to-the intended'Work,and that it is my responsibility to ideitit'ifji what actions I must take.to be in compliance. If I am the AGENT FOR THE 0V11NER,!'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 appilcat€on. 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, not shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in`plans,construction or vioiations 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.after,the tiCrte,the work is,commenced. An extension may be requestetl; in wr€ting,from the Building Official fora 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. W NtNP.TO.t WMFER:. YOUR FAit tfRE�TO RECORi,A NOTICE:OF C©.MMENCEiVIENT MAY RESULT IN YOUR PAYING 11WIC-.E i b iMPROVEMENTS TO YOUR PROPERTY. 10 Y60 INTEND`t•O OBTAIN FIN .NCiNG,CONSULT WITH YOUR.i ENDER.OR AN.ATTORNEY 13EFORERECOR0IN v YOUR NOTICE OF CCjI1lp€IIENOEMEN'f. FMORIDA Ji1 T(F.S.411.03) OWNER OR AGENT. CONTRACTOR Subscribed and swam to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by -by Who Istare personally known to me or hasthave produced Who Is/are personally known to me or hasthave produced as Identificalion. as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped