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Home My WebLink About21-1679 m Q' r City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001679-2021 ' Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 03/11/2021 Permit Type: Fire Property Number Street Address 34 25 210090 00000 OOCO 7645 Green Slope Drive Owner Information Permit Information Contractor Information Name: LIFE'S HARBOR CHURCH INC Permit Type:Fire Contractor: OWNER- Class of Work:Places of Assembly Address: 7645 Green Slope Dr Building Valuation:$0.00 ZEPHYRHILLS,FL 33541 Electrical Valuation: Phone: (813)312-4013 Mechanical Valuation: Plumbing Valuation: Total Valuation:$0.00 Total Fees:$50.00 -3 J 2-� — [1 Amount Paid:$50.00 Date Paid:3/11/2021 9:46:17AM Project Description PLACES OF ASSEMBLY LIFE HARBOR-EXP 3/2021 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. aLv, 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 Date Received Phone Contact for Permit Owner's Name L a Owner's Phone Number Owner's Address L 74 Fee Simple Titleholder Name Titleholder Phone Number F Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation MEmergency Generator<30 kw F-1 LP/Natural Gas-Installatior 0 Emergency Generator>30 kw = LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL Ego ® Ot er ElSprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm El ❑ ❑. ❑ Sparklers (J Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/rar Kettle aFire Pumps Waste Tire Storage ANNUAL R Flammable Application-ANNUAL Valuation of Project Fuel Tanks 0 Other: . Contracts Company Signature//` U& Registered Y/N Fee Current Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Address License# PLUMBER Company Signature Registered Y/N Fee Current Address License# MECHANICAL Company Signature F Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered 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$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 compliance with any applicable deed restrictions. t UNLICENSED CONTRACTORS 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. H the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor. .are uncertain a I s to what licensing requirement's may apply for.the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 7.27-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) sign portions 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 County. CONSTRUCTION LIEN LAW_(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the F.lorida Department of Agriculture and Consumer Affairs. If the applicant is someone !Cu er other than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith to deliver It to the uowner"prior to commencement CONTRACTOR'SIOWNEWS AFFIDAVIT: 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 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 all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other g(ovornfrient agencies may apply to the intended work, and that it is my responsibility to Identify 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 commending 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 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 from thertafter 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 it 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 time the Work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety(90) days and will Ill demonstrate justifiable cause for the extension. If work Ceases for ninety(90)consecutive days,the job is considered abandoned. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACT Subscribed and swom to(or affirmed)before me this Subscribed al:6sworn sworn to �affirmed)before me this by by Who islare personally known to me or has/have produced Who is/are 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