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HomeMy WebLinkAbout07-7080 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 7080 Permit Number: 7080 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 10/10/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 10/10/2007 Work Desc: ANNUAL PERMIT Address: 5208 8 H ST HIST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18300-0220 Name: CROSSROADSPENTACOSTALCHURCH Address: 5208 8TH ST -HISTORIC ZEPHYRHILLS, FL. 33542 Phone: OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813-780-0041 ~ OWNER SIGNATURE ~ ~I~ R- PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 . , CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7080 Permit Number: 7080 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 10/10/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 10/10/2007 Work Desc: ANNUAL PERMIT Address: 5208 8TH HIST RIC ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18300-0220 A TAL CHURCH 5208 8TH ST -HISTORIC ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." r~~ CONTRACTQ SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER .813-780-0020 Date Received Owner's Name Owner's Address '0- \ 0.- D> City of Zephyr hills Fire Permit Application Phone Contact for Permit Fax-813-780-0021 7J ~ ~iJ1tL ('oj r.; L C~u,;J... of l--II, j6 Owner's Phone Number 51 Z-IJ~//.J I ~II' S tG iI~ f1J (fJd ~ In 5 I Titleholder Phone Number I ~ I 3 I 104>~~~d~ 152.o~ ft!- IK/3 II II :Sfzz.., I I 11114 11:3 i z, 2-1 I Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address ~ S\-. Sub Division 5~ D<tS' I Lot# 11I-2l.c- ~\- COlO.' l8~ao.. D~ I \ Utll AII"eU rKUM t"'KUt"'~K I Y I IV.. I"U live Parcel # D D D D D D D D D D D D Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale [g] Places of Assembly-ANNUAL D Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Valuation of Project Other: Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature . Address I OTHER Signature Address Directions: Company Registered Y I N I Fee Current Y/N License # Company Registered License # Y I N Fee Current Y/N Company Registered License # Y I N I Fee Current Y/N Company Registered License # Y I N I Fee Current Y/N Company Registered License # Y I N I Fee Current Y/N 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. __~__....~_~.~_.._~,~_~,.__._~_'#~_,.._-~#---~..,--,.-"#"..~.,. ._~,.' , e_d__",_"__. .__.... ,NOTtCE"OFDEED.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. ' 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. If 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 as' to ,what licensing requirements may apply for the intended work, they are advised to contact the Pasco .County Building Inspection Division-Licensing Section at 727-847- 8009. 'Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) 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,1 certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department 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 commencement. CONTRACTOR'S/OWNER'S 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 government agencies may apply to the intended work, and that it is my responsibility to identify what actions I musUake to be in compliance. If lam 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 electricalwork, 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 setaside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter 'requirirng.acorrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid tmless.ttie:;workalJthorizedby such permit is commenced within six months of permit issuance, or if work authorized by thei.permit.issusperided 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 demonstrate jUstifi,~ble 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 IMPROVEMENT~ TC? YC?U~ F'~9,F.':...E~!X~..,.~~,r9\l:t!~IRt'!Q}"f), 9~JN~.EINANCING, CONSULT . WITH Y.(l).uR~bENDER_0R,AN..A:r:rORN~IBEF(;)RE";REOtmD1NG YOUR,NOTICE OF COMMENCEMENT. I ;::~,\a~!ite1l:it1:JRJo.~'J!1;11109)""" ',' " , ," . I .__..." _._... ~_, ___ ,__. n__"_~___~____.___'_____ "..~----_. .-_.. ..----_. -----..-..... ... .. ..,. + ...' --.., -.-,....-- CONTRACTOR Subscribed and swom to (or affirmed) before me this by Who is/are personally known to me or haslhave produced as identification. . .. ,_:_.',.'" ., .'.>1..; -... ".-~' --.., -. ... . ... OWNER OR AGENT Subscribed and swom to {or affirmed) before me this . by Who is/are personally known to me or has/have produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped Print Date: 121512007 Annual Zephyrhills Fire Rescue 6907 Dairy Rd Zephyrhills, 33542 Phone:813-78~1 Fax: 813-78()...()()44 InspectionDate: 11fl12oo7 2:00:00PM 11# InspectorName: Hector Noyas Inspection Number: 1-171-07 -0425.A InspectionCause: Reinspection InsD8Ct8d Partv BAREAN BAPTIST CHURCH (000081) 5208 8TH ST ZEPHYRHILLS, FL 33542 OccupancyType: Assembly PropertyUseType: Places of Worship ViolationCounts: 0 Hrs: 0.30 ANNUAL- ASSEMBLY 1. EXIT LIGHTS COMPLIANT Pass 2. EMERGENCY LIGHTS COMPLIANT Pass 3. FIRE EXTINGUISHERS COMPLIANT Pass 4. ADDRESS PROPERLY LOCATED Pass 5. EGRESS IS SUFFICIENT, INCLUDING AISLES Pass 6. ELECTRIC IS COMPLIANT, INCLUDING NO EXTENSION CORDS Pass 7. SMOKE DETECTORS, IF APPLICABLE ARE COMPLIANT N/A 8. FIRE ALARM SYSTEM IS COMPLIANT, IF APPLICABLE N/A 9. SPRINKLER SYSTEM IS COMPLIANT (INCLUDING FDC), IF APPLICABLE N/A 10. HOOD SYSTEM IS COMPLIANT, IF APPLICABLE (INCLUDES BEING CLEANED) N/A 11. OBTAINED ALL INFORMATION ON BUSINESS AND BUILDING OWNER Yes 12. LETTERS DISTRIBUTED AS APPLICABLE N/A 13. OCCUPANT LOAD POSTED Pass 14. HOUSE KEEPING IS SUFFICIENT, INCLUDES STORAGE RELATED AREAS Page 1 of2 Insoect&d PartY BAREAN BAPTIST CHURCH (000081) 5208 8TH ST ZEPHYRHILLS, FL 33542 OccupancyType: Assembly PropertyUseType: Places of Worship Violation Counts: 0 Hrs: 0.30 Pass Comments: INSPECTION APPROVED, PLACE OF ASSEMBLY PERMIT APROVED 125 MAX OCCUPANT LOAD. Sign Here Page2of2