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."
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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
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~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)""" ',' " ,
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.__..." _._... ~_, ___ ,__. 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
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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
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