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Home My WebLink About07-7184 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 7184 Permit Number: 7184 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv, Cost: Date Issued: 11/09/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 11/09/2007 Work Desc: ANL ASSEMBLY Address: 7400 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-08800-0000 Name: TOWNVIEW RETAIL LLC Address: 725 CONSHOHOCKEN STATE RD BALA CYNWYD, PA 190042102 Phone: h Y\O.-\lle-e\ Cf 11-[3-0' OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Cod F 101, Section 7.3.1.2 IRE MARSHAL OFFICE: 813-780-0041 ~ OWNE IGNATURE I ....Ie 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 /' Owner's Address 81;3-780-0020 7'!CO I I 17~CC) I G.4U.- 8(.1/j). Fee Simple Titleholder Name Fee Simple Titleholder Address ./ Job Address Sub Division Fax-813-780-0021 I Titleholder Phone Number I II II Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum 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 D D D D D [2SJ D D D D D D I Lot# G~ &:. t/D Parcel # 3J5-2S--2l-0D\O 4{)~ ._fStY"J (UI:lI AINt:U t-N:UIVI t"N:ut"t:N: I Y I AJ<. NU 11~t:) -- Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICA4 Signature I Address I OTHER Signature Address Directions: D D D D D D D D D D D D Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project Other: Company Registered License # I , .~ I 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 Company Registered License # Y I N I Fee Current Y/N Company Registered License # Y IN' 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. .~__......._~.~....,..._,...~........_~,._...._...~...__~~_"-._~~--~.,,__~'_"'._~"~" .__~_., ,'_'.~__" ,.."",_ ,__.,n . NOTICE.OFDEED.RESTRICTIONS: The undersigned understands that this permit maybe 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 regLilations. 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 acontractor 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 (Chapter713, 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 ofthe above described document and promise in good faith to deliver it to the aowner" 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-Iaws . regulatiRg-construction,-zoniFlg-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 must take 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. 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 setaside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unlessthe::worka\.Jthorizedby such permit is commenced within six months of permit issuance, or if work authorized by the:perrilit.is'susperided or abandoned for a period of six (6) months after the time the work is commenced. An extension may:be requested,ln 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 IMPROVEMENTS TO Y()UR ~~q.~!=~!X~_,lf. !9.:~t!~IBt!P.:rP, q~J~IJ'.I_EINANCING, CONSULT W1TH ~CllURiLEN[)6Rc(i)RcAN.A1:r"ORN~ISEf;G>>R.E~REOtJROING'YOUR'NO E.O MMENCEMENT. " !""""DI""<k'.t:"i.~....~~~t11..1. 7i03). . " i ,.....; "l:~rtT~n;~~~Dnt::\.I;;\I-."".: :.' · ' OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this . by Who is/are personally known to me or has/have prodUced as identification. CONTRACTO E!ul?s_crip~~and s rn to (or affirmed) before me .this . ~bY 'f)'\()aA \L. S+-eu e~ C::;:; I I hot"" t ~ is/are Rersonally known to me or has/h~ve produ~d L "1) ~'-l{2- L..\~ . as Identification. _< _ ... .'. . . ~_... ._. .'_ . _ _ . .___n ________________ _~ _" u.___ ~_.' --" ...- .,.....,..:-..........,-.-.,.. Notary Public ~~ n~~ c1-:~ Notary Public Commission No. Name of Notary typed. printed or stamped Print Date: 11/912007 ~ ~::'~'HC;//'.... ~ /. f --, / t' I. -; . i>-'/: . . ,: L _~~:,'/,~. ~/' . ~L><;' Annual Zephyrhills Fire Rescue 6907 Dairy Rd Zephyrhills, 33542 Phone:813-78~041 Fax:813-78~ Inspection Date: 111912007 11 :oo:ooAM IIJ/ InspectorName: Hector Noyas InspectionNumber: 1-171-07-0413.A InspectionCause: Reinspection Insoected Partv HUMANA (000357) 7400 GALL BLVD ZEPHYRHILLS, FL 33542 Phone: 813-780-7300 OccupancyType: Business PropertyUseType: Assembly, Other ViolationCounts: 0 Hrs: 0.30 Notice: Correct Immediately Ref. Number: NFPA 101 (2003) 13.1 General Requirements 13.1.1.2 Existing Assembly Occupancies An existing building housing an assembly occupancy established prior to the effective date of this Code shall be pennitted to be approved for continued use if it confonns to or is made to confonn to the provisions of this Code to the extent that, in the opinion of the authority having jurisdiction, reasonable life safety against the hazards of fire, explosion, and panic is provided and maintained. Comment: BUILDING IS FULL Y FIRE SPRINKLERED SO NO ADDITIONAL CONSTRUCTION REQUIREMENTS ARE HEREBY STIPULA TED. A PLACE OF ASSEMBL Y PERMIT IS REQUIRED AS PER CITY ORDINANCE RESOLUTION 589-07, EFFECTIVE OCTOBER 1, 2007. OCCUPANT LOAD MAX. 114 PEOPLE. Comments: EXTENSION GRANTED, 1 WEEK, COMMENCING NOVEMBER 9, 2007. NO FEES CHARGED THIS REINSPECTION. FEES TO BE CHARGED $100 PLUS $250 ON NEXT REINSPECTION IF ANNUAL ASSEMBLY PERMIT HAS NOT BEEN OBTAINED.. Re-Inspection to be performed on or before: November 19, 2007 12:00 ar Sign He,. Page 1 of 1