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Home My WebLink About07-7214 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT Permit Number: 7214 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: MOBILE HOME PARK Square Feet: Est. Value: Improv. Cost: Date Issued: 11/19/2007 Total Fees: 50,00 Amount Paid: 50.00 Date Paid: 11/19/2007 Work Desc: PLACE OF ASSEMBLY-CLUBHOUSE Address: 5729 DAYTON ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s}: Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: GOSS,TRENT Address: 5729 DAYTON ST ZEPHYRHILLS, FL. 33542 ~<:1'r"npLd:JLc9 ~ Kif::> \- 10-0<6'" /~ J"'-'elf or-e:r@ 6 -ftJl..'h- fl'Y\ OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and nlawful. Occupant load determined by Florida Fire Prevention C e, NFPA10l, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813-780-0041 ~ o NE SIGNATURE 1- ....I~ R RMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 ~1;1-\Lf ._,,~. ._.-.. :~?~~ ~ontact ~r ~ermit 'L_.? L! ..,..~..lf7 ~U*~p~'" I <6 \ 1 1l!1$.LJ I j 533 \'1: M\~ \'Q...(' f~L~ I t='L 3,3611 Titleholder Phone Number LID-]'l1iiJ I /53 3 813-7~O-0020 City of.Zephyrhills Fire Permit Application ~c:.--!lIi'"""I, ,~_........~. _."",..,_.,',....,...,~l_" .Il$" i' '\ ('~e...\"",e, L\" 0 \O~ \ ').. N. 5<0 ~ <;\: I \',~~#>.~ L\t) Fee Simple Titleholder Address 1 ~~ JOb~~dce" ~ b~'; 0;;: ~~. L<~;'~~\s Sub Division I '/If.,.{-C (/;,ue L 'r 0 I Parcel # ~... .. II' ~ 't~lFJ....m - IIII""""'~~ m l~r......... - ,"'. D Bio-Hazard Waste Storage - ANNUAL o Comm Exhaust Kitchen Hood/Duct D Controlled Bum D Emergency Generator < 30 kw o Emergency Generator> 30 kw D Fire Protection Maintenance - ANNUAL Owner's Name Owner's Address Fee Simple Titleholder Name Fax-813-78D-0021 Owner's Phone Number """"'" _.1L 11lJlll Sprinkler D Fire Alarm D Hood Clean/Suppression D D Fire Alarm Installation D Fire Pumps D Fire Works D Flammable Application- ANNUAL D Fuel Tanks D Other: ... -... D o o o o [Q o o o D D D ~~.~.. 3"354'7"' T:: ..~~~;:,.. 1\ Q- "l ~-J. \ - 0 ()J () - 00\ 00 - O()<J~) (Uti I f\II\1t:.U rKUIVI t"'KUt"'t:.K Il I ~ I~~:::~ ~tlrrvq~.lmI~ n TVI',r- ['~.~I111- linITV--~~~-~lSl;' 7~~1r-~,1 :: 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 Signature _ Address .I."I""'""~ ," .'_ ~.'n_' .". . .... ". .. '_'0" M..... _'W v Directions: . .-.--. - . ~ - - - . - --- -' -- -. . -- -. ."""""",,-~.~.~--. .,,",''''''''''''~Ool<^_~;';-;::;:<':;,_Zl 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. Contra ctor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature . Address I OTHER - ...... '\W1m"f n"il'~~a ~ , - T Company I Registered I I I I I I I I Y/N Y/N Fee Current License # Company Registered Y/N Y/N Fee Current License # Company Registered Fee Current Y/N Y/N License # Company Registered Y/N Fee Current Y/N License # Company Registered Y/N Y/N Fee Current License # 1 l' JI".,.,_ L~" "w,""'=~"-""'--"'.,="'-,~~~--",..,"'.~""-~ ,NO:r:ICE.QF.nEEiD.,RESTRICTIONS: The undersigned understands that this permit m~ybe subject to ~deed" restrictions" which may be, more restrictive .than County regulations, The undersigned assumes responslbllityfor compliance with any applicable deed restricticms. ' . . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to und.ertake work, ther may be required to be licensed in accordance with 'state and local regUlations. If the con~actor Is not licensed as reqUIred by law, both the owner and contractor may be .clted for a.misdemeanor violation ~nder state law. If the ow~er or intende~ contractor are unce~i~ as to wh':1t Iice:n~i~g requirements may apply for the mtended 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'L.AW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more" certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne~'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 ,regulatiRg--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 performEld 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 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 .Jo conll:nencing construction. I understand that a separate permit may be required for, electrical work, plumbing, signs; wells,'Poo!s, 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 setasidei aoypro\iisions of the technical codes, nor shall issuance of a permit prevent the Building ,Official from thereafter 'requirirng-acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid ,unless'ii:ie~'Work;autnorlzed'by such permit is commenced within six months ~f permit issuance, or if work authorized by tlie'-'perrnif.js"iju$,perided or abandoned for a period of six (6) months after the time the work is commenced. An extension may:pe requested, ~n writing, from the Building Official ,for a period not t~ exceed nin~ty ~90)da~s and will demonstrate , j~~"!~le c~use 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 IMPROVENiENT~ -.:~ yq~~"f'~9,~~TI:,.;.~f.<.~Y.2~:r1;!.'I:.P.t:9 ,~~J~lf'!I_;~I~ANCJNG, CONSULT Wl+1i :y.:CllUR~l:END.ISR-(!)RJ.\ ,-A+rIORN,~IBSJ;lDRE-R'6CfCtRD1N'G~YOtJR"WTICE OF COMMENCEMENT. : :.:::~H1iti$FimlJtD~1!1;1't!03)' : .:.,. . , ' . ....:.~.::~.I~.~,I...:.I..:..~,.,...'l....:.." .... ..._............. - .. . ~..._.- ..._._..---~.._........--_._-_._-------------_..------.-.-.--.-...-........--..-......-............-........... ... .". ,. .. ,OWNER O.R AGENT CONTRACTOR Supscrlbj;d ;I/1d sworn to or affian b me this Subscribed and sworn to (or affirmed) before me this IL l-tlQ. L by by Who is/are person I known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. lc Notary Public ,Commission No. Name of Notary typed, printed or stamped