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HomeMy WebLinkAbout07-7225 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 7225 Permit Number: 7225 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: 11/21/2007 Name: OUR SAVIOUR LUTHERN CHURCH Total Fees: 50.00 Address: 562620TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/21/2007 Phone: 813782-1369 Work Desc: ASSEMBLY FOR OUR SAVIOUR LUTHERN CHURCH Address: 5626 20TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s}: Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0020-00400-0110 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, NFPA10l, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813-780-0041 ~&~ ~ 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 ~ 813-780-0020 City of.Zephyrhills Fire Permit Application _ __~, P~n.; Contact ,e,':.~erm~~.." ..,.,,,,,.,,11..,.,.,,,. ,JJ_,_, ). (..c.. i J.... c.Ji I Owner's Phone Number Ilft3 II ~9bL I ~ bS8> '2f ~'-': ~I ~~ ~5 <!d I Titleholder Phone Number I =~=~_~__I_,"~, ~.~.,."___"L_..,,.. I Fee Simple Titleholder Address I ~~.~'lm'llIi~~~~""""""'"""'~- -112M rlV Job Address I 5 ~ .5 ? I Owner's Name Owner's Address lour 15 t,;<' b Se...CI i 0 r ~D 7"- d-.7 Fee Simple Titleholder Name Sub Division ~Ile'mh__~ ~ 1~1,~ Fax-813-78D-0021 II II ;67h ~(- V^[.~ftmW'~"' I Lot# 2..pA l' j~ ? S-</ dL I Parcel # I '~~1l(~- ~.w~""o,,,,r..J:=~...m~""Y"",,.,,'" --,..,>~ Bio-Hazard Waste Storage - ANNUAL D o D D D o D D D o D D Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler 0 Fire Alarm 0 Hood Clean/Suppression 0 Fire Alarm Installation Fire Pumps Fire Works Flammable Appiication- ANNUAL Fuel Tanks ~1J:ftJ 1fT T D D D D ~ D D D D D D t Vb I f\1I'\1~U r-~VIVI ,...~u,...~~ I Y I FV\ I'\IV 111.t:) -W'i:M ,,~"""""''W_~~~-Tr,l w.""~~ Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation ~p'L iiI! Company Registered License # Company Registered License # Company Registered License # License # LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project 1tl~~~"""""',.....~~ fliiilfr" Other: r~'~ :m ~ tlft;'~ IilIUllh",' ~ ::it:~,; Recreational Bum Contractor Signature Address I OTHER Signature Address Directions: Company Registered License # Company CI (' ~.s 't Q C2- Registered IY I N I Fee Current ELECTRICIAN Signature I Address I I PLUMBER Signature Address I MECHANICA~ Signature Address Fee Current Y/N Y/N Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N ~$<z:',.~i.;,.i:ilW,;,"~m'''''''''",",,,,,."t "'iIi' ""~"-''''':Z'''''''''''''''~~~~~~. 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 appiicable documentation Allow 1D-14 days for review after submittal date. -_......_....._~...._,.._--~._..,._.~~_..~.- .._._......_...-~ .- NOT,ICE.QF.',DEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subje.ct to ~deed" restrictions" -which may be more restrictive than County regulations. The undersigned assumes responsibility 'for compliance with any applicable deed restrictiens. ' ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors. to und.ertake work, they may be required to be licensed in accordance with state and 10calregLilations. 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. CONSTRUCTIONLlE'N'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", J.certify thatt 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..constructioA,...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 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 pennitting 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 ~imit'issueds:hClII"be construed to be a 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 thereafter 'requirirng.a correction of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid ,unless'ihe:work'authorized'by such penn it is commenced within six months of permit issuance, or if work authorized by tfte:pe'fiiiJt-'is"susperided or abandoned for a period of six (6) months after the time the work is commenced. An extension ma)rbe requested, -in writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate , j#~jfi,~le ca.iJse 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~ ~~ YC>.LJ~. r.~.q.~~!X~_"~)"BY1fjlF.""P.IP, 9;~JAlf'1I..glt'llA"'C,ING, CONSULT Wl+H ~.(1UJR~L.ENJ).6R-OR,AN-At:rORN.~iSE' ,:..:RBOOR1i)lNG'YOtlR'NOTICE OF COMMENCEMENT. !;:~::::r.~,~~~~~~i1:~~fu:',:' .:, ..___m_m"___.__...___...._..._..___...........____.no,_......u........___..........' ,OWNER OR AGENT Subscribed and swom to {or a nned afore me this /1-2/-07 by ~f'1 h' "'- AJ((fp Whl?is/are personally known to me or has/have prodUced Lr .' as identification. CONTRACTOR Subscribed and sworn to (or affinned) before me this by Who islare personally known to me or has/have produced as identification. Notary Public Notary Public mis .,Ill.9.. ;~\o!'>v.fsf~ JACQUELINE BOGES a1-~ Name 0 :.: '" ~ .. , 10 .'4rf..f""'" Bonded ThN T~F.1n k'IIuranoIeoo-aei-7019 ,Commission No. Name of Notary typed, printed or stamped