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HomeMy WebLinkAbout07-7265 r--- CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 7265 Permit Number: 7265 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: COMMERCIAL Square Feet: Est, Value: Improv, Cost: Date Issued: .12/17/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 12/03/2007 Phone: Work Desc: ASSEMBLY PERMIT- COUNTRY KITCHEN ON 301 Address: 5327 G L LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-13300-0010 Name: THE COUNTRY KITCHEN ON 301 Address: 5327 GALL BLVD ZEPHYRHILLS, FL. 33542 ~('~-b& ~ H .~CLD 12 h7107 1lSLN-- OCCUPANCY LOAD: '~ OCCUp cy by more than the number of persons above shall be considered dangero and unlawful. Occupant load determined by Florida Fire Prevention ode, NFPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813-780-0041 ~ NER SIGNA RE -1- ~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 813-780-0020 Date Received Owner's Name Owner's Address Fax-813-780-0021 City of.Zephyrhills Fire ,Permit Application Phone Contact for Permit Owner's Phone Number ~13 II'II~I,~ Fee Simple Titleholder Name "i - _"~:f0 .~- 5:32.) ',\)6\ \f' I J\ DC. r'l J)e,~ '(hI- u<:>",~,'i('e' PI"ne Numbe' I i5 n , <-..h. "" Q'I>,) .:16 I (~ \ D I S. \ v~~ "'r.le.. . 1 L 7 G-~\\ Fee Simple Titleholder Address ::::~::-.>~ i'.~'5 3 Sub Division ~~1Wlf _----A~~ l~~ _ D D D D D D D D D D D D Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBEE Signature Address I MECHANICALj Signature ' I Address I OTHER Signature o Fumigation Tent o Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation o LP/Natural Gas-Installation DY/Natura, Gas-ANNUAL Sale ~Iaces of Assembly-ANNUAL o Recreational Bum o Sparklers o Sprinkler System Installations o Standpipes (Sprinkler Sys) o Torch Roofing o Waste Tire Storage ANNUAL I ~\\J 0 I Parcel # Bic-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 Company I Registered I I I I I I I I License # Company Registered -~ License # Company Registered ------ License # Company Registered -..... License # Company Registered ----., ...."''";>.,''',.,... '" "''''''.'''~~''~'''~-i'f ......' '..;0'''''''''' ..=- ....'. ,""",' ,,,.,~ '_'W"'~,~~'" ,>,.<, '_~'"~"_Fj License # ',), .~ - !~~~~ II :Ib~ I Lot# I I \ Vb I AII'Il~~ r-t'(VIVI t"'~vt"'t:t'( I Y I ~~~~~~:J 17 r-r d -IW!liWl:'V-"'''- ~a ,,/ "---' .-111~~~ ~ I Valuation of Project Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current ~. ,._._'.""_,'__..,"~~_="~,_~=~~>~ ,__'=_ L~o.._~'" ,....._ Address L ",".., Directions: 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_ ..__....__...._....._...._.~_.._.~-~..- .~_...' .-...' '. . ..NOT,ICE;QF.~DEED:.RESTRICTIONS: The undersigned understands.that this permitm~y'be sl:lbject to ~deed" restrictions" .whichmaybe. more restrictive.than County regulations, The .undersigned .aSSl:lmes 'responsibility 'for compliance with any applicable deed restrictions. . '. . 'UNLlCENSED CONTRACTORS AND 'CO~C"f.OR ~SPONS.IBILmES: If the owner has hired a contractor or contractors. to und.ertake work, they may be reqUired to be hcensed m accordanCe with 'stateand locaL regUlations. If the contractor IS' not licensed as reqUired by law, both the owner and contractor may be ,cited for a ',misdemeanor violation ~nder state law. If the o~er or intended contractor are unce~i~ as to .wh":1t Iic~n~ing 'requirements may apply for the mtended work, they are advised to contact the Pasc~ ,County BUilding Inspection DIvision-licensing Section at 727-847- 800~. 'Further,!lOre,if the own;r has. hired. a ~ontractor ,orcontra~tors, he is advised to have the contractor(s) sign portlons.or-the contractor ~Io~k ?f this 'apph.cationfor whlC~ they will be ,responsi~le, .Ifyou, as the owner sign as the contractor, that may be an mdlcation that he IS not properly llcensed.and IS not entitled to permitting privileges in Pasco County . CONSTRUCTION'LlEN'LAW (Chapter713, Florida Statutes, as amended): If-valuation of work is $2,500.00 or more'" certifY that I, the applicant, have been provided with a copy ofthe"FloridaConstruction Lien Law--Homeowne~'s Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than' the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to .commencement. . . CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and ... ..... ... "that.. all.work . will. be -.done in. compliance.-with"all..applicable--Iaws .regl:llatiRg..cOAStruotioA,...zoAiAg.:and..land........... development. Applic~tion is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating ,construction, County and City codes, zoning regulations, and land develop'm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to. identify what actions I mustiake to be in compliance, . . If I.am the AGENT fOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affi.davit prior.~o.comf:T1Elncii:1g construction. I understand that a separate permit may be required for.electricarwork, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not !?pecifically. included in the application, A ~rmiti~$uedS:hall:b~ construed to be a 'license to proceed with the work and not as aLithority to violate, cancel, alter, or setaside aniprOvisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring.acGlTection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . .i.inless'i1ie:j.Vork'aulhqrized'"by such ,permit is' commenced Within six months ~f permit issuance, or if work authorized by .' .tii~:pi:iITiift.:js'susperid~d or abandoned for a period ~ six (6) mo~ths after the time th~ work is commenced: An extension may.-.pe requested. ~n writing, from the Building Officla~ .for a pened not t~ exceed nln~ty ~90) .da~s and'wllI demonstrate . j#~~le ~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 IMPROVE?NiENT~ ~? YOLJ~J'~q,P.E~TX': .IF~~t!P";rB .B~Jftlf'll.gl"'ANCJNG,. CONSULT .. WI+H :V..(JWR.L:EIlIDSR..,(l)R"AN,.A;:rDRNB~1"sEJ;f!jRS:~' . .!WOTlCE OF COMMENCEMENT. '~J._~~"i!1:1'1tOS)"ii :~."'. .: , . ". . =::>J ~:':.L .:"...,.. ..:..:. ... ~.'."....:.. .. .... :....... ........ ,.. ...~..:...... .........-........-..-..........-.....-............--..-..... ....: .....:................ ".OWNeR OR AGENT CONTRACTOR Subscribed and sworn to {or aflinned) before me this Subscribed and ~m to (or affirmed) before me this woo' 'isJare p~~naIlY known to me or haS/haVe produced Who is/are personally known to me or hasJhave produced . as idenllfication. as idenllfication. Notary PubRc Notary Public .Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped