The URL can be used to link to this page

Home My WebLink About07-7284 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT ~~ 7284 Permit umber: 7284 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: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38718 VULCAN CIR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: VILLAGE GROVE Parcel Number: 12/07/2007 50.00 50.00 12/07/2007 PLACES OF ASSEMBLY - ANNUAL Name: VILLAGE GROVE Address: 38718 VULCAN CIR ZEPHYRHILLS, FL. 33542 Phone: A ( osJ \~AJ V1tIV1-1 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 ~ - - -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 Date Received Owner's Name Owner's Address 813-780-0020 City of.Zephyrhills Fire Permit Application Fax-813-780-0021 Phone Contact for Permit Titleholder Phone Number I Fee Simple Titleholder Name Fee Simple Titleholder Address X,';l ~ -~~~J~~~Wl'nTlP' '~~ Job Address ~~tmm'~!!'w<tkJ."",,'~ """".,.~;V.i~l!.t~lG Sub Division I Lot# 3<6t \~ \\v\c~ ~ Parcel # \Ut::S I AII'II~U r-t<UIVI t"'t<ut"'~t< I Y I",^ I'IIU IIL.~) n 17.1 !T ~.11"W"'I~~~~ rrr .d.~~ JIW/""'~I~rr S_i1'lJ'~i~",,~,~;J~W~\I'l'i-V. -~~~'ii:~i~;;'W't( Bio-Hazard Waste Storage - ANNUAL 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 ~ Places of Assembly-ANNUAL D Recreational Bum D Sparklers o Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL D D D D D D 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 D Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Valuation of Project Other: .. n lw- lIIlil!lfil .JIII r nli P7 ~~mij"1.":'i 1l&!li1Rf'=:ilff IHffrl ~1IllSI>tmllmtl1il):'jJi.?l: Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANiCAL) Signature I Address OTHER Signature Address Directions: Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # J Fee Current Y IN I I .~ Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Fee Current Y/N 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. ...-_....._....~-~..-...--.-.....---..-.._...._...- ..__.......__..-~ . ~ .NOT,ICE.OFDEED.RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" restrictions" .which may be. more restrictive than County regulations. The undersigned assumesresponsibility'for compliance with any applicable deed restricti(ims. . . 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 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.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 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 'Clone in. compliance.with.,all-applicable..laws . regulatiRg.-construotioni..zoniFlg..and..land..-...... development. Applic;;ltion 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 permitting conditions set forth in this affidavit prior .to. corin:nencing 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 ~rmit.:issued snall: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 . requiriRg.acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid ,unlesiiihe:;,vork'authorized.by such permit is commenced within six months of permit issuance, or if work authorized by . .tlie:perrmt..is..sus.perided or abandoned for a period of six (6) months after the time the work is commenced. An extension 'ffiay:be requested, -in writing, from the Building Official.for a periad not to exceed ninety (90) days and will demonstrate , j#~if!~le 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 IMPROVENiENT~ ~~ y~LJ~.p.~.9~~rr~_I~.~Y1f1:r"-E;t.1IP.IP,H~J~I!\LI?INANCJNG, CONSULT W1+h1 :y.CiWR:~L.EMDE _(!)R~AN,..A:t;I'ORN.e.viSSpCDRE REOORDlNS'YOtJR,JrOTICE OF COMMENCEMENT. ,;:::~HFJi8Iit!l1t~i!J~1: .03)"'."" .. , . ....M.:.~...~.i~.'...,..'.!M...~,.'M_..,......_~, ._ . ._,....1 .OWNER O.R AGENT Subf:tJbed and swo or a ) b .RJ 7 0, by . eo '- A. . r ~ Who is/are personally known to me or has/have produced 0' I) 12\.J J? L \ e.. as identification. CONTRACTOR Subscribed and sworn to (or affinned) before me this by Who isfare personally known to me or haslhave produced as identification. " ~ .L~~ c~ ~-.< tLv.... NotaryPublic Notary Public .Commission No. Name of Notary typed. printed or stamped