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Home My WebLink About07-7297 t" CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 7297 7297 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: 50.00 Amount Paid: 50.00 Date Paid: 12/11/2007 Work Desc: ZEPHYR PALMS EVENT CENTER Address: 4645 AIRPOR RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 13-26-21-0080-00000-0020 ZEPHYR PALMS EV 4645 AIRPORT RD ZEPHYRHILLS, FL. 33542 Phone: ~pUz:tsL& ~ ~tAo\.. 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 ~ - - f 0- Ie -R PERMIT EXP.IRES 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~~; Contact fo~:~=t 1~Li_U:::L.~-jrJYLI Owner's Phone Number I 8") 3 1/3) 2-113.>.1 J .Lt=p#7/C'h, L.L.J/ ~ 3"?J-YL . Titleholder Phone Number I II II ~:~~~L,~,.,.,!..~:L!~~o.Z",(_j~ /2B}7#.7A' P~~5 RVfflA erRI I ~~YJ- 4/,1?Pv-/i'T /(?;/9J) I I I Owner's Name Owner's Address ~JlJll.l Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address ~~l~~/_~~l!I!:ie>TW--~li.1 '-'~y~ 11li Y~YJ Sub Division /7/ /?PpRJ"" M/J-O I Parcel # rtf$<l ~~Qititi.t~~lli!ll'~~~. ,:.11 w1!1t\~1Y'" Sio-Hazard Waste Storage - ANNUAL D D D D D D D D D D D D D Fumigation Tent D Hazardous Material (Tier" or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale ~ Places of Assembly-ANNUAL D Recreational Sum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire 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 m'illli -k11li7 Fax-813-780-0021 't~~ i!!,_~~_"-. I Lot# ::2 ///LLcS~ I ~Ut:S I AII'III:;U t'"KUIVII"'KUI"'I:;K I Y I AA l'lU 111.,,1:;) "T~ v-~ ~ ~~~........._- !I ,~t"_~ Valuation of Project Other: Contractor Signature Address ~ ~~~ '1'",.1_ ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature , Address I ;"-~"'~""'=-""',,,",--'''''~':':''',x...'_...-.,..."<<"'-,,-,,,.- ....=.., I I I I I I I I .:.w>.J:;:i!o;;.,w"'m=""~'_",~"",;% OTHER Signature Addres,;",l. . . lI/il,.,,,,,,,,,,, ._~,~,,",., .,_ 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. Company I Registered I I I I I I I I 1 License # Company Registered License # Company Registered License # Company Registered License # Company Registered License # . Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y I N I Y/N Fee Current Y IN I I .;>oili;w...m~.;t-~.=...;.'...,;,-jm;"..'."""".j;..""*..~""".,..,.d_~a:m~~~"_!t........,,,..=r.>" Y/N Fee Current ..._....._....____..~_..__....._.,..._~N..._'~._ ,.__..__~.._~ 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 Bny applicable deed restrictions. . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: 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 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 . CONSTRUCTIONLlE'N'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-done in. compliance.with..all..applicable..laws .regulatiflg.-construction,-..zoniAg..and..land..... ._'h_ 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 permitting conditions set forth in this affidavit prior .to coimnencing 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':issueds:hall:b~ 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 plClns, construction or violations of any codes. Every permit issued shall become invalid ,unle~s"1he~j.iVork;authCJrizedby such permit is commenced within six months of permit issuance, or if work authorized by tlie:pe!TiiJt.is"susperid~d or abandoned for a period of six (6) months after the time the work is commenced. An extension may:l)e requested, .tn writing, from the Building Official.for a period not to exceed ninety (90) days and will demonstrate , j~~~ifi.~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~ ~~ yQlJ~..~~,9~~rr~)f;ral}J~TE".p.19,9~J~ltlI-glt'llA"'C.ING, CONSULT .Wl+h1 :y.o.UR:~L-EIllD6R"(!)R"AN' DRN. 0RE_REOOR.1il1NG~Y.OUR,1IrOTICE OF COMMENCEMENT. ;~~~:r.~,~~~~l.~~.:.i '," :....'.' , ...... ." .OWNER OR AGEN'f . CONTRACTOR Subscribed and sworn to {or . ~efore rne thjL ~ ('1 Subscribed and sworn to (or affirmed) before me this /2-.-{(.-o7 by ~c-7b T-J't J/ by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced n/~4 as identification. as identification. , CommissO Notary Public .Commission No. Name of Notary typed, printed or stamped City of Zephyr hills Building Department Commercial Check Application - Fee $60.00 5335 - 8th Street, Zephyrhills, FL 33542 Phone: (813) 780-0020 VI~mJ /' /. /1 &/6//07 ~ ~ - / Business Owner: b If'&?? /_. / /rS"T / 6'" t/,.If'{)?I(/ Business Name: 2"&7:///)/ ^ ? /J L/'J;1.s .c:7/ EJ1/ n / Building Owner: Site Address of Commercial Check: Application Date: / / h/7 O'---f LL c... CE')v7/f' e.... Phone: ?J3-,?JZ-.3333 ybYJ- A/r~;/C/ ;(-;;1-77 4;D L 7) /-LC ~ ---- 7' / _) Zoning Category & Confirmation: Present Use: C #~L-~ Proposed Use In Detail: .L!:::/r/C )1/'/ C..-:::>r:;7-c--/Z:.. Are There Any Floor Plan Changes: /1/ CJ IMPORTANT: SOMEONE MUST BE PRESENT AT TIME OF COMMERCIAL CHECK 111is Section For City Use Only :\ D\-uL- I \ -1-. \'1 _ Vl) c./'ldc~, ( 10:'\ \\'-'0 ~'-Y .::). NV'" /4./ '() "'1 LiS v" l ; .......~ l' I I IF' / / ( A ~ ........: _/ t:.7 ::4/ ? ... I ~""' Sf l--~ Ie. _ ') r-V\ U ""'--... Comments and/or Requirements: Building, Electrical, Plumbing & Mechanical i~( l ,r.! , {){/l /~ ! s /' ..." jr, '/. .I ,. .t " .' r /,:1--;' r. /D t, ('" /"' /-- 7 ' L/, ' ,<; /il..../,..., ' J . ~7'~"'<Z ,'. & / ,.' :' .- .. ,"1 C L/ __I.f ...r'j /:> /~ ~ ,l., , / -f:'"'- / -f".F L ,,-' / ,- [, C1~. . .--, / " . /(COJ'if I ../ ...- ,r' ......... -~1'7( .. f ,j.E. <'I( ;... f ;,' -r- t r'c',-'.! fJ <... ~- I.. \:~ 1/ 17~'/:J.' 74 :' ~_. ..... J ' If /~'\ - './FP ,I {A /~ S. - ((/t: ~ I ~ /' t,).'~ ..-" r,.,\ f? J i ,/' {._/ ?',. j.,,_ ~ jJ.c / F/ ,- ,_ f . /' ( "7 /. " /',) I( ::0 0 ...", / J 1iApproved /i L ;. /..-:r \ ('.. n .I' \ /1 //.- \, ;)' ./"' ~__J --/I}/~,.~ , [-'(1/''/ .... /~~~:/o:"7:~~-;-.//. Business Representative Signature:---/':>; / i.." "--/-' I fJ ,I ! J I ! Il II /( J~_i vG~~ -, - 1-\r..~::.rC ;/'ec,qS'3 - l2a.0c.ce.. E;<;.cS-1'] 7a'q7 _ ~ r::('A G...c.lt.o c.~ . ~b~ l€/f ,: . ! Disapproved - See Comments v /' Inspector's Signature: /