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HomeMy WebLinkAbout07-7307 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 7307 Permit Number: 7307 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 12/13/2007 Work Desc: CAPRI PIZZA Address: 7825 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0150-00000-0010 Name: KOB PROPERTIES LLC Address: 7825 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: ~: (\a-\..e cY \ "2..-,,~/01 l~ 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, NFPAI0l, Section 7.3.1.2 FIRE"MARSHAL OFFICE: 813-780-0041 ~ I Ie 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 Fax-813-780-0021 813-780-0020 City of.Zephyrhills Fire Permit Application Phone Contact for Permit Date Received . -~'~..l~:r' Owner's Phone Number 172'1 113% l' 11205 to S~ I (plf,'i-f(r ]) / R ()f],q is 1(71 @-fl-T01>fl SDl I I , e/~ . Owner's Name W/t'qL i eHIU~l ~ I Titleholder Phone Number Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address ~iEil5l1~-H~&!~-~ I'ilmW.....=~ -,.J- II II W""t lS?IW""'"'''''''''''''''"''i>''' - 'f~;~ -~U~ PLt/f> Job Address . i 71l5"" @-IILc ( 7-G (JII ~ fl, ,N- t '3 Parcel # Sub Division $klSi~\~=~:~--"7' 1" ~lW'-"<l' -.-- t D Bio-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood/Duct D Controlled Bum D Emergency Generator < 30 kw D Emergency Generator> 30 kw D Fire Protection Maintenance - ANNUAL 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: ~~ ..r ..&..riW - Contractor 11O~'- , { Signature (j~ ~ ./7 (JJ~ /<J;J-4J...... Address . ...... ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANiCAL! Signature I Address I OTHER Signature rt ] Lot# 'U. 'A'N"" '"UM ""U"""" 'AX NU "C"J UJ! W IIiJr ~ gTd,>v -iii'i~ I - r.......d. ~-:;: !f!ZW'mt:Jl! o o o o o ~ o o D o o 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 Address I ~i;~~ns: lIii-::C"''';;''Ie;..i1.;':'':;';'' ,;~~.~;o.',:::;;';;';-'",'~,,,,,;.;,,.-,,,,,,, '......"i';;ft';<'=:.....'"'~''''~;;;;;;.:::>iiliIo'~;t:;;;:5..mfa( ':','_'-.w~.~. ."~" . ,..',.w",~...........a""'.>I:. "="5'~.:;;;.~;<'i>>m;;/~;.~ ~ 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 $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. ,...... 111'~ -wrlll 1n1:lmtp.1~ 1iU"_fI' )l,~~", Company Registered Y/N Y/N Fee Current License # Company Registered License # Y/N Y/N Fee Current Company Registered License # Y/N I I I I I 1.,,,,,,,,,,,,_ Y/N Fee Current Company Registered License # Y/N Y/N Fee Current Company Registered Y I N Li~ense # .L,~.__.,,_~ Y/N Fee Current ","XC-' ~h>,,~"">.'M"'lt'i'''li$<$''''''''''''''-'*'~\>''~-'o/''''l~i~''' k"'~ .._...__......._...._....._~~______.._"..._..~~_..._ ."_..__.. .__ . R . NOT,ICE.OFOEED.-RESTRICTIONS: The undersigned understands that this permit m~ybe subject to ~deed. restrictions. -which may be more restrictive .than County regulations. TAe undersigned assumes responsibility for comp.liance with any applicable deed restrictions. . . 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 local regUlations. If the contractor IS not licensed as reqUired by law, both the owner and contractor may be.cite.cl 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 contac:t 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 (Chapter"713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more 'I 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.-construotion,.--zoniRg..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 performE!d 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 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 affidavit prior .to commEJncing 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 ~rmiO~suedshall"b~ construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setaside Sl1yprovisions of the technical codes, nor shall issuance of a permit prevent the Building .Official from thereafter . requiFirng.acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . ,unless:'iije~~ork'auth()rized'by such permit is commenced within six months of permit issuance, or if work authorized by . .tlie':permit,js"su$.perided or abandoned for a period of six (6) months after the time the work is commenced. An extension ma}rbe requested, 1n .writing, from the Building Official.for a period not to exceed ninety (90) days and will demonstrate . j#~jfi.~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~ -':9 y()LJ~.r.~.q,~~.!X~}f,:~l!!~JEt.lIPJJ?,q~J~"\I-:E.INA"'CJ"'G, CONSULT .. Wl+td ~.(ilUR""~L-ENDlSR"'c!)RAN,.A:r:rORN~ISEJ;tjRE-REOtJRt!)1NG~YOUR.,1IfOTlCE OF COMMENCEMENT. ; :.:::~{:~~~~~lit1'ttqsfii.'~: .'; .. . ... .. .. ......,.....,. ..M'..'--...-,,-...... ........ .... r-'" .OWNER OR AGENT Subscribed and to,(on~) beta e this 1'2'/3-07 by , L-, I Who i~are perps,lnally known to me or tiaslhave produced f~"d as identification. ~M Comm ion No. CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. ~ Notary Public Notary Public .Commission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped