HomeMy WebLinkAbout07-7314
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL ASSEMBLY PERMIT
7314
Permit Number: 7314
Permit Type: FIRE PLACE OF ASSEMBLY
Class of Work: FIRE-PLACES OF ASSEMBLY
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv, Cost:
Date Issued: 12/14/2007
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 12/14/2007 Phone:
Work Desc: PLACES OF ASSEMBLY - MCDONALDS
Address: 6042 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MCDONALDS USA, LLC
Address: 6042 GALL BLVD
ZEPHYRHILLS, FL. 33542
~(~
7t I V\t1
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
~
-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
DEC/07/~007/FRI 09:47 AM ZEPHYRHIL~S BUILDING
" FAX No. 813-780-0021
City of Zephyr hills Fire
.Permit APpl.lcation ,
".'
Oats Received. ..:.-' : " , ' "Phone .Conta~ for Permit
Own.... __ . C-1rL,4/<E MS~- {!ASf'fiiS. e.. ~.,;. Phon~Numb.r r
own....Add- [19" g Y. AlMS',MI. S'rL-~/l fl.-. 3~
Fso Slmpl~ TW....~er N.IIl- . .. r . .. . .. ~l. T_OIderPhone ~~ [
Fee Simple Titleholde~ ~dd~e$S ,'I' " ' ' ' ,
~ jJ}fLJO~ tbl A 1-
f'.' .
, .
813-780-0020
Job Address
Sub Division
-
.0
o
o
D
D
'0
o
D
:D,
D
.,D
o
,u -
contractor
signatUre
'.
Addre5&
ELECTRICIAN
Signature "
'. .,Add!~
PLUMBER
sign~ture '
. Add~s.
MECIiANI
, SIgnature
P. 004
Fax:..s13.780-0021
I-.L
'.
elo.Ha%8rd Waste Stolilse ~ ANNUAL
, '
Camm Exh~ust K!tchet:' HciodlOuCt
Controlled B,um '
, Emergency Generator, < 30 kw
, '
Emergenoy Generator >,30 kW' ,
.. . '
Fire Proter;tlon Maintenance - ANNUAL ' ,
Sprinkler 0
'Flre Alarm ,:',' 0' ,
Hood Clean/Suppression 0
Are Alarm InSUlllaUon
FIre pumps
Fire Worl<&
Flammable Appllcation- ANNUAL
. .
Fuel Tanks
Other:
,r
l.t
:~r
. .,. 33S-<l1-
60/,lZGA~ ,8L11IJ1c#*,,,NLS ,eLf- [
" J' ' ,~ 'd' '
. ,I ,parcel # ,L. : I
, I \Vg I Jo\INCU t'KvM 1:'1'\ 1"'[:1'\.1 T I/Vo. I'(U Ilut;;}
, . 0 FUmigaUonTent" " .' I ",.
, '0 HazardoU& M~lerlal (TIer 11 or ~Q Faclllty~ ANMUAL
: 0' Hood In~tallation , ' I
o 'l-P/Natu",,1 Ga5-lnstal\~tion I' '
o L.P/Natural Gas-ANNUAL Sille I!
'0: Places of'Assembly-AN~UAL I
,0 Recreational E1!Jffi, . I
. 0" sparkl~rs ',' I
o "Sprinkler System ,lnstal\~O~S I
o Standpipes (sprlnJ<ler Sys) i .
o Torch Roofing !
, "
Q Waste Ttnl Storage ANNU.AI- LJ I
~~6f17BL.V F~f/7"'
, , . C- , ,', I V~'uatlo? of, Project
'I
~mpany I - .,.~, -
_._ t .Y I N r Foe """"frtL Y I N-=r
UCen&B I ". . ' :',
. ";,,,=~k / N--1~_~
ucense# .l ' !
Company .j . ' ' j,
'R~lste(lld, .Y i N--1 . 'Fee currtt l
u~nse#, -F " .'! .
cpmpany r. " '.. !
Regl~:' t Y I N:J Fee CUlT,nt .[~Y I N J
cense# i ' ! ' -=:J
~ P
...,..-.. . __ IY/N I F"~n1 r Y/NJ
;.....'::'..l.., ~_ _. u.ens. # J:::.......- .. i .,. .-:... I
Fill out appllClltion completeiy:. '" ' , , '
owner & ContractOr. sign back of application. 'notariZed (or. copy of signed contract with owner)
If oVer $2500. a.Notice of Commenoement is required (Mt:!ooanlcaJ work ever $5000)
~~pply: !N.? (2) sets of drawings with applicable documentation
.,_.._.L._ __.d_u _.... otlhrnltt::.l rbltR
~
:
\"[,:'
.:
.,. .~
\-:- Y I N 1
.J
YJN~
J
=
DEC/07/2007/FRI 09:47 AM ZEPHYRHILLS BUILDING
I
. . i- . . ' . . .
I. ,...,;;~i,~e~~':'I:~,~:.'. _'~~'I::';"f:~;~i.;,:.:. ,
. I" :' " " " ~f~l'"'' '.,," ' , "i .. -,:~~..::,.. ""',: '
:NOTICE c;>i= DEED\ RESTRICTIONS: The unaersigned u.n,d~rstcinds t~at this :permit- may be 'subjecHo~~~,r~stricUons"
'. 'Whlch may .Ile mo~'r~strictlve:than:Coun~:~~~lation5. '::The underSigned.assumes.responSibi!it.Y'fO~I~ornPlianCB,.wlth:~nY
'applicable deed reStrictions.' .. ' " ' , .', "... ;"'. ...' ", .
'. :. U~LI~ENS.ED 'CO:NTRAel'O,ils ~~~D : CON!~CTOR,~RESPONSIBILmES:, If .th~ ~wl1er 'h~s :~Ire~ ~a~contract~r .or':
, contractors to unde;;rtake work, they may be,requlred to be licensed In accordance with ~tate and 10~1 r~gulatlons. If the
'contractor'ls not licensed as required ,by law, .both the'owner,and contractor 'may be 'cited for 'a "llsdemeanor violation
under :s~t~ law. tf"the owner or'int~nd~ oontraotor 'are uncertain as to .what Iic~nsing' requlreme~ts may' apply'fpr t.he .
Jntended W9rk. .the~ are ad~IEted,to .contact'the'Ps!i'c~ C~unty Building InspeC?tlon Dlvisiof1--!Li~ensing.Seclio~.at .727:-847-
8009, ,Furthermo~. If- the owner' has hired, a 'contractor ,or contractors I he Is ad~isljJ~ to have ,.t~e CoI:draclor(s) sign
por:lions' of~he "coo~otor'Block"'of.thi~ application fOf,whlch ,th~y w.1II ~e're5pons.ible. If;you..as.the'bWner sign as 'the
.oo~tra,ctor"'lthat'm~y b~,an.i~dlcation:~)1at he Is not prc:'p~rlY IiCe~~ed ~nd is not e~~~ed to'per~itt~nllg;Ptlvllege~,ln ~l:!S~.p
County, ' : . . .. " . ,'. I ..
.. CONSTRUCTION pEN LAW (Chapter 713,: Florida Statutes, as amended): ' If valuation of work .i~, $2;500.:00 or, more. I ,
certify thatll; the. ;applicant, h.~ve 'b~en provided with a copy of the' ~FIOfida Construction ,:L.:len:..:Lar'-Homeovmer's
, Protection Guide- 'p,repared by the Florida Dep~rtment of. Agriculture and Consumer Affairs. If the :~pp!l~nt is'.sorneo~e
: other than tt~e .6w~ei'., I oertlfY. that.1 ~ave obtaln~d a'-copy of the above described. ~ooument ~I')d prpmi~e In good .faith to
deliver it to':the "owper" prior to commencement.: "". .,., " . . ,. . '" : : .' ,'i ' '. . . .
':- !'CO.NT~CTOR',S/OWNER'S.AFFIDAYIT: .I cert~ tI;t~t all the Infonnation In thls,-appll~tion I~ ~C9urate'and
. ! that all work will be d~ne:, in . complla~ce ~Ith a1~ !'IPpll~able',Ia.yiS 'regul!!ting ~nstruO\'on.,: zoh~ng . and land
.' ! development, Application ,Is, h~reby mage to ob~ln a permit to .do w'!rk and.lns~lIl11tlon las Ip~icatl!ld, I certify,
that"n~ Work or InstallatIQn..t1as oommeJ.lced prior to issuance of a perri' lit and that' all wor~ will be performeg to
! meet stand~rds of all laws regulating construction. County aild City codes. zoning reg~lations, !!nd IJlnd
, , . i'dev~lopment regulation's In'the jurisdiction. I also certify. that I understand tha~ th~ reguiations of other
\.goyerr'\ment agencl,as m~v al?p'y to.the Int~ndeQ work. and that.lt Is my re~po!1si~lI~ty to 'dentlfy ~hat actions I
. must ~ke to be In compliance. " .: ' . . " , I . " ':.
If I am t~e ~GENT\ FOR THE OWNER, I.promlse In good faith to Inform the .c?wner ,of the permmlng conditIons ,set f9rth in
. '. this ~dav\t .prior to commencing construction. I understand thst a separat~ permit may be r~uilJ3d. for. ~le~c~1 work.
. p~umblng. ~lgns, ~BlIS, pools. air condltl~nl~g,' gas, or. other Installstlon!S .not specifically In?,~~ed'llii ~e appl!catipn. ' A
permit Issued shalti be construed 10 be a license to ,proceed With the work and n~t as' authOrity to Viplate, cancel. alter; 'or
set aslds any provisions of .the technical' codes; nor shall issuanoe of a permit prevent the 'Building bfflclal from thereafter
tequiri~g a ;correctibtl of ~rr~rs In plans~ construction or vio,la~ons of any C9des. . EverY permit iS~iJB~ sh!!li becol1'e invalid
unless the }t'ork a~thorlzed by such permjt is coml'l1enced within six months of permit IssuanCB, ,op If work authorized by.
,the permit Is. ~usp~nded or abandori~ for' a. perio'4 pf six (6) months after Ule time the Wo~ I~, COm~8nCe~., ~ extensl~n
may be re~i1ested: hi writing; from, the Building Offl~i~1 for a period not to excee~ ninety' (90) dSYSran~ Will demof!strate '
Justifiable cause for the extension. If worts ceases for ninety (90) consecutive days, the job Is oonsld r~d abandoned.
. , ' , I, ',.,' ' " . . ' " , ' .
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER 0 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT I
FLORIDA JURAT (F,S, 11Z. .
OWNER OR AGENT tJ.
Sj,UbS' and sworn to ~Of affi,rm~tbefore)T1e_ s
~ 0 ~ ~) ~~
Wh is! re pe~ k~ me or has/have produced
as identification,
FAX No. 813-780-0021
p, 005
"~" . '..
i '.
!
I
\
.
i
I
I
j
i
!
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who isfare personally known to me or haslhave produced
as identification,
~4.(J/J) o.Jadld/5 Notary Public
Commission No, PO.:5 B-3 dC)., 7
;2/},e j]/-J;(J/l A~]A! Jj1. rr l2S
Name of Notary typed. printed or stamped
Notary Public
Commission No,
Name of Notary typed. printed or stamped
IWlBARA A. WALTERS
MY COMMISSION' DD 583027
EXPIRES: September ZT, 2010
80ndId Thru Natmy NIlic UnderwJfIors
,
,.:.'
I
.1
I .
, .
I
, i
I
1