HomeMy WebLinkAbout08-7360
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL ASSEMBLY PERMIT
7360
Permit Number: 7360
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: 1/07/2008
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 1/07/2008
Work Desc: Places of Assembl
Address: 6855 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s}: Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-01600-0020
GOLDEN C RAL
6855 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813 783-8969
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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
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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
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€113-7SIJ-0020
Date Received
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Owner's Nflme
Owner's Ad,dress
City of.Zephyrhllls Fire
Psrmit Application
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ZEPHYRHILLS BUILDING
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fee Simple Titleholder Name
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Job Addres:s
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Bio--Hanld Waste Stoll!lge - ANNUAL
Camm Exhaust Kitchen HOodlDuct
Controll$d Bum
. Emergency Genellltor < 30 I<w
Emergency Generator:> 30 kw
. Fire Protection Mein.tenance - ANNUAL
Sprinkler 0
Fjre Alarm . D "
Hood Clean/Suppression ~
fIre Alarm Installation
Fire Pumps
Are Works
Aammable Application- ANNUAl..
Fuel Tankli
Other:
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eLECTRICIAN
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PLUMBER I
Signature ' .
Address "I
MECHANlCAi
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Signature
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Dire ons:
Fill out application comPletely, . .
OWner & CorrIrBotor sign back of l!IppllClt'ltion. 'mrtiuizod (Or, copy c.rf signed contract with owner)
If over $2~OO. B Notice of Commencement is requlrud (Ml!lchanioal wor1c over iCiOOO)
Supply two (2) sets of drawlng5 ,'Ntlh applicable documentation
Allow 10-14 dOly& for review aft.,- 5ubmlttal date.
DEC-14-20E17 FRI 10: 34AM 1D:
Fumigation Tent
Hraardol.ll> Material (TIer II or RQ Flldltty) ANNUAL.
sparklers
Sprinkler System lnslallations
Standpipes (Sprinkler 5YI5)
Torch Roofing
Wast$ Tire Sttlrage ANNlJAL
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Valuation of Project
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PAGE: 1
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ZEPHYRHILLS BUILDING
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NOTICE OF DEED; RESTRICTIONS: 'Ttie~unttersigned u,nderstands that this permit may be subjectio~de~d"'re5trlctlons.
'which may be mort? restrictive :than~County,! regulations. l"he undersigned ,assumes,responsibilityior'.compliance,with :anY
'appllcabledeedre~trictlons. - " " .,... .-. "', ,
UNLICENSED 'CONTRACTORS ,AND CONTRACTOR 'RESPONSIBILITIES: If .the owoerhas 'hired :a""contractor or'
contractors to undertake work, they may be .requlred to be licensed In accordance With state and local regulations. if the
contractor'is not Iic.ensed ,as required l>Y law. both the owner and contractor maybe cited 'for a misdemeanor violation
under stat~ law. ~ the owner or intended contractor are uncertain as to what licensing requirements may aPr'Yf9dhe '
lntende.d work, they are advls.ed to contact the Pasco County Building Irispection Division-licensing Section ,a . 727~847-
8009. Furthermore, If the owner 'has hired a contractor or contractors, he Is advisecf to have th8 contractor(s) sign
portions of it he "co~tractot Block" of this application for which they w.ill be responsible. If:you,as.theoWner sign as the
contractor, ,that may be an indlcationthat he is not properly licensed and Is not entitled to permittlng:privileges, In Pascp
County. I , ' " , ,. " .
. CONSTRUCTION 'LIEN LAW (Chapter 713"florida Statutes, as amended): If valuation of work is, $2,500.00 or more, I
certify that! I; the, iapplicant, have 'been provided wfth a copy of the "Florida Construction :UenLaw-Homeowner's
Protection Guide" prepared by'fhe Florida Department of. Agriculture and Consumer Affairs. If the applicant is'someone
other than the "owner", I certify that! have obtainsQ a copy of the above despribed document and promise In good faith to
deliver it to':the "owner" prtor to' commencement. . , ' ,
I CONTAACTOR'S/OWNER'S AFFIDAVIT: , ,,' certify that all the information in this applic~tionls accurate and
i tf1at at; work will be done-' in compliance with all applicabls,laYiSregulating construction, zoning and land
i development. Application ,is hereby made to obtain a permit to do work and installation as 'Indicated. I certify
that no work or InStallatiori'has commenced prior to issuance of a permit and thafall work will be performed to
: meet ~tandards of all laws regulating construction, County and City codes, :roning reglJlations, and land
, , : development regulations in the Jurisdiction. I also certify, that I understand that the regulations of other
I' government agencies may apply to. the Intended wQrk, and that it Is my responsibility to identify what actions I
must take to be In compliance. . " ' .
If I am the ~GENT! FOR THE OWNER, I, promise in good fajth to inform the owner ,of th& permitting conditions ,set ~orth in
, this affidav\tprior to commencing construction. I, understand that a separate permit may be required for electrical work,
,plumbing, ~igns, Wells, pools, air conditioning, gas, or other Installations not specifically Included' In the application. A
permit Issued shalf be construed to be a license toprpceed With the work and nQt as authority to violat~, cancel, aiter;' or
S8t aside ary provisions of .the technical codes, nor shall Issuance of a permit prevent the Building Offiolai from thereafter
requiring a forrecti,on of, ~, rors in plans, construction, or violations of anY,C9d, es. Every permit isStJed"Shall become invalid
unless the JNOrk aJthorlzed by such permIt is commenced Within six months of permit issuance" or if Work autf1oriz8d by.
the permit I~ susp~nded or abandoned for a period pf &Ix (6) months afte~'the time the Work Is comrri&~c,e(;j.' An extension
may be requested; in writing; from. the Building Official for a periOd not to ex~ed ninety' (90) days an~ Will demonstrate
justifiable cause for the extension. If wo~ ceases for ninety (90) consecutive days, the job is considered abandoned.
'WARNINGltoOWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY ~StiLTIN YOUR
PAYING TWICE FbR'lMPROVEMENTS TO Y 'R PROPERTY. 'IF YOU INTEND TO OaTAlN FINANCiNG, CONsuLT
'Y N; A ATTOR Y B:' OR I G Y R NO' F CO Ne M NT. "
FLORIDA JURAT (F.S.'117.03 .,
, OWNER OR lOENT :[}1(; 0J' I r ~/p
) ub8Cl'l ~ J1d $WOm1lit. ( (OIor amrmed~ore me this
)by .J.J:;;;.I 1, rV,' 1/ .-r-rl€
i iii persO!ll:t11y known to me or haSlhave prodUC8d
88 IdentificaUon.
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Name of Not$!'Y typed, printed or stamped .
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CONTRACTOR
Subscri~ and 6'M)ll\ to (or afllrmed) before me this
, ' by
WhO Is/are penlOnlllly known to me or has/have produced '
, as identlftcaiton.
Notary Public
Col}1mission No.
Name of Notary typed, printed or stamped
AMBERC. TEDDER.
DEC-14-201217 FRI 10: 35RM ID:
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