HomeMy WebLinkAbout08-7611
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL ASSEMBLY PERMIT
7611
Permit Number: 7611
Permit Type: FIRE PLACE OF ASSEMBLY
Class of Work: FIRE-PLACES OF ASSEMBLY
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/12/2008
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 3/12/2008
Work Desc: ASSEMBLY FUNG GAROENS
Address: 5118 GALL BLVO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-07000-0011
Name: FUNG GAROENS
Address: 5118 GALL BLVO
ZEPHYRHILLS, FL. 33542
Phone:
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
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- - 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
Date Received
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- Owner's Name
Owner's Address
Sub Division
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Fax-813-780-0021
813-780-0020..
City of.Zephyrhills Fire
Permit Application
Phone Contact for Permit
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~~er's Phone Number
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I Titleholder Phone Number I
Fee Simple Titleholder Name
Fee Simple Titleholder Address
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Bio-Hazard Waste Storage - ANNUAL
ELECTRICIAN
Signature
Address
PLUMBER
Signature
Address
MECHANICALI
Signature ,
Address I
OTHER
Signature
Address
Directions:
D
D
D
D
D
D
D
D
D
D
D
Q
D
D
D
D
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
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Parcel #
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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
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Other:
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'Company I
Registered
License # I
Company I
Registered
License # I
Company I
Registered
License # I
Company I
Registered
License # I
Company I
Registered
License #
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Y I N Fee Current
Y/N
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Signature
Address
Y/N
Y/N
Fee Current
Y/N
Y/N
Fee Current
Y/N
Y/N
Fee Current
Y/N
Y/N
Fee Current
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.
___......_...._..________....__...___..............'...._ ..___........_..._M . ~
NOTICE.OF.',DEED.-RESTRICTIONS: The undersigned understands that this permit m~yb.e subject to ~deed" restrictions"
-which may be more restrictive than County regulations. The 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 .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'L1E'N'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'1
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-Iaws . regulatiRg.-construction,..zoning..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 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.tocoinmencing construction. I understand that a separate permit may be required for,electricalwork,
plumbing, signs; wells, 'Pools, air conditioning, gas, or other installations not specifically, included in the application. A
Permit:i~sued,s:hC1I1:be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
setasidei any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
'requirltlg,a.correction of errors in pll;!ns, construction or violations of any codes. Every permit issued shall become invalid
,unless'itie:}iVor-k' authorized by such permit is commenced within six months of permit issuance, or if work authorized by
tfie.pe-n.mfis"sus,p~rid~d or abandoned for a period of six (6) months after the time the work is commenced. An extension
may:'be requested, ~n writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate
. j#~jfi,~ble ca.i.Jse 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~,r.~9,~E~!X~~lf,!B,:!,!",,:rE;~P..J::P,9~J!I,.,._glt.lANCING. CONSULT
Wl+H :y.CiWRiL-EN1),eR"'(!)R"AN,.A:r:raRN~iSEfi9RE":R'EOC:JRD1NG'YOtJR,1!;IOTlCE OF COMMENCEMENT.
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"~'OWNER'QR'AGENT""'--"" CONTRACTOR
Subscribed and swom to r rme) before me this Subscribed and swom to (or affirmed) before me this
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Who is/1jI1}l personally knoym_ to.!TIe or has/have prodUced Who is/are personally known to me or has/have produced
y !Lt1.~ ~ ~ t..6F '" ;d..."_. '" ;--.
Notary Public
Notary Public
Commission No.
,Commission No_
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped