HomeMy WebLinkAbout08-7388
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL ASSEMBLY PERMIT
7388
Permit Number: 7388
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: 1/14/2008
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 1/14/2008
Work Desc: FPA-PIZZA HUT
Address: 6548 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-05600-0010
PI UT
6548 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
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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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813-780.0020
Date Received
Owner's Name
Ownlilr's Addre6s
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ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
P. 003
.Clty ofZ ) phyrhills Fire
Permit ppllcation'
Phone Contact fur PerrT1i~
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10 FumigatIon Tent .' .' '.
/' EL. twardous MaterLilI (Tl~rUotRQ F~eilitY) ANNUA~ '
, D. Hood Installation " '.' '. "
, ,0 'LP/Na~ Ga&-Install~tion .
: ~,' LPI ral,GaS--J:oN. NUAL Sale,
'. Places of A5l;ernbly-ANNUAL ,
. D Reerealiolllill.Bum
. D, Sparklers
o . Sprinkler System .lns~Uatiom;
D standpipes (Sprlnlder Sys)
D . Torch Roofing
'D Waste,Tlre Storage ANNUAL
Fee Simple Tlttaho!der Name
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MECHANICAL .'
., Signature .
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Blo-Hazard Waste storage ;, ANNUAL '
" Gomm Exti"aust Kitchen Hood/Dud
. Controlled Burri . .
EmliIrgetlcy, Generator '<: 30kw
Emergency G8neretoi>'~ kw'
, I=lre Prqteelion MaintenanCe - ANNUAL
Sprinkler
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Fire Al3rm
. Hood Clean/SUppression.
Fire Alarm Installallon
Fire l"umps
Fire Work6 . '
. Flammable ApplicatiQr>- ANNUAl. .
Fuel Tanks
Other: '
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FAX No. 813-780-0021
P. 004
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".-- ",. 'NOTICE OF'OEED RESTRICTIONS: Theundtirsl~ined'u.nd8r tahdsthafthis permit m~ybe subjecUo-deed~>f':estrjction~~':, . _ .
" which may be morerestricUve than Coullty'regulations. The. nderslgned assumes r8sponslbllity'fot-compliar.uie .wlth any
applicable deed restrictions. " ," .
--7-"-UNLlCEN~ED CONTRACTORS AND CONTRACTOR-RE ONSIBILlTIES: If the .oWller has hired7;n;ontrador~or-'- --..
contractors.to undertake work, they may.be.requiF$d.tobe Iic,nsed in accordance with state and iocal reguiations. If the'
contractor'i,s not licensed as required by law, both the'owne and contractor may. be cited for a misdemeanor violation
under state law. If the owner or intendE;1d contractor. are un rtain ,as to what licensing requirements may apply for the
jntendedwork, they are advised to .contactthePascoCounty uilding InspectionDivision-L1censing.Section at 727-847."
8009. . Fu~hermore. if the owner has hired a contractor or contractors, he isadvlse~ to have the contractor(s} 'sign
portions ofithe .contractor Block" of this application for which they will be responsible. If you, as the. owner sign as the
. ~~G~~;.tor, rat may be an Indication that h~ is not p.roperly I e.nSed and Is ,not entitled to l:mrml~tlng privileges In. pasqo
CONSTRUCTION LIEN LAW (Chapter713"Florlda Statute . as amended): If val,uallonof work Is. $2,500.00 or more, I .
'certify that! I,the applicant. have been provided with'a y of the, "Florida Construction' Lien Law-HQmeowner's
Protection Guide" prepared by the Florida Department of Ag~culture and Consumer Affairs. If the applicant Is someone
. other than the "owner", I certify that I flave obtained a copy of he abov.e. described document and ,promise In good faith to .
. deljvel' it to ,the "owner" prior to commencement.. ,
. , ! CONTRACTOR'S/OWNER~5 AFFIDAVIT:'(cert that all the Information in this application is ~c9urate and
; that all work.will be done incompliance with al applicable laws regulating construction, :zoning'and land.
; development. Application Is hereby made to obla n a permit to do work and installation as indicated. I certify
that no wQrk or installatlon'hascommenced prior issl,lance of a peimit and thai's)1 work will be performeej to
: meet standards of all laws regulating constructi n, County and City codes, zoning regulations, and I~md
. " development regulations in the jurisdiction. I so 'certify that 1 understand that the regulations of other
I. goyernment agencies m~y apply to the Int~nded. ork, and that It Is my responsIbility to identify what actiori~ I
I must take ,to be In compliance.. , '" , ',' ,
If I am the 'AGENT FOR'THE OWf\lER, I. promise in good fait to inform the owner of the permit:ting C()nditions set forth in .
this affidavit prIor to commencing construction. J understand that a separate. permit may be, required for electrical work,
. plumbing, ~lgns, wells, pools, air conditioning. gas, or other Installations not specifically Included in th~application. A
permit Issued shall be construed to bea license to pr9ceed jth the work and nqt as authority to violate; cancel, alter, or
set asldeaflY provisions of.the technical codes,rior shall issu~nce 'ofapermlt prevent the Bulldin.Q .Official from thereafter
requiring a porrectioh of errors, in Pia, ns, construction orviolatif.ns of any codes. Every permit ISSll, ed Shal,l,become invalid
unless the work authorized by such 'permlt is commenced wi~hln six months .of permit issuance,or if work authorized by
the permit ik suspended o~ abandoned for a period of six (6) onths after the. time the work is commenced. ,An extension'
may be requested, in Writing; .fromthe Building Official for a eriod not to exceed ninety (90) days arid will ,demonstrate
justifiable cause for the ,extension. If work ceases for ninety ( 0) consecutive days, the job is' considered abandoned.
WARNINGlto OWNER: YOURF~ILURE TO R~COROA NOTICE OF COMMENcEMEN~ MAY RESULT. IN YOUR
PAYING lWICl: FOR IMPROVEMENTS TO YOUR PROPE .' IF YOU INTEND TO OBTAIN FINA~CING, CONSULT
WITH'YOU LEND R OR AN A ORNEY BORE R CO DIN YOUR NO E OF COM ENCEMENT,
. 'F1..0RIDAJURAT(F.S.117,03). ,,' '. ,
OWNERO~~~ ',t'k_ll, ~~J . '
: . SUb$~~~~r')to(~a~rmed) erne.thls"
. qn.. ~ ~i:rer:!ona~ l(~m to me or has/have p uced
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Sub61,bed and ~;crn to (or affirmed) before me this
. Wllo 'rare PerSonal.1y known to .me or has!hllve produced
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Coml'SSlon, No. .,
Nam of Notary ty~, printed or stamped
Notary Public
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Commil;5i';n~..-.L' ').An ~.;:> r;;L 'OlD .
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Nall19 of Notary typed, printed or stamped, '.
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PIZZA HUT OF AMERICA, INC
P.O. BOX 32430'
LOUISVllL~, KY 40232
SHARE-0000103819
PHI - VENDOR CORP
05503950
VOUCHER INVOICE DOCUMENT INVOICE GROSS DISCOUNT NET
NUMBER NUMBER 10 DATE AMOUNT AMOUNT AMOUNT
03667245 622081ASP08 154235420 01/10/2008 50.00 0.00 50.00
TOTALS 50.00 0.00 50.00
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IF YOUR ADDRESS HAS CHANGED, PLEASE
DETACH AND RETURN TO THE ADDRESS ABOVE.
PIZZA HUT OF AMERICA, INC
P.O. BOX 32430
LOUISVILLE, KY 40232
ADDRESS CHANGE INFORMATION
VENDOR NUMBER SHARE-0000103819
NAME:
ADDRESS:
..
.