Loading...
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: C~JCO B/ 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 ~ -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 n /~In''-'' ..'':'/ L '_.".) 813-780.0020 Date Received Owner's Name Ownlilr's Addre6s I' n ,...., J J : IJC ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 003 .Clty ofZ ) phyrhills Fire Permit ppllcation' Phone Contact fur PerrT1i~ (pIa I ~~4 K~JO up .(>1~V f? ..fLP6lJ~~0..v;O ... ...1... '. I. :.' . :... .... .., . ..1..'," pSmll.# ./.... .'., .'~"" ",'., ' ". '." : "(UtlIAIN~l.lFRU~fJKUPI;R y. .'AANOfll;l::) , l 1 n 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 .... ~. ,Fee Simple Titleholder Adclress . Job Address SubDIvision , tJ .0 D D D .'D "D "'D O' D o D D Contractor I Signatur,' " . , Address j. E,LECTRIC. IANI Slgl'lalllre , . . AddTEi6s " ,PLUMBER' ' .' Signature " Address i MECHANICAL .' ., Signature . Addresll 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 '0 . D. :0.' Fire Al3rm . Hood Clean/SUppression. Fire Alarm Installallon Fire l"umps Fire Work6 . ' . Flammable ApplicatiQr>- ANNUAl. . Fuel Tanks Other: ' .~ '. OTHER Signalllre , Fax.-813c780"0021 flf7w:' IJ~)" I. , "/]13' 7-fp~ '}(~ ~ . f"l J 1J18'~ I ]~lo.<.f31 ~~5l{~~ 1 " .Lot#. '.1 I I :..~~ f' l ' Valu.ation of Project ~;::~~d '::1. UCElnse # I ~;:t:d'J . Ueense t# .1 co~panY"',1 RegiStered , l.icliIn6li!# I' ,Company '1 Registered. , License # I Company. I Regll!itered Y/N Fee Current Y / N I I -, . l=eeCurrent ../ ~y INl" I Fee Current , '" Y / N I I I .Y/N Y/N , Y / r-r-I. Fee ClllTent Y IN'I.' I. . Yi N I, Fee Currant r Y I Nl '] ,/r::. I)!'-' ...'....; ~ '..) ',..' : ; : C2 AIr. ZEPHYRHILLS BUILDINC FAX No. 813-780-0021 P. 004 :.1.' ; I .j ._~~'''_':::~~~;~.'~.'.':' . .......~....:;~~~.~:.;. ".' ~t-....."", . ".-- ",. '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 : .. as identiflcallon.. e. ..... ., ~ ,~. ... . : CON~CTOR "..'. . Sub61,bed and ~;crn to (or affirmed) before me this . Wllo 'rare PerSonal.1y known to .me or has!hllve produced -/ .. .. ..-... '~.:. Coml'SSlon, No. ., Nam of Notary ty~, printed or stamped Notary Public i I'lL I > .' , ^,',' . ~ W~_NotaryPUbllc l'&.()4 . , Commil;5i';n~..-.L' ').An ~.;:> r;;L 'OlD . , ~.lr~' (A.)~~L'\er '. . Nall19 of Notary typed, printed or stamped, '. ...._~- " . . -- -- '..n .__.... un.. kdPj rh rr ~~ Cflus ~ ~ NO ~(w 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 ~. 1}lS~ r If3t- 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: .. .