HomeMy WebLinkAbout08-8146
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL ASSEMBLY PERMIT
8146
Permit Number: 8146
Permit Type: FIRE PLACE OF ASSEMBLY
Class of Work: FIRE-PLACES OF ASSEMBLY
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/18/2008
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 8/04/2008 Phone:
Work Desc: ASSEMBL YPERMIT FOR AMERICAN LEGION POST #118
Address: 5340 8TH ST HISTORIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13500-0150
Name: AMERICAN LEGION HOLDING CORP
Address: 5340 8TH ST -HISTORIC
ZEPHYRHILLS, FL. 33542
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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
.813-780-0020
City of Zephyrhills Fire
Permit Application
Date Received
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Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
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Sub Division I
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Fax-813-780-0021
Phone Contact for Pennit
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Titleholder Phone Number I
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Job Address
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Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
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Sprinkler D 0 0 0 L--.J
Doooc=J
Doooc=J
Doooc=J
Fire Alann
Hood Cleaning
Hood Suppression
D Fire Alann Installation
~ Fire Pumps
Fire Works
Flammable Application- ANNUAL
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Contractor " 1M'
Signature ~ Ie Iff~
Address ._
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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
.Place~-ofAs;~;;bi~~ANNUAL
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Recreational Bum
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Sparklers
Sprinkler System Install
Standpipes (Sprinkler Sys)
Torch Roofingrrar Kettle
Waste Tire Storage ANNUAL
Valuation of Project
Company
Registered
License #
ELECTRICIANI Company
Signature Registered
Address I License #
PLUMBER I Company
Signature Registered
Address I License #
MECHANICALI Company
Signature Registered
Address I License #
OTHER Company
Signature Registered
License #
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Y/N
Y/N
Y I N Fee Current
Y I N I Fee Current
Y/N
Y/N
Y I N Fee Current
Y/N
Y I 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. Parcel # - obtained from Property Tax Notice (http://appraiser.pas,c:og,~l';90~),
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'NOTICE OF "DEED RESTRICTIONS: The undersigned understands that this permit may.besubject:to'"deed":restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility forccompliarace'with any
_applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has "hired:a -'contractor or
contractors to undertake 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 fora 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 LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
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'SAFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating 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 to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN Y FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT l!!. <
d .subs 'bed and sworn 0 r a
iJi1"1&(~ .. b L 0
Who i are ersons y no 0 me or haslhave produced
as identification.
I/1'f po :'t.(~ONTRACTOR
Subscribed and sworn to (or affinned) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
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Name of Notary typed, printed or stamped
Commission No.
Name of Notary typed. printed or stamped
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COLANDRIA JR. .
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Fire Marshal
Kerry Barnett
Zepbyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041
Fax (813) 780-0044
To: Assembly Occupancies
Ref: Annual Assembly. Permit
September 26, 2007
To whom it may concern,
On September 10, 2007 the City of Zephyr hills passed Resolution #589-07 which
contains life safety fees for plan review, inspections, permits and false alarms. This
replaces the old Resolution #552-05. Under this resolution an annual permit was created
for those places that are considered a p1ac~ of assembly. The Florida Fire Prevention
Code defines an assembly as (1) an occupancy used for the gathering offifty (50) or more
persons for deliberation, worship, entertainment, eating, drinking, amusement, awaiting
transportation, or similar uses; or (2) used as a special amusement building, regardless of
the occupant load. The fees for the assembly permit~~O]C}? Once the permit is paid
for and obtained by the owner/occupant an inspection Will be condUcted shortly after.
The inspection will consist of a site inspection to measure your facility or assembly area
and post the occupant load based on the overall square footage of use able space and
dividing that by a load factor determined by Section 7.3.1.2 ofNFPA 101, Florida Fire
Prevention Code.
The permit can be obtained from the City of Zephyrhi1ls Building Department located at
5335 8th Street, Zephyrhills. The contact number for that department is 813 780-0020.
If you have any questions about this process, please contact Zephyrhills Fire Rescue at
(813) 780-0041 between the hours of8:00 am and 5:00 pm.
Kerry Barnett
Fire Marshal, Zephyrhills Fire Rescue