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Home My WebLink About08-8259 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL ASSEMBLY PERMIT 8259 Permit Number: 8259 Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Proposed Use: CHURCH Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5316 11TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0100-17100-0100 8/26/2008 Name: SAIN JOSEPH CATHOLIC CHUR 50.00 Address: 5316 11TH ST 50.00 ZEPHYRHILLS, FL. 33542 8/26/2008 Phone: 813782-2813 PLACES OF ASSEMBL Y-ST. JOSEPH CHURCH-3 BUILDINGS 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 ~ - - 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 OEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 i~~l~'~;~'~~~~~iIi@)'Mii;:J"".,.,",,,,,",..",,-,,.~-,.._,.~. City of Zephyr hills "Fi"e Permit Application 1IO"~~~~~cj~_l"_...%,:::lL~~~,."JJ..~,#.,,,.~~... Owner's Phone Number 01813 Il782 I.lzs='ts ff @> Z,b~ Fax-813-780-0021 . 813-780-0020 Owner's Name u - Owner's Address Fee Simple Titleholder Name Titleholder Phone Number II II Fee Simple Titleholder Addressj ~::==---I~W:~ i~~~'M::; Sub Division , I ~~ ~,~"."..,.,~p!illt lAP" 11>. D D D o D D Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL . ~~~~ Sprinkler D 0 0 0 L-..J Do ooc=J Do ooc=J Do ooc=J Fire Alarm l"iJl\ll!'i'm$Jl~~""lJl\~'~~~~' ~~~,a~ 'D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation : ~atural Gas-ANNUAL Sale , Places of AS~embly-ANNUAL D Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (SprinklerSys) D Torch RoofingfTarKettle D Waste Tire Storage ANNUAL Bio-Hazard Waste Storage -,ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Hood Cleaning Hood Suppression Contractor Signature Address I ELECTRICIANj Signature . Address I PLUMBER Signature Address I MECHANICAL] Signature . Address I OTHER Signature ,i"".-'""" Addres~L Directions: Fire Alarm Installation Fire Pumps Fire Works Fiammable Application- ANNUAL Fuel Tanks .1 Valuation of Project ~ ""'j!n"~"~<:I':v"'''~fj''':'''' ~~.,,''''''''A_''' ._~ "f-i""'"'''"''' ,~ Company I Registered Y/N Fee Current Y/N I License # I I Company I Registered Y/N Fee Current Y/N I License # I I Company I Registered Y/N Fee Current Y/N I License # I I Company I Registered Y/N Fee Current Y/N I License # I I Company I Registered Y/N Fee Current Y/N _'_""M_"''''''! License # I I _~~""~":""""""'" ..,""."C "",.. ,'"""",,,-,_.,,,,,,",",,,,-.:,.,,,,,,,,,,, ,.",....,'.'.~~"'z.~....';fF.",.;'-"'"'''..,...Ol-'''<<~ V "'" iIlirji rn'l"fl 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.pascogov.com) 'NOTICE OF:DEEDRESTRICTIONS: 'The undersigned understands.that this permit may.be'subject:to'~deed~rrestrictions"' which may be more restrictive than County'regulations. 'The ',undersigned .assumes responsibility.for:compliaJ'ilCe'with any ..applicable deed restrictions. UNLICENSED ':CONTRACTORS AND -CONTRACTOR RESPDNSIBILITIES: If.the owner has 'hired-~a~coritractor 'or - contractors 10 undertake work, they may be required .to be licensed in accordance with state and local-r~gulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited ior a 'misdemeanor violation under state law. If 'the owner or intended contractor are uncertain.as 10 what Iicensing'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, ff 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 which1hey will be responsible. If you, as'the owner'signas 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 (Chapter713, '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-Homeowners 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 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 MA Y'RESUL T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subsaibed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have prodUced as identification, Notary Public Notary Public Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed; printed or stamped