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Home My WebLink About08-8598 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 ANNUAL ASSEMBLY PERMIT 8598 Permit Number: 8598y ' Address: 37839 SR 54 WEST Permit Type: FIRE PLACE OF ASSEMBLY Class of Work: FIRE-PLACES OF ASSEMBLY Townshi ZEPHYRHILLS, FL. Proposed Use: NOT APPLICABLE p' Range: Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 10-26-21-0100-12600-0030 Date Issued: 12/03/2008 Name: GOSS, JAMES '✓ Total Fees: 50.00 Amount Paid: 50.00 Address: 37839 54 WEST Date Paid: 12/03/2008 Phone: ZEPHYRHILLS, FL. 33542 Work Desc: PLACES OF ASSEMBY- LAKE CLUBHOUSE 4' FIRE PERMIT FEES 50.00 FIRE SITE INSPECTION-Final OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be con dangerous and unlawful. Occupant load determined by Florida Fir considered Prevention Code, NFPA101, Section 7.3.1.2 e FIRE MARSHAL OFFICE: 813-780-0041 PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE IC R THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 AREA 813-780-0020 City of Zephyrhills Fire Permit Application Fax-813-780-0021 Date Received Phone Contact for Permit Ownwner's Owner' Number s Phone Oer's Address ' ' Fee Simple Titleholder Name Fee Simple Titleholder Address Titleholder Phone Number � �� ob Address -- Sub Division Lot# Parcel# Bio-Hazard Waste Storage-ANNUAL Comm Exhaust Kitchen Hood/Duct Fumigation Tent Controlled Bum Hazardous Material(Tier II or RQ Facility)ANNUAL Emergency Generator<30 kw Hood Installation Emergency Generator>30 kw LP/Natural Gas-Installation Fire Protection Maintenance-ANNUAL /Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL ❑ r Y emi ®n er Sprinkler Fire Alarm ❑ El Recreational Burn O O �_ El Sparklers Hood Cleaning ❑ O O O C� Hood Su ppression ❑ El Sprinkler System Installations O O O ('� L El Standpipes(Sprinkler Sys) Fire Alarm Installation Fire Pumps Torch Roofing/Tar Kettle ElFire Works Waste Tire Storage ANNUAL El Flammable Application-ANNUAL ElFuel Tanks Valuation of Project Q Other: .su=t ,w OntraCtor C a. Signature 11111 Company Address Registered Y/N Fee Current Y/N ELECTRICIAN License# Signature Company Address Registered Y/N Fee Current Y/N PLUMBER License# Signature Company Address Registered Y/N Fee Current Y/N MECHANICAL License# Signature Company Address Registered Y/N Fee Current Y/N DTHER License# gnature Company Address Registered Y/N Fee Current Y/N .' )erectio ' � � License# ns: 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 htt //a( p: ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" g which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. licensed in accordance with state and local regulation violation CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired :a contractor or UNLICENSED be required to be II be cited for a misdemeanor s. If the contractors to undertake work, they may law, both the owner and contractor may apply for the contractor is not licensed as required by County Building Inspection Division—Licensing Section contractor(s)727 c47- under st ate law. If the owner or intended contractor are uncertain as to what licensing requirements t may:a intended work, they are advised to contact the Pasco he is advised to have or Block" of this application for which they will be responsible. If you, as the owner sign as the gn 8009. Furthermore, if the owner has hired a contractor or contractors, and is not entitled tIf permitting privileges in Pasco portions of the "may betan indication that he is not properly licensed contractor, that may If valuation of work is $2,500.00 or more, I County. provided with a copy of the "Florida Construction Lien La cantos eownene CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes, as amen e Law_ Homeowner's that I, the applicant, have been and Consumer Affairs. If the Prote ction Guide" prepared by the Florida Department of Aofithetabove described document and promise in good faith to other than the"owner", I certify that I have obtained a copy application is accurate and deliver it to the"owner" prior to commencement. that all the information in this app and land CONTRACrk will be done S AFFIDAVIT: I certify applicable laws regulating construction, zoning that all work will done in compliance with all app icabl work and installation as indicated. I certify development. Application is hereby made to obtain a permit ork and that all work will beis performed to and City codes, zoning regulations, and land that no work rord installation has commencedconstruction, Countysuance f and a permit meet standards of all laws regulating development regulations in the jurisdiction. I also certify apply that I understand that the regulations of other government agencies may to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. OR THE OWNER, I promise in good faith to inform the owner of the permitting required for conditions electr electrical set forth in I work, If I am the AGENT F construction. I understand that a separate permit may this affidavit prior to commencing gas, or other installations not specifically included in the application. or plumbing permit is ed shall be wells, tr air to be aio cing, Official anc thereafter for construed be a license to proceed withe of a permit prevent the h Building violate, cancel, a invalid issued permit issued shall become set aside any provisions of the technical codes, nor shall violations codes. Every requiring a correction of errors in plans, construction or of any authorized by such permit is commenced within six months of permmonths after the time the work is issuance, An extens by ion ion unless the work pe of six (6) 90 day s and will demonstrate the permit is suspended or abandoned for a period Official fora period not to exceed ninety ( ) Y may be requested, in writing, from the Building gp consecutive days, the job is considered abandoned. Justifiable cause for the extension. If work ceases for ninety( )OTICE OF'COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A N PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY• IF YOUR NOTICE OBYOU INTEND TO TAIN FINANCING, CONSULT WITH YOUR T ENDERoOR AN ATTORNEY BEFORE RECORL)I FLORIDA JU ( CONTRACTOR OWNER OR AGENT Subscribed and sbwom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this y by Who is—personally known to me or hasasade produced Who is-- a p ovally known to mesidentification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed.printed or stamped Name of Notary typed,printed or stamped