HomeMy WebLinkAbout09-8768 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8768
ANNUAL ASSEMBLY PERMIT
INNi
Permit Number: 8768 Address: 6606 GALL BLVD
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05600-0020
Improv. Cost:
Date Issued: 1/28/2009 Name: SONNY'S BAR-B-QUE
Total Fees: 50.00 Address: 6606 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2009 Phone:
Work Desc: PLACES OF ASSEMBLY SONNY'S BBQ
OWNER FIRE PERMIT FEES 50.00
FIRE SITE INSPECTION-Fin
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
I IC 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
813780-0020 City of.Zephyrhills'Fire bq� a Fax-813-780-0021
Permit Application
Date Received ` �� Phone Contact for Permit
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Owner's Name (J L ' U /� Owner's Phone Number
Owner's Address f e t� /I Y f////f fi.
Fee Simple Titleholder Name Titleholder Phone Number ��
Fee Simple Titleholder Address
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lob Address ... .M.._. l!U 1 / /i Lot# ��
Sub Division
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Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum Hood Installation
Emergency Generator<30 kw LP/Natural Gas-Installation
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
emi Other
Sprinkler 0 ❑ 0 Recreational Bum
Fire Alarm 0 ❑ ❑ Sparklers
Hood Cleaning ❑ ❑ 0 I Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ I Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Other:
Contractor , Company
Signature l • . Registered f Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered f Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address j License#
Directions:
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(httpJ/appraiser.pascogov.com)
maybe'NOTICE:OFeDEED RESTRICTIONS: 'The undersigned
The undersigned as umes responsibility for compiian eswitho any
which may be more restrictive than County regulations.
.applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired-:a-contractor or
contractors to undertake waskrehu d by law, bothe the he owner and contractorto be licensed in may be nce with
state and cited for a local
misdemeanor l regulations.
contractor is not licensed hsed q to
under state law. If the owner or on contact the Pasced oo County BuildingsInspectionl Div sl on L censingts may Sect Section.at ly for the
a work, they are advised
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. Florida Statutes,.as:amended): If valuation of work is $2;500.00 or more, I
CONSTRUCTION LIEN. LAW (a be r of the' "Florida Construction Lien Law—Homeowner's
certify that 1, the applicant, have ve been p provided with a copyllcant is someone
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the app
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
laws regul
ating i construction,
n in thisapplicon is zoo acing and land at
e and
that all work will be done in compliance with all app'
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.
f I AGENT Fcomme OWNER, promise in derrstandood faith
that inform
a separate permit may benrequired for conditions
electrical work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit e work a issued a shall beio construed to be a license to proceed with codes, nor shall ssuancehof a permit p event th not as e Building ority to (olate, cancel,Official from thereafter
er, or
requiringset aside any provisions of the technical requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
in six months of nce unless the work authorized by such permit is commenced wmhonths after the time.thetworkas commenced An extension
, or if work authorized by
the permit is suspended or abandoned for a period of six (6)
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
IC OWNER: YOUR FAILURE TO RECORD A ENTS TO YOUR PROPERTY. IF YOU NOTICE INTO END TO OBTAIN F NANC NG CONSULMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117X3)
CONTRACTOR
OWNER OR AGENT Subscribed OTAand sworn to(or affirmed)before me this
Subscribed and sworn to(or affirmed)before me thisby
by Who is/are personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
as identification.
Notary Public
Notary Public
Commission No.
commission No.
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped