HomeMy WebLinkAbout09-8810 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8810
ANNUAL ASSEMBLY PERMIT
Permit Number: 8810
Address: 7643 GALL BLVD
Permit Type: FIRE PLACE OF ASSEMBLY
L.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: BZEPHYRHILLS, :
Proposed Use: COMMERCIAL : Book:
Lot(s):Feet: ot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0110-00000-0040
Improv. Cost:
Date Issued: 2/10/2009 Name: CHILI'S BAR & GRILL
Total Fees: 50.00 Address: 7643 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/10/2009 Phone:
Work Desc: PLACES OF ASSEMBLY-CHILI'S
OWNER FIRE PERMIT FEES 50.00
FIRE SITE INSPECTION-Final
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
812-780-0020 City of.ZephyrhillsFire Fax-8 3-780-ooze
Permit Application
Date Received Phone Contact for Permit
Owner's Name --£ s Owner's Phone Number
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address 7(,'-!3 lJ/ Lot#
Sub Division Parcel#
.-._ ..._.....::� ..w„,R;w,.<„_...,.;:.3..,,.�w.::� .,s�.,.......w.�€ . , ;.'�i.�;:::,..,. ^�: ...v. .e;,.,zc.•z.,�.v._»-,.�.........r...�_»f_'k.... ..,..,...».,a:.., .>,.�.�..
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
r y emi ®n Other
Sprinkler ❑ ❑ ❑ B Recreational Bum
Fire Alarm E ❑ ❑ ❑ J Sparklers
Hood Cleaning ❑ ❑ ❑ 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
uel Tanks //
they:
.... �- „ r.�a�:..;.,:..... w� ra� �
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address I License#
ELECTRICIAN Company
Signature Registered 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
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License
Directions: _-. .�._._ . . �_.._,,,.W...r..,..
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)
may ns
E RESTRICTIONS: The undersigned understands that this
assumes permit sponsibilby for:compl ancetwitho any
whichNOTI mayE OF be
which be more restrictive than County regulations. The.underslg
applicable deed restrictions.
to be licensed in accordance with state and local Ulatilviolathe
UNLICENSED CONTRACTORS AND°CONTRACTOR RESPONSIBILITIES: If the owner has -hired--,a-contractor or
be required
contractors to undertake work, they may law, both the owner.and contractor may be cited for a misdemeanormay Iy for the
contractor is not licensed as required by
ion
Pasco County Building Inspection Division—Licensing Section-at 7-27-847-
und
er state law. If the- owner or intended contractor c are uncertain as. to what licensing-requirements contractor(s) sign
intended work, they are advised r contact the co
application for which they will be responsible. If you, as the owner sign as the
8009. Furthermore, if the owner has hired .a contractor or contractors, he is advised to have in Pasco
portions of the "contractor Block" of this he properly licensed and is not entitled to permitting privileges.
contractor, that may be an indication that is not prop Y
County. If valuation of work is $2;500.00 or more, I
provided with a copy of the "Florida Construction Lien Lallcant�s someone
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,-as:amende Law_
Homeowner's
that I, the applicant, have .been and Consumer
Protection Guide" prepared by the Florida Department of Agriculture
ithetabove described documlent and promrs. If the ise in good faith to
other than the "owner", I certify that I have obtained a copy
deliver it'to the"owner" prior to commencement.
that all the information in this application is accurate and
CONTRACTOR'SIOWNER'S-AFFIDAVIT: I certify h all Ilcable laws regulating construction, zoning and land
that all work will be done in compliance made to ltobtain a permit to do work and installation as indicated. I certify
development. Application is herebypermit and that all work will be performed to
County and City codes, .zoning regulations, and land
that l no work or installation has commenced prior to issuance of a
meet standards of all laws regulating construction,
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
government agencies may apply I to the intended work, and that it is my responsibility to identify what actions I
permitting conditions set forth in
must take to be in compliance.
A
If I am the AGENT FOR THE OWNR, se I ln unde�stand faith
that inform
separate permit may be required for electrical work,
this affidavit prior to commencing construction. gas, or other installations not specifically included in the application.
plumbing, signs, wells, str air tobe cn Of violate, anc 1,
d shall be construed be a license o proceed ance of a pemitt p event the Bui ding Offici cancel, alter,invalid
permit issue permit issued shall from thereafter
set aside any provisions of the technical codes, nor soe olau codes. Every p
requiring a correction of errors in plans, construction or violations of any
authorized by such permit is commenced within six months of after the time.the issuance,commenced An extens by
ion
ion
unless the work months 90 days and will n exte si
the permit is suspended or abandoned for a period of six (6) not to exceed ninety ( )
rate
may be requested, in writing, from the Building Official. for a period
justabl e cause for the extension. If work ceases for ninety (90)consecutive days, the job is considered abandoned.
OF IN WARNING TO OWNER: YOUR FAILURE TO RECORD A'NOTICE
IF YOU INTEND COMMENCEMENT FAY RE U TCN YOUR
T
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA'JURAT(F.S.117.03) CONTRACTOR
OWNER OR AGENT Subscribed and swum to(or affirmed)before me this
Subscribed and sworn to(or affirmed)before me this by
by Who i Who personally known to me or hasas ids tification.
Who is— /are personally known to mas d ntificati nroeorhahavduced
Notary Public
Notary Public
commission No.
commission No.
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped