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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 .,,....�k;-fir ,., ..«u._...,...�.u..k........v:-.....+4. <._._ ,...... ,« --....s.xrn:«.w :rs •_ �'L,. .,..�..-..u. -•.....,..,.,k,.. c.,... 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