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Home My WebLink About09-8874 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8874 ANNUAL ASSEMBLY PERMIT y Permit Number: 8874 Address: 6851 WIRE RD 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: 02-26-21-0010-01200-0000 Improv. Cost: Date Issued: 3/04/2009 Name: ELKS LODGE Total Fees: Address: 6851 WIRE RD Amount Paid: Gc�4�j ZEPHYRHILLS, FL. 33542 Date Paid: `�`'' Phone: (813)782-4604 Work Desc: PLACE OF ASSEMBLY FOR ELKS LODGE OWNER ; FIRE PERMIT FEES 0.00 CVO 2�0 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 813-780-0020 City of.ZephyrhillsFire. Fax-813-780-0021 Permit Application Date Received q Phone Contact for Permit Zs' _��p Owner's Name Ca� t Owner's Phone Number Owners Address Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address s's "fxxi •'..� „m�''. a.`'q�,,.c� 'v' ds �'"�. °&'t* :'M'::r � ,.?` .t,:r...R�„'.3�' c ;.. ,...,. .•.>,n Job Address. ..t.. � v.k�•� & Lot# Sub Division LS Parcel# x,._.._..:.,,..,.,,.,.,,y wy".x �.,..,,,. ,. NAB.::: M s.l3:ut•ir..CAwh,Y'"u,^`S8,3NL!£:3RD.Yd..'y`:¢»�.a�rkNwH '�"'%...'�3 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RD Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUALS n Fire Protection Maintenance-ANNUAL Places of Assembly-ANN AL (� ®y emi ®n other r'... Sprinkler ❑ ❑ ❑ I Recreational Bum Fire Alarm E ❑ O ❑ I Sparklers Hood Cleaning O ❑ ❑ I Sprinkler System Installations Hood Suppression O ❑ ❑ 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 I --r- Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N I Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N I Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address 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(http:/lappraiser.pascogov.com) at suRESTRICTIONS: The undersigned understands tried this issumes ay.be biibty.forrcompl ar e with any 'which mr,OF'DEEDRESTRI regulations. The•.undersig which may be more restrictive than County 9 - reOsN bons.ACTORSAND`CONTRACTOR RESRONSIBIL(TIES: If the owner has hired acontractor or applicable deed UNLICENSED C required tobe licensed in accordance with state and local-regulations. If the contractors*to undertake work, they ma y be reboth the owner.and contractor may be cited'for :a misdemeanor s violation ohe contractor is not licensed as required by law, County Building Inspection Division—Licensing Section:at 727-847-may under state law . If the owner or intended contractor are uncertain.as-to what licensing.requirements contrail or(s) sign 8009.edF urth , they are advised to contact the Pasco he is advised to have 8009. Furthermore, if the owner fhasthis hi red .a tion forfwhich-th contractors, in Pasco will be responsible. If you, as the owner sign as the ock"portions of the contrbetan indication that he is not properly licensed and-is not entitled to permitting privileges. contractor, that may If valuation of work is°$2500.00 or more, I County. Chapter713, Florida Statutes,.as:amended): _ CONSTRUCTION-LIEN LAW ( provided with a copy of'the "Florida Construction Lien Lal cant is someone cert Protection y that I, the applicant, have . loen Guide" prepared by-the Florida Department of Agriculture thetabove described document and promise in good faith to G that I have obtained a copy other than the "owner", I certify application is accurate and deliver it'.to the"owner" prior to commencement. _ that all the information in this zoning and land CONTRACTOR'Sbe done 'S-AFFID with all pplicable laws regulating that all work will be done in complianceade to obtain a permit to do work and installation as indicated. I certify development. Application is hereby th County and City codes, .zoning regulations, and land work or installation has commenced prior toRssuancof a permit and'that all work will be of other et no constructio , meet standards oful all laws regulating that I understand that the regulations development regulations in the jurisdiction. I also certify agencies may apply to the intended work, and that it is my responsibility to identify what actions forthsn government ermitting conditions se must take to be in compliance.. 'good faith to inform the owner of the p promise in-g permit may be r required for electrical work, If I am the AGENT F commencing OWNER, I Irical n. A this affidavit prior to construction. �I understand that a separate pdo diolate, cancel, alter, or plumbing, signs, wells,e pools, air conditioning, gas, or other installations not specifically included in the app nor shall issuance of a permit prevent the Building Official from thereafter uthoty perm it issued shall io construed c is a license to proceed with the work and note ahBu issued shall become ieafter set aside any provisions of the technical codes, ermit issuance, or if work authorized by id requiring a correction of errors in plans, srcommenced violations within.six months of p Eve ry permit unless the work authorized by such permit od of six(6) months after the time.the work is commenced. An extension the permit is suspended or g, fromabando the Building ed for a lOff sal for a period not to exceed ninety (90) days and will demonstrate may be,requested, in writing, (90)consecutive days,the job is considered abandoned. justable 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 COMMENCEMENT. 'WAR VEMENTS TO YOUR PROPERTY- IF YOU YOUR INTEND O OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR.LENDERoOR AN ATTORNEY BEFORE RECORDING FLORIDA'JURAT(F.S CONTRACTOR Subscribed and sworn to(or affirmed)before me this OWNER OR AGENT or affirrned).before me this by Subscribed and sworn to( tion. by Who i—'personally known to me or has/have produce Who is-'-' a—re personally known to mas identificatio as identifica nroduced Notary Public No Public Commission No. Commission No. Name of Notary typed,Printed or stamped Name of Notary typed,printed or stamped