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Home My WebLink About08-8381 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8381 ANNUAL ASSEMBLY PERMIT sr Permit Number: 8381 Address: 5220 10TH ST Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-18100-0110 Improv. Cost: Date Issued: 10/01/2008 Name: CHURCH OF THE LIVING WORD Total Fees: 50.00 Address: 5220 10TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/01/2008 Phone: Work Desc: PLACES OF ASSEMBLY-CHURCH OF THE LIVING WORD 3 _ s :'..:.. .., 6 a� a .a „� <....��. 4 ;.•c.. '' is FIRE PERMIT FEES 50.00 C/ 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 1 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 Zephyrhills Fire j Permit Application Fax-813-780-0021 Date ReCai 10 d Phone Contact for Permit 8(� Owner's Name �] C�JJ7 Li (.zj 0 Owner's Phone Number tiiiii$8 c Owner's Address T 22.6 liTM 0 v iii Fee Simple Titleholder Name Titleholder Phone Number � J [111111111Fee Simple Titleholder Address jJ Job Address , . Sub Division Lot# Parcel# Bio-Hazard Waste Storage-ANNUAL :' 8; - Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw Emergency Generator>30 kw LP/Natural Gas-Installation Fire Protection Maintenance-ANNUAL LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL ❑ emi er Sprinkler o 0 ❑ Recreational Bum Fire Alarm ❑ o f Sparklers Hood Cleaning O O O❑ 11111 jJ Sprinkler System Installations Hood Suppression O ❑ O 1111 fJ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Fuel Tanks Valuation of Project Other: Signature Company Address Registered Y/ Fee Current Y/N ELECTRICIAN License# Signature Company AddressLI Registered �NFeeCurrent Y/N PLUMBER License# Signature Company Address RegisteredSYjN � Fee Current MECHANICAL License# Signature Company Address Registered Y/N Fee Current License# OTHER Signature Company Address Registered jY/N Fee Current Y/N .� ..,s. License# Directions: - ,,., �, Fill out application completely. �=�•=.r.�T��...,; ,�,��,,�,; 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) s NOTICE OF DEED RESTRICTIONS: The undersigned understands ersit at assumes permit r may be ubty for"de "re trice any n. which may be more restrictive than County regulations. The un 9 applicable deed restrictions. or be licensed in accordance with state and localregulatioonviolation UNLICENSED CONTRACTORS AND CONTRACTO RESPONSIBILITIES: If the owner has hired :a acontractor be required tobe 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 at co County Building Inspection Division—Licensing Section at ors)727-847- 8009.und er state law. If the owner or intended contractor are uncertain as to what licensing requirements may.ap intended work, they are advised to contact the a he is advised to have application for which they will be responsible. If you, as the owner 9 n Pasco sign 8009. Furthermore, if the owner has hired a contractor or contractors, n as the portions of the "contractor Block" of this thathe contractor, that may be an indication he is not properly licensed and is not entitled to permitting privileges County. Florida Statutes,-as amended): If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, applicant, have been provided with a copy of the Construction Lien La cant meowner's Protection Guide" prepared by the Florida Department 'Floridas someone certify that I, the of Agriculture and Consumer Affairs. If the app other than the"owner", I certify of the above described document and promise in good faith to 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 comAFFpliance I withc applicable laws regulating construction, zoning that all work will done in compliance t all nap issuance of a permit and that all work will be performed to development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify regulations, and land that no work or installation has commenced prior to and City codes, zoning 9 meet standards of all laws regulating construction, County reifythat I understand that the regulations of other development regulations in the jurisdiction. I also certify nt agencies may apply to the intended work, and that it is my responsibility to identify what actions I governme g must take to be in compliance• in good faith to inform the owner of the permitting conditions set fort In If I am the AGENT FOR THE OWNER, I promise application. A to commencing construction. I understand installations not specifically be cludedr in the cal work, this affidavit prior or other in plumbing, signs, wells, tr air be conditioning,c gas, issuance of a permit prevent the Building Official from thereafter invalid alter, or ' issued shall be construed to be a license to proceed all ss with the work and not as authority to violate,shall become permit permit issued set aside any provisions of the technical codes, nor s requiring a correction of errors in plans, construction or violations of any codes. Every p work authorized by such permit is commenced within six months er t e time the work is commenced.orif An extens by ion ions unless the work period of six(6) months (90) days and will demonstrate the permit is suspended or abandoned for a ceases for ninety(90)consecutive days, the job is considered abandoned. may be requested, in writing, from the Building Official for a period not to exceed ninetyY justifiable cause for the extension. If work MY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CMMENCEMENTOEND TO OBTAIN FINANCING NG CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY• IF YOU IC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by WhoWho is— fa p rsonally known to me or hasaS identification. WhoWho is-fare personally known to mac denU'ficationroduced Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped