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Home My WebLink About09-8957 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8957 ANNUAL ASSEMBLY PERMIT @;gy d` °.� r<M; °E 2 `. � s �.% �,,, 4+�. ,� -' " ice .;' < ".;. '° _,. Permit Number: 8957 Address: 39110 SOUTH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE - PLACES OF ASSEMBLY Township: 26 Range: 21 Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: 13 Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0000-00500-0000 Improv. Cost: lartialY e01, Date Issued: 3/24/2009 Name: ZEPHYRHILLS DEPOT MUSEUM Total Fees: Address: 39110 SOUTH AVE Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: PLACES OF ASSEMBLY- ZEPHYRHILLS DEPOT MUSEUM -FEE WAVIED PER FM nq FIRE PERMIT FEES 0.00 v FIRE SITE INSPECTION -Final OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant Toad determined by Florida Fire Prevention Code, N FPA101, 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 City ofZephyrhillsFire• Fax -813- 780 -0021 81; 7so -ouzo Permit Application - Phone Contact for Permit I 1 -1 D t a Received .� K � • Y E- 'Or 1 1.1.5 fin4 Owner's Phone Number Owner's Name �EP� `„ �� 1 ' 1 ' Owner's Address 3 110 01L71/ 4-v" zt%P# I !C_t S Titleholder Phone Number 111 Fee Simple Titleholder Names Fee Simp Titleholder Address — tom" �n� n ` s' tur N s,.' 4E'. M. .�. 3 S f Job Address I/ W K Sub Division Parcel Fumigation Tent it 1._,.,. n[d:..,a•.i.:,.�.o..;�� +iz.�bw. u.S�ri+�. 'v�3,`1::�i'rti''"'..m.,,�. «,: >.' ": .. h., :..: r., 1 Bio-Hazard Waste Storage ANNUAL Hazardous Materia (Tier II or RQ Facility) ANNUAL 1 Comm Exhaust Kitchen Hood /Duct - Controlled Bum L j � Hood installation 1 I � u LP /Natural Gas - Installation mergency Generator < 30 kw C LP /Natural Gas - ANNUAL Safe 1 I Emergency Generator> 30 kw T�'31 Places of Assembly - ANNUAL J I Fire Protection Maintenancee ^ ANNUAL EaEll l = C Sprinkler 0 0 Recreational Bum Fire Alarm 1 0 ❑ Sparklers HoCle � 9 0 C Sprinkler System installations Hood aning Hood Suppression C 0 9 Standpipes (Sprinkler Sys) .1 1 Fire Alarm Installation 1 I Torch Roofing/Tar Kettle 1 I Waste Tire Storage ANNUAL Fire Pumps 1 Fire Works Valuation of Project I Flammable Application- ANNUAL 11111111111111111111 l Fuel Tanks I Other: 1 _nmctt. Company Contractor `�btf �D Fjk. � f , Registered Y/ N � Fee Current � Y/ N Signature {(•, l� �-c I 1 License # Address Company ELECTRICIAN Registered Y/ N 1 Fee Current 1 Y / N Signature 1 1 1 � License # Address l Company PLUMBER I I Registered Y/ N I Fee Current Y/ N Signature I I License # Address 1 l Company MECHANICAL I Registered Y / N ( Fee Current Y / N Signature License # Address 1 Company OTHER Registered Y/ N I Fee Current Y! N Signature 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 ( p pP p g htt //a raiser. asco ov.com ) `NOTICEEOFDEED RESTRICTIONS: The undersigned understands that this permit maybe subjectto "de.ed "restrictions° which may be more restrictive than County regulations. The•.undersigned.assumes responsibility.forrcompliance with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND - CONTRACTOR RESPONSIBILITIES: if the owner has - hired - ra - contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local If the contractor is not licensed as required by law, both the owner .and contractor may be cited - for :a misdemeanor violation under state law. If the owner or intended contractor are uncertain .as to what licensing requirements may :apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section:at 7.27 - 847- 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 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 permitting privileges in Pasco County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,.as:amended): If valuation of work is $2;500.00 or more, I certify that I, the applicant, have .been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver itito the "owner" prior to commencement. CONTRACTOR'S /OWNER'S - AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land 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. If I am the AGENT 'FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. l understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension 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 OWNER: YOUR FAILURE TO RECORD A'NOTICE *OF 'COMMENCEMENT MAY RESULT IN YOUR PAYING WITH YOUR I LENDER I OR AN BEFORE RECORDING YOUR OF COMMENCEMENT. FINANCING, CONSULT COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this 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, punted or stamped Name of Notary typed, printed or stamped