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Home My WebLink About09-8967 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8967 ANNUAL ASSEMBLY PERMIT c,` 141MilitTIE Permit Number: 8967 Address: 7313 GALL BLVD 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: 34- 25 -21- 0000 - 00300 -0050 Improv. Cost: Date Issued: 3/30/2009 Name: TACO BELL Total Fees: 50.00 Address: 7313 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/30/2009 Phone: (859)624 -3866 Work Desc: _ FPM- PLACES OF ASSEMBLY- TACO BELL in AL OWNER FIRE PERMIT FEES 50.00 (°53a-6 4, I v 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� > r .�i - 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 .*.g9 1 813-780-0020 City ofZephyrhillsFire. Fax -813 -780 -0021 Permit Application Date Received O c".1.1 Phone Contact for Permit Owner's Name J 4 C, /3 e.z-i__ l Owner's / �L� �v L e 'h " »? Phone Number i Z Owner's Address 1 3� 3 �(/L �� - /'z/°" PI- 3 35 / Fee Simple Titleholder Name 1 J Titleholder Phone Number , Fee Simple Titleholder Address F � : ,. :_. , � .�. z -..' � _ � +-�. ✓,M ":; ma xY„rx. ,,,, , ,,, : :y z: ... ...i. .. xsu ?., . .�.., ,... a '.:..,,: „'.aw�<ayrc '; �:.� , . wr.r`�M - Jo.:, 7 2 t 47 E67.6- Lot # Job Address Sub Division J f 7313 q 3 d j Parcel # I Bio-Hazard Waste Storage - ANNUAL I 1 Fumigation Tent I I Comm Exhaust Kitchen H o o d / D u c t I I Hazardous Material (Tier I I or RQ Facility) ANNUAL I I - Controlied Burn I I Hood installation 7 Emergency Generator < 30 kw I-1 LP /Natural Gas - Installation Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale I I Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL ItttriyI I berm I vall Utner Sprinkler 7 ❑ ❑ ❑ 1 I Recreational Burn Fire Alarm 17 ❑ ❑ ❑ I I I 1 Sparklers Hood Cleaning n 0 ❑ ❑ I 1 I 1 Sprinkler System Installations Hood Suppression E ❑ ❑ ❑ 1 I I 1 Standpipes (Sprinkler Sys) I_ I Fire Alarm installation I I Torch Roofing/Tar Kettle I 1 Fire Pumps I I Waste Tire Storage ANNUAL Fire Works I Flammable Application- ANNUAL 1 Valuation of Project Fuel Tanks I I Other .. .- _ ,mi, k. .,‘ u Contractor Company . • Signature / Registered Y / N Fee Current Y / N Address I License # • ELECTRICIAN Company Signature Registered Y / N Fee Current I Y / N Address License # PLUMBER Company Signature Registered _ Y / N Fee Current Y / N Address License* I MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address I •License# OTHER Company Signature Registered _ Y / N Fee Current I Y / N Address__ License* I 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: / /appraiser.pascogov.com) • • 'NOTICE' OF DEED RESTRICTIONS: 'The undersigned u fhe u de a responsibility for compliance wth any which may be more restrictive than County regulations. applicable deed restrictions. UNLICENSED CONTRA b aNequ red �t b licensed dance with state and localeregulions -contractor Ifthe contractors to undertake work, Y may contractor is not licensed as required dad contactorhare uncertain as to contractor what I�icensing u i may :apply for i violation state , they If the owner or c 8009. Furthermore, they are advised has hireddea contractor or contractors, he is advised to i have the cunt actor(s) 727-847- sign port. Furthermore, if the he owner has h wner si in as t he portions of the "contractor Block" of this application for 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 County. CONSTRUCTION -LIEN LAW (Chapter713, Florida provided w a { copy of he "Florida Construction Lien Law— Homeowner's certify Protection 1, the n Guide" prepared have been is someone Proteiorepared by Florida Department of A of the isand Consumer described Affairs. and promIf the faith th to other than the "owner ", I certify that I have obtained a copy deliver itto the "owner" prior to commencement. on is accurate and CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify tha l the information regulating is applicat ion Ilcati zoning and land that all work will be done in compliance with all applicable that o work or Application is h s commenced pri or to issuance of a permit i mit and that al will b e performed to meet t a n d rd in l sae c construction, County and City codes, .zoning regulations, and land meet standards of all laws regulating 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. ons If I am the AGENT FOR OWNER, I promise in derstand a permit may be rm the owner of the permreq 9 red for conditi electr c I work, this affidavit prior to commas air construction. plumbing, signs, wells, pools, air condiditi oning to roceed with the and not as o iolate specifically authority included ecanc o r permit issued a shall construed o a p or set t aside any provisions ns of the he technic al codes, nor shall issuance of a permit prevent the t issue Official hall become invalid unless the a correcti authorized of error in violations of six any permit issuance, or if work authorized by unless the work suspended or abandoned such p months after the time. the work is commenced. An extension the permit is suspended r bandoned for a period of six (6) days and will demonstrate may be requested, in writing, from the Building Official, for ago r consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety ( ) NIN IN 'YOUR G TO OWNER: YOUR FAILURE TO RECORD A 'NOTICYOU IC 'COMMENCEMENT OBTAIN F NANCINGTC R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA'JURAT (F.& 117.03) OWNER OR AGENT CONTRACTOR cribed and swum to (or affirmed) before me this Subs Subscribed and sworn to (or affirmed) before me this by by Who is/are by known to me or has/have produced Who i s/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, printed or stamped Name of Notary typed, Printed or stamped