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Home My WebLink About09-8973 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8973 ANNUAL ASSEMBLY PERMIT 14 :41 e Q t,... _ 7 Vii,.. x - 7 4 , Permit Number: 8973 Address: 5506 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: 11- 26 -21- 0010 - 05700 -0256 Improv. Cost: .777 :7; . , €7� Date Issued: 3/31/2009 Name: PHIL MOOK ENT.INC Total Fees: 50.00 Address: 1108 W BRANDON BLVD Amount Paid: 50.00 BRANDON FL 33511 Date Paid: 3/31/2009 Phone: Work Desc: PLACES OF ASSEMBLY - KENTUCKY FRIED CHICKEN .... OWNER FIRE PERMIT FEES 50.00 to R-o 7 g�,a.k w. x ert ,.. e3>9 ice- •.....n #;:,'°- FIRE SITE INSPECTION -Final OCCU PANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant Toad 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 Ci ty ofZ 1'1 p y e h rhillsFire' V / Fax -813- 780 -0021 Permit Application Date Received 1 I Phone Contact for Permit ar�yar!.., :Mtix=x a <, W s asp^.• !w :, Owne f4 / //1054 Zif f' l Owner's Phone Number c5 19 � / 3 / 44-9/_ Owner's Name J / Owner's Address / /or v " J7/ /l41, v? /vi e'a/110A F/G+. 3'.15 1 ! Titleholder Phone Number _ , Fee Simple Titleholder Name J Fee Simple 'Titleholder Address ..... SS06 Nr Gal/ 7/k2 j Lot# Job Address l Sub Division 1 Parcel a a.i,:U...:auJ.- •t:.......�r. "�w� "wVmd�»kdih >aL4r.'� '. -•' "" - •• 1 I Bio-Hazard Waste Storage - ANNUAL I Fumigation Tent 1 1 Comm Exhaust Kitchen Hood/Duct 1 Hazardous Material (Tier II or RQ Facility) ANNUAL I ( - Controlled Burn I 1 Hood installation Emergency Generator < 30 kw 1 I LP /Natural Gas - Installation I Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL ` Places of Assembly- ANNUAL JUtriy)' Semi) ram Ivtner 1 Sprinkler ID ID ID Recreational Bum Fire Alarm 1 1 ❑ ❑ ❑ 1 1 1 1 Sparklers Hood Cleaning n ❑ ❑ ❑ 1 1 1 1 Sprinkler System Installations Hood Suppression 1 1 ❑ ❑ ❑ 1 ( 1 1 Standpipes (Sprinkler Sys) TT Fire Alarm Installation • 1' Torch Roofing/Tar Kettle 1 1 Fire Pumps 1 Waste Tire Storage ANNUAL I I Fire Works 1 1 I Flammable Application- ANNUAL 1 1 Valuation of Project ,n Fuel Tanks Other: a Contractor �,/ Company Signature i G Registered Y / N Fee Current Y / N Address 1 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 # 1 MECHANICAL Company Signature Registered Y / N Fee Current I Y / N Address 1 License # OTHER. Company Signature Registered Y / N Fee Current - Y / N Address License # r!�a�� Directiens: 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.(Mechanicat 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) NOTICErOFDEED RESTRICTIONS: The undersigned u nhe u de als permit spo sibility for:complian e w any which may be more restrictive than County regulation .applicable deed restrictions. UNLICENSED CONTRACTORhe may b red .0 b RESPONSIBILITIES: ensed aco dance with state and local egula ens c If contractors so not l I the he o as requnt tided both uncertain .as t a what l�icens licensing - r quiiiremen smay :apply i a the under d w l or k, t If t owner or into intended work, they are advised to contacreh Coun contracto orcontractors, d he is Division--Licensing to I have the contractor(s) actors) 727-847- sign 8009. Furthermore, if the owner has h 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 in Pasco County. CONSTRUCTION .LIEN LAW (Chapter 713, S h a copy f r t he " Florida C on Lien $ Law O Homeowner's certify that 1, the applicant, have been pro vided w Protection Guide" prepared by Florida Department of Ag the described document and prompsea faith to other than the "owner ", I certify that I have obtained a copy of deliver it the "owner" prior to commencement. on is accurate and CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify tha l the information ng this application zoning and land that all work will be done in compliance with all applicable development. Application is herem made to nced pr to issuance of a permit and al will b e performed to that no work or installation has co meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land development regulations in the juris e {ended work, and that I is my understand responsibility toeide regulations identify t what actions government agencies may apply I I to th y must take to be in compliance. If I am the AGENT'FORTHE OWNER, I p romise in 'good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I gas, oe her instaltationsrnot specificalay mclud Bred the a ati n� plumbing, signs, wells, pools, air conditioning, ga r, or permit issued shall be construed be ued to be a license to shall issuance with a permitprevent the i Official from thereaft set aside any provisions of the technical codes, n or requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid y unless the work authorized by such permit is commenced within si after ontheof permit issuance c ommenced An commenced the permit is suspended or abandoned for a period of six (6) mont may be requested, in writing, from the Building Official for ap0eri not eve exceed days, ni n job inety da s a nd w demon justifiable cause for the extension. If work ceases for ninety (9 0) o WARNING TO OWNER: YOUR FAILURE TO 'OF INTEND 'COMMENCEMENT F AY RE U TCNSULR PAYING T FOR IMPROVEMENTS TO YOUR PROPERTY. 1 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA 'JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Subscribed and swum to (or affirmed) before me this by by Who i ersonally 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 Nn. Name of Notary typed, printed or stamped Name of Notary typed, Printed or stamped