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Home My WebLink About09-9080 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9080 ANNUAL ASSEMBLY PERMIT r "`7,` z ,' f„ I P i ',vow Permit Number: 9080 Address: 39248 B AVE 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: 13- 26- 21 -00B00 -0011 Improv. Cost: ti I r Date Issued: 4/29/2009 Name: ZEPHYRHILLS CITY GOLF COURSE Total Fees: 50.00 Address: 39248 B AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/29/2009 Phone: Work Desc: PLACES OF ASSEMBLY- ZEPHYRHILL CITY GOLF COURSE 'q � ctd.. �." i 'Sh e `- -:?a r ,.:�.a ". v '� � .,: OWNER FIRE PERMIT FEES 50.00 C 612 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, NFPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813 - 780 -0041 • 31 I 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 Fax -813 -780 -0021 /� Permit Application ®j/�i Date Received ! o Phone Contact for Permit A K . 3 e pe s Phone Number Ce2t°� I (3 116 11 I Owner's Name Owner's Owner's Address I tt 1/ ' ° ff ° 39 2 V U /6 / Fee Simple Titleholder Name I - I Titleholder Phone Number I I I Fee Simple Titleholder Address I /^ i f r2 � ,� p i t r 1 ti ` , 1 1 5 r 1 3 3 S Y/ Lot # I Job Address 7 7 L� r Sub Division Parcel# Bio-Hazard Waste Storage - ANNUAL a Hazardous Material (Tier II or RQ Facility) ANNUAL Comm Exhaust Kitchen Hood/Duct ED Hood Installation El Controlled Bum = LP /Natural Gas - Installation • Emergency Generator < 30 kw ED LP /Natural Gas - ANNUAL Sale Q Emergency Generator> 30 k Places of Assembly- ANNUAL 0 Fire Protection Maintenance - ANNUAL Recreational Bum r y f I OS ' r Sprinkler E ❑ ❑ ❑ E Sparklers Fire Alarm El ❑ ❑ ❑ I I Sprinkler System Installations Hood Cleaning El ❑ ❑ ❑ I 1 [] Standpipes (Sprinkler Sys) Hood Suppression E ❑ ❑ ❑ I I J Torch Roofing/Tar Kettle El Fire Alarm Installation = Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL 1 Valuation of Project Fuel Tanks Q Other: I Contractor � Company Signature , el/ ) Registered Y/ N J Fee Current I Y/ N I r �� Address I � /� I License # ELECTRICIAN Company I Signature Registered Y / N J Fee Current I Y/ N Address I I License* I I PLUMBER Company I Signature Registered Y / N I Fee Current I Y / N I Address I I License# I I MECHANICAL Company Signature Registered Y / N I Fee Current I Y / N I Address I I License # I I OTHER Company Signature Registered Y/ N I Fee Current I Y / N I 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) •NOTICE OF: DEED RESTRICTIONS: The undersigned understands that this permit may_ be -subject:to'"dedd°Trsstrictions which may be more restrictive than County regulations. Theeundersigned. assumes responsibility. for:compliance any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND ' CONTRACTOR RESPONSIBILITIES: If the owner has - hired - za - contractor or - contractors'to undertake work, they may be required to be licensed in accordance with state and local-regulations. If the contractor is not licensed as required by law, both the owner .and contractor may be cited - fora 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 727 -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 - for which - they will be responsible. If you, as 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 1, - 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 it to 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 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 govemment 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 FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I 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 YOUR L R OR AN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FINANCING, CONSULT COM ENCEMENT. WITH YOUR LE FLORIDA JLJRAT (F.S. 117.03) r a I %'� CONTRACTOR OWNER OR AGENT I r i a ) be fore me this Subscribed and swom tD (or affirmed) before me this • Subscribed and swom fn offirmed} before by by Who is/are personally known to me or has/have produced Who is/are personalty known to me i derhas cat on. produced as identification. as inificafi Notary Public Notary Public Commission No. Commission No. Name of Notary typed: printed or stamped Name of Notary typed, printed or stamped