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HomeMy WebLinkAbout09-9115 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9115 ANNUAL ASSEMBLY PERMIT Permit Number: 9115 Address: 5118 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: 11-26-21-0010-07000-0011 Improv. Cost: Date Issued: 5/08/2009 Name: FUNG GARDENS Total Fees: 50.00 Address: 5118 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/08/2009 Phone: (813)788 -4586 Work Desc: PLACES OF ASSEMBLY FUNG GARDENS . ' ° i s ..,. 6 .... 3 >4 . n FIRE PERMIT FEES 50.00 O CLC v7 •� Mgr :45,04 < d 3 a v s 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 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 p h of Ze rhills Fire Fax - 813 -780 -0021 y Permit Application C24. Phone Contact for Permit Date Received �.. d� • Owners Phone Number �� ��(� 1 Owners Name �,,/� f //�� ry/ _ Owner's Address 1 ,..5 s7 64 / 1 fi L Y " " • 7 �iiJ i� 1 / r �� I Titleholder Phone Number ( 1 1 I Fee Simple Titleholder Name I Fee Simple Titleholder Address -. .. r_ _, � - �. . Lot # Job Address ( I Sub Division 1 Parcel # CI Bio-Hazard Waste Storage - ANNUAL Hazardous Material (Tier II or RQ Facility) ANNUAL Comm Exhaust Kitchen Hood /Duct ED Hood Installation ED Controlled Bum a LP /Natural Gas - Installation Emergency Generator < 30 kw LP /Natural Gas - ANNUAL Sale El Emergency Generator > 30 kw ED Places of Assembly- ANNUAL Fire Protection Maintenance - ANNUAL I-1 Recreational Bum r y 'Semi' Eall 'Other I ❑ Sprinkler 0 ❑ ❑ ❑ Sparklers Fire Alarm ❑ ❑ ❑ I I I Sprinkler System Installations Hood Cleaning 0 ❑ ❑ ❑ I 1 El Standpipes (Sprinkler Sys) Hood Suppression 0 ❑ ❑ ❑ I I E Torch Roofing/Tar Kettle Fire Alarm Installation 0 Waste Tire Storage ANNUAL Fire Pumps Fire Works I Flammable Application- ANNUAL Valuation of Project Fuel Tanks I 0 Other ..� .:4d.�S.x VIZ. »-,,.�.✓r'Td ..:��S.w. 3��- �. rC w'- �t, ��+ ?" F5& 1�rR•. ceN? �, .?Y_iXfW><.�+3t= RP,�.k'?..�3�SY ,, ' �. mcfx.. eb'.L.:' 3 '� - �R€ _. e s�. PiH - F•*'*Sw� -" / Company Registered I Contractor I /J I Signature X r d Y/ N I Fee Current I Y/ N I Address I I License* I ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N Address 1 I License # ( I PLUMBER Company Signature Registered l Y/ N � Fee Current I Y/ N I Address I I License # I I MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # ( I OTHER Company I Signature Registered Y/ N 1 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: / /appraiser.pascogov.com) ;ND T iCEPFDEED RESTRICTIONS: The undersigned understands that this permit may.be•subjectito"deed° restrictions" - which may be more restrictive than County regulations. The..undersigned.assumes responsibility.for complianne +with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If . the owner has -hired-a- contractor or - - contractors to•undertake work, they maybe required-to be licensed in accordance wtth state and local regulations. If the contractor is• not licensed as required by law, bothi;the owner .and contractor may be cited for misdemeanor violation under state law. If 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 777 -847- 8009. Zurthernore, if the *owner has hired .2 contractor or contractors, he is advised to have the contractor(s) sign portions . ;:if the "contractor Block" of application for which 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-to .permitting .privileges in Pasco County. r7K3, Florida StaturEes,asm . aended): If valuation of work is or more, I certify that t 1 , C .LIEN LAW ( b provided -with .a copy of the "Florida Construction Lien Law— Homeowner's 1 - the he applicant, have .been .be en p e nt is - someone Protection Guide" prepared by Florida Department of Agriculture above �� cubed do ument and promPsean goo iatth to other than the "owner", I certify that' have obtained a copy Of deliver it!to the `owner" prior to commencement. te and CONTRACTOR'S/OWNER'S-AFFIDAVIT: I certify that all the ei info r on in c onstruction, ' is s c A l and t all work will be done in compliance with all . app development. Application is hereby made 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 lions, and land o meet standards of all laws regulating construction, County and City t hat the regulations of other development regulations in the jurisdiction. I also certify - govemment agencies may apply to Intended work, and that it is my responsibility to identify what actions I must take to be in compliance. - tf 1 am the AGENT'FORTHE DWN promise ctroi ds f i understand that a pe may h required for�elG�l� cal this i"idavit prior to commencing c as, .or other installations not specifically included in the application. A plumbbing, signs, welts, pools, , air conditioning, g the work and not as authority permit issued -shall i construed to c des, nor shall ssuance of a permit Prevent the B ding (Official cancel, rom thereafter aside any provisioio ns of the technical permit issued shall become invalid requiring a correction of errors in plans, construction or violations of.any codes. Every unless the work authorized by such permit r a�enod of six (6 within. or>t'hs after the time�the�workas commenced. An extension may pb r is sus or abandons P may be ;red, in writing, from the Building Ofirictal, for a consecutive days, the job (90) days and tiered aba d neddemonstrate justifiable cause for the extension. If work ceases for ninety ( 90 ) ■ WARNING TO OWNER: YOUR FAILURE O YOUR PRDPERTI'• IF YOU -COMMENCEMENT OBTAIN' FINANCtNG, PAYINGTWICE FOR IMPROVEMENTS WITH YOUR. LENDER OR AN ATTDRNEY-BEFDRE RECORDING YOUR NOTICE` OF COMMENCEMENT. FLDR1DAiJURAT (F.S.117.03) OWNER DR AGENT fii CON and swum to (or affirmed) before me this and .sworn to (or amied).before me fttis swom by by Who istare personally (mown to me Who rsJarepersorralb' Iutown 10 me or has/have produced identification. has/have on. produced as identification. as ienttfiii Notary Public Notary Public Commission No. . Commission No. - Name of Notary typed: printed or stamped Name of Notary typed, printed or stamped •