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Home My WebLink About09-9117 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9117 ANNUAL ASSEMBLY PERMIT 77 7 7.7 R a 'b �. A F t �� = ,� RE t� €. Permit Number: 9117 Address: 4645 AIRPORT RD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE - PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13- 26 -21- 0080 - 00000 -0020 Improv. Cost: �� m �. .. Date Issued: 5/12/2009 Name: ZEPHYR PALMS EVENT CTR Total Fees: 50.00 Address: 4645 AIRPORT RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/12/2009 Phone: Work Desc: PLACES OF ASSEMBLY- ZEPHYR PALMS EVENT CENTRE "T P 1: v a a'3...k> P,a ^. OWNER FIRE PERMIT FEES 50.00 (0),Q-C 1(0_ (0 - 0i• dzirtrititptcr7r:V,,•4;,44,4;::Al" 437.4777 '476 WA) 1‘;:,4 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, N FPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813 - 780 -0041 •_. /A • rd 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 City of Zephyrhills Fire Fax- 813-780 -0021 Permit Application Date Received Phone Contact for Permit Owner's Name 12e0i/ API' friS U LE' NhQ .GLe - I owners Phone Number I gJ 11779' (I 72r6 Owner's Address I Y 4/S /5/20R7 /CDm0 -7ed Gtr/ ('.-s 3 Z- I Fee Simple Titleholder Name I I Titleholder Phone Number I 1 I Fee Simple Titleholder Address I I Job Address 1 I Lot # I I Sub Division I I Parcel 1 I .2‘-2)- 0" '61 a) I Bio-Hazard Waste Storage - ANNUAL El Hazardous Material (Tier II or RQ Facility) ANNUAL Comm Exhaust Kitchen Hood/Duct I Hood Installation Controlled Bum n LP /Natural Gas - Installation El Emergency Generator < 30 kw El LP /Natural Gas - ANNUAL Sale ED Emergency Generator> 30 kw Places of Assembly-ANNUAL El Fire Protection Maintenance - ANNUAL 1= Recreational Bum ® ELM 0/1 MEM Sprinkler E ❑ ❑ ❑ = Sparklers Fire Alarm CI ❑ ❑ ❑ I 1 [ Sprinkler System Installations Hood Cleaning = ❑ ❑ ❑ l I J Standpipes (Sprinkler Sys) Hood Suppression E ❑ ❑ ❑ l I E] Torch Roofing/Tar Kettle El Fire Alarm Installation = Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL I I Valuation of Project Fuel Tanks 0 Other: I/7 l Contractor �� ■■ Company Signature Registered Y/ N j Fee Current I Y / N Address I I License # ELECTRICIAN Company I • Signature Registered Y/ N 1 Fee Current I Y/ N I Address I I License # I I PLUMBER Company I Signature Registered Y/ N 1 Fee Current I Y/ N Address I I License # I I MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y/ N 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) • «. 'RESTRICTIONS: The undersigned understands that this permit maybe•subjectito"deed" e e " wh ich may more ' t ICE�;DTr :DEED restrictive than County regulations. -fhe..undersigned.assumes responsibility.for:compli any h _applicable deed restrictions. C-i'DR ' RESP NSIBIL''TTIES: If the owner has hired a - contractor or on a t (+ rs I=D 'CONTRACTORS AND "CONTRA TOR work, they may .be required be licensed in accordance with state and local regulations. If the contractors required :by taw, both;the owner .and contractor may be cited - fora misdemeanor violation u t l aw. licensed as reQ state law. If the owner or intended. contractor u uncertain uil d igS lnsp e�o n 1 Division--Licensing c 5ecf on.at the under sta _ 8 009. edtw hereto e, if the ow e o contact the :Pasco is advised if you, as the own rac o O the poD g. Furthermore, if the Downer has hired .2 co � � which will resPs advised to have the nvife�es in Pasgo portions , r, the "contractor may bean Block" ion that hell ri licensed and is not -entitled-to •permdtt g p g contractor, that may be an indication that he is not .grope Y if valuation of work is'$2;5OD.DO or I County. ; rTl3, .Fiorida�Statu � CONSTRUCTION -LIEN LAW (Chapte the 'Florida ° Construction Lien Law — Homeowner's certify that 1, - the appiicarrt, have .been. provided •with ..a . copy applicant is - someone the Florida Department of Agricultufe and'_ Consumer =Affairs. tf t app other the o prepared by - the have,obtained a copy of the .above described document and promise in - good faith to other than the owner', I certify deliver itktothe "owner" prior to commencement. that all the information in 'this application' is accurate and CONTRACTOR'S/OWNE ork w w will 11 be done compliance a doone ne i D =am all applicable laws regulating construction, zoning and land that t all ll work development. Application is hereby made obtain a permit to do work and installation as indicated. I certify and City codes, -zoning ions permit and that all work will be performed to regulations, o development r , and land ced m et t a n d rd or fa i has gu ngco prior struction, County a a meet stment re egul ul all la ations in t�fe has the jurisdiction. I also certify `that I understand that the regulations of other apply tothe'.Intended work, and that it is my responsibility to identify what actions I _ government agencies may pP Y conditions set forth in must take to be in 'compliance.. good faith to inform the owner of the permitting if 1 ai d AGENT commencing DWNER, 1 promise in;g lication. A for to commencing construction. •I understa ed nstaitations of speciftcalaiy bn luded�n the alpep cal work, this affidavit prior as, :or o d violate, cancel, ti A plumbing, e i issued d s wells, pools, air to be aio license 9 other the work and not as authority slit prevent the Building Official from thereafter or permit a provi sions of tthhe technical codes, nor shall ssuance of a p . permit issued shall become invalid aftr set aside any grout requiring a correction of errors in Plans, construction or violations of.any codes. Every issuance, or if work authorized by unless the work authorized by such permit is commenced within. six months . of p nded or abandoned for a period of six (6) months after the time.the work is commenced. will demonstrate nsion the permit is suspe from the B uilding Official for a period not to exceed ninety (90) days and may be requested, in writing, � gD :.consecutive days, the job is considered abandoned justifiable cause for the extension. If work ceases for ninety ( .) CE'DF'COMMPNCHMENT MAY'RESULT IN 'YOUR WARNING TD FOR IM PROVEMENTS YOUR FAILURE TO OUR PROPERTY. IF YOU INTEND OBTAIN' FINANCING, CDRiSULT - WITH YOUR FOR M WITH R DR AN ATT'ORNE1'•g1 =FORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDPOURAT (F.S.117.03) GD RA 5t and swum to (or affirmed) before me this OWNER I R AGENT__------- r j�ed).before me this by Subscribed and •swum to (o mown to me or haslhave produced �, Who �sfare — pe�r�h' as identification. rothu d Who i —m are personally known to me ap identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, i or stamped • Name of Nota typed: printed or stamped