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Home My WebLink About09-9124 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9124 ANNUAL ASSEMBLY PERMIT re7757 . 77 :2 7m , e z7 rani, Permit Number: 9124 Address: 5039 1ST ST 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: 10- 26 - *21- 0010 -12800 -009 Improv. Cost: Date Issued: 5/13/2009 Name: MIRA ENTERPRISES Total Fees: 50.00 Address: 5553 BRADDOCK DR Amount Paid: 50.00 ZEPHYRHILLS, FL 33541 Date Paid: 5/13/2009 Phone: Work Desc: PLACES OF ASSEMBLY- MAINE -LY NEW ENGLAND > f => 0&e' a .0 d� 6' P �^' 3 -�m3• Ad yF OWNER FIRE PERMIT FEES 50.00 26/-01 * gg r SITE 0 K ; ,�^ Piz ..° - .,fir "k .,�� z �, a ��' 9 a�11g - .,. s' �' a°d ;; FIRE 6 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 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 813ae0 -0020 City ofZephyrhillsFire• Far -813 -780 -0021 Permit Application Date Received Phone Contact fvr Permit 1 ., :s._., .WIE.... a 3..:.»: .,..-- ,„.....,.— ,......;.,,r... , fi e - __,.., ..:........... .:.:: Owner's Name l oiNA -\ P'� t I l end Owner's Phone Num je J -7KZ -- ) -- r7() Owner's Address 6 C3 q / Y { f 7 ✓l YC V` t) 1 S 73 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple - Titleholder Address j m1S .... q2. ,..... N. it u ?i Lot# Job Address Sub Division Parcel I Bio-Hazard Waste Storage - ANNUAL I I Fumigation Tent Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n - Controlled Burn 1 I Hood installation Emergency Generator < 30 kw n LP /Natural Gas - Installation Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL r Places of Assembly- ANNUAL l tltrly1 Jsemil J 5 1 ' utner Sprinkler n ❑ ❑ ❑ I I Recreational Bum Fire Alarm ❑ 0 ❑ I I Sparklers Hood Cleaning n ❑ ❑ ❑ 1 1 I 1 Sprinkler System Installations Hood Suppression El ❑ ❑ in , I I I Standpipes (Sprinkler Sys) :n Fire Alarm Installation I 1 Torch Roofing/Tar Kettle Fire Pumps 1 1 Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL ( Vaivat on of Project Fuel Tanks El Other Contractor Company . Signature \�� (AA—....._ , Registered Y / N 1 Fee Current I Y / N I • Address I License # ELECTRICIAN Company Signature - • Registered Y / N Fee Current I Y / N Address 1 License # PLUMBER Company Signature Registered Y / N Fee Current Y / N J Address I I License # I I MECHANICAL Company Signature Registered Y / N Fee Current j Y / N Address I License # OTHER • Company Signature Registered Y / N _ Fee Current Y / N j 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.(Meehanical 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) • • • rsi that this permit responsibility ctto omeliar re s tr iith any RESTRICTIONS: The undersigned understands that this permit may.be�subjectlto "deed "restrictions" which may be re ulations. The�.und g which may be more restrictive than County 9 .applicable deed restrictions. aired to be licensed in accordance with state and local-regulations. .olathe UNLICENSED 'CONTRACTORS AND .'CONTRACTOR RESPONSIBILITIES: If the owner has - hired - a - con rac or or - U may be required contractors to ' o w they Y :apply for the un to is not licensed thowner as req intended by contractor are uncerta n .as to what licensing -requirements Section:ppl for th - 00 under state law. If the advised or intend Building Inspection Division--Licensing 8 F url a they are the 'owner er has hired td . a co County will be responsible. If to h, v s the contractor(s) n s the Furthermore, if the owner has hired .a contract which-they he is advised to have the coro nasco p Furth application -for ner portions of the "contractor ay be indication io of this ape properly licensed and is not entitled permitting .privileges contractor, that may be an indication that he is not prop Y If valuation of work is •$2;500.00 or more, I County. ; Chapter, Florida Statutes,•as:amended): CONSTRUCTION -LIEN LAW ( 713 of the "Florida Construction Lien Law — Homeowner's certify that 1, - the applicant, have .been. provided with a copy the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other th an G prepared that 1 have obtained a copy of the above described document and promise in good faith to other than the e i "oo wneerr"", , I c cee by rtify deliver it'.to the "own prior to commenceme I certify that all the information in this application is accurate and CONTR work will be done in AFFIDAVIT: applicable laws regulating construction, zoning and land that all work will li done in compliance with all app Application is hereby made to obtain issuance of a permit and that installation work certify to development. re ulations, and land meet t a n d rd or installation l has commenced County and City codes, zoning 9 meet st ment r e ul all law the jurisdiction. I also certify that I understand that the regulations of other regulations in the j responsibility to identify what actions I development geg apply to the intended work, and that it is my .government agencies may pP Y conditions set forth in 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 ric work, A ' r to commencing construction. -1 understand n5��fat earn of specifically be nclud application. l t dyed the rical w this affidavit prior as, or other d in violate, cancel, tier, A plumbing, ins, wells, pools, air to be conditioning, 9 proceed with the work and .not as authority permit prevent the Building Official from thereafter or permit a s issued a p i io be construed c o i s a license to p permit issued shall be invalid set aside any provisions of the technical codes, nor shall issuance of a s eeder. Every requiring a correction of errors in plans, construction or violations of any snail issuance, e if work become in s by unless the work authorized by such permit is commenced within, six months of p suspended or abandoned for a period of six (6) months after the time.the work is pays e nd will An extension may r is euspe from the Building Ofcial. for a period not to exceed ninety (90) may be requested, in writing, (90) consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety ( ) OT�CE'OF 'COMMENCEMENT MAY�'RESULT IN YOUR P . WARNING IG I OWNER: YOUR FAILURE TO YOUR R RD A N TICS OF COMMENNA PAYING TWICE FOR IMPROVEMENTS TD YOUR PROPERTY• IF YOUR NO ND TO OBTAIN FINANCING, CONSULT 1Ali'i'FI YOUR LENDER o OR AN ATTORNEY BEFORE RECORDING FLORIDA:JURA ( CONTRACTOR_____-------- OWNER OR AGEN Subscribed and swum to (or affirmed) before me this (or a lIrmed).before me this by Subscribed and _sworn to ( Who is-ere personally known tD m8 or has/have produced b as identification. Who i' s/are personally known me ar identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, Printed or stamped Name of Notary typed; printed or stamped