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HomeMy WebLinkAbout09-9179 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9179 ANNUAL ASSEMBLY PERMIT Permit Number: 9179 Address: 5347 8TH 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: 11- 26 -21- 0010 - 13400 -0010 Improv. Cost: 0 , r 7 ,:; g;. Date Issued: 6/01/2009 Name: ZEPHYRHILLS PUBLIC LIBRARY Total Fees: 50.00 Address: 5347 8TH ST Amount Paid: 0/9 /�/72 ZEPHYRHILLS, FL. 33542 Date Paid: 6/01/2009 Phone: (813)780 -0000 Work Desc: FPM- PLACES OF ASSEMBLY PERMIT- ZEPHYRHILLS PUBLIC LIBRARY ;77 $2 i 4 G _ ,. � ,S�„,. I'�I k E `. 3a `�`a � a��, E 9, €t OWNER FIRE PERMIT FEES 50.00 C ( (fr EE • f fie �$c�, uu ii� gg { \h�2.r eEsf. . ^;€SZr ��b'S, �$�t Re ..,. , � � :d'E.. � 8 P d� °z�iq ���b n� � 3" & �� , ' z . �:.n �. .., r , e .: E •fit.: -..,., �„ ..,h'_ 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 Aa =.1 , I M 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 I a j y o j it yeio. 5 I Owner's Phone Number I H I I I Owner's Address I , 4'7' g70 e Fee Simple Titleholder Name I I Titleholder Phone Number I 1 I Fee Simple Titleholder Address I Job Address I Lot # I Sub Division I Parcel # I 1 $ ,a rI Bio-Hazard Waste Storage - ANNUAL Hazardous Material (Tier II or RQ Facility) ANNUAL . El Comm Exhaust Kitchen Hood /Duct = Hood Installation AM' / C) N$ Controlled Bum n LP /Natural Gas - Installation ° 9 0 Emergency Generator < 30 kw LP /Natural Gas-AN UALSaI p th i Emergency Generator> 30 kw -ANNUAL r grit' �r�`� ` Fire Protection Maintenance - ANNUAL Recreational 7611 Other .., 9,'T 0 n Sparklers 1 Fire Alarm 0 ❑ ❑ ❑ I 1 [ Sprinkler System Installatio Hood Cleaning 0 ❑ ❑ ❑ 1 I 0 Standpipes (Sprinkler Sys) Hood Suppression 0 ❑ ❑ ❑ 1 J 7 Torch Roofing/Tar Kettle E Fire Alarm Installation I Waste Tire Storage ANNUAL 7 Fire Pumps Fire Works Flammable Application- ANNUAL ( Valuation of Project Fuel Tanks 0 Other: I Contractor Company Signature Registered Y/ N 1 Fee Current I Y/ N Address I I License # ELECTRICIAN Company Signature Registered Y / N . 1 Fee Current I Y / N I Address I I License # PLUMBER Company I Signature Registered Y / N I Fee Current I Y/ N I Address I 1 License # I MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y/ N 1 Address I I License # I OTHER Company I Signature Registered Y / N 1 Fee Current 1 Y/ N I Address License # Directions: -e rd co 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 may.be'subjecttto a° estricc any w may be more restrictive than County regulations. ulations. •Theundersigned.assumes responsibility .forrcompt' Y w UNLICEN deed r R AC CONTRACTOR RESPDNSIBIL1'TIES: If - the owner has -hired contractor or - UNLICENSED ' CONTR AND ors•to� undertake work, they may be required to be licensed in accordance with state and local regulations. If the contract law, both the owner .and contractor may be cited 'fora misdemeanorviotation contractor t t aw. licensed as required de Pasco County Building Inspection Division — Licensl the ction. - 8 4 - . under state law. If the owner or intended. contractor are uncertain .as to what licensing 'requirements may :apply 8 009 e Furthermore, ore, are if the 'owner er contact 80pg Furthermore, if the Downer has hired .a contractor or contractors, I r�P advised If you, as owner sign as the application-for which ri n si in as the portions ;r, the "contractor ay be Bb c of this -app rt licensed and is not entitied -permitting .p g contractor, that may be an indication that he is not properly If valuation of work is - $2;500.00 or more, I County. er7 -Florida Statut , mended). CONSTRUCTION _LIEN LAW (Chap the °Florida Construction Lien Law — Homeowner s provided - with -a copy Cons lfcant is 'someone Pro tify that 1, - the apparent, -the Florida ori Department of Agriculture and Consumer Affairs. tf the app Pro G prepared by that -1 have o other than the "owner', I certify that a copy of the above described document and promise in good faith to deliver it!to the `owner" prior to commencement. 1 certify that all the information in this application is accurate and that all C t all work will be done be don e R S - c o m plie r : all applicable laws regulating construction, zoning and land in e is hereby made to obtain a permit to do work and installation as indicated. I certify development. Application prior to issuance of a permlt and all work wilbe performe and d ld to meet t work rd or o f a alt l has gu ing con Peon, County -a City codes, _zoning regulations meet standard ul all law the jurisdiction. I also certify that 1 understand that the regulations of other g g ent a ply to intended work, and that it is my responsibility to identify what actions - government t agencies encies ors in pp may ap dance. permitting conditions set forth in must take to be in comp romise in good faith to inform the owner of the rmitting If i s the AGENT com et E OWNER, 1 p diction. A to commencing construction. -I understand nstallationsn of specifically included in the apptrfcal work, this b i"idavitprior t gas, .or other d in violate, cancel, alter, or plumbing, e- signs, wells, pools, air to be a l license 9 prevent the ority tog Official cancel, 1, thereafter o r the permit issued p i io construed c o is a l odes, nor proceed a of a permit pe es t h e Bull issued shall become invalid eaf tr perm permit is requiring asi any provisions of the technical construction or violations of any codes• ical codes, n tan Every p reg a correction of errors top permit is commenced within . six months. of permit issuance, or if work authorized by unless the work authorized o b such p g months after the time.the wort is days e n c will An extension rued or abandoned for a period of six ( ) the Abe requested, is suspended from the Building Officia for a period not to exceed ninety (90) may be ;requested, in writing, gD .consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for n ( 'NOTICE'OF 'COMMENCEMENT M�,Y "RESULT IN - YOUR WARNING IC OWNER: YOUR FAILURE YOUR PROPER-N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR "UR LENDER FOR IMPROVEMENTS WITH YOUR LE ND ER OR AN ATTORN -BEFORE RECORDING YOUR NOTICE OF COMM_ NCEMENT. FLORIDAJURAT (F.S. 117.03) R L swosworn (or affirmed) before me this Subscribed d AGENT or affim►ed).before me this by Subscribed and.swom to ( Who .dare — °fy mown to me or has/have produced by has/have reduced as identification. Who i s/ are personally known to me or haslha P as idenithcation. Notary Public Notary Public Commission No.______----------- o. Commission No. Name of Notary typed, primed or stamped Name of Notary typed; printed or stamped •