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 •