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Home My WebLink About09-9189 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813) 780 -0020 9189 ANNUAL ASSEMBLY PERMIT Permit Number: 9189 Address: 6043 HARRIET ST Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE - PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: PINE CREST M.H.P. Est. Value: Parcel Number: Improv. Cost: 1 z , ::;,,�� Date Issued: 6/03/2009 Name: PINECREST MHP- CLUBHOUSE Total Fees: 50.00 Address: 6043 HARRIET ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/03/2009 Phone: (813)782 -6112 Work Desc: PLACES OF ASSEMBLY- RECREATION HALL- PINECREST MHP OWNER FIRE PERMIT FEES 50.00 A ( (p_se i f 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 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 City ofZephyrhillsFirs• Fax-S-13-780-0021 s1 7so ouzo Permit Application Phone Contact for Permit DatRecelved. .W /� Owner's Phone Numb l e% ��o� 70 • ' ( '70s2Ji . Owners Name 1 y Owners Address P� J ._._....___.__.______ Titleholder Phone Number Fes- Simptefittet edellEme'- -_ ' -_ _ ,� er ftddfess ,_. Fee Sim Ie3fE[akreld - Lot ;u /' ' I ',;11 /L- a Job Address v' At. ) Parcel # I '. •,.._.rX Y ' u . . � ter. .� Sub Division _ ,... .,,..,..:. Fumigation Tent , Bio- Hazard Waste Storage - ANNUAL Hazardous Material (Tier II or RO Facility) ANNUAL Comm Exhaust Kitchen Hood/Duct Hood Installation - Controlled Burn FT LP /Natural Gas - Installation Emergency Generator < 30 kw 1 1 LP /Natural Gas - ANNUAL Safe Emergency Generator> 30 kw Places of Assembly- Fire P ANNUAL > Protection Maintenance - ANNUAL It-RI '�semlI (illy 1 Utner ri ❑ ❑ ❑ I u Recreational Bum Sprinkler Fire Alarm J ❑ ❑ ❑ 1 I I Sparklers n ❑ ❑ ❑ I I I Sprinkler System Installations Hood Cleaning J Ir Standpipes (Sprinkler Sys) Hood Suppression ❑ ❑ ID n Fire Alarm Installation I' I Torch Roofing/Tar Kettle • I I Waste Tire Storage ANNUAL Fire Pumps Fire Works Valuation of Project I I Flammable Application- ANNUAL . 11111111111111111111111111111 .1 I Fuel Tanks n Other: 1 Company . Contractor //�� Registered Y / N Fee Current Y / N J Signature i v . .4 /) �_ '•1/.� • Address] License # 1 ELECTRICIAN Company Registered L Y / N 1 Fee Current I Y / N Sicnature Address .1 ] License # 1 PLUMBER Company • Registered Y / N I Fee Current L Y / N Signature Address 1 1 License # MECHANICALI Company Signature 1 Registered 1 Y / N I Fee Current I Y / N Address '1 License# 1 OTHER Company Signature Registered Y / N 1 Fee Current 1 Y/ N Address . ense 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) • NDTICEi.OF :DEED RESTRICTIONS: 'The undersigned understands that this permit maybe'subjectto "deed °;restrictions" which may be more restrictive than County regulations. The..undersigned.assumes responsibility .for:compliance'with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND -`CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a -cunt or contractors -to• undertake work, they may be required . to be licensed in accordance with state and local regulations. If the contractor is • not licensed as required by law, both the owner and contractor may be cited - For a misdemeanor violation under state law. If the owner or intended contractor are uncertain .as to what licensing requirements may :apply for the intendediwork, they are advised to contact the Pasco County Building Inspection Division — Licensing Section:at 727 -847- 8009. Furthermore, if the owner has hired .a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this 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. or more, I CONSTRUCTION -LIEN LAW (Chapter713, Florida Statutes, a the :amended): I Construction of on Lien is Law— Homeowner's certify that 1, - the applicant, have .been provided with a copy o Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver itto the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to 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 be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other . government agencies may apply to the _intended work, and that it is my responsibility to identify what actions I 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 conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, atter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bu issued shall become ieaft thee requiring a correction of errors in plans, construction or violations of any codes. Every p r orized by unless the work authorized by such permit is commenced within onths afte time the�worlc is commenced. An the permit is suspended or abandoned for a period of six (6) may be ;requested, in writing, from the Building Official. for a period o not o ve days, ni n job i9 considered ad aba demo justifiable cause for the extension. If work ceases for ninety (90) WARNING TO OWNER: YOUR FAILURE TO RECORD ROPERTY. IF YOU INTEND TO OBTAIN FINANCING, I D CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) .before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me i d ent has/have fi ca ti on. produced as identification. as ientifiti Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped