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Home My WebLink About09-9190 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9190 ANNUAL ASSEMBLY PERMIT `` m — : , _ a 7T= s 4822 7 Address: 482 BLVD :. €€ Permit Number: 9190 GALL 1 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: 14- 26 -21- 0010 - 01700 -0090 Improv. Cost:, .; < €, k A .:.:7;17,761 0 Date Issued: 6/03/2009 Name: GONZALES- SMI DIANA & COLLINS Total Fees: 50.00 Address: 4822 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/03/2009 Phone: (813)788 -9011 Work Desc: ASSEMBLY PERMIT FOR AM VETS 44 € , ale rte d • : v f �,.,.,. FIRE PERMIT FEES 50.00 ‘ P � f3•3,3 .. ,, 3 09 0" h.� a yd'^ � �� rte* e : 9$ � � _ a �� '",;��_ .< - z <, FIRE SITE INSPEC TION -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 •_ =1 k 3 j 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 ofZephyrhilisFire. Fax -813 -780 -0021 813-780-00 Permit Application ,.._=t ,- Phone Contact for Permit I 1 _ .. .o0.. .. ...- 4..wt.— ... +....— .......... .... ... ...........,......� .. . ..:r...«., Date Received "` "' - -�� m�� ` ' Owner's Phone Number Owner's Name d u / " — Owner's Address I � • �Y Titleholder Phone Number Fee Simple Titleholder Name � • Fee Simple-Titleholder Address r °�"�� " —L - �;; ;.Y.. Y..,rw. _ �. ...: ' .. �. � ^r � v Lot # Job Address Parcel # Sub Division " z• a s t azard .c.,., r Fumigation Tent Bio- Hazard Waste Storage- ANNUAL I I Hazardous Material (Tier II or RQ ANNUAL FT Facility) Comm =jchaust Kitchen Hood/Duct = Hood Installation Controlled Bum 1 LP /Natural Gas - Installation Emergency Generator < 30 kw = LP /Natural " "Gas=ANDiUAI_ Sale 1 I Emergency Generator> 30 kw �. of Assembly - ANNUAL 1?0 1 Fire Protection Maintenance - ANNUAL L )utnyl lsemi) Utner ❑ ❑ ❑ ❑ Recreational Bum Sprinkler (�� ./..' 1 ❑ ❑ ❑ 1 1 1 - Sparklers i Fire Alarm I 1 I u �" • Sprinkler System Installatio Hood Cleaning ❑ ❑ ❑ 1____ I Standpipes (Sprinkler Sys) Hood Suppression ❑ ❑ D 1 • 1 Torch Roo ing /Tar Kettle TT Fire Alarm Installation 1 Waste Tire Storage ANNUAL Fire Pumps Fire Works Valuation of Project I Flammable Application- ANNUAL 1111111111111111111 1 1 Fuel Tanks Other: 1 1 Company Contractor 1 Registered Y / N I Fee Current J Y / N Signature �� k.� .X OA ,[�i �, � . License # • Address 1 Company ELECTRICIAN Registered Y / N Fee Current Y / N Signature 1 Address 1 1 License # Company SL ature . Registered Y / N 1 Fee Current Y / N Signature I Address 1 I License # MECHANICAL l Company Y / N Registered Y / N Fee Current Signature Address! I - License # • OTHEP. 1 Company Registered Y / N 1 Fee Current Y / N Signature I Address License Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over 32500, a Notice of Commencement is required.(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Parcel # - obtained from Property lax Notice (httpJlappraiser.pascogov.com) Allow 10 -14 days for review after submittal date. 'NOTICE;OF :DEED RESTRICTIONS: The undersigned understands that this permit maybe' subject to "deed "Trestrictions" which may be more restrictive than County regulations. The%undersigned.assumes responsibility .forrcompiiat e'with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND `CONTRACTOR RESPONSIBILITIES: If . the owner has -hired contractor or - - contractors to undertake work, they may be required - to be licensed in accordance with state and Iocal If the contractor is • not licensed as required by law, both the owner .and contractor may be cited - Fora misdemeanor violation under state law. If - the owner or intended contractor are uncertain .as to what licensing - requirements may :apply for the intendedwork, 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 as the contractor, that may be an indication that he is not properly licensed and is not entitled permitting .privileges in Pasco County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,.as:amended): If valuation of work is $2;500.00 or more, I certify that 1, - the applicant, have been provided with a copy of 'the "Florida Construction Lien Law — Homeowner's 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 it'to 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 o that no work or installation has commenced prior to issuance of a permit and.thattall r wil be erf d l t o meet standards of all laws regulating construction, County and City codes, zoning 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-FOR-ME 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, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid rized by unless the work authorized by such permit is commenced within si after months th time permit is work as co ut extension the permit is suspended or abandoned for a period of six (6) may be :requested, in writing, from the Building Official for a period not to consecutive days, ni n job i90 cons days n aba d onstrate justifiable cause for the extension. If work ceases for ninety (90) N 'YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD E TM IF YOU INTEND TO OBTAIN n FINANC NG C PAYING TWICE FOR IMPROVEMENTS TO YOUR P R WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or riff before me this Subscribed and sworn to (or ail'i��ied).before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me identification. a .oduced as identification. as Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped