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Home My WebLink About09-9191 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9191 ANNUAL ASSEMBLY PERMIT :::::::17:1:=7:771%f 44. t" ‘ ( 6° k . 77 .27:;- ; . Permit Number: 9191 Address: 38333 COTTONWOOD PL. 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: DRIFTWOOD Est. Value: Parcel Number: Improv. Cost: Date Issued: 6/03/2009 Name: DRIFTWOOD CONDO ASSOC- CLUBHOUSI Total Fees: 50.00 Address: 38333 COTTONWOOD PL. Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/03/2009 Phone: Work Desc: ASSEMBLY PERMIT FOR DRIFTWOOD OF ZEPHYRHILLS CONDO ASSOC OWNER FIRE PERMIT FEES 50.00 ( 0-J ci; kL 0 \ ?s" ti ,tz• r Y"4e+S.. -4 z . .\ ' 4 F a r• 56 i` - "V"' 4 �5. "�t'o h P `t :, Tl� 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, N FPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813 - 780 -0041 S 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 of ZephyrhillsFire• Fax -813- 780 -0021 813-780-002 permit Application 1 Phone Contact for Permit Date Received �. �aa� A , e Ai //��A7 ��/i�11� 'Owner's Phone Number l Owners Name i L �/ Owner's Address 1 I 1 Titleholder Phone Number 1 j Fee Simple Titleholder Name Fee Simple Titleholder Address ¢s = - -t"� "' "' "" Mp 4004 i Jab Address W I_" "� — l INIIINIIIIIIIIIIIIIIIIIIIIIIII Parcel # l - - - Sub Division &L:�, i::ua• Fumigation Tent Sio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier II or RC) Facility) ANNUAL 1 - Controlled Bum I C Hood Installation gig/ I 1 ! LP /Natural Gas - Installation Emergency Generator < 30 kw LP /N - s- ANNUAL_c�Q_�� Emergency Generator> 30 kw WI Places of Assembly -ANNUA Fire Protection Maintenance - ANNUAL of A iutny, lSemlI 0 / 1 � Recreational Bum C Sprinkler Li 9 0 0 C 1 Sparklers H re C e I I Sprinkler System installations Hood Cleaning 0 0 0 j 1 D p Standpipes (Sprinkler Sys) Hood Suppression 1----1 Fire 1 Torch Roofing/Tar Kettle 1 I e Alarm Installation Waste Tire Storage ANNUAL Fire Pumps I I Fire Works Valuation of Project 1 1 Flammable Application- ANNUAL ,1 I Fuel Tanks n Other: 1 11 Company Contractor / Registered L Y / N I Fee Current I Y / N Signature ✓ j,C / -%1 - ' �� 1 I License # Address l . Company ELECTRICIAN Registered Y/ N 1 Fee Current I Y / N • Signature j Address 1 I License # Company PLUMBED, Registered Y / N I Fee Current Y / N Signature I Address 1 I License # MECHANICAL Company • Registered Y / N Fee Current I Y / N I Signature Address I I -License# OTHER I Company JI • Registered Y / N Fee Current Y / N Signature I Address .. L icense 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 / /app raiser. asco ov.com p 9 ) 'NOTICE :OF:DEED RESTRICTIONS: The undersigned understands that this permit may be'subject to "deed "=rests lotions" which may be more restrictive than County regulations. Tha.undersigned.assumes responsibility .farrcompliaiace'with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND "CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a- contractor or - contractors - to undertake work, they may be required to be licensed in accordance with state and local If the contractor is not licensed as required by law, both the owner .and contractor may be cited - fora misdemeanor violation under state taw. If - the owner or intended contractor are uncertain .as to what licensing requirements may :apply for the intended work, 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 - they will be responsible. If you, as - the owner • sign 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 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 AGENTFORTHE 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 unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time.the work is commenced. An extension may be requested, in writing, from the Building Official, for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. - WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE 0F 'OF-COMMENCEMENT MAY'RESULT IN YOUR - PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 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 swum 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 or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed nnted or stamped Name of Notary typed, printed or stamped