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HomeMy WebLinkAbout09-9307 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9307 ANNUAL ASSEMBLY PERMIT Permit Number: 9307 Address: 39735 CHANCEY RD 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: 24- 26 -21- 0000 - 00100 -0050 Improv. Cost: : _:� ., . Date Issued: 7/01/2009 Name: AGAPE BAPTIST CHURCH Total Fees: 50.00 Address: PO BOX 1505 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33539 Date Paid: 7/01/2009 Phone: (813)788 -0283 Work Desc: PLACES OF ASSEMBLY- AGAPE BAPTIST CHURCH ti , d n ,sar,,q off•. 444 141'4 FIRE PERMIT FEES 50.00 [ g �•:.- , € €.:.. 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 3 A V A A r•- 4 ', OL- " , 4 vt, { g ' }t 1. � x I n, L5 City ofZephyrhillsF1i°e• - $ 1 Fax - 813 - 780 -0021 813-780-00 Permit Application � 1 Phone Contact for Permit Date Received w.... ^ .1 g ! 1 7 a' 2-5 ©O OP r 1 S r- Owner's Phone Number Owner's Name 6r � � � Owner's Address 3 3 -7 35- cAPr/ /ZOJ1) 1 l Titleholder Phone Number ` Fee Simple Titleholder Name • Fee Simple - Titleholder Address rIH P� „ �r��s �s_w *_ - ..�. e }f 0 e- C Lot f Job Address , 6 PP 4 5� 1 Paroei # 1 Sub Division 1 zt r• , w , 1 .0 � z Fumigation Tent Bio-Hazard Waste Storage - ANNUAL � ANNUAL Hazardous Material (Tier II or RQ Facility) 1 Comm Exhaust Kitchen HoodlDuct Li Hood Installation 1 1 - Controlled Burn ' tural Gas - installation LP /Na Emergency Generator < 30 kw I I c LP/N- -I Gas-ANNUAL Sale y 1 Fire Protection Maintenance - ANNUAL Emergeny Generator> 30 kw .7r rr "c 4 Places of Assembly - ANNUAL ��'r M )(amyl 'Ibemil � ME ❑ ❑ 12 C Recreational Bum 0 F Sprinkler C 1 ❑ ❑ ❑ Sparklers �� ,�"�, -i"'� �� " Hood Alarm A� M " ,..) ❑ ❑ ❑ ❑ C Sprinkler System Installations Hood Cleaning F —I Standpipes (Sprinkler Sys) ' '" c � ( )1 Hcod Suppression ID ID ID C j.,. Torch Roofing/Tar Kettle Fire Alarm Installation f I 1 Fire Pumps Waste Tire Storage ANNUAL 1 I Fire works Valuation of Project • 1 I Flammable Application- ANNUAL Fuel Tanks '1 1 Other s- Company Signature � a f` f „ /'L l Registered Y / N 1 Fee Current Y / N ignatu �'Ld L�,�' ll// • License # Address 1 ""' 1 ELECTRICIAN Company Registered Y / N 1 Fee Current 1 Y / N Sicnature License # Address I Company PLUMBER Registered Y/ N 1 Fee Current L Y / N Sicnature Address 1 License # 1 1 Company 1 MECHANICAL I Re istered Y / N I Fee Current L Y / N Sicnature Address 1 1 -License# 1 OTHER 1 Company Registered Y / N Fee Current 1 Y! N Signature Addres License # ., u s Directions: Fill out application completely. Owner & Contractor sign back of application, notarised (Or, copy cif 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) • 'NOTICE i;OFDEED RESTRICTIONS: The undersigned understands that this permit may be'subjectto - "deed "restrictions" which may be more restrictive than County regulations. The.undersigned.assumes responsibility .forrcompliar e`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 iocal - regulations. If the contractor is not licensed as required by taw, 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 intende&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 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, certify that I, - 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 1 have obtained a copy of the above described document and promise in good faith to deliver no 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. l 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 .'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 sworn to (or affirmed). before me this Subscribed and sworn to (or affirmed) before me this by by y Who is/are personally known to me or has/have produced Who is/are personally known to me identification. on. produced as identification. as iti Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed rinted or stamped Name of Notary typed, printed or stamped -