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Home My WebLink About10-10326 CITY OF. ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10326 ANNUAL ASSEMBLY PERMIT 12",15 tivu ri 47:717:„. Permit Number: '103i 38634 HWY 54 EAST 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: Improv. Cost: Date Issued: 4/06/2010 Name: FAITH BAPTIST CHURCH Total Fees: 50.00 Address: 38634 HWY 54 EAST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/06/2010 Phone: Work Desc: ANNUAL PLACES OF ASSEMBLY FOR FAITH BAPTIST CHURCH - �' ;` °ta $. F 6 eq, 2je 1 I __ - 16 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 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 813 - 780 -0020 City of Zephyrhills Fire Fax- 813 -780 -0021 Permit Application Date Received Phone Contact for Permit Owner's Name I /¢/y'/`/ 8 /9 A7%,-1• / Cl u,FCi /A e I Owner's Phone Number f t i.3 I 17‘ 2- Ile cPcrO Owner's Address 13 el 3 V W, 54z L: 4S7 , 2 EP 1/56e60( IL-LS t /'L 33S1-2-- Fee Simple Titleholder Name I Titleholder Phone Number I I I Fee Simple Titleholder Address I 1 � 4 ( /� cT Job Address 86 �W l �19� / 2 C^ P 11 y � t / / � L � Y'`L., 3J9/ 2-1 Lot # Sub Division I Parcel # 1 Eta - x.a tawm Ei Bio -Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL E Comm Exhaust Kitchen Hood /Duct El Hood Installation E Controlled Bum Q LP /Natural Gas - Installation El Emergency Generator < 30 kw = LP /Natural Gas - ANNUAL Sale E Emergency Generator> 30 kw ® Places of Assembly- ANNUAL,.-' Fire Protection Maintenance - ANNUAL Recreational Bum / 1,7 r y ml GTtll L'ii tLL M �� I. Sprinkler E ❑ ❑ ❑ 0 Sparklers ti Fire Alarm 0 ❑ ❑ ❑ I 1 = Sprinkler System Installations Hood Cleaning ❑ ❑ ❑ ❑ I 1 0 Standpipes (Sprinkler Sys) Hood Suppression ❑ ❑ ❑ ❑ l 1 ED Torch Roofing/Tar Kettle E Fire Alarrn Installation = Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL 1 I Valuation of Project Fuel Tanks 0 Other: I I � .2' `+i3 b. 3'.s" k8, ..:'.� iw, 5�P2`, of..:3.A .Gti Sd.�': `. Yfaf`sN .;.4465 .,.« - #' N, ..q=.h a.9k /k..' .,.4 ... ._„ 44 :GY. ,... .Gas`f.'a'. ?llte}", ;4t'i e i.H,L4P - %a.., h °£n_e. +?. `.+Tffi +. 45&.s`:a'.aa wrviMk S4„ x o..Acz_k. Contractor 1/ / /1 Company I Signature � / —. ,- - '' ` -4----- Registered Y / N I Fee Current 1 Y / N Address I I License # ELECTRICIAN Company Signature Registered Y/ N 1 Fee Current I Y/ N Address I I License # I I PLUMBER Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I I MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I 1 License # I I OTHER Company I Signature Registered Y/ N 1 Fee Current I Y / N Address License # fi ^. a i, u, <'""4.. . > -vt<, �,.as,.:.,..ro .:w _ m,...>.' n< .. „ a ....w„ sm e ...,.� a _ ..- . ,ru4n° 44— ..zS „ 4."Y•d ,R' �, w -« w.., <. .,» .. '_.N t1,4443 s 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) s permit NOTICEPF:DEED-RESTRICTIDNS: The undersigned Th at a responsibility for compi a ■with any which may be more restrictive than County regulations. .applicable deed restrictions. GTOR RESPONSIBILES: If 'the owner has hired a -contractor or UNLICENSED act t 'CONTRACTORS AND ' CONTRA - - I'i7 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 co, ��O hate owner certain .as - to what licens licensing misdemeanor may :apply violation under state law. If the owner or intends 8 009. a H ore, are if the • ow owner has hired a contractor Building he is advised to i have - the contractor(s) sign p .o th "c o n , if the owner has .application-for which will be responsible. If you, as owner as the portions ,o the "contractor be Block" ion this :ape ri licensed and is not entitled-to permitting .privileges in Pasco contractor, that may be an indication that he is not - .props Y County. ; that Chapter7l3 -Florida Statutes,.as:amended): If valuation of work is $2;500.00 or more, I CONS' N LAW ( ,with copy of 'the 'Florida Construction Lien Law — Homeowner's certify that 1, - the applicant, have .been p rovided •wi -a and Consumer Affairs. If the applicant is 'someone Protectiian Guide" prepared by'the Florida Department of Agriculture he above described document and promise in good faith to other than the 'owner", I certify that ,l have obtained a copy deliver itlto 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 that work installation is s commenced prior to issua of a permit and - that all work will be performed to meet t a n d rd falt a has gula construction, County and City codes, zoning regulations, and land meet standards of all laws regulating development regulations in the jurisdiction. I also certify that I understand that the regulations of other _ govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance.. conditions set forth in If I am the AGENT'FOR THE OWNER, I promise in 'good faith to inform the owner of the permitting this affidavit prior to commencing construction. -I understand that a n5 not specifically e req included in the application. electrical work, plumbing, signs, wells, pools, air conditioning, gas, to violate, cancel, alter, or the work and set aside issued p i io be construed ch io a a license , to shalt' ssuance of a permit prevent the Building Official fr become invalid d requiring a correction aside any rectio of errors the technical , permit issued rq rectn of rrors in plans, construction or violations of any codes. Every p unless the work authorized by such permit is commenced5witho�5 after months time rmit issuance, commenced. authorized extension by un period of six (6) (90) days e n c will demo may be is suspended ed, in or abandoned for p may be �i in writing, from the Building Official. f°r a9D n �nsecuti a days, the job is considered abandoned. • justifiable cause for the extension. If work ceases for ninety ( 'M[�' OF � COMMI:NCEMENT MfIY'RESULT IN 'YOUR WARNING TD OWNER: YOUR FAILURE TO RECORD A PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR NDER OR AN ATTORNEY.BEFDRE RECORDING YOUR NOTICE OF CD M NCEMENT. FLORIDAi:IURAT (F.S. 117.03) CONTRACTOR (or affirmed) before me this OWNER OR AGENT Subscribed and swom to Subscribed and .swom to (or affirmed).befors me this by Who islets pers b Who wslane�rsonaliY knovun to me or has/have produced onally known to me or hasJ cats prflducsid ah identification. as identlficatlon. Notary Public Notary Public ommission No. Commission No. C Name of Notary typed, printed or stamped Name of Notary typed', Printed or stamped .