HomeMy WebLinkAbout11-11403 CITY OF ZEPHYRHILLS
5335 - 8Th STREET
(813) 780 -0020 11403
ANNUAL ASSEMBLY PERMIT
Permit Number: 11403 Address: 5840 18TH ST
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: 11- 26 -21- 0010 - 04700 -0120
Improv. Cost:
Date Issued: 1/13/2011 ) Name: FIRST UNITED PENTEOSTAL
Total Fees: 50.0(1 4 _ Address: P.O. BOX 732
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33539
Date Paid: 1/13/2011 Phone:
Work Desc: FPM- PLACES OF ASSEMBLY- FEE WAIVED PER FM- FIRST UNITED PENTECOSTAL F
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OCCUPANCY LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant load 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
Pasco County Parcel: 11- 26 -21- 0010- 04700 -0120 001 Page 1 of 1
Data Current as Of: II Weekly Archive - Saturday, January 08, 2011
I Parcel ID I 11- 26 -21- 0010 - 04700 -0120 (Card: 001 of 001) I
I Classification 11 71 - Churches I
Mailing Address Property Value
FIRST UNITED PENTECOSTAL Ag Land $0
CHURCH OF ACTS OF ZEPHYRHILLS Land $35,784
LUKENS C R & LUKENS E TTEES
PO BOX 732 Building $42,763
ZEPHYRHILLS FL 33539 -0732 Extra Features $570
Physical Address Market Value $79,117
5840 18TH ST Assessed (Non - School Amendment 1) $79,117
ZEPHYRHILLS FL 33542 -4432
Legal Description (First 4 Lines) Taxable Value $0
See Plat for this Subdivision
CITY OF ZEPHYRHILLS
PB 1 PG 54 LOTS 12 -14 INCL
BLOCK 47
OR 4271 PG 1998
Land Detail (Card: 001 of 001)
Line II Use IIDescriptionll Zoning II Units II Type II Price II Condition II Value
1 II 7100 II CHURCH 11 00R2 1112,600.0011 SF 1 $2.84 II 1.00 II $35,784
Additional Land Information
Acres 11 0.29 11 Tax Area 11 30ZH 11 FEMA Code 11 X 1lResidential Codell ZHLHLP2
Building Information - Use 71 - Churches (Card: 001 of 001)
Year Built 1952 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plastered Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
1 Line I1 Description II Sq. Feet II Repl. Cost New
I 1 11 BAS I1 3,660 $212,134
I 2 II F . 11 96 II $1,681
Extra Features (Card: 001 of 001)
Line II Description 1 Year II Units 11 Value
1 II UDU -M 1 1985 1 1 $210
2 11 SWC 1 1999 I1 240 0 $360
Sales History
Previous Owner 1 CHURCH OF GOD
Year II Month I Book /Page 11 Type II Amount
1999 1 10 1 4271 / 1998 11 WD 11 $58,000
1993 II 12 1 3232 / 0823 11 WD 11 $58,000
1993 I1 11 1 3232 / 0821 11 2 11 $0
http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 1/13/2011
813 - 780 -0020 City of Zephyrhills Fire Fax- 813 -780 -0021
Permit Application
ate Received I Phone Contact for Permit I I .1 I I
wner's Name 1 4 11 ks T (Ju T0o quif Co ST AL.. e MUk• N e t IQ(.' I Owner's Phone Number I I
wner's Address 1 Se -t-j,
O /g' SIX eer
:e Simple Titleholder Name I Titleholder Phone Number I I I
ae Simple Titleholder Address I
)b Address I Lot #
Jb Division I Parcel # I
n Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
El Comm Exhaust Kitchen Hood /Duct Ti Hazardous Material (Tier II or RQ Facility) ANNUAL
[ ] Controlled Bum Ii Hood Installation
n Emergency Generator < 30 kw El LP /Natural Gas - Installation
El Emergency Generator> 30 kw El LP /Natural Gas - ANNUAL Sale
I—I Fire Protection Maintenance - ANNUAL WI Places of Assembly- ANNUAL
ry 'Semi' Wu MM.
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fire Alarm 0 ❑ ❑ ❑ I I Sparklers
Hood Cleaning 0 ❑ ❑ ❑ I I I Sprinkler System Installations
Hood Suppression 0 ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys)
El Fire Alarm Installation I1 Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
E Fire Works
E Flammable Application- ANNUAL I I Valuation of Project
Ii Fuel Tanks
0 Other: 1
Dntrector Company I
gnature � ' t`t. t' ScJ dkaL Registered Y / N I Fee Current I Y / N I
Address I I License #
_ECTRICIAN Company I
gnature I Registered Y / N 1 Fee Current 1 Y/ N I
Address I I License #
_UMBER Company
gnature Registered Y/ N 1 Fee Current I Y/ N I
Address I I License # ( I
ECHANICAL Company I
gnature Registered Y/ N j Fee Current I Y/ N I
Address I I License # I I
THER Company
gnature Registered Y/ N 1 Fee Current I Y/ N
Address I
1 License #
rections:
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)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "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 contractor 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
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 to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's
Protection Guide" prepared by the 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
that no work or installation has commenced prior to issuance of a permit and that 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 FOR THE 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 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and swom 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 or stamped Name of Notary typed, printed or stamped