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Home My WebLink About11-11454 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11454 ANNUAL ASSEMBLY PERMIT Permit Number: 11454 Address: 4741 SILVER CIRCLE 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: CHALFONT VILLAS Est. Value: Parcel Number: 15- 2 6 -21- 0190- 00000 -0130 Improv. Cost: Date Issued: 1/28/2011 Name: CHALFONT VILLAS ADULT HO Total Fees: 50.00 Address: 4741 SILVER CIRCLE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541 Date Paid: 1/28/2011 Phone: (813)779 -0765 Work Desc: PLACES OF ASSEMBLY- CHALFONT VILLAS CLUBHOUSE 110 ( toe - 1 - • 1 - ina 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 Pasco County Parcel: 15- 26 -21- 0190- 00000 -0130 001 Page 1 of 1 I Data Current as Of: II Weekly Archive - Saturday, January 22, 2011 I Parcel ID II 15- 26 - 21 - 0190 - 00000 -0130 (Card: 001 of 001) I I Classification 11 70 - Vacant Institutional Mailing Address Property Value CHALFONT VILLAS ADULT Ag Land $ HOMEOWNERS ASSOCIATION INC Land 4741 SILVER CIR $0 ZEPHYRHILLS FL 33541 -6509 Building $0 Physical Address Extra Features $0 4741 SILVER CIR Market Value ZEPHYRHILLS FL 33541 -6509 $0 Assessed $ Legal Description (First 4 Lines) See Plat for this Subdivision Taxable Value #0 CHALFONT VILLAS PLAT II PB 31 PGS 69 -70 LOT 13 OR 3251 PG 1858 Land Detail (Card: 001 of 001) Line 1I Use 11Descriptionll Zoning 11 Units JI Type Price 1 I1 0101 it SFR 11 OPUD 3,000.00 SF II A Condition II Value Il 0101 1I SFR Il OPUD 11 2,660.68 II SF 0 $5.08 b 1.00 1.00 1I $0 2 II $0.54 . 0 $0 Additional Land Information Acres 11 0.13 11 Tax Area 11 30ZH II FEMA Code Il X 1lResidential Code I CHALLP1 Building Information - Use 77 - Clubs, Lodges, Halls (Card: 001 of 001) Year Built 1993 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plywood Panel Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel p Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line II Description I 1 II BAS ( 1 Sq. Feet 1 Repl. Cost New 1 1,200 II $93,792 Extra Features (Card: 001 of 001) Line II Description 1 Year I Units II Value 1 1 POOL -6 1 1993 I I 648 2 ( I COOL DK 0 $0 3 1 1 DCFENCE 1 1993 1 I 1,296 (I $0 I 1993 II 412 II $0 4 11 UDU -M 1 1993 1I $0 Sales History Previous Owner 1 BROWN ROY JOHN & Year 11 Month 1 Book /Page 11 Type 11 01 1 3251 / 1858 11 yy 11 Amount nt http : / /appraiser.pascogov.com/ search /parcel.aspx ?sec= 15 &twn= 26 &rng =21 &sbb= 0190 &b... 1/28/2011 813- 780 -0020 City of Zephyrhills Fire i ((�i S Fax-813-780-0021 Permit Application (t 1 ate Received Phone Contact for P ermit j Q f 3 I J ' OI 11 63 " --7 5 1 wner's Name c. V 1 It O S I I 1 1 1 1 I Owner's Phone Number wner's Address I 1 4'7 4.1 Si L v E v._ C 12c I 3e Simple Titleholder Name 10.) Po I I 1 1 I 1 I Titleholder Phone Number 3e Simple Titleholder Address I tb Address I Lot # I I Jb Division I I Parcel # Bio Hazard Waste Storage - ANNUAL I ---- I Fumigation Tent n Comm Exhaust Kitchen Hood /Duct EJ Hazardous Material ri (Tier II or RQ Facility) ANNUAL Controlled Bum Hood Installation n Emergency Generator < 30 kw = LP /Natural Gas - Installation n Emergency Generator> 30 kw I-1 LP /Natural Gas - ANNUAL Sale ED Fire Protection Maintenance - ANNUAL ❑ Zi� I I laj M � Places of Assembly- ANNUAL Semi �• Sprinkler ❑ ❑ ❑ I—I Recreational Bum Fire Alarm E ❑ ❑ ❑ I 1 E Sparklers Hood Cleaning 0 ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ I I El Standpipes (Sprinkler Sys) n Fire Alarm Installation f Torch Roofing/Tar Kettle n Fire Pumps = Waste Tire Storage ANNUAL El Fire Works Flammable Application- ANNUAL I Fuel Tanks I Valuation of Project Q Other: I Dntractor •. . , gnature �t 1 Company Registered I Y/ N J Fee Current I Y/ N I Address I I License # I _ECTRICIAN gnature I I Company I Registered Y/ N I Fee Current I Y/ N,I Address I .UMBER I License # I I nature I I Company Registered Y/ N I Fee Current I Y / N I Address I :CHANICALI I License # I mature I Company Registered Y / N I Fee Current I Y / N j Address I I License # I HER nature I Company I Registered Y/ N I Fee Current I Y/ N Address I I actions: License # 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) which NOTICE may be more DEED Re STRIeTt a County regulations. The undersigned this ssumes responsibility for compliance with any which my 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 violati under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for t 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, 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 LENDER OR AN ATTORNEY TO FINANCING, CONSULT WITH YOUR BE YOUR 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 Who is /are personally known to me or has/have produced Who is/are personally known to me i has/have dentifi identification. produced as identification. as icati N Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped