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Home My WebLink About11-11685 CITY OF ZEPHYRHILLS 5335 - 8TH STREET ' �si3) �so-oozo 1168 ANNUAL ASSEMBLY PERMIT Permit Number: 11685 Address: 37301 CHAPEL HILL LP 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: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03-26-21-0010-10200-0010 Improv. Cost: Date Issued: 3/24/2011 Name: EAST PASCO YMCA Total Fees: 50.00 Address: 37301 CHAPEL HILL LP Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/24/2011 Phone: Work Desc: PLACES OF ASSEMBLY- NEW WALK CHURCH MEETINGS IN YMCA-EXP 3/2012 5. n `/�. - , 2 �- �� - ina ' OCCU PAN CY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load 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 s�saea-oo2o City of Zephyrhills Fire Fax-813-780-0021 -- Permit Application Date Received Phone Contact for Pertnit / 3 7� �S� Owner's Name ONmers Phone Number C_�L�LJ �� o�,erg a� 3'%3 0 �� /��` Ov Z e r` Il � l� S �'L.. 3 3.�� Z Fee Simple TitlehWder Name � 0`�' Z� hyrh i rf5 Titleholder Phone Number / 3 7g� 6�Z Fee Simple Titleholder Address Job Add�ess �� '� /�� h� � �� h r i l�s �' L. Lot # � Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Terrt � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum o Hood Installation � Emergency Generator < 3p kw � LPMatural Gas-Installation � Emergency Generator > 30 kw I Gas-ANNUAL Sale � Fire Protection Mairrtenance - ANNUAL Places of Assembly-ANNUAL � � � Spri�kler � ❑ ❑ ❑ ! f �/j� � s � / l(i Fire Alarm � ❑ ❑ ❑� � Sparklers J l ! Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installatio�s Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation a Torch Roofing/Tar Kettle Fire Pumps Q Waste Tire Storage ANNUAL Fire Works Flammable Application- M�IUAL Valuation of Project Fuel Tanks Q t r: Contractor Company Signature Registered Y/ N Fee Curtent Y/ N Address License # ELECTRICIA Company Signature Registered Y/ N Fee Current Y/ N Address Lioense # PLUMBER Compa�Y Signature Registered Y/ N Fee Cument Y/ N Address License # MECHANICAL Company Signawre Registered Y/ N Fee Current Y/ N Address License # OTHER �Pa�Y signan,re Regiscered Y/ N Fee currern Y/ N Address License # Directions: Fill out apptication completely. OHmer & Contractor sign back of appliption, notarized (Or, copy of signed contract with owner) If over $2500, a Nodce of CommencemeM is required (Mechanical w+ork over $5000) Supply two (2) sets of drawings with applipble documentation Allow 10-14 days for review after submittal date. Paroel #- obtained from Properly 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 Cortsumer 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 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 woric or installation has commenced prior to issuance of a permit and that all work will be perforrned to meet standards of all laws regulating construction, County and City c�des, zoning regulations, and land 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. 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 a�davit 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 wRh 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 O�cial for a period not to exceed ninety (90) days and will demonstrate just�able 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 I D TO OBT FINANCING, CONSULT WITH YO R LENDER R AN ATTORNEY BEFORE RECORDING YOU CE F NCEMENT. FLORI�A JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO Subsaibed and swom to (or affim�ed) befwe me this Subscxibed a swo o(or affirmed) �s by Who is/are personally known to me or has/have produoed Who is/are personally known to me or has/ha duoed as iderrtification. as ideMifiption. Notary Pubtic Notary Public Commission No. � � Name of Notary typed, printed or stamped Name of Nota ry typed, printed or stamped