HomeMy WebLinkAbout11-12292 CITY OF ZEPHYRHILLS
. 5335 - 8TH STREET �
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ANNUAL ASSEMBLY PERMIT
Permit Number: 12292 Address: 5221 8TH ST
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16700-0110
Improv. Cost:
Date Issued: 8/25/2011 Name: HODGES FUNERAL HOME
Total Fees: .00 ����� � Address: 5221 8TH ST
Amount Paid: . 0 ZEPHYRHILLS, FL. 33542
Date Paid: 8/25/20 1 ��� Phone:
Work Desc: PLACES OF ASSEMBLY - NEW BEGINNINGS BC OF PASCO- FEE WAIVED PER FM
5.0
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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, NFPA101, Section 7.3.1.2
FIRE MARSHAL OFFICE: 813-780-0041
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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�3aao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received �► r Phone Contact for Pertnit ���
C�ner's Name !� P �fj�'J/t Lr�" Owners Phone Number ���
'C7v�mer's Address `rO2o� � — 13 � �- L e l^ �"l t � [ � L. 3 �
Fee Simple Titleholder Name Titleholder Phone Number �� C� �
Fee Simple TiUeholder Address
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Job Address �
Lot #
Sub Division Parcel #
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� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installatfon
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
a Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
❑ �y emi �n er ❑
Sprinkler ❑ ❑ ❑ Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ O ❑�� � Sprinkler System Installations
Hood Suppression � ❑ ❑ p� � Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
Q Other:
., , � ._ .m ..r.�r�. . � , , ,, :�.� �:,•:. , . �..... ,. .. _
Contractor ' � Company
Signature `� Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions .. ,_.. .. . .. . �. ,
Fill out application completely
Owner & Contrector sign back of application, notarized (Or, copy of signed contract with ovmer)
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 (httpJ/appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to "deec�= restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wi�h 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", 1 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 affirtned) before me this Subscribed and swom to (or affirtned) 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
Print Date: 8/24J2011 1 59�19PM
�� Inspection Report
. .
,,���. Commercial ActivityDate: 8/24/2011 1•45�54PM
Zephyrhills Fire Rescue Activity Number• I-113-11-0366.A
Fire Prevention Bureau Activity Cause: ReinspeCtion
6907 Dairy Rd Inspector Name: Kerry Barnett
Zephyrhills, FL 33542
Phone 813-780-0041 Inspector Phone:
Fax:813-780-0044 Status: F811
P � - Occupancy Type: Business
NEW BEGINNINGS BAPTIST CHURCH OF PASCO � Property Use: Business Office
(000391) Total Violation 4
5221 8TH ST Corrected Violation� 2
ZEPHYRHILLS, FL 33542 Hours: 0.25
813-469-1082 Total Fees. $ 0 00
Violat�on
No New Violation
Pre-existing Violatto�
Original Activity Date: 4/27/2011 8:00:54AM
1 Ref Number• NFPA101 (2006) Florida Fire Prevention (2007) 7 8 1 1* General.
Illumination of ineans of egress shall be provided in accordance with Section 7 8 for every building and structure where required in Chapter 11
through Chapter 42. For the purposes of this requirement, exit access shall include only designated stairs, aisles, corridors, ramps, escalators,
and passageways leading to an exit. For the purposes of this requirement, exit discharge shall include only designated stairs, aisles, corridors,
ramps, escalators, walkways, and exit passageways leading to a public way
Comment: SW EXIT LIGHT DOES NOT WORK ON BATTERY BACKUP
Original Activity Date. 4/27/2011 8:00:54AM - - - - - --- --- —_
2 Ref Number NFPA101 (2006) Florida Fire Prevention (2007) 13 1 7 1 3 General.
The authority having jurisdiction shall be permitted to establish the occupant load as the number of persons for which the existing means of
egress is adequate, provided that measures are established to prevent occupancy by a greater number of persons.
Comment: AN ANNUAL ASSEMBLY PER IS REQUIRED TO ESTABLISH THE OCCUPAN LO
DEPARTMENT WITHIN THE CITY T Y BE O TAINED FROM THE BUILDING
`�-� -C �'l �P � � c����%�/��il �') - - - ---
Original Activity Date: 4/27/2011 8:00�54A t -
3 Ref. Number• NFPA101 (2006) Florida Fire Prevention (2007) 7 9 1 1' General.
Emergency lighting facilities for means of egress shall be provided in accordance with Section 7.9 for the following: (1) Buildings or structures
where required in Chapter 11 through Chapter 42 (2) Underground and limited access structures as addressed in Section 11 7(3) High-rise
buildings as required by other sections of this Code (4) Doors equipped with delayed-egress locks (5) Stair shaft and vestibule of smokeproof
enclosures, for which the following also apply� (a) The stair shaft and vestibule shall be permitted to include a standby generator that is installed
for the smokeproof enclosure mechanical ventilation equipment. (b) The standby generator shall be permitted to be used for the stair shaft and
vestib ergertcq�igptin�g power supply (6) New access-controlled egress doors in accordance with 7.2.1 6.2.
rrected on. 8/24/2011
• CY LIGHT IN FRONT ROOM NOT WORKING
---- - -- -- --- --
- ------ -- -
riginal Activity Date. 4/27/2011 8:00�54AM - - ----
4 Ref Number NFPA101 (2006) Florida Fire Prevention (2007) 4 6 1.2 Authority Having Jurisdiction.
Any requirements that are essential for the safety of building occupants and that are not specifically provided for by this Code shall be
determin e having jurisdiction.
ected on: 8/2 "
o � lA L LIGHTWEIGHT TRUSS SIGN IN ACCORDANCE TO FL STATUTE. OCCUPANT GIVEN PAPERWORK ON REQUIREMENT
Comments:
REINSPECT COMPLETED TWO ITEMS REMAfN AND SHA
Re-Inspection to be performed on or before �� 14 DAYS TO AVOID ANY ADDITIONAL FEES
mber 7, 2011 12:00 am �
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P- a!f� Occupancy Type: Business
NEW BEGINNINGS BAPTIST CHURCH OF PASCO � Property Use: Business Office
(000391) Total Violation 4
� 5221 8TH ST Corrected Violatior� 2
ZEPHYRHILLS, FL 33542
Hours: 025
813-469-1082 Total Fees $ 0 00
Kerry Barnett
Zephyrhills Fire Rescue
Fire Prevention Bureau
6907 Dairy Rd
Zephyrhills, FL 33542
kbarnett@fire.zephyrhills.fl us
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