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Home My WebLink About11-12354 CITY OF ZEPHYRHILLS 5335 - 8TH STREET ' (sis) �so-oozo 12354 ANNUAL ASSEMBLY PERMIT Permit Number: 12354 Address: 38300 5TH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-16500-0010 Improv. Cost: Date Issued: 9/14/2011 Name: TC FIRST BAPTIST CHURCH OF ZEPHY Total Fees: . 0 p�'� �� ' Address: 38231 5TH AVE Amount Paid: 50 0 ft � Q � y y� ZEPHYRHILLS, FL. 33542 Date Paid: 9/14/201 � Phone: (813)782-5574 Work Desc: PLACES OF ASSEMBLY FIRST BAPTIST CHURCH ( CHAPEL) FEE WAIVED 5. - 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 - CITY OF ZEPHYRHILLS - 5335 - 8lli STREET , ' (si3) �so-oo20 12355 ANNUAL ASSEMBLY PERMIT Permit Number: 12355 Address: 38300 5TH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-16500-0010 Improv. Cost: J� Date Issued: 9/14/2011 �� l7� Name: TC FIRST BAPTIST CHURCH OF ZEPHY Total Fees: 00 �' � �'V1 Address: 38231 5TH AVE Amount Paid: 5. � ZEPHYRHILLS, FL. 33542 Date Paid: 9/14/20 1 Phone: (813)782-5574 Work Desc: PLACES OF ASSEMBLY- FIRST BAPTIST CHURCH (DINING AREA FEE WAIVED 5. �� C��( � ` - A j - ina 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 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 813-78,^,,,-0020 City of Zephyrhills Fire Fax-813-780-0021 Pertnit Application ; Received �� Phone Contact for Pertnit �� ier's Name B Owners Phone Number �� ier's Address � S Simple Titieholder Name Titleholder Phone Number �� Simple TiUeholder Address Address Lot # � Division Parcei # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � �j '1 � Emergency Generator < 30 kw � LP/Natural Gas-Installation ,t�� I° �� , �/ � � Eme�gency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale � �� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y em� �n er 5prinkler � ❑ � ❑ � Recreational Bum Fire Alarm � � ❑ ❑ � � Sparklers Hood Cleaning � 0 ❑ ❑� � Sprinkler System tnstallations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alartn Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL a Fire Works � Flammable Application- ANNUAL �—� Valuation of Project � Fuel Tanks Q Other. tractor Company iature Registered Y/ N Fee Current Y/ N Address License # :CTRICIAN Company iature Registered Y/ N Fee Curnent Y/ N Address License # IMBER Company iature Registered Y/ N Fee Current Y/ N Address License # :HANICAL � iature Registered Y/ N Fee Current Y/ N Address License # �ER Company iature Registered Y/ N Fee Current Y/ N Address License # ctions: Fill out application completely. Owner & Contrector 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 NoGce (http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restsictions" 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 sworn to (or affirmed) 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 : 1 � �� ` ��/ �� Date: 8/23/2011 11:25:04AM ' >r,�,... 3., ..-.;;; �. ,.�. ,�1��°��E'"Qt31"t - � f�� a ..�.. ..�.,: .;: Annual Activity Date: 8/23/2011 9�30:50AM Zephyrhills Fire Rescue Activity Number' I-113-11-0340 Fire Prevention Bureau Activity Cause: Periodic �' 6907 �airy Rd Inspector Name: Kerry Barnett ; Zephyrhills, FL 33542 Inspector Phone: Phone:813-780-0041 Status: Fall Fax: 813-780-0044 P�: Occupancy Type: Assembly FIRST BAPTIST CHURCH Property Use: Places of Worship (000276) Total Violation• 6 38300 5TH AVE Corrected Violation� 0 ZEPHYRHILLS, FL 33542 Hours: 0.50 813-782-5574 Total Fees. $ 0.00 . ,;� �<:, e.�>. . _ y , , :>,; , , , ,. _ � . ,. � '', < .� - � � . _ _ - .. .. �.; . .. �,- . ;-, . � . .. . ... . . . �.�. . . z , ,,, , • . _,�.. . �� . i z : , + � :S.Y.�':3�..� ' ' ro... � Ref Number NFPA 1(2�06) Fiorida Fire Prevention (2007) 11 1.5 Electrical Fire Safety xtension cords shall not be used as a substitute for permanent wiring. omment: IN THE SANCTUARY - REMOVE WHITE EXTENSION CORD BY ORGAN AND REPLACE WITH CORDED SURGE STRIP ----- --- --- --- ----- — ----- -- ------- - -- - — -- - - - - Ref. Number: NFPA101 (2006) Florida Fire Prevention (2007) 4 6.1.2 Authority Having Jurisdiction. ny requirements that are essential for the safety of building occupants and that are not specifically provided for by this Code shall be determined � the authority having jurisdiction. omment: LABEL ALL ELECTRIC, MECHANICAL, AND STORAGE ROOM DOORS AS SUCH. - --- ----- — ------ -- ----- --- -- -------- - Ref. Number: NFPA 1(2006) Florida Fire Prevention (2007) 1 12.1 Permits and Approvals. he AHJ shall be authorized to establish and issue permits, certificates, and approvals pertaining to conditions, operations, or materials hazardous � life or property pursuant to Section 1 12. omment: AN ASSEMBLY PERMIT IS REQUIRED FOR THE DINING HALL AND CHAPEL. PERMIT MAY BE OBTAINED FROM THE BUlLDING DEPT. FEE /ILL BE WAIVED FOR THE CHURCH. Ref. Number NFPA 1(2006) Florida Fire Prevention (2007) 11 1 5 Electrical Fire Safety xtension cords shall not be used as a substitute for permanent wiring. � omment: IN ROOM 407, REMOVE WHITE EXTENSION CORD AND REPIACE WITH CORDED SURGE STRIP -- --- ---- -- - - - - --- -------- --- ---- --- - ----- - — - — ---- --------- --- — - Ref. Number NFPA 1(2006) Florida Fire Prevention (2007) 11 1 5 1 Multiplug Adapters. ultiplug adapters, such as multiplug extension cords, cube adapters, strip plugs, and other devices, shall be listed and used in accordance with eir listing omment: REPLACE MULT1-PLUG ADAPTER IN DINING HALL BY COFFEE COUNTER WITH CORDED SURGE STRIP ADAPTER HAS ALREADY HAD N ELECTRICAL FAULT IN ONE OF THE PLUG INS ----- ----------------- -- - - --- - - - - -- — - -- -- - --- -- ---- — --- Ref. Number• NFPA 96 (20�8) 11 6 14 Cleaning of Exhaust Systems. fter cleaning or inspection is completed, the exhaust cleaning company and the person performing the work at the location shall provide the vner of the system with a written report that also specifies areas that were inaccessible or not cleaned. omment: THERE IS NO CLEANING LABEL ON HOOD INDICATING THE LAST TIME THE HOOD WAS CLEANED BY A CERTIFIED CLEANER. HOOD -iALL BE CLEANED ANNUALLY THERE IS NOTHING ON FILE THAT THE HOOD HAS BEEN CLEANED WITHIN THE LAST YEAR. HAVE HOOD LEANED BY COMPANY. + , . y p.a� : . � : � , _ . . . ��: a*��I� � " , . ° . o Pre-existing Outstanding Violation omments: NNUAL FIRE SAFETY INSPECTION CONDUCTED SEVERAL VIOLATIONS NOTED THAT WILL BE REQUIRED TO BE CORRECTED B �E DATE NOTED �-Inspection to be performed on or before: September 26, 2011 12:00 am Page 1 of 2