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Home My WebLink About12-13580 ` CITY OF ZEPHYRHILLS �-... 5335-8TH SIREET ' (si3)�so-oozo 13580 ANNUAL ASSEMBLY PERMIT Permit Number: 13580 Address: 6251 FORT KING RD 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: 03-26-21-0010-09500-0000 Improv. Cost: Date issued: 11/01/2012 ,+�,-�- Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 50.00 Q��e� ,a�`"�• Address: 6251 FORT KING RD Amount Paid: 50.00 �^%�'�"��< �"�'' ZEPHYRHILLS, FL. 33542 Date Paid: 11/01/2012 �`''`L��-'"`�� Phone: (813 782-8865 Work Desc: PLACES OF ASSEMBLY-ALLIANCE CHURCH OF Z-HILL EXP 11/2013 � r �� . � , ( �, �v � - 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. .1.2 . � � PERMIT OFFICER 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 Jacqueline Boges To: Utility Billing; Stacie Poppell Subject: ACCOUNT CORRECTION NEEDED Importance: High Greetings Alliance church came by our department on Thursday 15t of November told me that they mailed in a check for the amount of $50.00 for their annual assembly permit. I found that the check has been processed by the water department see attachment. Could their please be an account adjustment to move from water acct. to fire permit acct #001-0000-329-0080 in the amount of $50.00. I have processed the permit and am showing that money went to incorrect department. Thank you Jackie Boges (ext 3513) What Greater love can a man give...... i g h, �4:r j. �6 � .�' "t� � ) p l �'b°'�'� � � �r � � � �' ° : � � � � dx8 � �jI o � � �� — ; ;. seveeAddeez 6251 "` ,.. . Ta�Lot - � - DAccar�sA:soaetedWihTfisLat ?�. ';StreetNoDiSdedNa�ne - Tmlot ---I.mtName e + =��' � G151 BiedvpodDi �� , S AI�KeChuCh p05666-0Oq��,51R KNg Ad * �, �� ' Sen'R�u� I Cmlaibn I CambntlBi � WrierAvg � Au6tTiai ( ElechieNeten � Otl�sDevi�es ` B� I �1 I Cudana � Lot � Meten ` Aceanl ) SaviceRales , � a p` �1 � ;T' rmDate TrmT�pe!DueDate —Tatal --- Waler---5ewa � - . l aibaye SpiiiJn Rabe � �OI�C�IIZ��PENfCa � � �Z�.I�� .4 ��B• �J.uq �.I�J �.I�. � ♦ . �� 10108/2012',Balar�ce ' 127.02 19.47� 1875� �.80 3.Op D.pp' ` —� �fi, ,' �' �10l0812(112!Birg- �-1013012012' 127.02 19.47' 18.75'� �i.8p 3�pp O.pp "� �, '0812112012 Payment 1-- -- — ---� -� ------- --- -- —* - ' - - p26.96J (19.75) (49•29i l�•�) (��) Q00� �09J08/20121Bdance 12&96 19.75 19.29� 54.92 3.OD 0.00 � ,09/081Z012Bing--i D91311J2012 12696 19.75 1929j 5i.92 3.00 Q00 - �OBll112012Pay�nl i, (132761 (P1.74) (53.10j1 (�•92) -(3.00) - Q00 i �— --- - - - - -- - �061081211112Balancey-- --- 13276 21.74 53.101 54.92 3.00 Q00 . `�. �r - — ----- ----- ---�- - - -- --- - -, �Q � � E � �i i ,' 8 pap� �Ca�h Dqmis �Adudc �Balance �Int�re�t �Carmi DaEe �� Payma�ts �Pmt Due Idaambm O�y �Traruaclon Dab � :�niaq Datei � Sn Name Sarice Code Spxid Cade Ddai Code Amouit Cax Paiod. DesaQtiui_ . . � � � � -- - - ---- *. ± N i - � � -- LL=� I ' ! ,a , ' �., � � .. � , ,.� � �# �� =� „:: � ais-�ao-oczc l;iry ot cepnyrnins rire rax-aia-iuu-wn Permit Application Date Received �� Phone Contact for Permit �3 �j� � � . Owner's Name '�/rL.L.-//�/�/CE � �f��'/� ��G zE H/ p�,y�er's Phone Number g� � �� Owner'sAddress '� � /� 0/Q�� ] /� lT1� L � 3 s'ua Fee Simple Titleholder Name Titleholder Phone Number C� � C� Fee Simple Titleholder Address ? . _ ^`�"'�' . _ _'�-.�.et�-:S:�yw„t•.. . .- �_� . , :K�r-r�°��9k.'R:� �_ - . x . .. -- Ml��.„`-,"_, _ _ ;,."�°�? Job Address �� Lot# Sub Division Parcel# k r .,:, : „ � � - _ _ - x4+,bF,°4-:��,m.<�ulB.�Y�'t�s�ama'.:..�,-�..>.�,y`°.,re,, .-,- .w�r�!'%�,�,�.aaaa:P��aw.-�e� _ . . _- ` _ _ .- '��t�Y� - .., a�`,.zr.:'?��v.a«a9^a.3,F-Y,,�'-R';�p^:.z? � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ F�acility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ry emi �n er �%2 �f�� ( �..J (." Sprinkler � ❑ ❑ ❑ � Recreational Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm installation � Torch Roofing/Tar Kettle aFire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: � ` .^r�,1H'.-.-s.,kr ��,�,`e-g;�-�ra'€�- �aR�'�*��R��,•.�:•=�px-^��?��<-S�t��mu�"5�:;,+�.�..�^y'in"«�..:•. ,. ��:«'dFF.n�'",°e.^.�,:�a� "a�e`°.'�.`-p�,"#'�.E:ic^s�w#3*"K}:'F:3.^.'si.:,.Sw3�=,i;k'9a•"'.'"��.!' .-. COntMCtOf Signature Y _ Company ��1�!/Ni /� + Registered Y/N Fee c;urrent Y/N Address License# ELECTRiCIAN Company Signature Registered Y/N Fee(;urrent Y/N Address License# PLUMBER Company Signature Registered Y/N Fee C:urrent Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee C:urrent Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: Fill out application completely Owner 8 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 �ny 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 T13, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that t, 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 5ubscribed 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. 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C C � � N � � � � N � � � � � � � � � � � � � LV � .�r CJ L' V� W �'+ ��q � � N N 00 00 .•. 00 OO l� 00 OO O OC o0 v1 00 00 OC 00 a0 !� 00 00 �C � � y L C� O � p p � ' L N \ OOONOOO \OO �V 00 QO CONOQ � aUL�. Q U � � C � � � � � � � � � UU � R't U F a0000� o� ao�3aoao � � r+ �a � �ov, �nv, v � � r, � ^ ^ -- — o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � � DATE=90/15/20'12 SEQUENCE=29295603 Account=569000000908 $erial N�,mber=11697 Amount=$50.00 � � �lss7 !' THE ALLIANCE CHURCN OF ZEPHYpHILLS • j �� (01�782-l9l6 CENTEH STAIE BAHIC NJl � 6Z61 f0A'f KIMC RD. ��F�� NUMBEN ! . � ZEPHY�tH1tI.S.FL J9W2 I ��t- 89-19B7A31 � : i , u� .. . � � . � • � a+� ' u�ounrr � ppY . . Fitly and xx/100 dollars I O/1 Q/12 $50.00 � � TO TNE • � ORDER ' � f °f �of Zepnyrttitls , f 53 5 8th Street c— ,�''p'°•�! � Zephyfiilts,FL 33542 ��+��.�� 1 a'OLi69?n�� 4i2003410�' ..___j r_. .`_._ ;�._._ _ � � � . `� o� � ^ ` ;�''• � _ x� � 'T-�i! ..� j I � • � m . . ax� � -��s� I x _ - ;�,� '� � � A ' • '�:ni •1 m . •- _ _ _ "�ni ;1'Cy ( •`i..: st o - .. - • , i m � ._..- . _ '"o� t � � .. _ _ ';n; � a .f. - - �::�� _ . . . . , . ��,i =� i - . : r: � � i • _ .. .�f i ; , _ _ _ .. . I � - _: - ,_ _ -- :,.. _ =' � � 1 _ . :: .._. ---- - - - _ . _ _._ -- - -- - °"; _ � r � - --_ . _ _r' I � � _. _ _ m .