The URL can be used to link to this page

Home My WebLink About13-13784 CITY OF ZEPHYRHILLS 5335-8TH STREET , (sis)�so-oozo 13 4 ANNUAL ASSEMBLY PERMIT Permit Number: 13784 Address: 4917 GALL BLVD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot s : Square Feet: � � Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 14-26-21-0010-00900-0080 Date Issued: 1/18/2013 Name: Z-HILLS PROPERTIES INC Total Fees: 50.00 Address: 5618 MARIE DR. Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541 Date Paid: 1/18/2013 Phone: Work Desc: PLACES OF ASSEMBLY- NEXT DOOR DINER C � C�,��-- � r �� /� l � - 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 EXPIRES IN ONE (1) YEAR FROM DATE OF SSUANCEF�CER THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 813-780-0020 City of Zephyrhills Fire Permit Application Fax-813-780-0021 �ate Received Phone Contact for Pertnit � � (�'�'� ,,v�x-r l___�_._J �wner's Name � (,�Q �.�� r� Owners Phone Number �� wvner's Address �-7 9 G�L� �j 'z�,SQ/� �f�L�s G� ,33 c�/ ee Simple Titleholder Name �� ee Simple TiUeholder Address Titleholder Phone Number ob Address ub Division Lot# C] Parcel# � Bio-Hazard Waste Storage-ANNUAL � � Fumigation Tent Comm 6chaust Kitchen Hood/Duct � � Flazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum � Hood Installatfon Emergency Generator<30 kw � � Emergency Generetor>30 kw �P/Natural Gas-Installation � Fire Protection Maintenance-ANNUAL � �P�Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL ❑�y emi nT er Sprinkler � � � ❑ ❑ Recreational Bum Fire Alartn ❑ ❑ ❑ � � Sparklers Hood Cleaning � � � � r—, � ❑ I.__J Sprinkler System Installations Hood Suppression p � � I--"I ❑ � L__� Standpipes(Sprinkler Sys) Fire Alartn Installation � � Torch Roofing/Tar Kettle Fire Pumps � � Waste Tire Storage ANNUAL Fire Works � Flammable Application-ANNUAL � Fuel Tanks Valuation of Project Q Other: :ontractor �ignature ��_ — Company Address Registered Y/N Fee Current Y/N :LECTRICIAN License# � ,ignature Company Address Registered Y/IV Fee Current Y/N 'LUMBER License# �— �ignature Company Address Registered Y/N Fee Current Y/N fECHANICAL License# r�— ignature Company Address Registered Y/N Fee Current Y/N THER License# gnature Compa�y Addrass Registered Y/N Fee Current Y/N rections: License# 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(p)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice h //a raiser.pascogov.com) � ttP� PP NOTICE OF DEED RESTRICTIONS The re ulagons. The undersig ed alssumes spons bilty for compl a'nce tw th any which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTORSeAN1D bONeqRAe�O�Rbe Ec.�eP�seds!Bac'coEdance th s ate a d locale egulationrsc Ifrthe contractors to undertake wor , y Y contractor is not ticensed as required by law, both the owner and contractor may be cited for a misdemeanorl��fo�tthe under state law If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to cont hi edea contractor org ontracto sp helos advised to 1 have he contractor(s)s�gn 8009. Furthermore, if the owner has portions of the "contractor Block" of th�sa{helf san'ot p operly hicensedfland is not ent led t ypermitting pr vi eyes9n Pasco contractor, that may be an indication t County. CONSTRUCTION LIEN LAW(Che P�teen 13 ovided wsh a tcopy of rthe aF orida Construct on L en L aw00Homeowner's certify that I, the applicant, hav p licant is someone Protection Guide" prepared�i Y thatFfhave obta ned ancopy of the above descr bed docum'ent and prompse in good faith to other than the "owner , I ce fy deliver it to the"owner" prior to commencement. lication is accurate and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app� that all work will be done in co bP�made o'tobtalin a plermlt to do wo kuand g tallatontas indicateda Ic ertify development. Application is here y that no work or installation ha e�u at nenconstructionS County a d Citytcodeshazonliny regula ons,rfa deand meet standards of alt laws g 9 development regulations in the {o�t e'in'tended workcand that it is myeespo s bility toeiden fytwhat act ons I government agencies may app y must take to be in compliance. If I am the AGENT FOR THE OWNER, I proo ise iu derstan1d that a�s parat permit may be req u d for Ielectr ct I work this affidavit prior to commencing constructi plumbing, signs, wells, pools, air conditioning, 9�0' oceed with the work and not als ault or'ty to tliolateecanclelaallter, or permit issued shall be construed to be a license p set aside any provisions of the technical codes, nor shall issuance of a permit prevent therm t iss ed shall be ome invat d requiring a correction of errors in plans, construction or violations of any codes. Every p unless the work authorized by such permit is �od of s'cix(6) mhonths after the timeetheltworkasccommenced. Anhexte sion the permit is suspended or abandoned for a pe may be requested, in writing, from the Buildiag �ffo��ni ety(90)rconsecutive days, the job isOcons de ed b'andonedstra e justifiable cause for the extension. tf work ce WARNING TO OWNER: YOUR FAILURE TO RR PROPERTY TIF YOU NTOENDETO OBTAIN F NANC NG CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOU WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F S.117 03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to(or affirtned)before me this Subscribed and sworn to(or affirmed)before me this by ____by Who is— /are personally known to me or haslhave produced Who is/are personally known to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary ryped,Printed or stamped Name of Notary tyPed,Pnnted or stamped