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Home My WebLink About13-14017 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 14017 ANNUAL ASSEMBLY PERMIT Permit Number: 14017 Address: 5221 8TH ST 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: 11-26-21-0010-16700-0110 Improv. Cost: Date Issued: 3/25/2013 Name: C & R HOLDINGS OF ZEPHYRHILLS Total Fees: � Address: 5221 8TH ST Amount Paid: ��.��.�_µ%��l.i ZEPHYRHILLS, FL. 33542 Date Paid: � Phone: Work Desc: PLACES OF� S MIT FOR JTB MINISTRIES INC � ��— �._2 '" �_> - ina OCCUPANCY LOAD: Occupancy 6y 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 ISSUANCEF�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 Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received — S". ( r � � � °°�• .-. , Phone Contact for Permit - _ x�..._ « ,J.w.s l.. . 3sF.=E:<. ,. .... ,__� -rJ-��,`ws✓,3-Y...,Rir RP'>:K : } Owner's Name � ,n �--3�'�]� 9� , � C Owner's Phone Number �� Owners Address S �'� � , � Fee Simple Titleholder Name � �� Titleholder Phone Number Fee Simple Titleholder Address , .,�r•a.w�:�.:�- _�.�°��:�,� �.:�r�c.��a ��=:�»�,�K:�- -�- .� _� »..�.,;-;��z.a�'x>_ . n�. Job Address �� Lot# Sub Division R �; - ��.,��..�.,>•.�-��-_,�. ..,.,_. Parcel# -�7-�f-�,�.-»,�,,�-. ; � . __" _ . ..,r.x._ ,';s;a_._s ...� :.�'tn-•-.,. ;g�.iS'ks�.'Md�'...e,.a� ��3."��- . i - , ,.,-,�..:,:yY`°,_ Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL ❑� emi � er ❑ Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ p � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ �� Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL � Valuation of Project Fuel Tanks Q Other: , .��. m:..�:;.... ,,,,.:r ��, �-�s ��:��..i�..;.,� :��:� Contractor �� 5ignature Company Registered Y/N Fee Current Y/N Address License# =LECTRICIAN iignature Company Registered Y/N Fee Current Y/N Address License# 'LUMBER �ignature Company Registered Y/N Fee Current Y/N Address License# 1ECHANICAL ignature Company Registered Y/N Fee Current Y/N Address License# THER ignature Company Registered Y/N Fee Current Y/IV Address rections: License# Fill out application completely Owner 8,Contractor sig�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 drewings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:l/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned The u dersigned a1ssumes respons bilty for c mpl a,nce twI th any which may be more restrictive than County regulations. applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRAe�T�o e E eP�sed iBac'coEdance th s ate and ocae egulationsc Ifrthe contractors to undertake work, they may be req contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif at�he under state ►aw. If the owner or intended the Pascoo County Buadingslnspection D vSS onreL cens ngtSection ap727-847- intended work, they are advised to contact 8009. Furthermore, if the owner has hired a contra�ot\oh ch theyrwi I�be espons blee�lftyouaas the ownea signsas the portions of the "contractor Block" of this application f w contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. If valuation of work is$2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of'the�F o)rida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy licant is someone Protection Guide" prepared by the Florida Department of A�gf�thetabove descrbed document nd prompse in good faith to other than the"owner", I certify that I have obtained a copy ��tion is accurate and deliver it to the"owne�" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify tha'cableeawsr egullatingtco stuction, zoning and land that a�l work witl be done in compliance with all app' development. Application is hereby made to oo�ao ssuancle of a permit and'that�al2ltwork wil abe performedlto that no work or installation has commenced pr meet standards of all laws regulating co nstr ictalso certifyythatdl u'nde saand that hee egulat onsaof other development regulations in the jurisdictio government agencies may apply to the intended work, and that it is my responsibility to identify what actions must take to be in compliance. If I am the AGENT FOR THE OWNER, 1 promise in 9 e�stanld thatna�sepah at permit may be req g ed for'electr cal work�, this affidavit prior to commencing construction. I und lication plumbing, signs, wells, pools, air conda��ice se to p oceed with the twork and not als ault or'i y ao violateecancel, alter, or permit issued shall be construed to be set aside any provisions of the technical codes, {on oalviolations of any odespr E erytperm t iss ed shall become inval d requiring a correction of errors in plans, construc unless the work authorized by such permit is comm f scx 6Wmhonths after the time the wo k isc ommenced Anhextensate the permit is suspended or abandoned for a period o ( ) may be requested, in writing, from the Building Offi(�ninet a90)rconsecutive days,the job is�cons de ed blandonedst justifiable cause for the extension. If work ceases fo Y� WARNING TO OWNER: YOUR FAILURE TO RECORPE�T�F YOU NTEND TO BTAINnF NANCSNG, CONSULT PAYING TW�CE FOR IMPROVEMENTS TO YOUR PRO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLaRIDA JURAT(F S 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or affirtned)before me this by �_by Who is— /a�p nally known to me or has/have produced Who islare 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 . .� ., .,�......,...,��-,,�-.,��. ..,..