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HomeMy WebLinkAbout13-14571 ' CITY OF ZEPHYRHILLS 5335-8TH STREET � (sis)�so-oo20 1�k5�71 ANNUAL ASSEMBLY PERMIT Permit Number: 14571 Address: 38543 4TH AVE 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: 11-26-21-0010-16800-0170 Improv. Cost: Date Issued: 9/26/2013 Name: FIRST CHURCH OF CHRIST SCIENTIST Total Fees: 50.00 Address: 38543 4TH AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/26/2013 Phone: (813)782-2264 Work Desc: PLACES OF ASSEMBLY- FIRST CHURCH OF CHRIST SCIENTIST- EXP 9/2014 J ,�'J � � �� - inal OCCUPANCY LOAD: Occupancy by more than the number of persons above shail be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1.2 _--, r-`� t � � �, j �1 ��.��.. �- � �S�J PERMIT OFFICE 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 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 ,� Permit Application ate Received � Phone Contact for Permit jr! •�� S� (� wners Name = S i' C� UyG(� a r C�R�S i i� �'� Owners Phone Number ��3 Sr �-- � Z G wner's Address 3���3 /v a„i'�'� l4+� �r,v •L � �n L, ,3 3 r�!y :e Simple Titleholder Name TiUeholder Phone Number �� C� �.1 �e Simple TiGeholder Address >b Address �� Lot# ab Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installatlon � 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 �� � Sprinkler O ❑ ❑ Recreationai Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ p � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � a Standpipes(Sprinkler Sys) � Fire Alarm Installation a Torch Roofingliar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL 1� �7 � 1 - 1 Valuation of Project Fuel Tanks Q Other. �ntractor Company gnature Registered Y/N Fee Current Y/N Address License# .ECTRICIAN I Company gnature � Registered Y/N Fee Current Y/N Address License# .UMBER Company gnature Registered Y/N Fee Current Y/N Address License# =CHANICA Company �nature Registered Y/N Fee Current Y/N Address License� fHER Company 3nature Registered Y/N Fee Current Y/N Address License# rections: Fill out application completely. Owner&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 hvo(2)sets of drawings with appifcable 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 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 tChapter 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 swom to(or affirtned)before me this Subscribed and swom to(or affirmed)before me this by bY Who is/are personally 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 11-26-21-�1010-1a800-0150 � Pasco County Property Appraiser Page 1 of 1 Mike Wells Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, September 21, 2013 Parcel ID 11-26-21-0010-16800-0150 (Card: 001 of 001) Classification 10 -Vacant Commercial Mailing Address Property Value FIRST CHURCH OF CHRISTIAN Ag Land �p SCIENTIST INC ZEPHYRHILLS FL 38543 4TH AVE Land $19,460 ZEPHYRHILLS FL 33542-5009 Building �p Phvsical Address- See All 2 Extrd Features �p addresses�Firsc stiow�� 5239 9TH ST ZEPHYRHILLS FL 33542-5020 Just Value $19,460 Leaal Descriution (First 4 Lines) Assessed (Non-School Amendment 1) $19,460 See Plat for this Subdivision ZEPHYRHILLS PB i PG 54 LOTS Taxable Value 15 & 16 BLK 168 $O OR 1298 PG 1090 Parcel Demarcation City of Zephyrhills Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value 1 1000 COMMERCIAL TMUH 7,000.00 SF $2.78 1.00 $19,460 Additional Land Information Acres 0.16 Tax Area 30ZH FEMA X Commercial Code M9ST9AA Code Building Information - Use 00 - Unimproved (Card: 001 of 001) Unim roved Parcel 00 - Unim roved Extra Features (Card: 001 of 001) Line Description Year Units Value No Extra Features Sales History Previous Owner: N/A Month/Year Book/Page Type COde Condition Amount 10/1983 1298 / 1090 Improved $0 03/1970 0485 / 0204 Warranty Improved $3,600 Deed http://appraiser.pascogov.com/search/parcel.aspx?parce1=2126110010168000150 9/26/2013