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Home My WebLink About14-15328 I CITY OF ZEPHYRHILLS ��+ 5335-STH STREET . �� (813)780-0020 "��5�28 ANNUAL ASSEMBLY PERMIT � t`�'�`, '. , :�. - PERMIT'INFORMATION LOCATION INFORMATION Permit Number: 15328 Address: 38361 CR 54 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: 02-26-21-0016-00000-0050 Improv. Cost: O.WNER,INF.ORMATION�'_'. '.:.�1�'f' .. Date Issued: 5/29/2014 Name: FOTOPOULOS WILLIAM & FILAX, JOHN Total Fees: 50.00 Address: PO BOX 1999 Amount Paid: 50.00 LAND O LAKES FL 34639-1999 Date Paid: 5/29/2014 Phone: Work Desc: PLACES OF ASSEMBLY- BLACKSTONE BEEF & GRILL �% 'La[S CONTRACTOR S APPLICATION FEES OWNER F RE PERMIT FEES 50.00 ��=� ' �,�'\ � � t � �� . � �, Ins ections Re uired FIRE SITE INSPECTION-Final 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 __� � � � �, �� ., PERMIT OFFICEI� 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 Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received , Phone Contact for Permit � � � f�.v._a_�-... J.__.-_�.-�..--� - - �__..._�_...-_.____=�._=J._..e..�...ee... _-,�_.._.e-�_�.^�_.-..._ �_..__....._..._�,...�=�e_.___�_��-�-.____�._,��.e---.-_�....k.-�_....�..._�.-.e�. Owner's Name ��.�%�).S�,h� �/� 4 /L-�- Owner's Phone Number ��3 �� Z 3 Owner's Address �� 2 S'�L! ,��H Y/Z l�l�-C.-S �L ,3.35`L/Z. Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address C�-------°---',�.�_-- - - -- - -- ° - -- -- - �.�_�e` - — — Job Address �Lot# � � Sub Division Parcel# tY=-v.s.=_�. -__,-�°�___ �- - �_.��___-_.-.,..�--e_.__�_._:�_._._�..__��__.________�- - � �._____.�-�,_..� -=-__=�°-A-___�__.-:.,.._�_,.�____d_a � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)AtdNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Naturai Gas-Installation r„ � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale /�l, //�� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL '� � J t y emi �n t er � Sprinkler � ❑ ❑ ❑ B � Recreational Burn � Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations � Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) f � � Fire Alarm Installation � Torch Roofing/Tar Kettle N � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-AkNUAL Valuation of Project � Fuel Tanks Q Other: �.-��_._�__�___.�;_--�_�w._e.�._.-- _�__.��Y____.»._. -.__...m_�__ �_�__-�..��...__�.�.-�:..___�_ - --.��_��..�_ -_�_____ - Contractor G'�� Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/�1 Fee Current Y/I� Address License# PLUMBER Company Signature Registered Y/1�1 Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/I�l Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# __-__.__ _-_ . .__._.:wr�..__w�. - - - -_ - : r _ �._. _..:.�----.--�,,---��---------._,._..___._,__.__.._____ -_ - - - - __-�,.._____�.._ �__�_,,_...._�_ --_-- -_-�.__.-__,__�_.___.�_ Directions: - ----- -----�.�.__-___.__ 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 two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) NOTICE OF DEED RESTRICTIORIS: The undersigned understands that this permit may be subject to"deed"restrictions' whictr may be more restricfive than Gounty regulations. The undersigned assumes responsibifify for compiiance with any appfioable deed restrictions. UNUCEWSED COIdTRACTORS AND COPITRACTOR RESPONSIBILITIES: If the owner has hired a contractor or " ' +� contractars to undertake work,they may be required to be Ilcensed In accordance with state and focal regutations, if#he 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 intencfed wark,they are advised to oonfacf fhe Pasca County Building i�spec#ion Division--�icensing Sec#ion af 727-847- 8009. Furthermore, if the owner has hired a confractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Black"of this applicaiion 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 fa permiKing priviEeges in Fasca Counfy. TR�IdSPORTATIOP�IRflPAGTlUTILI7IES IWIPACT�,MD RESOURCL RECOVEttY FEES: The undersigned understands fhat TransportafEon fmpao!Fees and 12ecourse Recovery Fees may apply to the canstruction af new buiidings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Otdinance numbet 89-0�and 90-07, as amended. The undersigned alsa understands,that such fees,as may be due,will be identified at the time of permitting. tt is iurfher understood thaf Transpartatfion impact�ees and Resource Recovery�ees must be paid pr3ar to receiving a"certificate of occupancy"or final power re(ease. If the project does not involve a cerfiflcate of occupancy ar final power release, ihe fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,lhey mus#be paid prior to permlt issuance in accordance with applicable Pasco County ord'snanees. COtdSTPtUCTtOtd�IER[t��N(Chapter 793,Flarida Statufes,as amended): If vaivation of work is$2,540.d0 or more,1 certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the�torida i7epartment of Agricu(ture and Cansumer Affairs. If the applicant is someone other than the"owner",!certNy fhat 1 have obtained a cflpy of#he above described document ancf promise in good faith to deliver it to the"awner"prior to commencement. COIdTl�ACTOFt'S/�VYtd�P�'S AFFlD/6VlT: l certify that all the informakion in fhis application is accurate and that all work wili"be done 3n compliance with att appticable laws cegulafing aonstruc#ion,zoning and land development. Applicatlon is hereby made to obtain a permit to do wark and lnstallation as indicated. I certify that no work or installation has comme�ced prior to issuance of a permit and that al!work wl!! be performed to meet standards of all laws regulating construcfion, Caunty and City codes, zaning regulations, and land devetopment regulations in fhe jurisdic#ion. ! al"so certify that I tinderstand that the regulations of otlier govemment agencies may apply to the intended work, and that it is my responsibiliky to identity what actions!must kake to be in aompliance. Such agencles include but are not limited ta: - Department afi Environmentat Protec#ion-Cypress Bayheads, lNetland Areas and Environmentally Sensifive Lands,WaierNVa�stewater Treatment. - 5outhwest Fiorida Water HNanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercaurses. - Army Carps of Engineers-Seavualis,Docks,Navigable Waterways. - Department of Health & Rehabilitative SenriceslEnvironmental Health Unit-Wells, Wastewater Treatment, Sept9c 3"anks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand fhat the foltowing restrictions apply to the use of fil1:� - Use of flll is not allowed in Flood Zone°V"unless expressly permitted. - If the flll material is to be used in Flaod Zone °A", It is understood that a drainage plan addressing a °compensating valume"wi4E be submitted at time of permiffing wtiich is prepafed by a professionai engineer licensed by the Sfate of Florida. - If ihe ftll material is to be used in Fload Zone"A" in connectian with a permitted building using stem wall consfructian,I certify that fi1!wll!be ased only to filt fhe area wifhln the stem wail. - If fill material is to be used in any area, i certify that use of such fiil wili nat adversely affect adjacent properties. if use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the cond3tions of the build'sng getmit issued unclet fhe attached permit appllcation,for lots less than one{4} acre which are elevated by fill,an engineered drainage ptan is required. if I am the JAGEPIT FOR T�6E OdNtdER, I promise in good faith to inform the owner of the permitting conditions set farth in this a�davit priar to cotctmsncing construct3on. !understand that a separa#e permiC may be required for electrica!work, plumbing, signs, wetis, pools, air candifioning, gas, or othar insfatlafions nat spec�caily inciuded in the application. A permit issued shali 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,not shal!issuance af a permlt prevent the Buildidg Otticial irom thereafter requiring a correction of errors in plans,construcfion or violations of any codes. Every petmlt issued shaEE became invalid unless the wark authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permlt Is suspended or abandoned for a period of six(6j months afker the time fhe work is commenced. An extension may 6e requested, in wrifing,from the Building Offiicial for a period nof to exceed ninety{9Q}days and wiil demonstrate justifiable cause for the extension. If work ceases far ninety(90)consecutive days,the\ob is considered abandoned. tRIA}�iN(t�G TO OWtdER: YOUR FAtLURE TO RECORD J4 MOTICE OF CO(�tMER10EMEtdT�AY FtESU�.T IP2 YOtJR PAYING YdVICE FOR IfliiPROVENflEPITS TO YOUR P9tOPEitTY. IF YOU INTEPlD 70 OBTAIN FINAMCING,COFdSULT 1fNITF-0 Yt}UI2 LENDE42 OR�N ATTOR►dEY BE�ORE lZECORDI►dG YOUJR tdOTECE OF CORflMEPICEMENT. FLORIDA.lURAT(F:S.'!1'7.03} OdIRdER OR AQENT COWTRACTOR Subscrfbed and svrom to{or affirmedj before me this S�trsplbed and swom to{or affirmed)before me this �y �Y Who Is/are personaily known to me or has/have produaed Who Islare personally knoum lo me or haslhave produced as identlficaHon. as Iden86dHon. Notary Publlc Notary Public Commtssion No. Commission No. Name of Notary typed,grinted or stamped �Name af Hatary typed,pr�nted or stamped