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Home My WebLink About14-15387 CITY OF ZEPHYRHILLS ,. 5335-8TH STREET " (si3)�so-oozo 153 ANNUAL ASSEMBLY PERMIT � -� ;T ., .�� «--3---t---�, �—�-,-,-. . �.t-" :.�^��°�� '�;,`�-`_""�` �: T"- �, ' PERMIT�INFrORIIA�►�TIO:N�;�:�.>.;"�°:�;.��:a�rX :1.�.,x::.�v;��.��,<�;.;�,�LOC�►TION,,INF�O.RMATI'ON ,. _�.- „ �► Permit Number: 15387 Address: 7331 GALL BLVD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0000-00300-0020 ;'�'"`�m�� O.WNE--R�INFORM�A�rTION Improv. Cost: ��•:°�x�fw � Date Issued: 6/13/2014 Name: MERCHANTS STATION c/o PHILLIPS Total Fees: 50.00 Address: 7331 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/13/2014 Phone: Work Desc: PLACES OF ASSEMBLY- BREAKFAST STATION EXP 6/2015 s��CONTR�A�CTOR�S . ��•� �''�:° , '� :� L � ' �APPLIC�ATIOIV�FEES==�''��°� ��;��_� � ��_`�=y`'��°'�,:�^�'�*_, OWNER FIRE PERMIT�FEES 50.00 / �� C� �Y , � / i � i��,r ,� f; � .��"��; -.�.. .;z,e ;.� . a-_., -- - .,. . - -s:- , . - s'�'`.�sJr.::� .,e�.#,�.�sg,�°o�-u^,�,��s° ,��r� _ �4� �_ �,� ��.�.� �:. ;Ins ections�Re� `ui"red°'� ��.:��;�:: <��;�7:_,.. �4 # �. 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 �� , , �•�> >1% � �� 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 . 8�3-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received ' Phone Contact for Permit � � � ��-.�-w__�=_----_ - ---__._�_.....,-..v.: _ ...._:A�.t_� - _ - _._.��`..___.._._..�.��-�...___�___-____ __._�.. - — ...,,.�-�... Owner's Name ` ` � ' � b L.�--�'i Owner's Phone Number 3�J (�S� �� Owner's Address ,3 ��L�, r' �t-. 3 3�� Fee Simple Titleholder Name Titleholder Phone Number � � �� Fee Simple Titleholder Address G.'�"'.��__...____�,....�_. - °;,,,r�-- -- «__,,...,...:.`',.�`--' .�..�•_ -_*."�_ ..e_"-___.. Job Address Lot# �� Sub Division Parcel# �-�,_...._..�.`....__..d___t.:�::��...:._.�__,.o.�.�._-�-.�..�a�,_�..��__�v. - ...a_ �.�..__�__._.._...._._a_z.�_..__.�._��_.`_._.._...�.�...�...,-----��----� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Fiood 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 �� try emi �n t er Sprinkler � ❑ ❑ ❑ � � Recreational Bum � Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm installation � � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Q Other: �:.�...w,�_>:------��.. e.,_.v - .-� _ __ - .�_.�...��.,.�..,...�..____�r�_.�,..�...._._�......._.,..r__._ - __av._n._.�R__ �. Contractor �� /� � � Company Signature l/� �/ Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company - Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# e=._:=,_ .e.._ .__._.._.,.._.__�._ _�Y.__.____.. .Y:�___,�_,_�____e__�__._.�..___..�_.�._.____..�._ ..�_.________..._...>.,�-__------------.r�.__n___....._..____ . __�_� �.�_.��-� 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) I�OTICE OF pEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions' which may be mors resfrict3ve fhan Caunty regu(ations. The undersigned assnmes responsibility for compliance with any applicable deed restrictions. ; ,. UkLICEPdSED CON7RACTORS A.IdD COMTRP�CTOR RESPONSI91U71ES: If the owner has hired a contractor or contracfors ta under#ake v�+ork,fhey may be required to be lieensed in accotdance wlfh s#ate and Ioca1 regutat(ons. tf#he contractor is not licensed as required by�aw, both the owner and contractor may be ctted for a misdemeanor vialation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended wark,they are advised#o contact the Pasco County Building Irtspeo#ion Divislart--Licensing Sectiora at 72T-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised ta have the confractor(s) sign portians of the"contractor Block"of this application for whiah they will be responslble. If you, as the owner sign as the contractor,thaf may be an indication that he Is not ptoperly licensed and is not ent3fied to permltting privileges in Pasco County. TRAMSPORTATION IAAPP.CTlUTILITIES ChflPACT�MD RESOURCE RECOVERY FEES: The undersigned understands that Transpa�tatian lmpacf Fees and Recourse Recovery Fees may appfy to the construction of new buiidings,change of use in exisfing buildings, or expansion of existing buildings,as spec�ed in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be idenfrfied at the time of parmitting. ft is further understood that Transportation lmpaat�ees and Resource i2ecovery Fees must be paid prior Eo recefving a"certificate of occupancy"or final power reiease, tf the project daes not involve a certiflcete of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they rraust be pald priar to permit issuance in accordance with appficable Pasco County ordinances. CONSTiFUCTlaht LtEld LAKd(Chapter 713,Ftorida Statutes,as amended); tf valuation oi work is$2,50QA0 or more,I certify that l, the applicant, have been prov(ded with a capy of the "Florida Construction Lien Law—Homeowner's Pratectian Guide"prepared by the�lorida Department of Rgricufiure and Consumer Affairs. If the applicant is someone other than the°owner",i cerfify that 1 have obtained a aopy of the abave descrtbed document and promise in good fa3#h to deliver it to the"owner"prior to commencement. COtd'TRP+CTOR'SlG1Wl�ER'S AFFIDAYIT: I certify that all the informatton 3n this application is accurate and that a!I work � will'be done 3n cotnpliance with a1i applicable laws regulating consfrucfion,xoning and land developmenf. Application is hereby made to obtein a permit to do wark and installation as indicated. I certrFy that no work or installation has commenced prior ta issuance of a permit and that all work wlll be performed to meet standards of all laws regulating construcfion, Caunty ancf Qi#y cades, zonfng regul�fions, and land develapment regnlafions in the jurisdiction. 1 al"so certify that I understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is my responslb3lity to identity what actions I must take to be in compliance_ Such agencies include but are not limited to: - Llepar#ment ofi Environmental Protecfian-Cypress Bayheads, l+Yetland Areas and Envirortmentally Sensitive Lands,Water/Wastewater Treatment. - 5outhwest Florida Water BAanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ' - Army Carps of Engineers-Seawalls,Dooks,Navigable Watervuays. - Department of Health & Rehabllitetive Services/Environmental Nealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Enviranmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand that the fallawing resfrlctions apply ta ihe use of fitl: - Use of flll is not ellowed in Flood 2one°V"unless expressly permitked. - If the flll mateMal is to be used in Fload Zone 'A", it is understood that a drainage plan addreseing a "compensating volums"wiil be submitfed af time of petmltting which is prspared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone"A" in cannection with a permitted building using stem wa11 canstruction,1 cer#ify fhat fill will be used only fo fiSl the area with3n the stem wat3. - If flll material is to be used in any area, i certify that use af such fill wiii nof adversely afFect adjacent properties. If use of flll is found to adversely affect adjaaent properties,the owner may be clted for violating the conditions af#he buitding perm9t Issaed under the attached permit applica#ion,for lots less than one(1} acre which are elevated by fiit,an engineered drainage pian is required. if I am the AGENT FOR TF7E OWNER,I promise in good faith to inform the owner of the permifling conditions set farth in fh9s a�davit priar ta commenc(ng aansfruction. t undersNand that a segarate permit may be required for electrica!work, pfumbing, signs, wells, poois, air cpndi6oning, gas, or other instatlations nat specfficatiy inciuded in the applicafian A permit issued shail be construed to 6e a license to proceed with the work and not as authority to vialate,cancel,alter,or set astde any provlsions of the technfcai codes,nor shalt issuance ot'a permlt prevent the Bufldirig Official trom thereafter requiring a correcfion of errors in pla�s,construction or violatians of any codes. Every permtt issued shail became invaltd uniess the work authorized by such permit is commenced w(thin six months of permit issuance,or if work authorized by the permit is suspended or abandoned far a periad of si�c(8)months after the time the work is commenced. An extenslon may be requested, in writing,trom the Building Ofticial far a period not to exceed nine#y(9d}days and wiil demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the Job is considered abandoned. WARNItdG Td OWtdER: YdUR FAfLURE TO RECORD A iddTICE OF CONfMEt�CEM�tdT�AY RESU�T tN YOUR PAYING TWICE FOR IIWPftOVENA�fdTS TO YOUR PROPEF4TY. IF YOU INTEtdD TO OBTAIW FINANCI1dG,COMSULT , WiTH YOUR LE[dDER Oit AN ATTdRNEY BEFOl2E 1�ECORDlNG YOUR NOTlCE OF COMMENC�fiAENT FLORtDA JURAT(F:S.12T.03} OYYNER OR ACiENT COIdTRACTdR Subscrfbed and swom fo{or aifirmed}beEore ma t}ris Subsaibed and swnm to(ar affirmed)6etore me this by �Y Who Is/are pe�onally knawn to me or haslFiave produced Who Islare personally known to me or has/have produced as identlfiption. as IdendfiqUon. Notary Pubiic Notary Pu611c Commission Np, Commission No. Name of Flofary typed,gt�nted or stamped �Hame of Natary typed,printed ar stamped , } (