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Home My WebLink About14-15388r— CITY OF ZEPHYRHILLS 5335-8TH STREET :; �sis)�so-oozo 5388 ANNUAL ASSEMBLY PERMIT _. __ _v—r---- -r�' 15 '.YPis�',^-- _ _ _ _ ';<.� '-___''�'`,i �'__�_ '� �._`'__r„-� �`� ~ ��" PERIIAIT�INFO;RMATI.ON;�` ;��.�4 ',:.:�� - :�LOCATI.O�N�INFORIVIATION�� la��.� :�:`� Permit Number: 15388 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 ,_,�-:.�,._��-„ �_..-�;r•�;-� �-*–• Improv. Cost: ;:x;-..;_,:�,��w�;:�O.W.',NER;�INFO,RMATI'O.N �. Date Issued: 6/13/2014 Name: C & R HOLDINGS OF ZEPHYRHILLS Total Fees: 5 � (i�'� Address: 5221 8TH ST Amount Paid: 50� ZEPHYRHILLS, FL. 33542 Date Paid: 6/13/2014 Phone: Work Desc: PLACES OF ASSEMBLY- JUST CHURCH INC EXP 6/2015 FEE WAIVED ,.a �, r .. T-. - � . ...""" e::�__..._'n - :'s'?"-�,vl - _ ��*' I �r. ( _ _ _ . _ � 'f .a"'�,. � �_` _ '.`A'f.a: tlr£°"6, ��'.�, �-�. ;CONTRAC�TOR S' `� � :AP�PLICATION'FEES' � a , . ,., = .��.: . ., „ . _..�-, FIRE PERMIT FEES 50.00 ;\ �e�,� � I �� / ��;�'.sF�.Af:�E'•�•_;,�"�,�,. ,. „ � �:-•„� ° - '"`�-. a; � r��: �, t.i� v��,>�' -�,��; � °'� Ins ections Re uired" � �, ��;.� �'� �; FIRE SITE NSPECTION-Final � ■ N Y L AD. OCCU PA C O 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 OFFICER 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�saso-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received !�o�� Phone Contact for Permit _�.�e� ��..�_.��__�_-- _�_:_ ....___.� .___°��_.e.__...��...�_ -- _.._.�.._.�r - -_ �___.-�-v�= --- �.�..,,.__.�_.��....�._._��...�..e Owner's Name • c!S T l_ v l �- Owner's Phone Number � � � Owner's Address � �� • � t ll.S �L J��7s�-- Fee Simple Titieholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address b�Address ��° ° _ - � —- - _ - - -- �Lot# � � Sub Division Parcel# �-�.d...._..a.._.._-_„�_.�..--��._._..�.�_.�.,_,...�,._..._._».�........_....�_��-___ �..��.�_.:..�-a--�,___._ . _....v_.�-_��__ �� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � emi � t er Sprinkler � ❑ ❑ O � Recreational Burn Fire Alartn � ❑ ❑ ❑ � � 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 - ValUBtlOf1 Of P�OJeCt � Fuel Tanks Q Other: r�� --_- ----- .�._.�.__ - -- — - —y___V.__._.._�.. - - -__�__�..._..,� - Contractor • � Company Signature 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# �� -,.,..�-_--,.�.__..._�-�_.._.._.�_..._,�_�_,�....._.,____.__�.__.._...,..._.---Y__.._....Y__._�.a..___�.__._._..,._�_ _°----_�w_..__._�.�_..�.-_.�_....._.,�__..__..ti_...�.w__.____.:��,-_ 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 iwo(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) N0710E OF bEED RESTRlCTIOfdS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than Counfy regulafions. The undersigned assumes responsibllity for compliance with any applicable deed restrictions. , � , UF�LICENSED COMTRACTORS AND CONTRACTOR RESPONSIBIL171ES: If the owner has hired a conhaotor or ` contractors to undertake work,they may be required fo be licensed In accordance wifh stafe and local regutafsons. !f fhe " ' . contractor is not ticensed as required by law, both the owner and cvntractor may be cited for a misdemeanor vtolation under state law. If the owner or intended cantractor are uncertain as to what licensing requirements may apply for the intended work,they are advised#o oontact the Pasco County Suilding Inspection Division—Licensing Section af 72T-847- SOq9. Furthermore, if the owner has hired a contractor ar confractors, he is advised to have the confractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the ' contraetor,that may be an indication that he Is nof properly licensed and is nat enEifled to permitting priviEeges in Pasco Couniy. TRAIdSPORTAYIORi IINPACT/UTII.ITIES IAfrPACT�ND RESOURCE RECOVERY FEES: The undersigned understends that Transporta#ian lmpact Fees and Recourse Recavery�ees may apply ta the construction of new buiidings,change of use in existing bulidings, or expansion of existing buildings,as speoi{ied in Pasco Counfy Ordinance number 89-07 and , 90-07, as amended. The undersigned alsa understands,that such fees,as may be due,wfll be identified at the time of permitting. !t is further undersEood that Transpartation fmpact fees and Resource Recovety fees must be paid prior to receiving a"cert�cate of occupancy"or final power re(ease. if the project does not finvolve a certificate of occupancy or Ifinal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact ' fees are due,they must be paid prior to permit Issuance!n accordance with appHcable Pasco County ardinances. COIdSTRUCT10Tt LIEW LJ4{tV{Chapter 7i3,Plorida Stafales,as amendedj: if valuation of work is$2,5d0.00 or more,f certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien Law—Homeowner's Prateciion Guide°prepared by the FtaRda Department of Agriculkure and Consumer Affairs. If ihe applicant is someone other tfian the°owner",i certify that 1 have obtained a copy of#he above described document and promise En good faith to deliver it to the"owner"prior to commencement. COWTRAGTOEt'St01Rl�ER'S AfFIDAI!!T: 1 cer#ify that a!1 the information in this application is accurate and that a!!work witt be done!n compliance with ali applicable laws regulafing construc#ion,zonEng and land development. Application is hereby made to obtain a permit to do wark and installation as indicated. I certify that no work or installatian has commenced prior to issuance of a permtt and that all work will be performed ko meet standards af a!!laws regulaHng construc#ion, Counfy and Gity codes, zoning regulations, and land devetapmenf regulations in the jurisd3ctian. 1 also certify that I understand that the regulaiions of other govemment agencies may apply to the intended work, and that it is my respansibility to identify what actions!mUSt iake to be in compliance. Such agencies include but are not limited fo: - Departmenf of Env'sronmentat Protectian-Cypress Bayheads, tNe#iand Areas and Environtnec►tally 5ensifive Lands,WaterNU�stewater Treatment. - 5outhwest Florida W�ter IVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering , Watercottrses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - pepartment of Wealth & Rehabllitative ServiceslEnvironmentel Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmentel Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. t understand thaf fhe fot3awing resfricftons appty to fhe use of fit1:� - Use of fill is not allowed in Fiood Zone°V°unless expressly permitted. - If the flll material (s to be used in Flaod Zone "A", (t is understood that a drainage plan addressing a "compensating vo3ume"wlll be submitted at time of permEtting whlch is prepared by a professionat enginesr licensed by the State of Florida. - If ihe fill material is to be used in Flood Zone°A" in cannection wr(th a permitted building using stem wall consfruction,1 cetfify that fitl vultl be used only ta fiC!fhe area vviEh3n the stem watl: - If flll material is to be used in any area, 1 certlfy that use af such fiti witt not adversely affect adjacent properties. If use of fill is found to adversely affect adjaoent properties,khe owner may be cited for vialating the conditions of the butSding permit issued ur�der the attached permit application,far]ats less than one{1} _ acre whfch are elevated by fi0,an engineered drainage plan is requlred. If I am the AGENT FOR THE OWPdEPt, I pramise in good falth to inform the owner of the permitting conditians set farth in thls aff�davlt prior to commencing constructlon. 1 understand that a separate perm9t may be required for electrica!work, plumbing, signs, weifs, pools, air canditioning, gas, or offier insiallations not specfficatiy Induded in fhe appiication. A permit issued shall be construed to 6e a license to proceed with the work and not as authority to vialate,cancel,alker,or set aside any provisions of the technical codes,nor shaEt issuance of a permEt prevent the Build9rig O�ciai from thereaRer requiring a correction of errors in pians,construction or violations of any codes. Euery permif 3ssued shali become tnvalid unless the wotk authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit ts suspended or abandoned far a period of six{S)months after the time the work is commenced. An extenslon may be reques#ed, tn wriEing,from the Buiiding.Oflicfal for a period�of to exceed ninety{90}days and wii{demonstrate )usti�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. VNAFENt(dG TO OWMER: YOUR FAtLtJRE TO RBCORD A MQTIGE OF COtI�{lREA10E[�IEt�T t�@AY RESUCT tN YOUR PAYIMG TWICE FOFt IMPF20VEMEMTS TO YOUR PROPERTY. IF YOU IPlTEND TO 08TAIN FItdANCING,COMSULT YYiTH YOUR�ENDER OR F.td ATTORNEY�EFORE RECOI2DltdG YOUR NOTlCE OF COIIAMEtdCEMENT. FLOftlDA SURAT(F:S.11�.03} OWNER OR AOENT COMTRACTOR Subsctibed and stvam to(or sffirmed}before me thts Subsai6ed at�d sxvm to{or affirmed)6efore me thls ny aY Who is/are pe�sonally known to me or has/have produced Who Islare persanally knawn to me or has/have produced as identlfiqdon. as Idendficadon. Notary Pubiic Notary Publia Commission No. Commtssion No. Name af Notary typsd,printed ar stamped �Name of Hotar}r typed,pdnted or stamped }