The URL can be used to link to this page

Home My WebLink About14-15496 \ � CITY OF ZE HYRHILLS � � 5335-8T STREET (sis)� o-oozo 15 6 ANNUAL ASSE BLY PERMIT �' �- `.�a.;��,��PERMIT'INFORMATION � � 'LOCATION INFORMATION `. t�`��''��``��°��°�: PermYit Number: 15496 Address: 5707 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: Improv. Cost: '"�OWNER INFORMATION- ''�£��"`��'�r��.::'= Date Issued: 7/17/2014 Name: CRYSTAL BAR Total Fees: 50.00 Address: 5707 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/17/2014 Phone: Work Desc: PLACES OF ASSEMBLY-CRYSTAL AR EXP 7/2015 CONTRACTOR S APPLICATION FEES � ` FIRE PERMIT FEES 50.00 �� / I � _ � - � Ins ection Re uired ' ° � � ��°�"�''.�� -' FIRE SITE INSPECTION-Final OCCUPA CY LOAD: � Occupancy by more than the numbe of persons above shall be considered dangerous and unlawful. Occup nt load determined by Florida Fire Prevention Code, NF A101, Section 7.3.1.2 �� .�� PERMIT OFFICER PERMIT EXPIRES IN ONE (1) EAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN V SIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 � e�3aso-oo2o City of Zeph rhills Fire Fax-813-780-0021 Permit Ap lication Date Received � / ',�d O _ Phone Contact for Permit 8�.� �7 Q� ��!�{� r--.�-_ _.-_.-_..-�_p._.__.._ _.o.a.-. .,J — _._..�____.______�..__ _ - �__.,..._.�.�__.._4.......�_.,.___ _�_ �. » �. Owner's Name � 5 r �L (4/� Owner's Phone Number �l 3 7�o� �� Ovmer's Address 5�� I �Yt �-L ��ll �E(�!-� H �l.L 5 �l. 3 ?J S �p�-� Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address tn:-�t_..�.y.._�_.�.— - - _ - - - �._-_.�-__.�.._ JobAddressV '��. �0 7.wCrFt LL ^��✓(�' ��O�f /ZL-�ILLs �L �`�•3�'�oZ-� Lot# � Sub Division Parcel# rv��,-.__...�� -- ' - —._.�.y_ - -_--.......��..P�—�. -`��.s_._._,__.__��__._�_._n.~�—..-:�-��_.-...�._�.._...e,..�,..,.�, � Bio-Hazard Waste Storage-ANNUAL � 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 tr y emi � 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 � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q Other: �::�i___.�- - ._..�.. __.. — -- -- - __..�,.,_,;....a.__. - _ �,.,:_.�.� - :. 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# t� ;.�.�..-.._...;..t._,.______�,._�.-.s=_ �.._.._.._,_.. a_.a_�.-_�- _..�z_.._..._ �.__:._.,�:.:._. �__._.__..�,.._�,_�.____---_._.._..,.�_._-�,�__._.:-_�_,_.��..�_ Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized(Or,copy of signe contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work ver$5000) Supply two(2)sets of drawings with applicable documentation Aliow 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 � . „ appficable deed restrictfons. UNLICEPdSED CONTRACTORS APdD COPdTRACTOR RESPOMSIBILITIES: If the owner has hired a contractor or contraciors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the i 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 Divisior�Licensing Section at 727-847- 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this appiication 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. TRANSPORTP.TIOfd IANPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undetsigned understands ihat Transpo�tation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified 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 fdentified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTIOId LIEfd U41M(Chapter 793,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 tFie `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"owne�'prior to commencement. COIdTRACTOR'SIOWNER'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 instaliation has commenced prior to issuance of a permit and that all work will be performed to meet standards of ali 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 otFier govemment agencies may apply to the intended work,and that it is my responsibility to identffy what actions I must iake to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Ihletland Areas and Environmentally Sensitive Lands,Water/Wasiewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses, - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictfons apply to the use of fill: - Use of fill is not allowed in Flood Zone'V°unless expressly permitted. - If the ftil materfal is to be used in Fiood Zone "A", (t is understood that a drainage plan addressing a °compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone °A" in connecfian with a permitted building using stem wall construction,I certify that flll will be used only to fill the area within the stem wail. - If fill material is to be used in any area, I certify that use of such fill wiil not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. 1f I am the AGENT FOR TF6E OWMER,I promise in good faith to inform the owner of the permifting conditions set forth in this affidavit prior to commencing canstruction. 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 author'ity to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Offiicial 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 permlt issuance,or'rf 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 far a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension, if work ceases for ninety(90)consecutive days,th�job is considered abandoned. �fARMING TO OWNER: YOUR FAILURE TO RECORD A idOTICE OF CORflMENCEMENT INAY RESULT IN YOUR PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ItJTEND TO OBTAIN FINANCING,CONSULT 1AlITM YOUR LENDER OR�4N ATfORIdEY BEFORE RECORDIIdG YDUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) OHYNER OR AGENT CONTRACTOR Subsaibed and swom to(or afflrmed)before me thls SubscTibed end swom to(or afflrmed)before me thls by y Who Is/are personally known to me or has/have produced Who Is/ere personally Imown to me or has/have produced asldentlficatlon. asldentlflcaUon. Notary Public Notary Pu61ic Commisslon No. Commission No. Neme of Notary typed,printed ar stsmped �Name oi Notary lyped,printed or stamped