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Home My WebLink About14-15527 „ ' CITY OF Z PHYRHILLS 5335-8 H STREET �sis� so-oozo 15527 �'� I ANNUAL ASS MBLY PERMIT � PERMIT�INF�ORMAaTION�. `��.-�<,��-��L�OCi0.�TION INF�ORMi4�TI.ON Permit Number: 15527 Address: 38333 COTTONWOOD PL Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTVI/OOD Est. Value: Parcel Number: 02-26-21-021B-OOR00-0000 Improv. Cost: ��:,,,� ' � °OWNER INFORMATI.ON Date Issued: 7/28/2014 Name: DRIFTWOOD CONDO ASSOC Total Fees: 50.00 Address: 38333 COTTONWOOD PL Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/28/2014 Phone: Work Desc: PLACES ASSEMBLY- DRIFTWOOD CLUBHOUSE 7/2015 EXP CO`NTR C�T�O`R�.S�= a �.� �`��- � ,.i4PPl.�IC�ioiT10N�FEES �� FIRE PERMIT FEES 50.00 `1 �� \ �� ' - � ;�� °s t��3' �ns .e.ction �Re ui�ed. FIRE SITE INSPECTION-Final � OCCU PA CY LOAD:' Occupancy by more than the numbe of persons above shall be considered dangerous and unlawful. Occupa t load determined by Florida Fire Prevention Code, NF A101, Section 7.3.1.2 �� - � �, .,� �� . • PERMIT OFFICE �` - ' PERMIT EXPIRES IN ONE (1) EAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VI IBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 907 Dairy Rd, Zephyrhills, FL 33542 813-780-0020 � ' �CI of Ze h fhIIIS FIf6 Fa -813-780-0021 ` �� Permit plication ' �� Date Received Phone Contact for Permit m� � ��-._._,�.-_--__...tl._a__.. - - � _.._.._�.�. __. -�.�.�._....�..........�__.__..�__.e.-.,..o_.....___..._.�.. � Owner's Name Q Owner's Phone Number � � Owner's Address Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � �=--�'�___�u ------�K° - - - � Job Address Lot# �� Sub Division Parcel# ��,..��,..__........-...,.e.��....�.._..._._..._... _-^,-°.,--'s.�.,.m.._.�....--`�--.�.�,-.- - — ..,..._.�.,.. -- .�....�... . �,....�.......:.� _.,.:.�•-��°--°r � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>34 kw LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL tr y emi � t er Sprinkier � ❑ ❑ ❑ � � Recreational Bum � Fire Alarm � ❑ ❑ ❑ � � Sparklers �' S� Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations v ' � r 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: �:�:-.�n..�� - ._ ,�..v.........�,. ,_,�.��_,�.�...�.._.�. '�,�'_°"'_„"`' �� -"'� Contractor � � Company Signature e 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# r�... �,�,�_.. ____��..�-.-N_..__.__-___.._„..M.�___...__N ,�,__....__ _ ��_._..,__e��.v...,:� ...r,__...o.__M,..,�._-.P.._.__..._�__�..._..._-_.._.,.._.__•.�__..�.,�__.:._.. 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 o er$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) NOTICE OF DEED RESTRICTIOPIS: 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. UNLICEPESED CONTRACTORS AND COPITRACTOR 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 clted for a misdemeanor violatfon 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, 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 application for which they wfll 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 Counry. TRAIdSPORTATIOM IMPACT/UTILITIES IMPACT AP1D RESOURCE RECOVERY FEES: The undersigned understands that Transportation 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 unders(gned also understands,that such fees,as may be due,will be identified 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 fssuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in aacordance with applicable Pasco County ordinances. CONSTRUCTIOtd LIEN LAIIV(Chapter 793,Florida Statufes,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",1 certify that I have obtained a copy of the above described dacument and promise in good faith to deliver it to the"owner"prior to commencement. COMTRACTOR'SlOWNER'S AFFIDAVIY: I certffy that all the fnformation in this application is accurate and that all work will be done in compifance with all appli�able 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 pertormed 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 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, VUetland Areas and Environmentally Sensitive Lands,WaterMlastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. J - 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 foilowing restrictions apply to the use of fill:• - Use of fill is not allowed in Fiood Zone'V"unless expressly permitted. - If the fill material is to be used in Fiood Zone "A", It is understood that a drainage plan addressing a "compensating volume"wiil be submitted at time of permitting which is prepared by a professional engineer licensed by the State af Florida. - If the fill material is to be used in Flaod Zone °A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area w(thin the stem wall. - If flll material is to be used in any area, I certify that use of such ftll will not adversely affect adjacent properties. if use of fill is found to adversely affect adjacent properties,the owner may be c(ted for violaiing the conditions of the building permit issued under the attached pertnit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan Is required. If I am the AGEtdT FOR THE OWNER,I promise in good faith to inform the owner of lhe permifling conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs,welis, pools, air conditioning, gas, or other installations not specifically inciuded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authorfty to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permlt fssued shall become invalid unless the work authorized by such permit is commenced within slx months of permlt issuance,or ff work authorized by the permit is suspended ar 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,th�job is considered abandoned. WARNING TO OWtdER: YOUR FAILURE TO RECORD A IdOTICE OF COMMENCEMENT N9AY RESULT IN YOUR PAYING TVYICE 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) OWPIER OR AGENT COIdTRACTOR Subsalbed and swom to(or afflrtned)betore me thls Subscrlbed end svwm to(or afflrmed)before me Uils by by Who Isfare personally knovm to me or haslhave produced YVho Islare personally known to me or has/have produced asldentlficatlon. asidendficatlon. Notary Public Notary Public Commission No. Commissfon No. Neme oi Notary typed,printed or stamped �Name of Notary typed,printed or stamped