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Home My WebLink About14-15541 �"` � CITY OF ZE HYRHILLS --� � y 5335-8T STREET ' � �sis)� o-ooza 15541, ANNUAL ASSE BLY PERMIT y�f .� ' •.. P,ERMIT INF�ORMATION � LOCATION INFORMATION � Permit JNumber: 15541 Address: 5709 6TH ST ' 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: 1 1-26-21-001 0-02800-01 1 0 -- . . _ ..- - Improv. Cost: OWNER 1NFORMATION �. " ".: Date Issued: 8/04/2014 Name: SOMBUTAMI, S.K. LLC Total Fees: 50.00 Address: 5709 6TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/04/2014 Phone: (813)782-6660 Work Desc: FPM- PLACES OF ASSEMBLY- LITT E NINJA THAI JAPENSE EXP 8/2015 CONTRACTOR S APPLICATION FEES � FIRE PERMIT FEES 50.00 � � , �� ' - ` Ins ection Re ui - ' - " ' -��°� FIRE SITE INSPECTION-Final I OCCU PA 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, N PA101, Section 7.3.1.2 �� .�, ��s� ��)��-� ��s� PERMIT OFFICEF� �- PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN ISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT 6907 Dairy Rd, Zephyrhills, FL 33542 � ;°a�a-�ao-oo2o City of Zep yrhilis Fire Fax-813-780-0021 �� Permit A plication Date Recei;ted � � Phone Contact for Permit�,�A� � _.�o._......__ ......�.��...•—�_��..._..._- -- — - �_..... .,4...w.. Owner's Name ' ' -f'a Owner's Phone Number �/ � � �� Owner's Address � �` L. 3c�.S'� � Fee Simple Titleholder Name Titleholder Phone Number � � � � Fee Simple Titleholder Address G�..a.��..,..,�.�._....v..� - ¢�-�.�.,�--v Job Address r o �j� ` � ' � L �J'3 �Z � Lot# � Sub Division Parcel# �-e,.--- - --.Y..,._s.�..a- .�.....,,�_�.� -- --�-�-y - - _�.�.,e._.�.�._.�._�_�..�..,.:�..�=—~'.y..�--'. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation aEmergency 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 �/„� / l' C� Fire Alarm � ❑ O ❑ � � Sparklers / � l [ Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression ' � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofinglfar Kettle i i 3 � � Fire Pumps � Waste Tire Storage ANNUAL � l � Fire Works � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q Other: ��.,._._.m..�. - _...w.. .��.�.a.� --- .. __��.,,�.._:_.._- - _.�..�_.._ __ Contractor � Company Signature Registered Y/N Fee Current Y/N Address � License# ELECTRICIAN Company Signature Registered �(/1�I 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# k'�_..r. -...:_�_-.-.-«.r.-..__- -�_..P.......a..�—.��.-..�..,.".._.;..._.�...__...__`....�..,_:._..,._.-.t-...: .�....uJ..�..............�,,.,�..-.�.-.e-.-.__..�..�._._.:.-._.�...r�_._.a....,.._.<,� ...,_�e�.-_..._.�..._...._-_,.. Directions: Fill out application completely. Owner&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 Allow 10-14 days for review after submittal date. Parcel -obtained from Property Tax Notice(http://appraiser.pascogov.com) I � _ -- _ _ - � NOTICE OF DEED RESTRICTIONS� The understgned understands that this permit may be subject to"deed°restrictlons" '�� ' � .X ! which may be mare restrictive than Caunty regulations. The undersigned assumes responslbllity for comp}iance with any !i applicable deed restrictions. � '"`. UNLICEMSED CONTRACTORS APdD CON�TRACTOR RESPONSIBILITIES: If the owner has hired a contractor or > ` contractors to undertake work,fhey may be required to be Ncensed In accardance w3fh sfate and local regulatlons. tf the contractor is not licensed as required by law, both the owner and contraetor may be cited for a misdemeanor violatfon under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the 9ntended wotk,they are advised to contact the Pasco Counfy Building Inspection Divis3on—�icensing Sectian 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 will be responsible. If you, as the owner sign as the , contractar,fhat may be an indicafion fhaf he is not prape�ly licensed and Is nof entlfled to permittfng privileges In Pasco ' County. TRIiNSPORTA7IQP!IMPAC7/UTILI7IES INiPACT AND RESOURCE RECOVERY FEES: The undersigned understands thaf T�ansportafion Impact Fees and Recourse Recovery Fees may app}y to the consinsction of new bulfdings,change of use In existing buildings, or expansion of exisiing buitdings, as speo�ed in Pasco County Ordinance number 88-07 and 90-q7, as amended. The undersfgned also understands,that such fees, as may be due,will be fdentified at the time of permltting. lt Is furthsr understood that Transpartation lmpact fees and Resource Ftecovery Fees must be paid prior to receiving a"certificate of occupancy"or frnal power release. If the projecf does not invoive a certiticate ot occupancy or final power release, the fees must be paid prior to permit fssuance. Furthermore, ff Pasca County Water/5ewer Impact fees a�e due,they must f�e paid prior fo permit issuance in accardance with appiicable Pasco County ordinances. CONSTRllGTidtd LlEi�LAHd(Chapter 7f3,Ftorida Statutes,as amendedy: 1f valuation of work is$2,5U0.00 ar more,1 cerlify that I, the applicant, have been pravlded with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide°prepared by the Florida Deparfinent of Agticutture and Cansumer Affairs. If the applicant is someone other than the°owner",i certify that t fiave abtained a capy of the above descr'tbed document and promise in good faith to deliver it to the"owner"prior to commencement. C4tdTRAC7qR'SlOWIdER'S AFFlDAVlT: I certify that a!!the information En this appllcatton is accurate and that all work will'be done in compliance with ati applicable laws regulat3ng oonstrucfion,zoning and land develapment. Applicstion is hereby made to obtain a permit to do wark and installation as indicated. I certify that no work or instaliatian has commenced prior to issuance of a permtt and that aA work wil! be performed to meet standards af all lews regulating , canstnicfion, Caunty and Ciiy codes, zonfng regulations, and iand devetapment regalatians in the jurisdicfsan. 1 al"so certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responslbliity to identify what actlans!must iake to be in compliance. 5uch agencies include but are not Iimited to: - Department af Environmental profection-Gypress Bayfieads, V4letland Ateas and Environmenfally Sensitive Lands,WaterMlastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, WeUand Areas, Aitering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigabte Waterways. - bepartment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, 5eptic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand that the following restricfions apply to fhe use af fi11:� - Use of fill is not ailowed in Flood Zone"V°untess expressly perm�tted. - If the fill material is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a °compensafing vo{ume"wllt be subcnitted at ttme of pemtitting wblch is prepareti by a professionat engineer licensed by the State of Florida. - If ihe fill materiel is to he used in Flood Zane °A" in connection w(th a permftted buiiding using stem wall COTIStTtlC�iOl1,1 eertify#hat fitl will be nsed anty to tiil the area within the stem waR. - If flif ineterial is to be used in any area, I certify tfiat use of such fiil wil( not adversely afifect adjacent properties. if use of fill is found to adversely affect adjaaent properties,the owner may be cited for vfolating the conditions vf the buitding pettnit fssued under the attached permit application,far tofs less than one{1} acre which are elevated by fill,an engfneered drainage plan is required. If I am the AGEtdT FOR THE OWNER,I pramise in good faith to infarm the owner af the permifling oonditians set forth in this af(idavit prior#o commenc(ng construction. !understand that a separate pertnit may be required for etectrical work, plumb(ng, signs, weils, pools, air conditioning, gas, or other Instatlations nat specffically induded in the applicafian. A permit issued shall be construed to be a license to proceed with the work and not as authority to vialate,cancel,alter,ar set aside any pravistons of the technica!codes,nor shaii Essuance of a permlk prevent the Buildirig Official from thereafter requiring a eorrection of errors in pians,canstruction ar violations of any codes. Every permif tssued sha11 become tnvalid unless the work authorized by such permit is commenced writhin six months of permlt fssuance,or tf work authorized by the perrrait Is suspended or abandoned far a periad of sf�c{6j months after the kime the work is commenced. An extension may be reques#ed, in writing,from fhe Building Ofiiciat far a period not to exceed ninety{90}days and will c3emonstrafe just�iable cause for the extension. If work ceases far ninety(90)consecutive days,th�job is considered abandoned. WAi2NIN�TO 01MtdER: YOUR FAil.URE TO RECORD A NOTICE OF COIVEMENCEMEtdT MAY RESUCT IN YOUR PAYING TWICE FOR IN9PROVEMENTS TQ YOUR PROPERTY. IF YOU II�TEND TO OBTAIN FINAIdCINC+,CONSULT V{t(TH YOUF2 LENDER QR AN AT7'ORNEY BEFORE RECORDlNG YOUR NOTICE OF COMMENCEMENT. FLORJDA JURAT(F:S.11T.03} OWNEFt OR A[iENT CONITRACTQR Subspitred and swam to{or afiirmed)before me this Subsexl6ed and stiwm to(or atfirtned)before me thls by �Y Who islare personally known to me or hasRiave produced Who Islare parsonaiiy known to me or has/have produced as IdentlfipBon. as Identlflcallon. Notary Public Notary Public Commiss(on No. Commtssion No. Name of Notacy typed,ptfnted ot skamped �Name of Notary typed,printed ar stamped