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HomeMy WebLinkAbout14-15634 - l� {._ -� �� CITY OF ZEP YRHILLS 5335-8TH�r REET (sis)�sdI-oozo 15634 ANNUAL ASSEMBLY PERMIT y�' " P.ERMIT INFORMATION "" � ` `� �A'' '" � - ° � . :LOCATION,INFOR. MATION ' � � �"��'"' � 'Permit Number: 15634 Address: 38303 NORTH AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Biock: Section: Square Feet: Subdivision: TYSON Est. Value: Parcel Number: 02-26-21-0080-OOA00-0080 Improv. Cost: OWNER.INFORMATIO'N � -_ � Date Issued: 9/05/2014 Name: SIX FEET UNDER LLC Total Fees: 50.00 Address: 31448 REED RD Amount Paid: 50.00 DADE CITY FL 33523-7444 Date Paid: 9/05/2014 Phone: (440)520-3973 Work Desc: FPM - PLACES OF ASSEMBLY - LIT LE PEOPLES CHRISTIAN DAYCARE - EXP 09/15 CONTRACTOR S APPLICATION FEES � OWNER FIRE PERMIT FEES 50.00 , , - c� , ,../ ✓' �-O • � Ins� ection 'Re uired - ' FIRE SITE INSPECTION-Final OCCUPA CY LOAD: � l 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�PA101, Section 7.3.1.2 S�f� �- �ka.. PERMIT OFFICE i PERMIT EXPIRES IN ONE (1) YEAR 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 1 813-780-0020 City Of Z@ph rhills Fire Fax-813-780-0021 • ' Permit Ap lication Date Received , Phone Contact for Permit _�A� � �z—r_-'°-.__..__�^-_-'°°- - - -- _ - .��_�� .� - ���a..�.._...� ..,- ---- - - ----'°-- -- Owner's Name '1`/ � O' b: (..� i f'�/ ���1 � G, Owner's Phone Number ��,� � ?7�0 Ovmer's Address 3�.�a3 d!P y'" f/� ��= �J+ /G, `,1' G r y- �1 Fee Simple Titleholder Name ��,�( � J�/2 L G-. Titleholder Phone Number � � � Fee Simple TitleholderAddress � 30 •/I/o �� %L L ,� S � C:...:�_�.__3.__...__ ��.�._.._.�.—�..°°.°�T---'P°^-_-.�;.:..�,:�"._._ - - - _ --___.�_�..,� - Job Address 3 p 3�./� o� Ef �G�� �P /L.G-T� G- �3 3 5�� P� Lot# � Sub Division Parcel# Ci �"p2�r- ���dP�J�(/p/1tv'a "00� , �h.._...e.�.�.=,..-�--.��.,vo...a.,...�...._..._._..._,,. w.__,,....��.....,.._...._ .,.�,.....�._..w. - - -w_-.-.°-b __`m�,—...�"`i'_m-.�-.,,,mP._w ---, � 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 r(_ SV Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations .(�_ � f�l 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 ot r: t�..��_�w.._:....H..�:,�.: .....-r....._.a.."�:"- ,..._.� -- �--,�..°�`�-*-�-.•.�— .�.,:..w.,�..,n,..M...�..; - _._._�_ 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# r�:.� �__._,_...._..�..,�,_._.._,.� - ..... ..,.�_�..v.___..._..:_�.w.,.,�_..�.:..._��a. _...�...�...._._,_.._..m���.._.b,..___..��.,......_..__...-,._,._�.._..o.....�,:�..�_..,�.,�.-..�...,_.�.�.�,._a-,- Directions: � � � Fill out application completely. Owner 8�Contractor sign back of application,notarized(Or,copy of sign d contract with owner) tf 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) NOTICE OF pEED FtESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions" which may be more restrictive than Caunty regulaf3ons. The unders3gned assumes responsibility for compfPance wifh any � "§ appficable deed restrictions. � � UNLICENSEp CONTR�4CTORS AND COMTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors fo undertake wotk,they t�tay be required to be Itaensed In accordance wlth state and Iocal regutations. Sf the contractor�s not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioietion under state law. If the owner or intended aontractar are uncertain as to what licensing requirements may apply for the intended wark,fhey are advised#o contact the Pasco Gounty Building lnspection Divislorr-l.icensing Section at 727-847- 80q9. Furthermore, ff the owner has hired a contractor or contractors, he is advised ta 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 contractor,fhat may be an fndicafion fhat he Is not properly licensed and is not en#3fled to psrmltting privileges in Pasco Counry. TRANSPORTATION IMPAGTIUTILII7ES IMP/ACT/�ND RIE50URCE RECOVERY FEES: The undersigned understands fhat TransportaE�on Itnpact Fees and Recourse Recovery Fees may apply#o the construction of new buIidings,change of use in existing buiidings, ar expansian of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and 90-07', as amended. The undersigned alsa understands,that such fees,as may be due,will be identified at the time of permttting. It is further understaod that Transpartation Impact fees and Resource Ftecovery�ees must be pafd prior to receiving a"certiticate of occupanoy°or final power release. (f the praject does not involve a cert�cate of oocupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, tF Pasco County Water/Sewer Impact fees are due,they must be paid priar fo permit(ssuanee in accocdance with appl'scabie Pasco County ordinances. COtdSTRUCTldF!LIER!LAW(Chapter 713,Ftorlda Sfafutes,as amended): !f vaiaation of wor[c is$2,5�d.00 or more,i certify that I, the applicant, have been pravided with a copy of the 'Florida Construction Lien Law—Homeowner's Protec#ion Guide"prepared by the Florida t7epartment of Agriculture and Consumer Affairs. !f the applicant is someone ather tfian the"owner",i cert3fy fhat 1 have abtained a copy of the abave described documenf and promise in good faith fo dellver it to the"owner"prior ta commencement. COt�'TR�CTOR'S/dWNER'S AFFIDAVIT: t certify that al!the information in fhls application is accurate and that a!!work wilt be done in compilance wlth ati applicable iaws regulating canstruction,zoning and Iand deve}opment. AppEication is hereby made to obtain a permit to do wark and installation as indicated. I certify that no wark or installatian has comme�ced prior to issuance of a permit and that all work will be performed to mest standards of all laws regulating canstrucfion, Counfy and City codes, zoning regulations, and land development �egulafions in fhe jurisdictian. ! atso certify that I understand that the regulaiions af ottier govemment agencies may apply to the intended work,and that it is my�esponslbility to identlfy what actfans!must take to be in compliance. Such agencies include but are not Ifmited to: - Department af Environmental Pto#ectian-Gypress Bayheads, We#land Areas and Env�ronmenfally Senslfive 4ands,WaterlWastewater Treatment. - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alkering Watercaurses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Wealth & Rehabilttative Services/Environmental Health Unit-Weiis, Wastewater Treatment, Sepf'tc Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. t understand that fhe foliowing restr3ctlons apply to the use af fill.� - Use of fill is not allowed in Flood Zone`V"unless expressiy permitted. - If the flll materiai is to be used in Flaod Zone "A", ft is understood that a drainage plan addressing a °compensating volume"w111 be submltted at ftme of permitting which is prepared by a professianal engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone"A" in connectian with a permitted building using stem wall cansfruction,I cet#if}r fhat fi[I wrllt be ased anly to fill fi�e area within tt►e stem wail. - If ftll material is to be used in any area, t certffy tfiat use of such fitl witf not adversely affect adjacent properties. If use of fill is faund to adversely affect adjacent properties,the owner may be cited for vialating the canditions of the.bn3iding pem�rit issued under fhe attached permtt appifcation,far iofs fess than one(9} acre which are etevated by filt,an engineered drainage pian is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the awner of the pertnitting canditions set forth in i thts a�davlt prior to corr:mencing consfiaction. 1 understand that a separate permit may be requtred for electrica!work, plumbing, signs,welis, pools, air condifioning, gas, or other instaiiations not specificatEy incfuded in fhe applicafion. A i permit issued shall be construed to be a Iicense to proceed with the work and not as authority to vlolate,cancel,alter,or set aside any provistons of the technica!codes,nor shaii Essuance of a permit prevent the 6ufldirig Officia!from thereafter requiring a correction of errors in plans,construction ot vioiations of any codes. Every permtt issued shalt became Invaitd unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by fhe perm[t is suspended or abandoned far a period of sfx{6)months after the time the work is commenced. An extension may be requested, in writing,from the Buildtng Qfliciat for a period nat to exceed ninety{90}days attd will demons#rate Just�iable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING 70 dWtdER: YOUR FAILURE TQ RECORD A NOTICE OF COMMENCEM�NT MAY RESULT 1N YOUR PAYING'PVUICE FOF2 IIMPROVEMENTS TQ YOUR PROPERTY. IF YOU INTEND TO OBTAIId FINANCIIdG,CONSULT 1MITH YOUR LENDER OR IAN ATTORNEY BEFORE RECORDlP1G YOUR NOTICE OF COMMENCEMEN7. FLOftlDA JURAT(F:S.11�.03} OWtdER OR AGiENT COWtFtACTOR , Subsptbed and swam fa(or affirmed}trefore me thEs Subsarl6ed end swom to{or aftlrtned)before me thls by bY Who I5fare personally known to me ar haslhave produced Who Islare personaily knavm to me or haslhave produced asidentlfica8on. asldentlNcaUon. Notaty Public Notary Publla Commisstort No. Commission No. Name of Natary typed,pdnted or stamped �Name of Notary typed,ptinted or stamped