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Home My WebLink About14-15657 CITY OF ZE HYRHILLS � �` 5335-8T STREET F (sis)� o-oozo 156 7 ANNUAL ASSE BLY PERMIT �' � `�� ' `��ti�-'�;'��;�;��"L�OC"�AyTIO,fV�INF�O:RM TI:ON�. �� P.E�RIVIIT�INF�.O.RMATION��'T�'��'�:. ..d�.,.�.��,r�: � Permit Number: 15657 Address: 7890 GALL BLVD '� Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR COMMONS Est. Value: Parcel Number: 35-25-21-0130-00000-0030 Improv. Cost: �.,:�;��.;�K�.�, T�- �- �-�- , �.aOWNER�INFO,RM�ATION Date Issued: 9/15/2014 Name: SF ZEPHYR COMMONS LP Total Fees: 50.00 Address: 1-2851 JOHN ST Amount Paid: 50.00 MARKHAM ON L3R 5R7 CANADA Date Paid: 9/15/2014 Phone: Work Desc: JERSEY MIKES / PLACE OF ASSEM LY ., �.....--e : --3 __ . ,r.`��ror, . . - . . .- m . � t r:-_ . °CONTRACTOR S �°'` AP.PLICATION FEESa' ` �-- �`� �"V�' FIRE PERMIT FEES 50.00 � ��`' �� , , � �'��v� �:z�;., , _ _s�:-��; : - . - ... - , . _ �=._��;ty ,.. q ��X= � �y:.-� Ins ection Re uired+~" .�. ° :' T��":� FIRE SITE INSPECTION-Final 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, NF A101, Section 7.3.1.2 .�� -�- S�k�„ PERMIT OFFICE 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 �i 813-780-0020 City of Zep yrhills Fire Fax-813-780-002� Permit A plication Date Receivecl� Phone Contact for Permit .��+�,� f�=.::.�.�-�.,..._� .�.._.�.�._ ��.°-:�-�-�°a,-.�-°�- - -- - .��,_.,. _�._.�_w...w.. - Owner's Name Owner's Phone Number � � � Owner's Address Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address G�..�--�-__�_,�.��.`Y'°_ " s'—'=...�'°._"..,$"".�°"`T�. - ...�'�_:�.....- -._.o..._,.,a,�_�.,_°�""'�•• �..1 Job Address ��D�v v�i I� �(�� L.� ��71�� V�-' �j✓ _I � Lot# � Sub Division Parcel# �..-...+.._,...�._�:Y.��__,._.,�d..�.. _ ...�_.,_...�._.._v.._.� w�.�'- - �...... - 4.,.�.� _---__�..�.,...._.._.._ - - -•.�°°T,:��.�s � 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>30 kw LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL r Places of Assembly-ANNUAL � s0° � V tr y emi �n t er Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ O � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � SprinklerSystem 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 � oth � �:_._�.�.� � .._.�...�. p- -- �:_....� �__ � -- - - � - �� Contractor Company '(�e�/e�J�4 �tS� Signature Registered /N Fee Current Y/1�I Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/IV 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" - -��-a.�_. ,_____�._..�.�_.._...:..�._�,.._.._.._-.�.-�..,m_..__.,..�_.�_._._.-._.�_ -�.�..._,. ____..._-,,,,r�-- _.__°-°__�.�__.._.:...A_.._T:_.,_.,._�,..-��_,..-9....,��_.._:�_�_..._ 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) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive fhan Cannty regulations. The undersigned assumes responsibllity for campllance with any app(icable deed restrictions. j ,, UNLICENSED CON7RACTORS AND COPJTRACTOR R'ESPONSIBILITIES: If the owner has hired a contractor or : contrac#ars to undertake work,fhey tnay be required to be licensed in accordance wifh state and lacal regulations. If fhs contractor is not licensed as requtred by law, both the owner and contractor may be c(ted for a misdemeanor vioiation under state law. lf the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they ate advised to contact fhe Pasco County Suilding lnspecttan Divis3on—�icensing Section aE 727-847- 8009. Furthermore, ff the awner has i�ired a confractor or contractors, he is advised to have the conUactor(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,that may be an indication tha#he ts naf properiy ficensed and is not entitied to permltting privileges in Pasco County. TRANSPORTATION IMPAC7IUTILI7IES IMPACT AND RE50URCE RECOVERY FEES: The undersigned understands that Transporta#ion(mpact Fees and Recourse Recovery Fess may apply#o the construction af new bulfdings,change of use in exist+ng buildings, or expansion of existing buildings, as specified in Pasoo County Ordinance number 89-07 and 90-07, as amended. The undersigned alsa unders#ands,that such fees,as may be due,will be fdentified at the time of perrnEtting. lk Is further understood that Transpar#a#ion Impact Fees and Resaurce Recovery Fees must be paid priar to , receiving a°cert�cate o{ocoupancy"or finat power release, if the praject does nat involue a cerE�cate of ocaupancy or final power release,the fees must 6e paid prior to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid priar to permit fssuance fn accordance with applicabie Pasco Coun#y ordinances. CONSTRUCfilON UEtd LAitV(Chapter 713,Flortda 8fatufes,as amended): !f ualuation ot work is$2,b4d.00 or mare,1 ' certify that I, the applicant, have been prov(ded with a copy of the "Florida Canstruction Lien Law—Homeowner's Protection Guide°prepared hy the Fiorida Department o(AgriGUlkure and Consumer Atfairs. If the applicant is someone other ffian the"awner", i cerfify that!have abtained a copy af ffie above described document and promise in good faith to deliver it to the"owner"prior to commencement. CO#�?RACTOR'SIOWNER'S AFFIDIAVIT: t certify that atl the tnformation in this applicatton Is accutate and that all work will be done in compliance witfi att applicable laws regufating constnsction,zoning and land devefopment. Application is hereby made to obtain a permit ta do work and installation as indicated. I certify that no wark or installation has cammenced prior to issuance of a permit and that ail work will 6e pertormed to meet standards of ail laws regulating consfruc#ion, Counfy and City codes, zontng regulatians, and Eand devetopmenf regulations 3n the)urisdiction. 1 al'so certify that I understand that the regulations of otfier govemment agencies may apply to the intended work,and that it is my responslbliity to tdentify what actions I must iake to be in compliance_ 5uch agencies include but are not Iimited ta: - Deparfinent of EnvironmenNal Profec#ion-Cypress 8ayheads, tNeUand Aress and Environmen#afly Sensitive Lands,WaterNVastewater Treatment. - 5outhwest Florida Water Menagement Distrlct-Wells, Cypress 6ayheads, Wetland Areas, Altering Watercourses. - Army Carps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Sep#ic Tanks. - US Enviranmental Protection Agency-Asbestas abatement. - Federal Aviation Authority-Runways. t understand thaf fhe fotlowing restr�cftons apply ta fhe use of fitl:� - Use of flll is not allowed in Flood Zone'V°untess expressiy perm(tted. - If the flil material is to be used in Flood Zone "A", It is understood that a drainage plan addressfng a "campensating volume"witt be subrriitted at time of permlfting which is prepared by a professiona!engineer licensed by the Sfate af Florida. - If the fill materiel is to be used in Flood Zone °A" in connection wlth a permit#ed building usfng stem wall consftuotian,l certity that fill wi11 be used only to flii the area withtn the stem waS(. ` - If flli materiat is to be used fn any area, t certify that use of such fitl wili not adversely affect adjacenf properties. If use of fill is found to adversely aFfect adjacent properties,the owner may be cited for violating the conditions af the building permit lssued under the attached permtt appiicatlon,ior lots tess tttan orte(!} acre which are elevated by filt,an engineered drainage pian is required. If I am the AGENT FOR TF6E OW1dER,I pramise in good faith to inform ihe owner a#the permitting conditions set forth in thls affidavit prior ta commenc�ng construction. 1 understand tha#a separa#e permlt may be required for electrica!work, plumbing, signs,wetis, pools, air eanditioning, gas, ar ofher insfatfations nof specficaliy fn�luded in fhe appiicafion. A permit issued shall be construed to be a license to proceed with the work and not as authority to vialate,cancel,alter,or set aside any pravisions af the technlca(codes,not shaii Issuanae of a permit prevent the Buildirig C�fficial irom thereafter requiring a correctian of errars in plans,construction at v3oietions of any codes. Every pemtlt fissued shall became tnval�d unless the work authorized by such permit is commenced within slx rnonths of permlt issuance,or if work authorized by the permit Is suspended or abandoned for a period af six{6)months aRe�the tlme the work is commenced. An extension may be requested, in writing,fram the Building Oftiaial for a period no#to exceed ninety(90}days and wt11 demonstrate justifiable cause for the extension. If work ceases far ninety(90)consecutive days,th\job is considered abandoned. WARNiNG TO 01fi1FEER: YOUR FAFLUitE TO RECQRD A ht�TICE OF COMMENCEMENT MAY RESU�T IN YQUR PAYING TYYICE FOR IIIAPROVEMENTS TO YOUR PROPERTY. IF YOU Itd7END TO OBl"AIN FINANCINC+,CONSULT WITH YOtlR i.ENDER OR AN AFPQRMEY BEF4RE RECORDING YOUR NOTICE OF COMMENCENiENT FLORiDA JURAT(F5.'117.03} OWNER OR ACaENT COWTRACTOR Subsalbed aod swom to{or afrlrmed}before me this Subscrtbed and svmm to(or affirmedj before me this by �y Wha ISlare pensonaily known lo me or has/have produced Who Is/are personaily known io me or ha as Ide ptlficatlon. as identlficadon. Notary Publlc Notary Pubtic Commission No. Gomm►ssEon Fto. Name of NaNary typed,printed or stamped �Name af Notary typed.Pdnted ar stamped