HomeMy WebLinkAbout14-15772 CITY{�F ZEP YRHILLS
. ' S335-8TH REET
(813)780 Q020 1577 �
AI�NUAL ASSE BLY PERN�IT
` �.`PERM(T.fNFORMATI,ON ;=-" '� , . � � -: ��LOCATION:INFORMlAT10N..' - -
Permit Number: 15772 Address: 5347 GA�L BLVD
Permit Ty�e: FIRE PLACE OF ASSEMBLY ZEPHYRHIL.LS, FL.
Class of Work: FiRE-PLACES OF ASSEMB�Y Tawnship: Range: Book:
Proposed Use: NOT APPLICABLE Lat{s): Block: Section:
Squace Feet: Subdivision: CITY OF ZEPHYRHILLS
Es#. Value: Parcel Number. 11-26-21-0010-12200-0090
Improv. Cost: �X�- - - OWNER INFORMATION " � �� �--
Date Issued: 11/10/2014 Name: DI MAGGIt3'S "THAT'S AMiJRE" LLC
Total Fees: 50.00 Address: 5347 GALL BLVD
Amount Paid: 50.00 ZEPHYRHIL�S, FL. 33549
Date Pa�d: 11/1012014 Phone: 813-270-2238
Worlc Desc: PLAGES OF ASSEMB�Y- DIMAGGIf�S THAT'S AMORE LLC EXP 11/15
. :�. C4NTRACTQR S '. �'. �' - ' -� " � �'����A!?PLICATl.ON FEES.'`- . � � -
F RE E MIT FEE 5 .0
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`- . - �� liis ections Re uiced ��:. ..- .- . . - . . .
F E !T IN PECTI N- inal
C.�CCI�PA CY LQAD:
Qcca�pancy by more than the numbe af persons above shall be considered
dangerous and unlawful. C1►ccup nt load determined by Fl+�rida Fire
Preventi+�n Code, NF A1tJ1, 5eetion 7.3,1.2
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PERMIT OFFICE
PERMIT EXPIRES IN ON� (1} EAR FR4M DATE t3F ISSUANCE
THIS PERMIT NEEDS TO BE P4STED IN V SIBLE LOCATION IN MAIN ASSEMBLY AREA
ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhilis, Fi. 33542
s�3-7so-oo2o City of Ze hyrhills Fire Fax-813-780-0021
Permit pplication
Date Received. • ���T����� _R�_ ��� �� .�i'�'YPhone Contact for.Permit _-� ���
.r�.:,_._.. M�—_�.,��,.�.. - - - -- _ .� ._.._� _._�. _ _ _
Owners Name �j Owner's Phone Number � � �
�I Owner'sAddress 5� 1 C,��,4� �l V� ' 2 `� 33� �l�Z
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
Job Address — �='vY e���
Lot# �
Sub Division Parcel#
._.v�__....._.....�._..._.__.:a.,.R__�_.a�,...�y._._,,,..._..�._.__.._.o..._a_>....,n.... �.._�-,.� --°-~-- - .,.a�.�___._�_�-m__�_°�.-r---_°____ -°___�_.__.___--�..._._»..Y-��
� 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 , �*"')� 1i
� � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � l J �
� Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL Q� �
tr y emi �n 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
i � FlammableApplication-ANNUAL Valuation of Project
� Fuel Tanks
' Q Other.
._..._._...�.:_..,�_,_._._...__.___. r -- -__....__..�.__._,......r,..__=—=--s__ ,.._�.��. �.�...-°�--,-�..�-�--�__�.__._..._..�_.,.._..�._..a�._..��__..a...---_�
Contractor L l/(/ 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#
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Directions: _ _.... _
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of sig ed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical wor over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parce #-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 �
applicable deed restrictlons. ` �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be Ilcensed in accordance with state and local regulatioris. If the �
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 Division—�icensing Section at 727-847-
8009. Furthermore, If 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
contractor,that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County.
' TRANSPORTATION IMPACTIUTILITIES IMPACT AND 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 undersigned also understands,that such fees,as may be due,will be fdentified at the time of
permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
, receiving a°cert�cate of accupancy"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, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to pe�mit issuance in accordance with appllcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statu�es,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", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SlOdYNER'S:AFFIDAVIY: I certify that all the�information in this application Is accurate and that all work
will be done In compliance with all applicable laws regulatfng construction,zoning and land development. Appiication 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 performed to meet standards of all laws regulating
construction, County and City codes, zoning regulaGons, and land development regulations in the jurisdiction. I aiso
certify that I tinderstand that the regulations of otFier government agencies may apply to the intended work, and that it is
my responslbility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septio Tanks.
- US Environmental ProtecBon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:•
- Use of-fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be subm(tted at time of permiKing 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 connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will 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 pertnit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNEFt,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 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
permlt issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building O�cial 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 permit 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 for a period not to exceed ninety(90)days arid will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned.
PAYING TWICE ORE MPYtO EM N'TS TO YOUR PROPERTI(.�IF YOU NTENDETO OBTAIN FI�ANCSNG C'O SULT
WITH YOUR LENDE6�OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C011AMENCEMENT. •
FLORIDA JURAT(F:S.117.03)
OVYNER OR AGENT CONTRACTOR
Subscrlbed and swom to(or aflirmed)beFore me thls Suhscxfbed and swom lo(or afffrtned)before me this
by by
Who Is/are personalty known to me or has/Fiave produced Who Is/are personally known to me or has/have produced
as identl5cadon. as Identifipfion.
Nohary Public Notary Public
Commisslon No. Commisslon No.
Name of Notary typed,printad ar stamped Name of Notary typed,printed or stamped