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HomeMy WebLinkAbout14-15774 CITY OF ZE HYRHILLS 5335-8T STREET . �sis)� 0-0020 74 � ANNUAL ASSE BLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15774 Address: 5740 7TH ST Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEM.BLY Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-02600-0130 Improv. Cost: OWNER INFORMATION Date Issued: 11/12/2014 Name: ANDREWS MICHAEL J & LAURA Total Fees: 50.00 Address: 9322 OLD PASCO RD Amount Paid: 50.00 WESLEY CHAPEL FL 33544-2933 Date Paid: 11/12/2014 Phone: 813-300-5503 Work Desc: PLACES OF ASSEMBLY- SMOKEH USE BBQ & GRILL EXP 11/2015 CONTRACTOR S APPLICATION FEES FIRE PERMIT FEES 50.00 �n/ l � / � Ins ection ,Re uired 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 . �L., �' e,�:a.. 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 � �,,e��_7ao-oo2o City of Zep yrhills Fire Fax-813-780-0021 "�°�-�� Permit A plication Date Received.� _ _�_ � ' _ Phone Contact for Permit T�`�Y� ���..—,.T,.e-._,.�_,�..,�.. � � ._._.._,_.�.,_.._-_,..__.�._..��....:..,_v�....._.__ - ... - -__�,.,�. -- - ____.___._�_ ..�.�.._...____ _�... r ����/ ���?���� �Owner's Name � �°Owner's Phone Number � � � �Owners Address i � L� � � Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address .�:.�r�._�_�__�__�� ° -- �--� - - - _...�.,-�..: -�� Job Address Lot# � Sub Division Parcel# �-.^�.._,.....a.-._......�s-=>=..t._.,���._...,.__�.-.�..R...__�_....���....�.�„__�---—�,-�:."°�~~..�.�._._.�..�__,..s,___.�.�..._..._�,.___..._�,e�_.__°__-._._._._�x�°:_--�e� � 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 - 1p�J�f�/ � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �i"�� ✓ � �� I � � � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL try emi �n t er Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � Sparklers Hood Cleaning � ❑ ❑ ❑ � Sprinkler System Installations .� ,(� � ;� Hood Suppression � 0 ❑ ❑ � Standpipes(Sprinkler Sys) �J � Fire Alarm installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Q Other: �.- - �_.�.�_.��..._.._a....:�.�_.,..,..._�....�.�.n...._�._.___.__�...�,._..._._,..__._�,.._.._�__ �......� v�.__._.�.,.�����.,.�,b_�_..._.._._e.__._._R__�_..�__..a.....,a_....a__�_�..--� Contractor � ' Company p 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# c.� - �___..�....._...___.__..___...._�_..._.__-__�-__�..___,_....Y____..__�_.__.. __e._.,_.__�_..__.._e,_-.R- _..__...a,_-__�.�___.___...._.�__.v._-__-_....__..�__-- _�---.�_. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized(Or,copy of si ned contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable doc�mentation Allow 10-14 days for review after submittal date. Parc I#-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 restrictions. " - UNLICENSED CONTRACTORS AND CONTRACTOR 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 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—Licensing 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 entitled to permitting privileges in Pasco Counry. TRANSPORTAT101J IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY PEES: 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 undersfgned 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 issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been pravided 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. COPITRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and that all work will be done In compliance with all applicable 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 performed to meet standards of all laws regulating construction, County and City codes, zoning regulaGons, and land development regulations in the jurisdiction. I also certify that I tinderstand that the regulations of otFier govemment agencies may apply to the intended work, and that it is my responslbiliry 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,WatedWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection 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°uniess expressly permitted. - If the flll mater(al is to be used in Flood Zone "A", It is understood that a drainage plan addressing a °compensating volume"will be submitted at time of pertniHing which is prepared by a professional engineer licensed by ihe State of Florida. - If the fill materiai 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 flll 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 ftll,an engineered drainage plan is requfred. if I am the AGEPIT FOR THE OWNER,I promise in good faith to inform the owner of the permiKing conditions set forth in this affidavit prior to commencing construclion. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the appiication. A permit 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 Buildirig Official from thereafter requiring a correction af 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 ff work authorized by e mit is sus ended or abandoned far a period of six(6)manths after the time the work is commenced. An extension the p r P 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�)ob is considered abandoned. WARNING TO OWIdER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IM YOUR WITH YOUR'LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT.�CONSULT FLORIDA JURAT(F:S.117.03) OVYNER OR AGENT COMTRACTOR Subscribed and swom to(or afflrtned)before me this Subscribed and swom to(or aflirmed)before me thls � bY bY Who Is/are personaily known to me ar hasRiave produced Who Islare personally fmown to me or has s identifiptl na as identlfipBon. Notary Public Notary Public Commisslon No. Commissfon No. Name ot Notary typed,printed or stamped Name oi Notary typed,prinled or stamped