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Home My WebLink About14-15856 CITY OF ZEPHYRHILLS 5335-8TH STREET . ' �sis)�so-oozo 15856 ANNUAL ASSEMBLY PERMIT � PERMIT INFORMATION i LOCATION INFORMATION "� Permit Number: 15856 ' Address: 37411 EILAND BLVD 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: 03-26-21-0010-05300-0000 Improv. Cost: , � OWNER INFORMATION Date Issued: 12/16/2014 Name: SABRA HEALTH CARE HOLDINGS III Total Fees: 50.00 Address: 37411 EILAND BLVD Amount Paid: 50.00 � ZEPHYRHILLS FL 33542 Date Paid: 12/16/2014 i Phone: (813)783-8100 Work Desc: PLACES OF ASSEMBLY- DINING ROOM (1) EXP DECEMBER 2015 CONTRACTOR S ' APPLICATION FEES FIRE PERMIT FEES � 50.00 ��`� r - / l� /�� Z Ins ections Re uired FIRE SITE IN PECTI -Final , � OCCUPANCY LOAD: [ Z� Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code; NFPA101, Section 7.3.1.2 ��'�� - �.5��.. , PERMIT OFFICE PERMIT EXPIRES IN ONEi(1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 CITY OF ZEPHYRHILLS 5335-8TH STREET r ' (sis)�so-oozo 15857 , ANNUAL ASSEMBLY PERMIT F-° � � PERMIT INFORMATION � LOCATION INFORMATION ��` . Permit Number: 15857 � Address: 37411 EILAND BLVD �� 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: 03-26-21-0010-05300-0000 Improv. Cost: OWNER INFORMATION Date Issued: 12/16/2014 ' Name: SABRA HEALTH CARE HOLDINGS III Total Fees: 50.00 ' Address: 37411 EILAND BLVD Amount Paid: 50.00 ZEPHYRHILLS FL 33542 Date Paid: 12/16/2014 � Phone: (813)783-8100 Work Desc: PLACES OF ASSEMBLY- DINING ROOM (2) INCL W/BP 15856 EXP DEC 2015 CONTRACTOR S APPLI.CATION FEES - FIRE PERMIT FEES � 50.00 i � � � �� , � � O � Zf � � Ins ections Re uired FIRE SITE INSPE TI N-Final ; � OCCUPANCY LOAD: S� � Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code; NFPA101, Section 7.3.1.2 ' . �G, � t,._a.., � PERMIT OFFICE PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 a�s-7so-oo2o City of Zephyrhills Fire Fax-a�3aso-oo2� Permit Application 4ate Recei.ved � �^ � I Phone Contact for Permit ��_L..—..�,.J__L,..._.....�,.J �-,�...°�.,'-�`��.;v_��.�.�-n.�_��.m...�.�---_.�...k�..�.,�..�_,,..V-�..��..�..A��:.��...,,.��.,�_.;..m,=.,-._-.�..�.�..,�.�:-�..-w..�.�.,.:._. -_.�- �._.a..� wner's Name ! 2 /� � Owner's Phona Number )' �p �j �d �� wne�s Address ( j�� /'!'t �IJ ��7 Fee Simple Titleholder Name � Titlehalder Phone Number �� Fee Simple Titleholder Address � �__,_..�...,.::�°:a.:>.YM.�. �°-'�'� .�w�.�.`�`=:«� °,°'�-„`�..�;:,,.-.F�°-°'_a.-.�.�- �,......�...s...,�._.�.....�..� �._,,...�..��-�-�-°----�-�---s:� .,:5. Job Address �� 'Lot# � Sub Divisivn Parcei# �,.��<..�.�,..�...�.,.,___�,...�,��,...�s.,��.�.,.P.�.._.�,_x..._,....._.,...,.»..:,..�.:�,-�.�M�••>:�•:w.�.u.�,....�.�...�.�_..�u,.�..��;,�.,.��`.a-�-...�..�:�.=:,�.,�.�-�.�.�°�,:�...:�_...�� Bio-Hazard Waste Storage-ANNUAI. � � � Fumigation Tent N � Comm Exhaust Kitchen HoodlDuct � � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum I � Hood Installation � Emergency Generatar<34 kw � � LPlNatural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale o Fire Pratection Maintenance-ANNUAL � Places of Assembly-ANNUAL�Q ��j��'�� t y emi � t er l Sprinkler � ❑ ❑ ❑ � � Recreatianal Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers . Hoad Cleaning � O � ❑ � � Sprinkler System Installations � /�!\� f v Haod Sugpression � CJ ❑ 0 � � Standpipes(Sprinkler 5ys) I _�� E�� QFire Atarm instaifaUon � � Torch RoofinglTar Kettle 1\,J � Fire Pumps � � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL I �� Valuation of Project oFue!Tanks � Q OEher: I �a�..._.._..�,..a,...��.�...�.�:.u.�...:�..,.�..�._.�. ....�.�..�.x_�:.,�,�_-;�,�..��...�..�.ti,._.�.._�..�.�.��...�..�,,...�..�.�._..,�.a,. . ��...w„�.,�-.�� ontractor � I Company Signature Registered Y/N Fee Current Y/N Address � License# ELECTRIClAN Company Signature Registered Y I iV Fee Current Y/N Address � License# PtUtu48ER � Company Signature � Registered Y/N Fee Current Y/N Address � License# MECNANiCA� I Cornpany 8ignature Registered Y/N Fee Current Y/N Address ; License# OTHER I Gompany Signature � Registered Y!N Fee Current Y/N Address j license# z� , ,�.__.,_.��_.,,�_.,�...��,.,...�u...�_�.�.�._..__._�..�_...�.__��...�._.._..a,.._.�_..�._:._.._.w.,......_W,�...�..��,r_�.,...e..x,-.,��,...-,:.......�.�.��._...�.�.,.�,,�.....:.�..._,...�..e�...._r.._.� Direations:� � . .. I . �iil out appticatiar�camptetely. Owner&Co�lractor sign back of application,notarized(Or,copy of signed contraat with owner) If over$2500,a Notice of Commencement is required(Mechanicai work over$5000} Suppiy two(2)sets of drawings with applicable documentation Allaw 14-14 days for revisw after submittal date. � Parcel#-obtained fram Property Tax Notice(http://appraiser.pascogov.com) � � i i i I 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 CONTRACYOR PtESPONSIBILITIES: 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 tie 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 Sectfon 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 wiil be responsible. if you, as the owner s(gn 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 IMPACT/UTILITIES 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 buiidings, 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 identified at ihe time of permifling. 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 WateNSewer Impact fees are due,they must be pa(d prior to permit fssuance in aacordance 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 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'SIOWNER'S AFFIDAVIT: I certffy that all the information in this application is accurate and that all work will'be done fn compifance with aII appHcable laws regulating construction,zoning and land development. Appiication is hereby made to obtain a permit to do work and installaHon 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 constructian, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I tinderstand that the regulations of otfier government agencies may apply to the intended work, and that it is my responsfbility to identify what actions I must take to be in compliance. Such agencies inciude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, VUeUand Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - Southwest Florida Water Management DisUict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health 8 Rehabilitative ServiceslEnvironmental Heaith Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protectlon 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 flll materlai 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 permiHing 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 w(th 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 ia be used in any area, I certify that use of such fill wiil 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 permit application,for lots less than one(1) acre which are elevated by flll,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to infotm the owner of the permitting conditions set forth in this affidavit prior to commen�ing construction. I understand that a separate permit may be required for electrical work, plumbing, sign§,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 shail issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors In plans,construction or violations of any codes. Every permit Issued shail become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or'rf work authorized by the peRnit is suspended or abandoned far 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 and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned. PAYING TWICE OR IMPRO EM N'TS TO YOUR PROPERTI(.TIF YOU INT NDETO OBTA N FIANANCSNG CIO SULT WITH YOUR LENDER OR AN ATTORNEI(BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) OWNER OR AGENT CONTRACTOR Su6salbed and swom to(or atflrmed)6efore me thfs Subscrlbed and swom to(or afffrtned)before me thls by by Who islare personalty known to me or hasR�ave produced Who Is/are personally known to me or has s Identificadon. asidentlficatlon. Notary Public Notary Public Commisslon No. Commission No. Name of Notary typed,printed or stamped Name of Notary lyped,pdnted or stamped