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Home My WebLink About15-16315 � CITY OF ZEPHYRHILLS 5335-8TH STREET ,� T (sis)�eo-oozo 1631 RECREATIONAL BURN PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16315 Address: 5131 22ND ST Permit Type: RECREATIONAL BURN ZEPHYRHILLS, FL. Class �f Work: FIRE-RECREATIONAL BURN Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0000-04400-0070 Improv. Cost: OWNER INFORMATION Date Issued: 5/28/2015 Name: BRITT ANTHONY& SARAH JANE Total Fees: 25.00 Address: 5131 22ND ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/28/2015 Phone: 813-312-6970 Work Desc: BARN FIRE FOR BBQ PIT - JUNE 6, 2015 (SATURDAY) CONTRACTOR S APPLICATION FEES HOME WNER FIRE PERMIT FEES 25.00 1 y�" � �- �n� �� '� Ins ections R ired FIRE SITE INSPECTION-Final Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activites such as inspections, plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. Per Ordinance 652,the recreational burn shall be maintained at all times and fire suppression capabilities shall be on-site. Zephyrhills Fire Rescue Communications shall be contacted at 813-780-0038 prior to the fire being ignited and after it has been extinguished. OWNER SIGNA RE PERMIT OFFIC PERMIT EXPIRES IN 7 DAYS FROM DATE OF ISSUANCE CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 City of Zephyrhills �- i BUILDING PLAN REVIEV�l COMMENTS t . � Contractor/Homeowner: IV+�� I-'� Date Received: ��'�� Site: � � � � � �� I 1 Permit Type: Cf'��t�jYt��,�'I Approved w/no comments:❑ Approved w/the below comments:� Denied w/the below comments: ❑ �)�S'�(��v ��-'�" � �� 1 ��. 7'��C.-C��S �� IJ�C�`�� j�� '�I�- �� G- � �P�� .�� This comment sheet shall be kept with the permit and/or plans. � � �� - � . Bi 1 Burgess—Bu'�d g Official ate Co tractor and/or Homeo er (Required when comments are present) 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received y' • .� � Phone Contact for Permit � � �J�7 70 Owners Name f � � J _ _. - - -- Owners Phone Numbe� __ .�(�___ _._(Z._._---- �j�_ . Owner's Address ��J� 2L�/�1� S Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simpie Titleholder Address , - ----._._� _ _ — --------.--.-----_-_—.______.�._�____._.�_--�--------..r_�._.. _v__`.._L,_w._�_.____.�_—_.-----__.._._.��.--•---- -=—._ e.. Job Address Lot# � Sub Division Parcel# -�--_. . .__ --- --------__.__...—.�_. ,._�,.y - -- -- ---- - - - �__..�.__...._,�_ _._._._.._....-°-- ----r---- -._.__.,�.._._..___,_ __-.___�-__---�--_.�._._ .__..�--_----- __..�__ -_---- ---_----._»-----....._..._...._�....r-- -� � 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 � Places of Assembly-ANNUAL t y emi �n t er �: ❑ � � C�`�ns-� p,�, �>e�,P,�- Sprinkler ❑ ❑ ❑ Recreational Bum 1 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 � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Q Other: �� --�-- -------------- _�___--_ _-.__--z__e____,.,___,.�-.» - - - - -- — - - _ .-_ _�_,�.- - ---�- — - -_.._�_ ...___��. .. .��__�-_.�..a..._ _------�. ..------^—'-----�a...__.J.�_..A_._._�__�. �.....�____._---_._��_3 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# f�'"'..._..__._.�. � ._��.."' _"_""__ "_'°�,_'_'"_..'_`"__"�""._" '_"__.'�.�._.�,-_�__:..__ .._.�e_,..:__""'___�_...___ ._.._„"""'. .._" _. -v. _'°' _ —.. ,.... __._-_•._ .. . . ... _.. ._. ...__, - � . . , _ . _ .m .� ».�..__�.��_"..._'" _'_'"__' __"_� Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$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 bEED RESTRICTIONS: The underslgned understands that this permit may be subject to"deed"restrictions" which may be more resttictive than Gounty regutations. The undersigned assumes responsibiiity for compliance with any applicable deed restrictlons. ' r UNLtCENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLITtES: If the awner has hired a contracfor or R ~ contractors to undertake work,#hey may be required to be Ifcensed in accordance wlth staEe and lacal reguiations. tf fhe contractor is not licensed as required by law, both the owne�and contraotor may be cited for a misdemeanor violation under state taw. If the owner or intended contractor are uncertain as to what licensing requiremenfs may appfy for the intended work,they are advised to contacf the Fasco Gounty Building Inspection Division—Llcensing Sectian af 727-847- 8009. FurtheRnore, 'rf the owner has hired a contractor or contractors, he is advised to have tne contractar(s) sign portions of fhe"contractor Block°of ihis applicafion for wfiich fhey wili be responsible. if you, as tfie owner s(gn as the con�ractor,that may be an 9nd3cation that he is not proper{y licensed and is naf entiBed to percnitfing priviisges in Pasoo County. 7RANSPORTATION tMPACT1UTiLITiES IMPACT ANd RESOURCE RECOVERY FEES: The undersigned undersfands that Transpartakion Impact Fess and Recourse f2ecovery Fees may apply to the constre2etion af new bu{ldtngs,change of use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and 9D-07,as amended. The undersigned aiso undsrsfands,that such fees,as may be due,wiCl be identified at tfie fime of permltting. it is further understood that Transportation tmpact Fees and Resource ftecovery Fees must be pald priar ta receiving a°certificate of ocoupancy"or final power release. If the project does not invalve a certificate of occupancy or ftnal power reisase, the{ees must be paid prior to perm3t issuance. FurEhermare, ifi Pasco County WaterlSewer impact fees are due,they must be paid prior tn permit fssuance En accordance with applicable Pasco County ardinances. CONSTY2UCTION LIEN LAW(Chapker 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that l, fhe apptlaant, have been provided wi#h a capy of the "Flatida Conshucfion Lfien Law—Hameowner's Proteckion Guide"prepared by ihe Florida Department of Agriculture and Consumer Affairs. If the appllcant is someone other tF�an tfie°owner",i cerfify thaf I have obtained a copy of the above described dacument and promise in good fa(th to deiiver[t to the"owner"prior to commencemenf. CONTRACTOR'SIOWNER'S AFFIDE4VIT: I certify that all ihe lnformation In this applicatio�is accurate and that all work wil(be done in comptiance with ati applicable taws regulating canstruction,zoning and land development. Appiicafton is hereby made ta ob#ain a permit to da worlc and f»stai3akion as indlcated. 4 cettify that no work or instailation has aommenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and Ci#y codes, zoning regulations, and land development regulafions in the jurisdiction. t atso cert'sfy that i tinderstand that the regafations of ottier govemmer�t agenctes may appiy to the irrtended work,and that it is my responsibility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to: - Deparfinent of Environmentat Protection-Cypress Bayheads, HVeftand Areas and Envfronmentaiiy Sensitive �ands,Wa#erllAtastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Wafercourses. - Army Gorps of Engineers-Seawalls,L7ocks,Naviga6ls Waterways. - Department of Health & Rehabllitative ServiceslEnvironmental Nealth Unit-Weils, Wastewater Treatment, Septie Tanks. - US ErnironmenYal Protection Agenoy-Asbestos abatement. - Federal Aviation Authority-Runways. t understand thaf fhe fo(lowing restrictians apply to fhe use of fil(:� - IJse offil!is not ailowed ln Flood Zone N°unless expressly permitted. - lf the fli( maferlal is fo be used in Fiood Zone °A", it is understaod fhaf a drainage plan addressing a "campensating volume"witi be subm3tted at time of permPtting which is prepared by a professionai engineer licensed by khe State of Florlda. - lf fhe fiii materiat is fo be used in Flood Zone °A" in connecfion with a permitted buiiding using sfem watl construcfion,1 cerkify that flH wtti be used aniy to fiil the area withfn the stem wali. - If flll materiel is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. tf use of fiit is faund to adverseiy affect adJacent properties,the owner may be cited for violating ! the canditions of the buiiding permit#ssued under the attached permit applicatian,for lots less than one{1} acre which are elevated by flll,an engineered drainage plan is required. � ff t am the AGENT FOR THE OWNER,!promise in good faith to infarm the awner oF fhe permiffing candifians set forth 3n jthis affidavit prior io commencing construction. I understand that a separate permlt may be required for eleckrical work, plumbing, signs,wells, pools, air candi#ioning, gas, or other(nstallafions not spec�calty included in the appticafion. A permit issued shalt be construed to be a license to proceed with the work and not as aufharity ta vio2ate,cancei,aiter,or set aside any provisions of the technical codes,nor shalt issuance of a pemrit prevent the Buildirig dfficlal from thereafter requiring a correction of�rrors in plans,construction or violations of any codes. Every pertniE issued shall become invalid unless the worit authorixed by such perm3f is commenced withln s3x months af perm3t Issuance,or if work authorized by the permit ts suspended or abandoned far a period of six(6)months after the time the wark is commenced. An extension may be requested, fn writing,from the Build(ng Ofiieiai for a period not to exceed nineiy(90}days.and wili demonstrate jusf�fable cause for the extension. tf work ceases for ninety{9U}consecutive days,the Job is considered abandoned. WARNING TO OWNEit: YOUF2 FAtLURE TO RECOF2D A�t0'ftCE OF COMMENCEMENT MAY RESULT ytV YOUFt P,4YItdG'FWIGE FOit iMF6tOVEMEMTS TO YOUR PROPERTY. IF YOU lNTEND 70 OBTAlN FINANClNG,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT � FtOR1DA JURAT(F:S.117.U3) OWNER OR AGENT CONTRACTQR Subssxilbed and svwm to{or afflrtned)before me ttrls Subsalbed and swam to(or affirmed)before me this by by Who islare persona!!y known ko me or haslhave produced Who Is/are personally Imown to me or haslhave produced as idendfipBon. es Iden88qtion. � Notary Public Notary Pub(Ic ' Commissian No. Commisston No. Name of Notary typed,prtnted ar stamped � Name of Nohary typed,printed or stamped I a I � !� �� 0 � � � � ' � ; a ,..,._..._.-..— �._......_—..-- � �' r---^— �^" �� \ �� ' '� � , ` �., . .� J�' •\, ,� � .,, - ',� I _t; ! I � �� i I �i �('�, I ��} \ \ I ��} � � -yj�� / /� �`� , �/�� p� � `� � � � � �, :