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Home My WebLink About16-17787 CITY OF ZEPHYRHILLS ;�. 5335-8TH STREET � � �si3��so-oo20 1 �87 CONTROLLED BURN PERMIT - PERMIT INFORMATION -Y � � -� � LOCATION INFORMATION -- - - Permit umber: 17787 Address: 6627 FORT KING RD PermPt Type: FIRE CONTROLLED BURN ZEPHYRHILLS, FL. Class of Work: FIRE-CONTROLLED BURN Township: Range: Book: Propos�d Use: NOT APPLICABLE Lot(s): Block: Section: Squa e Feet: Subdivision: SUMMERSET Es . Value: Parcel Number: 03-26-21-0010-03500-0000 Improi . Cost: - . OWNER INFORMATION - - Date Issued: 10/03/2016 Name: SUMMERSET APARTMENTS LIMITED PA Tot I Fees: 125.00 Address: 3550 S TAMIAMI TRL STE 301 Amo nt Paid: 125.00 SARASOTA FL 34239-6014 Date Paid: 10/03/2016 Phone: 941-929-1270 Wo�k Desc: BURN FOR SCRAPS OF LUMBER EXPIRE OCT/17 2016 CONTRACTOR S - APPLICATION FEES - � RE C TR CTION V F FL LC FIRE PERMIT FEES 100.00 FIRE PLAN REVIE FEES 25.00 •, �1'� � - . Ins ections Re uired � - � FIRE SITE INSPECTION-Final Chap r 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire preve tion and protection related activities such as inspections, plan review,administrative fees,and other costs related to the aforementioned. Compl te Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the F're 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 performed in accordance with City Codes and Ordinances. Per rdinance 652,the controlled burn shall not be ignited before 9:00 a.m.and shall be out one(1) hour befor sunset. Zephyrhills Fire Rescue Communications shall be contacted at 813-780-0038 prior to the fire being ignited and after it has been extinguished each and every day. . �� ONTRACTOR S NATURE PERMIT OFFIC PERMIT EXPIRES IN 15 DAYS FROM DATE OF ISSUANCE. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Receiv�d �� o Phone Contact for Permit � ( 3 7 ssg - 7 C� r._--��.._,�-,.....,..:�r.W--,.....,.�« ........ .�._.....,�...»„......._..,.........:_.�.-��._.�,d� - __.....<.-.._a., , -.�...--�•��_._....t..._...f�... , _..� : •�...._. ,.._,:�..,...:..�..-<�..�h.. Owner's Name sv v�v�.2✓�-'f' �" G{✓rG�Qc.- f 'l Owner's Phone Number � � � Ovmers Address �� Z-� ,�n � Fee Simple Titleholtler Name Titleholder Phone Number � � � � Fee Simple Titleholder Address E,';=�:M',:-:`_..::-�"`;:`=.....�: -_�:�:t=..«I..�"�'..�. _ - ` _ '""'e-:�-'u-.��.a.`?'�-�--'.- —+',-r•a,=,.�:,='-� - ::i.:3.,.,.',`c"r::;�:==r-''.:'.��.�.'�'Y`..i_`.'-.':M'.=.:.'�;:..``��'�u..i:'..e^��..`-x"'._..._;.; Job Address^ Lot# � Sub Division Parcel# � ��- �-,..- -' - �---^3,�.s..'.`^"`..,,o-.a:��;-�..�....-_�ti._._�...:��-"'?^......a:�...,...�e.,a..,_s._.�,,.:ai.�....,,,�.......:^::.3:-,.....:Mt�'..�':��.»._�....�^::-�-r.��:._.,._�-��^Z-z..�.TM,r�`-._"^'�ti"��..� t .__..=_;x.::.,^ .._. ,.,_ __�. .,;o � _ �� Bio-Hazar orage-ANNUAL � Fumigation Tent � mm Exhaust Kitch Hood/Duct � � ,Hazardous Material(Tier II or RQ Facility)ANNUAL / � �� Controlled Bur Hood Installation � E ncy Generator<30 kw � LP/Natural Gas-Installation `'� � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire P�otection Maintenance-ANNUAL � Places of Assembly-ANNUAL tr y emi � t er , Sprinkler � ❑ ❑ ❑ �� Recreational Burn Fire Alarm � ❑ ❑ ❑ �� Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprink�er Sys) � Fire Alarm Installation � Torch RoofingfTar Kettle � Fire Pumps " � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL ValU2tlOf1 Of P�OjBCt � Fuel Tanks �' � Other: � �-R� �.:..:-.�,.r__�...�._. _.....� -��y;-:,,_��.=�.�z. ..- _ .._- .,.�..,.._.,__ w_..�.�..�__.:_..._:��_.�.:�.v.�..3»�..R......:_....�.,_,._,,.�,,. - .w..._..,...�,.�._.-~M-��:��...-�. 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 I � • Company , � Signature Registered Y/N Fee Current Y/N Address � License# MECHANICAL I Company Signature Registered Y/N Fee Current Y/N Address � License# � OTHER I Company Signature Registered Y/N Fee Current Y/N Address License# !;::;:_`=:7'.'t._._=-I._.._,.-.,,.,�_.........>;_..._....,._...«,:.,-:r,;.., .:-..-.-,..��_..,�-..._r . _.,-�..:-,�...,....u,=-..:_,..,e.,.-�.-' "...'.r:�:=^`-_�.._..,._....�._,.-, .,...._.-.,...v.._-.,.�._......_��,_�._r.-:».,.>'....:,,.._.,.._,-.:e.._.-._...��._: Directions: J 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$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) [ ' i NOTICE OF DEED RESTRIC710NS; 7he undersigned understands that this permit may be subject to"deed"restrictlons" which may be mare resirictive than Cpunty regulation's. The undersigned assusr�es respons�bitity for compiiance vrith any applieable deed restrictions. ,�. _ UNLICENSED'CON7RACTOR$ AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or cortractors to undet#ake work,they mey be required!a be licensed in accor`dance with state and local.regula#lons. tf the contrac#or Is nof licensed as requ9red by law, bbth the owner and contractor may be clted.far a misdemeanor violation under state law. If the owner ar intended contractor are uncertain as to what licensing requirements may apply for the intended work,they at'e advised to cantact the Pasco Coun#y 8uifding Inspectian Divisfon—Licensing SecUon at 727-847- 80Q9. Furthermore, ff#he owner has hired a confractar flr contractars,`he is advised to have the cantractor(s} sfgn portions of the"contraetor Black"of this appllcation for which they wil) be responsible. If you, as the owner sign as the confractor,that may be an indicafion that he ts not propedy Ilcensed and is aot entlHed to permitting ptivileges in Pasco County, TRANSPORTATION IMPACT/UTILITIES INIPACT ANq RESOURCE RECOVERY FEES: The undersigned unde�stands that Transportakion Impact Fees and Recourse Recovery Fees may apply to fhe conslruction af neuV buildings,change of use in ex3sfing bulldings, or e�ansion of existing 6uildings,as specifced an Pasco Counfy Ordinance num6er 89-07 and 90-07,as amended. The undersigned also understands,that such fees, as may be due;will be identified'at the time of perm[tking. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to receiving a'ceitificate`of occupancy"or-final power release. 1f the project does not invoive a certificafe afi accupancy or final power release,.the fees must be pafd prior to permit issuance. Furthermore,ff Pasco County Wafer/Sewer Impact fees are due,they must be paid prior ta permit Issuance in aaciardance with applicable Pasco County ardinances. COtd3TRtlCTlON LIEN zAW.{Ghapter 7i3,Florlda 8tatules,as amended}: If valuatian of work is$2,540.80 or more,1 certify that I, the applicant, have been provided wikh a copy of the 'Florida ConstrucBon Lien Law—Homeowner's Protectlon Guide°prepared by the Flarida Department of Agriculture and Consumer Atfairs. If the applicant is someone - other than the"awner",i cer#ify that i have obfained a copy of the a5ave described documeM and promise irs good faifh fo ,:; deliver it to the"owner"prior to commencement. � CONTRACTOR'S10WNER'S AFFIDAVIT: I certlfy that all the Information tn this application is accurate and that all work wi11 be dane�n compllance wlth all applicable(evrs regulating constn.tetion,zontng and land developmen� Appllcafion is hereby made to obtain a permit to do wo�k and instatlatian as indicated. i certify that no.work or instailation has commenced prior to issuance of a permit and fhat all work wlll be perFormed to meet standards of all laws reguleting " construc#ion, County and Gity codes, xaning regulations, and land�levelopment regulatlans In the Jurlsdlctlon. 1 ai'so certity that t Understand that the regulations of otfier govemment age;naies may apply to the intended work,and fhat it is my responslbility to identffy what actions I must take to be In campliance. Such agencles Include but are not limlted to: - DeparEment af Environmenfal Protection-Cypress 8ayheads, UUet#and Ateas and EnvironmentaNy�Sensitive Lands,WaterlWastewater TreatmenE. - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Weiland Areas, AlteNng I Watercourses. � - Army Carps of Engineers-Seawalis,Docks,Navigabte Watetways. ' - Depart'ment of Health & RehabUftative 8ervices/Environmental Health Unit-Wells, Wastewater Treatrnent, Septic Tanks. - i1S Environmentat Protection Agency-Asbes#os sbatement. - Federai AvlatiomAuthority-Runways. i understand that the follawing restrictions apply to the use of tiU:• - Use of fitl is not allowed in Ftood 2one N"unless expressly permitted. - If thie flll rriaterial is to be 'used in Flood Zone 'A", it is understood that a drainage plan addressing a `campensating volume"wfll�be submltted at time of petrnttting which is prepared by a professional engineer � licensed bj+-the State of.Flotida. ` - If ihe Till material is to,be,used,in Flood Zone°A" in connection with a permiried building using stem wall constfuctton,I certi#y that till wfl!be used only to fill the.area within the stem wall. , - If•fllt-ma#eria! is-to be.osed in.any area, i certNy that use of such fi!1 wi14 nat adversely atfec# adjacertt propertles,. if use af fill is found ko edvensely affect adjacent propertfes,the owner may 6e cited for violating the condillons of!he buildtng pe►mit issuei!under the attached:permR.appli�ation,for lots less lhan one(1) � acre.which.are elevated�bp.flll,an.engtneered dra3nage.plen Is reqoEred. i If I am the AGEN7'FOR.THE.OWNER,I promise in good faith to inform the owner ot the permifting aanditions set iorth in this aHidavft priorfo commencing conshuction. I understand thet a separete�permit may be required for electrical work, , piumbing, signs,wells,.poo]s,alr condttioning,.gas,_or ofher-Insta#IaBans nat spec�IcatEy Incladed in the sppiicat3on. A � pe"rmlk Issued'stiall be'construed to be a license to proceed wfth the wark and not as autiioriEy'fo.violate,cancet,atter,or .> set aside arry,provisions;of the technical codes,nor shail issuance of a permit prevent the Building OfFicial from thereafter tequiring a cotrection.of erroas�ln plans;cai�sttuctlon ar violat�ans of any codes. Every permlt Issued shall bscame lnva#id unless the wark authorized 6y such permit is cammenced within stx months of perm(t(ssuence,or if work authorized by , ; the permit is suspended or abandoned.for aperiod of six(6)rnanths after the time the work is commenced. An extension � may be requesfed,In wf[ttng,from the Building O�ficiat far a period not to exceed ninety(94)days and vsrlli demanstrate justHiable cause for the extension. if work ceases for ntnety(90j consecutive days,the job is cansidered abandaned. WARNI(�fi TO t}WNER: YOtJR�FAIGURE TO RECORD A MOTICE OF COMMENGEMENT.MAY RESULT iN YQUR ' PAYING 7VYICE FOR IMPROVEMENTS TO YOtJR PROPERTY. IF YOU INTEND TO OBTAtN FiNANCtNC,,COAtSULT :dITH YOUR LENDER'OR AN ATTORNEY BEFORE'RECORpING YOUR NOTICE OF COMMENCEMENT FLORIDA dURAT(F.S.ti7.03} OWNER OR AOENT- _. �.. . . CONTRACTOR Subsalbed and svrom to(ar efrirmed)beTore me ihls Subsaibed end svuom to(or affirtned)before me this �y . - bY Who 15/are personaily krrown to me or haslhave produced Who Ealare per&onaEly immwn ta me or hesJhave pmdviced as identlficadon. as IdenWicaBon. Notary Public Nqtary Public Comm(sslon Na. ��Ha. 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