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Home My WebLink About21-3046 (2)ic4atuskyj !r-AHNAWIIU= City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 FIRE -003046-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/05/2021 Contractor: 01TIBS SECIII[RITTSTST77-1, LLC ,Address' 7162 Reading Rd STE 730 Building Valuation: $0.00 CINCINNATI, ON 45237 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation: $0,00 Total Fees: $150.00 Amount Paid: $150.00 Date Paid: 11/5/2021 12:03:38PM 8 Fire Alarm System Plan Review Fire Permit Fee 50- $50.00 System Acceptance Inspection $W00 4i I r U G i 01 MIS Cou y, ana inere may e aaal iona per it require Forn o er gover entities such as water management, state agencies or federal agencies. Complete Plans, Speccations add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 47 PEfAIT OFFICEC) JIM, 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Receiyaq Phone Contact for Permit 4 q Owner's Name 0 0 wrier's Phone Number Owners Address Fee Simple Titleholder Name Titleholder Phone Number Fee Simple TitleholderAddress ME 111011,11111 0"M Job Address Lot # Sub Division Parcel # Bio-Hazard Waste Storage - ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier 11 or RQ Facility) A Controlled Sum Hood Installation Emergency Generator < 30 kw LP[Natural Gas-Installatior Emergency Generator > 30 kw LPINtural Gs -ANNUAL Sol, Fire Protection Maintenance - ANNUAL Places of Assembly -ANNUAL emI I or Sprinkler 0 0 El Recreational Bum m sw Fire AlarM' 0 Sparklers Hood Cleaning ❑El ❑0 ❑D Sprinkler System Installa6ions Hood Suppression 0 Cl 0 Standpipes (Sprinkler Sys) Fire Alarm Installation Torch Roofing!Tar Kettle Fire Pumps Waste Tire Storage ANNUAL 37S J Flammable Application- ANNUAL r V uation of ro H Fuel Tanks E3 Other: RNMEN Contractor Company Signature . ... . .... Registered YIN Fee Currant VINJ Address License # ELECTRICIAN Company Signature Registered EjZ=F.. =Current Address License # PLUMBER Company Signature Registered Y J N =Fee =Current Address License # MECHANICAL Company Signature Registered EjZ=F.e Current Address License # OTHER Company Signature Registered LaZK�F,. Current Address License ...... ..... Directions: Fill out application completely, Owner & 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 $50001, Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date, Parcel # - obtained from Property Tax Notice (hftp://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, UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSI IL, 1 : 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 County. CONST CTI LIEN L. (Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500,00 or more, I certify that 1, 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'S/OWNER'S FFI V : 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 permft and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWNER, 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 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 Building Official 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 if 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 and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job Is considered abandoned. WARNING TO E R : YOUR FAILURE TO RECORD A NOTICEOF COMMENCEMENT Y RESULT IN YOUR PAYING YI ICE FOR IMPROVEMENTS TO YOUR PE . IF YOU INTEND TO T FINANCING, CONSULT IT YOU L<E t? AN AORNEY BEFORE RCORDlNG YQUR NOTIC E OF COEN CE ENT, FLORIDA JU T(F.s. 117.43} OWNER OR AGENT CON CT{) _ Subscribed and sworn to(or affirmed)before me this subscribed and swo atflrmed} ore me this _` by by 0 Who is/are personally known to me or has/have produced Who Is/are personalty known to me or as/have produced as identification, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped F 1. R. 112' \LB 107 %ft M a - ONE S TTnQRg Y MAS�-RES. F. L R. 1//Z" LB 107 x I W co 0 I Chi LOT 8 LOT 9 LOT 10 10 - 0. \ / 1 4�'. r- , I- '014 &'I �2 1/ P 69brwd CER 77RED 7*0: FIDELITY NATIONAL 777LE OF F7 ORIDA, INC. CARLOS MANUEL ZAYAS LAND HOME FINANCIAL SERVICES, INC. FIDELITY NA77ONAL 777LE INSURANCE COMPANY BEARINGS ARE BASED ON THE EASTERLY R/W LINE OF 12th STREET AS, -N.25'00'00-W - ASSUMED. 'gscg� 4--Z surve vor S No tes: Ic IT :Point of Curvature Point of Tangency (P) (D) :Plot :Dead 1) Property shown hereon appears to be located in need Zone 'X" per F.I.R.M. No. 12101C 0456F Dated 9-26-14. This IRC :Point of Reverse Curvature (Demo) :Description surveyor makes no guarantees as to the accuracy of the above information. Local F.E.M.A. agent should be contacted )cc ;Point of Compound Curvature (C) Calculation for verification. t. :Point of Intersection 2) No underground utilities, underground encroachments or building foundations were measured or located as of ,IR ;Sof Capped Iron Rod 1/2this 16962 (F) :Field Measured part survey. Trees and shrubs were not located unless otherwise shown. 7R 1p :Found Iron Rod :Found Iron Pipe SEC. TWP. :section :Township 3) This survey was conducted without the benefit of an abstract of title, therefore there may be other easements, CM Concrete Monument RGE *Range rights of way, setback lines, agreements, reservations, restrictions or other similar matters of public record, not shown :Found hereon. X.M. 'ET DISK .Set Concrete Monument *Set P—K Nall & Disk CIL AIC :Centerline Air Conditioner 4) Unless otherwise noted, distances shown hereon refer to plot and field measurements and are measured in U.S. feet. ND DISK :Found P—K Nall & Disk 01A Overall 5) Re —use of this survey for purposes other than it was intended, without written verification, will be the re —users sole NO RRS 1CF :Found Railroad Spike CONC. :Concrete risk and without liability to the surveyor. Nothing heroin shall be construed to convey any rights or benefits to anyone :No Comer Found or Set A.P.O. A Part Of other than those to whom this survey was originally certified RM 1H Permanent Referenc Monument Overhead Wires COS.Covered Ip DA VID L. SMITH L.F. Chain Link Fence :Point of Beginning MAS, Masonry RES. :Res id .0.8. O.C. :Point of Commencement P.S. :Plat Benceook —K :Porker—Ka/on Pa TYP. Page 7yalcal SU&VEYING AND MAPPING, INC. .R.H. G. :Officlal Records Book :Concrete Valley Gutter W-F Wood Fence Tn 1406 W LIAERAUGH AVE. Tampa, EL. :E(evation Fl. JJ612 3M W Temporary Benchmark I ASPH. ,Asphalt "��E Y6 P17one (81J) 935-1960 Fax (81J) 9JJ-9446 C, :Benchmark :PowerlVtlllty Pole W. C. :Witness Comer Certificate of Authorization "L. B. #69 62 SM :Professional Surveyor & Mapper R/W :Right Of Way ESM T :Easement 3 LS. ,Licensed Business ;Registered Land Surveyor S/W :Sidewalk SURVEYOR'S CER77FICATE TIMA :As Their Interests May Appear ay C. B. ;Chord Bearing I hereby certify that the survey represented hereon meets the requirements of Florida .*A OA :tt*s Successors And Assigns COL ,Column Administrative code pursuant to Chapter 5J—IZ050.051.052, of the norida Statutes. Unless it .CP. :Reiriforced Concrete Pipe SO. :Square bears the signature and the original raised seal of this Florida licensed surveyor and mapper r DIA. Diameter this drawing, sketch, plot or map is for informational purposes only and not valid. Is :United States J.MICIMEZ FUOU4 P.SW 4192 4 ? n j9 ature Field 08101119 Date: Wry aa — Job 1907-0.92 Y14M te ate Number: