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Home My WebLink About21-3203F'Fewitct 5335 Eighth Street Zephythills, FL 33542 Phone�(813) 780-0020 Fax: (813) 780-0021 t Ott FIRE-003203-2021 Issue Date: 11/15/2021 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the inal inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. 'MITTIM 1 11 THEM III � 11!1111 11 11 1 111 1 1111111 &HAVIVI .11, - 1-11 1 =A-T=Mrloer or an Marne-, orK snan De perTormea in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date, Received Phone Contact for Permit Owner's Name I I )r i Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address EJ Bio-Hazard Waste Storage - ANNUAL ElComm Exhaust Kitchen Hood/Duct El Controlled Bum ElEmergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL M � E] they Sprinkler El 0 0 0 Fire Alarm ❑ 0 0 Hood Cleaning ❑ 0 El Hood Suppression ❑ 0 0 ElFire Alarm Installation ED Fire Pumps Flammable Application- ANNUAL Fuel Tanks Other: Lot # Parcel # Im Fumigation Tent Hazardous Material (Tier 11 or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installatior LP/Natural Gas -ANNUAL Sale Places of Assembly -ANNUAL Wti Torch Roofingfrar Kettle Waste Tire Storage ANNUAL E:==Valuation Recreational Burn Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Contractor Signature Company Registered Y/N Fee Current Fee Current I==N Y/N Address License # ELECTRICIAN Company Signature Registered Y l N�Fe. Fee Y/ N� Address License # PLUMBER Company Signature Registered Y f N�Fe, Current Address License # MECHANICAL Company Signature Registered e Current Y hN_T Address License# OTHER Company Signature RegisteredY 1 N�Fee Fee Y/ N�� Address, F- .iceri�e Tv A� 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 $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 (hftp://appraiser.pascogov.com) NOTICE F 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 T T CONTRACTOR I ILITI : 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 727447- 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. CONSTRUCTION LIEN LAW(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 La 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! 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 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 , 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 OWNER: YOUR FAILURE TO TIG OF COMMENCEMENT MAY RESULT IN YOUR PAYING IC FOR IMPROVEMENTS TO YOUR . IF YOU INTEND TO T N FINANCING, CONSULT I"f Y 11 L TT Y C INOTICE OF COMMENCEMENT. FLORIC}Aa JU T(F.S,117.03) OWNER OR AGENT coNT cT'oR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/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