HomeMy WebLinkAbout07-7218
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7218
Permit Number: 7218
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6701 DAIRY RD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s}: Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-03900-0060
11/20/2007
25.00
25.00
11/20/2007 ' Phone:
SPRINKLER QUARTERLY INSPECTION
Name: HEALTH CARE PROPERTY INVEST
Address: 6701 DAIRY RD
ZEPHYRHILLS, FL. 33542
~l,7LJ
/ 1- 7-lJ 7
FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
Chapter 633, Florida statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities 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 performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCE ENT
....
C TRACTOR SIGNATURE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
City of Zephyr hills Fire -+i-' 72/8
Permit Application J7
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Ilk~:rf b YOO k /Y1 PI i1 pr I Owner's Phone Number I II II
I 57tJI Dc,/r"1 teJ z~~h~vA;I/S H 3~S'~
I
I
813-780-0020
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Fax-813-780-0021
I Titleholder Phone Number I
II
II
Job Address
Sub Division
b7o/ De:;iy'j ;Q J
Parcel #
I Lot#
I q~;A~~ ~:~~~et=:~;,9;~:;'~\j~~ 0
D
D
D
D
D
D
D
D
D
D
D
D
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
~ --t~tcr
Hood Clean/Suppression D
Sprinkler
Fire Alarm
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
D Fumigation Tent
D Hazardous Material (Tier II or RQ Facility) ANNUAL
D Hood Installation
D LP/Natural Gas-Installation
D LP/Natural Gas-ANNUAL Sale
D Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage ANNUAL
Valuation of Project
Other:
Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
PLUMBER
Signature
Address I
MECHANICAL!
Signature I
Address I
OTHER
Signature
Company I Cu')<; r-,.YG- j-JV~~~i7~ ~*"
Registered Y I N I Fee Current Y I N I
License # I I
Company I
Registered Y/N I Fee Current Y/N I
License # I
Company
Registered Y/N I Fee Current Y/N
License #
Company
Registered Y/N I Fee Current Y/N
License #
Company
Registered Y/N I Fee Current Y/N
License #
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.
__--...---.--.~--.~-..-.-w..--...-..-.....-~ ~ -~..--.-~.._~.,.--- .... ,.....~., .p._," -~....- - - ~..- +. .---"
,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 responsibiHtyfor compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and 10calregLilations. 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-
a009.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 (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more,'1
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'S/OWNER"S AFFIDAVIT: I certify that all the information in this application is accurate and
,that all, work will be <lone in, compliance, with all-applicable. laws . regulating.-construction;.zoning -andH 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
musttake to be in compliance.
If lam 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
setaside- anY provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
,requirirng,acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid
unless"1he:.workalJthorizedby such permit is commenced within six months of permit issuance, or if work authorized by
tlie-!iermRissusperided 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
, justjfj,~ble cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOU~PR9PERTY. IF.,yq,UINIE;Jr.I[);,.O,PIaJAI~,,FINA''''CING, CONSULT
W1ll;I :y.:GURiLEND,ER_ORcAN:.A:r:r<<:)e:v.ISS~QRE':RBOdRtJING.yljtrR.'tfOTfCEOFCOM'tJlENCEMENT.
,;.:::itEl,.~Rlfl1t':t.t:I~:lt'ttO;i"'" , nLd/J./Jff./4
'-'6WN~R'OR-AGENT -....... _..--..__...m_"'---CONTRACTOR"---"'A/J(Y~""" .
SlIbscribed and swom or affillJl.edElfpre m Is Subscribed and swom to.Jp'iaffi~d) b~~ ,me 19I.s
11.2c.o7 by /t! I 1/1. 11-20 rD7 by .:::J",,. ~. ~bvK-
WIlo Js/are personally known to me or has/have produced Who isll(Ire pe~onallY known to me or has/h~ve produ~d
uc.u.~ as identification, LI cQ,U-. as Identification.
co:~.~:~ 'I~~r::s
, f.:' \~ Commission DO 621833
\0;\ ;..j' r 12 2010
Name of Notary . . nt~!ltI!s~n,"",nceBOO-385-7019
Notary Public
c4,ec'k 6~ ~P~I'C
Co S51 o.
"'~~"""'" JACQUELINE BQGES
tf.>'~' "
Name ot~ . 10
~~...lot,:~ .1l1nITIWF,;n__,>>,,701Q
,Rr..~"
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Displaying Records 1 thru View in groups of: 10 25 50 100 500
25 of 42
Map Parcel Name Address +
06-24-18-0040-00002- BROWER HOWARD R REVOC UV
X TR 16701 KERRY HILLS LN
1940 BROWER HOWARD R TRUSTEE
X 31-26-18-0030-00900- STERN WILUAM C & EDYTHE L
0480
X 06-24-18-0040-00002- TIRRONEN LAWRENCE & EDITH
1830 KIM
X 11-26-19-0040-00500- CINTRON WILUAM & ROSA
0030
X 23-26-19-0040-03600- ERICKSON PETER B & GINA M
0240
X 09-26-21-0770-00000- PASTORELLA FRANK J & ANN L
3480
X 09-26-21-0780-00000- HARVEY JEANETTE M
4610
X 04-26-21-0010-11500- UKINS UNDA 0 &
0041 WILKINS CUTFON 0
X 02-26-21-0000-04100- SESSOMS JAMES W & MARIE
0010
X 01-26~21-0010-03900- ALUSON JODY L
0023
X 02-26-21-0210-00000- RENNER DONALD L & ANNA J
1510
X 01-26-19-0020-00000- HASLAGE RALPH W SR & LOIS &
0560 HASLAGE RALPH W JR
X 06-26-21-0020-00000- MCMAHON KEVIN M & JENNIFER
0620 A
X 06-26-21-0030-00000- MACONI-CROSLAND OAK CREEK
2880 LLC
X 28-25-16-014A-00000- JOHNSON HOBERT
1140
X 33-25-16-076A-00000- DUNBAR CHRISTOPHER
0180
X 16-25-16-0000-01900- R C COBB INC
0010 C/O REGAL CINEMAS /R E DEPT
X 01-26-19-0020-00000- MINE FAMILY TRUST
0151 MINE RUTH TRUSTEE
X 04-26-16-0180-00000- TAYLOR BOBBY III
0180
X 02-26-21-0010-03900-
0060
HEALTH CARE PROPERTY
INVESTORS
INC
C/O FLORIDA SENIOR PROP INC
16701 NIKKI LN
16701 RICH LOAM LN
26701 MIDDLEGROUND
LP
26701 WINGED ELM DR
36701 GRACE AVE
36701 JODI AVE
36701 POPLAR LN
6701 20TH ST
6701 23RD ST
6701 BASSWOOD CIR
6701 BIRDIE CT
6701 BLUFF MEADOW
CT
6701 BOULDER RUN LP
6701 CARNATION WAY
6701 CELESTE LN
6701 CINEMA DR (1)
6701 COUNTRY CLUB
RD
6701 CRADLE CT
6701 DAIRY RD
http://appraiser.pascogov.comlsearchldefault.aspx?pid=add&key=LVJ&addl=6701&add...l1/20/2007