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Home My WebLink About08-7273 CITY OF.ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL WASTE TIRE STORAGE PERMIT 7273 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7273 FIRE WASTE TIRE STORAGE FIRE-WASTE TIRE STORAGE NOT APPLICABLE Address: 5240 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15300-0260 12/05/2007 50.00 50.00 12/05/2007 ANNUAL WASTE TIRE STORAGE Phone: Qf0lr~te N I-I(P-O~ ~ 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. TIRE REMOVAL COMPANY: INTERGRATED WASTE SERVICES LLC PHONE NUMBER: 888~258-3059 FREQ OF REMOVAL: 2x a month 1fffit p -I: O~I~ER PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 . Date Received Owner's Name Owner's Address City of.Zephyrhills Fire Permit Application Phone Contact for Permit ~j.2(; "7 f1~/ Gfflll5(~ r Fee Simple Titleholder Name Fax-813-780-0021 Owner's Phone Number ",'0 ~{3 II Titleholder Phone Number I II II m-TirrrarrITr nr.1J m.T1I'i:mr ~"""'" 111 1 ~ Fee Simpie Titleholder Address Job Address Sub Division \!Ii""'" o o D o o o ~m ~z-V(J' &t?- (/ Alv~ I r- om D Fire Alarm Installation D Fire Pumps D Fire Works D Flammable Application- ANNUAL D Fuel Tanks o Other: I ~~:.:' ! /(/ / fk. _) ~ 1'n~12 Address . ELECTRICIAN Signature I Address I PLUMBER I Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct D D D D D D D D D D D ~ I Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D D D Fire Alarm Hood Clean/Suppression 2~'l~~" 115 ?/ J7>~Y/ Lot# Parcel # I ' t Uti I AINCU t"KUIVI ,...KU,...CK I Y I fV\ I'IIU /1\"'1::) -J:'~ - -1 Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum 12~-uo..O - a~ rvx~ Up -tv 3 (X) . +( ~.J.::S Sparklers --- Sprinkler System Installations <t-~ ~ _ -a..:.:> 5S""" ' '005'] Standpipes (Sprinkler Sys)__ ili. ~ Torch Roofing ~~ LL.c...... Waste Tire Storage ANNUAL Po c:? ax. \ ~D(." jOe-I ho.rn ~ Valuation of Proj~ct '35 12.l..( Signature Address I ~ECHANICALI Signature Address I OTHER ~.-.- '-;C-l'X'" I I .,~- , Signature Address .L.,,,., 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. u " ~ lilIl) Company Registered 1:1 Q P"S Pi uc;. I Y I N I Fee Current I I Y I N I Fee Current I I I Y I N I Fee Current I I I Y I N I Fee Current J I Y/N j ..... Y/N I I I I I I , I I L.._..~, License # Company Registered License # Y/N Company Registered Y/N License # Company Registered License # Y/N Company Registered Y/N Fee Current License # ~.,~ . ~"-'-. ...I!>z.o;='.,.><..........._'.:.~"'= ..NO"tlc:E'GF;[lIiED:RESTRlCJlONS: The undersIgned understands <hat this permttm~be subject to '<leed" restrlcti9ns" -which may be- more restrictive than County regulations. Theundersignedassumes'responslbillty 'for compliance With any applicable deedrestrictiGns. . " .' 'UNLlCENSED CONTRACTORS AND .CONTRACTORRESPONSIBILmES: If the owner has hired a contractor or contractors. to und.ertake work,the~ may be required to be licensed in accordance with 'stateand 10calregUlatlons, If the con1;ractor IS 'not licensed as required by law, both the owner and contractor may be .cited fora.misdemeanor violation un<ler s_ law. If the owner or Intended contractor are uncertain as In what licensing .,equlremenls may apply for the intended work,they are advised to contact the Pasco .County Building Inspection Division-Licensing Section at 727-847- 800~. 'Furthe'"'!'ore,if the owo;r has. hired. a ~ontractor .orcontra~tors, he is a?vised to have the contractor(s) sign portions ,of the contractor Block of thiS 'appllcation 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 priviiegesin Pasco County . CONSTRUCTION'LIEtrLAW (Chapter713, Florida Statutes, as amended): If.valuation of work is $2,500.00 or more"l certIfY that t, the appllcan~ bave bean provided with a copy of the "FIo<idaConstructlon Uen Lew-Homeownees Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than" the "owner", I,certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to .commencement. . , CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all. the information in this application is accurate and ... ..... .. _ "that. all ,work . will. be-done in' compliance.with..all--applicable--Iaws ,regulatiRg"coAstruction,-'zoniAg':and--land-------'--- development. Applic~tion is hereby made to obtain a permit to do work and installation as indicated. I certify that no work- or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations. and .land developm~nt regulations in' the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work. and that it is my responsibility to, i~entify what actions I mustiake to be in compliance. . If I ,am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth:in this affidavit prior .~ci, corill:n~ncing construction. I understand that a separate permit may be required for, electrical work, plumbtng, signs; wellS, ..pools, arr Conditioning, gas, or other Inslallations nol spaciflcatly includad in the application. A Pl'imttis$ued.SIi.II:1>!> construed In ba a.license In proceed with the work and not as authority In vtolate, cancei, alter, or setaside any"prOvisions of the technical codes, nor shall issuance of a permit prevent the Building .official from tnereafter . requiririg.aamection of errors in pl.ns, construction or violations of any codes. Every !",rmtt Issued shell become invalid . iinl,,",ii'ltie~iiioil<'.Ulhorized 'by suchpen11l1ls commenced within SIX monlh$ of Pl'rmtt Issuance, or if work authorized by . ffiii:pemm..iS'U$~rided or abandoned for a period ~ six (6) mo~ths after tha ~me th~ work IS commenced: An extension ,maY!><> reqoesled, in wrtting, from the Bulldmg Officll3Uor a penod not In exceed ",n~ty (90).days and..WlII damonstrate , J#Slifi'!'i1e cause for the extension. If work ceases for nmety (go) consecutiVe days, the Job IS conSidered abandoned. wARNiNG TO OWNER: YOUR fAILURE TO Rl!CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING "IWICE FOR IMPROVEMENT~ T? YOLl~r~9P~!X'.IF.raI!!fmiI!Il!,;J;9,R!l.TI\I,,-!,lt!l'!ICING, CONSULT WR=H ~.o.uR.iL.EiUQER"'(!)R,AN,..A:I;IaRN~SS~RS:'RE~Y.O~WTlCE' OMMEN CEMENT. ~~~DRZ'~j'::.'.:.:._.__m_u_.~-.-~;;,;;;;:muu- . ..... ..... ...um' Subscribed and sworn to {or affirmed) before me this Subscribed and sworn to (or , .ed) before.methlS' , . by , 12 (c:) fey.., by ~1"'.ralr\ (.( ~.L ,>.)t.........::~. Wh~ is/are personally known to me or has/have prodUced W!Jg isJare personally known to me or h~ve produ~d , as identification. n., \"') 0 u () \..- \ L ' as Identification. -_...-_....__..__....._...._.~_.._.._...- .-....... .--." .. . Notary Public ~...al)- ..~"~llil~ Notary Public Name of Notary typed. printed or stamped Name of Notary typed. .IMIIIIIIII, lllli MolIIrllll ' .Commission No. COmmission No.