HomeMy WebLinkAbout08-7389
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7389
Permit Number: 7389
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38453 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1/14/2008
25.00
25.00
1/14/2008
FPM-FIRE ALARM - ANNUAL
HUDGIN , DR
38453 5TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
~
~p ,(;tr ~ r<6{t-
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 COMMENCEMENT."
....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
113'8<)
Fax-813-780-0021
City of .zephyr hills Fire
Permit Application
Phone Contact for Permit
e: 13-780-0020
- fl.\ - 0<6
Date Received
I~~~~
Owner's Phone Number
TIer's Name
Owner's Address
II
II
I TiUeholder Phone Number I
I
I
1$3'1(5'3
I
Fee Simple! TiUeholder Name
Fee Simple TlUeholder Address
I Lot#
5;d~,
AI'"'I\ .
Job Address
I
Parcel #
Sub Division
~Ulj I AII'It:U r-~UM ,...~u,...t:~ I Y I AA I'IU Ilvt:)
D
o
o
D
o
o
o
D
D
D
D
D
o
o
o
D
[j
D
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
SIc-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodlDuct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler D
Fire Alarm ~
Hood Clean/Suppression D
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Appiication- ANNUAL
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
D
D
o
D
D
o
'I Valuation of Project
AI ./11
-
,
Fuel Tanks
Other:
I Y/N I Fee Current I Y/N I
I I
I Y/N I Fee Current I Y/N I
I I
I Y I N I Fee Current I Y I N I
I I
I Y/N.I Fee Current I Y/N I
I I
IADr Se~u."riZ-7: Sa.rv/ce:j
. Y I N I Fee Current L Y I N I
IE F' '!.~t9 /(:< ~,I
Company
Registered
Ucense #
Company
Registered
License #
Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
Company
Registered
License #
PLUMBER
Signature
Address I
MECHANIC',
Signature
Address I
I
I
~i:~::re I ~ ~ I
. ~ddress t~~?....,~~~,~ fT:./VIt/JP F.L 3.:Jq.t~
Directions: iiiiiiii9
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.
Company
Registered
Ucense #
Company
Registered
Ucense #
____..___.~__....._....._..~_.~_ ..__..__._ . A_.... ._~..
'. .
..NOT.fCS.QF,DEED.RESTRICTIONS: The undersigned understands that this permit m~y 'besubject to ~deed" restrictions".
-Which may be.more restrictive .than County r~gulations. The undersigned assumes 'responsibility for compliance With any
applicable deed restrictions. . '. . '
'UNLlCENSED CONTRACTORS AND 'CONTRACT-OR RESPONSIBILmES: .If the owner has hired a contractor 'or
. contractors to und.ertake work. they may be required to be licensed in accordance with 'state and ,local regUlations. If the
con~ctor 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 contactthe Pasco.County Building Inspection Djvision-Licensing Section at 727-847-
800~. 'Furthe~ore,.1f the own;r has. hired. a ~ontractor .or contra~tors. he is advised 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 entlUedto permitting privileges in Pasco
County. .
CONSTRUCTION'UEN'LAW (Chapter713, Florida Statutes, as amended): Ifvaluation of work is $2,500.00 or more;"
certify that I,the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide- prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than' the "owner", I.certlfy that I have obtained a copy of the above described document and promise in good faith to
deliver it to the .owner" prior to .commencement.
'CONlRACTOR'S/OWNER'S AFFIOA VIT: I certify that all the information in this application is accurate and
.. ..... .., "that. all.work . will. be {fane in. cempliance.with..all..applicable..laws .regulatiRg..construotion,...zoniRg..and..land...........
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work. or installation has commenced prior to issuance of a permit and that all work will be performad to
meet standards of all laws regulating .construction, County and City codes, zoning regulations, and land
developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other
government agencies may apply to the intended work, and that It is my responsibility to. identify what actions I
mustiake to be in compliance. .
If I.am the AGENT FO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions'set forth :in
this affidavit prior -to coiitm~ncing construction. I understand that a separate permit may -be required for. electrical work,
plumbing, signs; wells, :pools, air Conditioning, gas, or other installations not I?pectfically. included in the application. A
~r.mitis$U~d .s.ticall:~ construed to be a 'license to proceed with the work and not as aLitho.rity to violate, cancel, alter, or
setaslde any"prOvisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
. requlring.a.correction of errors in pl~ns, construction or viqlations of any codes. Every permit Issued shall become invalid
. unles.silie:)Voi-K.'aUth()rlzed''by such ,permit is commenced within six months of permit. issuance, or If work authorized by
. .tfiE;:~.Jsijus~rid~d or abandoned for a period ~ six (6) mo~ths after the time the work is commenCed: An extension
-ma'y."J;Je reqtJested. tn writing, from the Butlding Officlal.for a penod not to exceed ninety (90) ,days and'.wlll demonstrate
. j~~~~ ~i.Jse for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNiNGT-O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YO~R r~9rE~TI: IF~N.~JIB,;rg .P'JAltlI~I"'A"'CJt.lG,. CONSULT
_. ell..El:lF1:iOllllENCEMENT.
;.;~~4f~~ll~:~~.--=i:=::=:_.....m.. ......m_
" as Identification. ' . as Identification.
COmmission No,
Notary Public
Notary Public
.Commlssion No.
Name of Notary I)'ped, printed or stamped
Name of Notary typed.