HomeMy WebLinkAbout08-7390
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7390
Permit Number: 7390
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 1/14/2008 Name:
Total Fees: 25.00 Address:
Amount Paid: 25.00
Date Paid: 1/14/2008 Phone:
Work Desc: FPM-FIRE ALARM - ANNUAL
Book:
{'~ 'tlP-(.~
rc. ~ 1--- '3/-1fi
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
813-780-0020
Date Received
City of 2ephyrhills Fire
Permit Application
Phone Contact for Permit
Fax-813-78D-0021 "11\0
ner's Name
I (3~ 13~
I
~?~
II
II
Owner's Phone Number
Owner's Address
Fee Simple Titleholder Name
Fee Simple TItleholder Address
I
I
I Titleholder Phone Number I
II
II
Job Address
;? ~ Iy' c:f( ~ aU 13,W
Sub Division
Parcel #
D Bio-Hazard Waste Storage - ANNUAL
D Comm Exhaust Kitchen HoodlDuct
D Controlled Bum
0 . Emergency Generator < 30 kw
D Emergency Generator> 30 kw
D Fire Protection Maintenance - ANNUAL
Sprinkler ~
Fire Alarm
Hood Clean/Suppression D
D Fire Alarm Installation
0 Fire Pumps
0 Fire Works
0 Flammable Application- ANNUAL
0 Fuel Tanks
0 Other:
I Lot#
I
lUl) I AII~t:U t"t'(UIVI t"t'(Ut"t:t'( 11 I f\A I~U 11~t:)
-..-
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 ReareationalBum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage ANNUAL
, f Valuation of Project
Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
OTHER
Signature
Address
Directions:
Company
Registered
License #
Y/N I Fee Current Y/N
Y/N' Fee Current I Y/N
Y/ N I Fee Current
Y/N
Y I N I' Fee Current
Y/N
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 \/\IOrk over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date.
---_..--_....-"'------....._...._..~_..~- .._.~-_..- . ..-.... .-~
.. .
..NOT-ICE.GF;:OEEO.RESTRICTIONS: The undersignedunderstands1hat this permit m~ybesl;lbject to ~deed" restrictions"
.Which may be.more restrictive than -County regulations. The undersigned assumes 'responsibUlty 'for compliance With any
applicable deed restrictions. . .. .
.UNLlCeNSED CONTRACTORS AND .CONTRACTOR 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
contractor IS not licensed as required by law, both the owner and contractor may be ,cited for a .;mlsdemeanor 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 Djvlsion-licensing Section at 727-847-
. 800~. 'Furthe"!'ore,lf the own~r has. hired. a c:ontractor ot contra~tors, 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 Iicertsedand is not entitled to permitting privileges In Pasco
County. ,.
CONSTRUCTION.LletfI.AW (Chapter713, 'Florida statutes,as amended): If valuation of work Is $2,500.00 or more;' I
certify that I,the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners
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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
..' .... ... "that' all.work-will. be 'tione in. cempliance.with-.aU..applicable..laws .regulatlAg..aonstruotion,..zoniflQ..and..land.....m...
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
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. coii101~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?peclfically. included in the application. A
P.eom~iO\$U~.SIil!II:1!!' coiistrued \0 I!!' a license \0 proceed with the wOO< and not as authorily \0 violate. cancel. alter, 0'
set..aside aoy"prOvisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
. requiring.a:.correction of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid
. .unl~i\je:)Y.ork;aUttt()rized'"bY such 'permit is commenced Within six months of permit. issuance, or if work authorized by
,. .tne:~..ts~u$~rided or abandoned for a period of six (6) months after the time the work is commenCed. An extension
~ iaq.esled. in writ\nQ, from the aulidlng Olficlal.for a period not \0 exceed ninety (90).days and'wllI demonsbate
,~ cause fur the ex\eI1SIOlI. If wOO< ceases for ninety (90) consecutiVe days. the job Is considered abandoned.
WARNiNG T-O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING "TWICE FOR IMPROVE, MENTS TO, YO~R r~~~jg~Hn:Jie,;rg.R(sJ4It!l-EI~t'CJNG,. CONSULT
..wmt 'Ii :,.(l)RAR,..A:[tORRd:i~K~" .~IICE-oFcoMNlENCEMENT.
1~~_Dii.~~'~c~m_.m_.....C"'-" ..' ..... ..... ..... ..mn"-
S~ and sWo~ to {or am, nned). Qefore f!le this Subscribed and sworn to (or aftIrmed) before m,e this
~ by ~^ 11LO. ~('\..O \o~ _ ' by
Who isIa~ knoWn to me or haS/h8V8 produced Who isJare personally known to me or haSlhave produced
, . ~ as Identlfjcation. as identification.
.'-,
~ "-"""" ~.~ ~ Notary Public
COmmission ~q",,l' .
..~.'l...!'t_ Karen L. Miller
:2; ...~. .'
NameofN --1.'.';'.' ; 29,2010
- ,ff,li" Bonclod TIC'( Fa., .I~a.... Inc:. 1OO~701B
Notary Public
.Commission No.
Name of Notary typed,printed or stamped
~>~,,,~"~--'-"-"--"--'-~'