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Home My WebLink About08-7479 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7479 Permit Number: 7479 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: 38250 AVE A ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-01300-0010 2/11/2008 25.00 25.00 2/11/2008 Phone: FMP-ZEPHRYHILL NURSING HOME QUARTERL Y-FI SPRINKLER SYSTEM Name: S C NURSING HOMES OF Z Address: 38250 AVE A ZEPHYRHILLS. FL. 33542 ~~I00 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 NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date Received OWner's Name Owner's Address .:p:- '1 t 7 c, City of.Zephyrhills Fire Permit Application ~ - 1- t:')!r Phone Contact for Permit :2c f~Y r hi 1,15 Ylk-{~I "'I {.1 D ~ I Owner's Phone Number Fax-813-78D-0021 II l J I Titleholder Phone Number I I I I 38c:J50 A 1J~ I Fee Simple Titleholder Name II II ,- Fee Simple Titleholder Address Job Address Sub Division -~-w- - ------eJ o o D D o D D D D D D Contractor Signature Address ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALj Signature . I Address I OTHER Signature Address I Directions: B FUllliycttiulI T tlllt 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 o Sparklers o Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing o Waste Tire Storage ANNUAL Parcel # _lI!:~A~ 1j1Q-t1azard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ..umu.'L - Sprinkler uzr /Lf Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL ITT I Lot# I ~U~ I AINl::U t"KUM t"KUt"l::K I Y I AA l'lU 111..t:) Fuel Tanks Valuation of Project Other: ",,",<<<<':-='--~ Company Registered License # I Company Registered I License # I Company Registered I License # I Company Registered I License # I Company Registered I License # ._. "'."V" -,. M .. .5/~P J.e~ {;rr.nn.. {( Y/N I Fee Current I Y/N I I Y/N I FeeCurrerit Y/N I I I I I I I 1- "J Y/N Fee Current Y/N Y/N I Fee Current Y/N Y/N Fee Current Y/N .~. ---- ,.,. ~'" . ,~.~tT' ~- . -. '. ,~,,' <--".~ ~'~"'ri"'A.~.~' Fill out application completely, OWner & Contractor sign back of application, notariZed (Or, copy ofSigned 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 1 D-14 days for review after submittal date. .....-....._-_....-_..-.-.-....._~~_...- ,.-..---...- .- _N0T-ICE.SF.',DEED.RESTRICTIONS: The undersigned understands that this .permit maybe subject to ~deedn restrictions. ,Which may be. more r-estrictivethan County regulations. The undersigned assumes responsibilityior compliance with any applicable deed restrictions. . . . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or contractors. to und.ertake work, ther 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 fur a.misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing -requirements may apply fur the intended work,they are advised to contact the Pasc~ .county Building Inspection Division-Licensing Section at 727-847- 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'UEN'LAW (Chapter713, Florida Statutes, as amended): Ifvaluation of work is $2,500.00 or more"l certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne;'s Protection Guide'" prepar-ed by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than" the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to .commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application .is accurate and ... .'that. all-work ,will be 'Clone in. compliance.with--all.,applicable--Iaws . regulatiAg.,constructioA;..zoniAg..and..land.......---- development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work,or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and land developm~nt regulations in the jurisdicti'on. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I mustiake to be in compliance. . If l.am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior -~o COIT\lJ1Elncing construction. I understand that a separate permit may be required for. electrical work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not specifically. included in the application. A ~rmltis$ued.s1iall:be cOllstrued to be a'license to proceed with the work and not as authority to violate, cancel, alter, or setaside aoY"provisions of the t-echnical 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 . .un.less..;ttje:~rk;aUth()rized'hy such permit is commenced within six months of permit issuance, or if work authorized by .' ,tli~:p.e-mm:..is$u~pi3rided or abandoned fur a period of six (6) months after the time the work is commenced. An extension maYJ}e reqaested. ~n .writing, from the Building Official.for a period not to exceed ninety (90) days and will demonstrate . j~~~le ~use for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNiNG 1=0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING~CE'FOR IMPRO~NiENTS ~9. Y~~R_r.~9P.E.~TI: .IF.~ ~t'oI,B.!g,RPJ~lt,I}?I~M1CING,. CONSULT Wl+bt ~R.iL-ENQ6R"(!)R,Atl~ '. Nmri~1tE-R~' . .! C. MEN CEMENT. ~'.~:~~:.,!.:..:.~~..,..,:.." ,..,~~..'ii .~.I' :' .... ..... .... .oWNER C.R AGENT Subscribed and sworn to {or ) before me this . by Who islare personally known to me or has/have prodUced . as Identification. Notary Public Notary Public .Commission No. COmmission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped