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Home My WebLink About08-7480 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7480 Permit Number: 7480 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 25.00 25.00 2/11/2008 Phone: FPM-ZEPHYRHILLS NURSING HOME-ANNUAL SPRINKER MAINTENANCE {\ NA~\Je-~ (O~ V' ~\1 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." -.. P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 D~te Received Owner's Name Owner's Address I ""ft ~~-,~., . 'N I :Zef~i' t,,/l-> .~1~$D Phone Contact for Permit "1__.. .~,._ I City of.Zephyrhills Fire Permit Application Fax-813-780-0021 I Y7w~"r J-1o~ -' LL u II I J Owner's Phone Number Fee Simple Titleholder Name I I I 3&-~50 I Fee Simple Titleholder Address Job Address Sub Division I Titleholder Phone Number I II , I A- j)~ I Lot# Parcel # I tUtll f\11'lt:U r-t(UM t"t(ut"t:t( I Y I f\A I'IU 111."t:) '----0 o o D D o D D D D D D Contractor Signature Address tile-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw F;m Pmle,;;o" Ma;"'''''"le~~ Sprinkler Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: EI FUllliYdliulI T Cllt 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 Company I Registered License # I I Company I Registered I License # I I Company I Registered I License # I I Company I Registered I License # I I Company t Registered , License # :s I"" P k'l' ~ Illfl<e I ( Y/N I Fee Current I Y/N I I Y/N I Fee Current I Y/N I I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALj Signature ' I Address I OTHER Signature Address I. '. Directions: " Y I N I Fee Current Y/N Y I N I Fee Current Y/N Y/N Fee Current I Y/N =-- - .1 ~M~, _~m.~""" ....~- . Fill out application completely. Owner & Contractor sigh back of application. notarized (Or, copy of sighed 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. -_...._...._-_...-""..--......_....._..-_..~- ..-..--..- . ~ .NOT~CE.QF,'DEED,RESTRICTIONS: The undersigned understands .that this permit maybe subject 10 "deed" restrictions" ,which may he more restrictive.than County regulations. The undersigned .assumesresponsibilityior comp.liance wIth any applicable deed restrictions. . . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 reglilations. 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 Pasc~ .County Building Inspection Division-Licensing Section at 727-847- 800~. 'Further~ore,if the own~r has. hired. a ~ontractor .or contra~tors, he is advised to have the contractor(s) sign portlons.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 privileges in Pasco County. CONSTRUCTIONUEtfLAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'J certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than-the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to .commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and . ..' .;that. all. -work ,will be {jone in. oompliance..with..aJl.-applicable--laws . regulating.,construction;"zoRingnand..land.. -.. ...... development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work. or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that It is my responsibility to. identify what actions I must-take to be in compliance. . If I.am the AGENT fOR. THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior .to. corill:n~ncjng construction. I understand that a separate permit may be required for. electrical work, plumbing, signs; wellS, "poolS, air Conditioning, gas, or other Installations not specifically Included In the application. A ~1Ii!;$ued.Stian"b!l construed to be al\cense to proceed with the work and not as authority to violate, cancel, alter, or setaside ani prOvisions of the technical codes, nor shall issuance of a permit prevent the Building .Official from thereafter . requiMg.a'<:OT1'8C1ion of errors In p~s, construcUon or violations of any codes, Every permll issued shall become invalid . u~SiIi.;joiQi1<'.ul!1Prlzed'by suchperrtlll is <Xll11menced within six months of pennlllSsuance, or 11 work autho-d by .. .tfii;:Pfiijiii!,iSOU$j:iOrid<KI or a1Jandoned for a period of six (6) months alter the Urne the work is commenced. An extension .nuiy'be mqaested, tn wrlting, from the Bunding OfIicial.for a I""iod not to exceed ninety (90) .days and will demonstrate . jilS\ifi.l#>le cause lOr the extension, 11 work ceases for ninety (90) consecutiVe days, the job Is considered abandoned. . ..... ~_... ._.... .. .._.. . ...~.. __ u_._. CONTRACTOR Subscribed and by Who is/are personally known to me or haslhave 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