HomeMy WebLinkAbout08-7491
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7491
Permit Number: 7491
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: Phone:
Work Desc: FPM-HOOD CLEAN-ANNUAL- ZEPHYRHILLS FIRE DEPT-FEE WAIVED
Address: 6907 DAIRY R
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-01000-0000
2/13/2008
"
Name: CITY OF ZEPHYRHILLS
Address: 6907 DAIRY RD
ZEPHYRHILLS, FL. 33542
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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 INSPEcnON
CALL FOR INSPEcnON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Received
Owner Name
City of Zephyrhills
Owner Address
6907 Dally Rd Zephyrhills, Fl
Fee Simple Title Holder
City of Zephyrhills Fire
Permit Application
I
I
Contact Phone Nbr
Owner Phone
I J)/ sl17gu I I 00 So?
I Titleholder Phone Nbr
II
II
Fee Simple Titleholder Address
Job Address
16907 Om" Rrl Zophydli"" FI
Subdivision
Lot Nbr.
Parcel ill
Fumigation Tent
D Bio-Hazard Waste Storage - ANNUAL
D Comm Exhaust Kitchen Hood - Duct
o
D
o
o
Control1ed Bum
Emergency Generator <30 KW
Emergency Generator> 30KW
Fire Protection Maintenance - Annual
Sprinkler . ~ ;r, .J-' D
Fire Alarm):if / r..y 0
~uppressi~0
Fire alarm Installation
Fire Pums
Fire WOrks
Flammable Application - Annual
Fuel Tanks
D
D
D
o
D
o
D
o
D
D
D
D
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
LP - Natural Gas Installation
LP - Natural Gas Annual Sale
Places of Assembly - Annual
B
B
B
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System)
Torch Roofing
Waste Tire Storage Annual
Value of Project
$ I I
Other: I
Contractor Sign
Company
Directions:
Fill out application completely. Company
Owner & Contractor sign back of application, notorize ( Or signed
Copy of contract with owner) Registered
If over $2500.00, a Notice of Commencement is required
Mechanical work of ( $5000,00 ) requires a Notice of Commencent
Supply two (2)sets-of-drawings with applicable documentation
Allow 10- 14 days for review after submittal date,
Address
Electrician Sign.
Address
Plumber Sign
Address
Mechanical
Address
l/~~
';1'330 ~ gf
Other Sign
Address
Registered
N I Fee Current I
y
License
Company
Registered
N I Fee Current I
y
License
Company
Registered
N I Fee Current I
y
License
Company
Registered
License
50255120042000
Security Fire Equipment, LLC
Y N I Fee Current I
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake worle:, 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 misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended worle:, they are advised to contact the Pasco County Building Inspection Divlsion-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.
TRANSPORTATION IMPACTIUTlUTlES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07. as amended. The undersigned also understands, that such fees, as may be due. will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation ofworle: is $2,500.00 or more, I
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 worle:
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do worle: and installation as indicated, I certify that no worle: or installation has
commenced prior to issuance of a permit and that all worle: 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 govemment agencies may apply to the intended worle:, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways,
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone 'V' unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 commencing construction. I understand that a separate permit may be required for electrical worle:,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application, A
permit issued shall be construed to be a license to proceed with the worle: and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the worle: authorized by such permit is commenced within six months of permit issuance, or if worle: authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the worle: is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If worle: ceases for ninety (90) consecutive days, the job is considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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.
FLORIDA JURAT (F.S. 117.03)~
OWNER OR AGENT CONTRACTOR ~~'/~
Subsaibed an~~m to (or affirmed) before me this Subscribed and ~ to (or. ) re me this
INho is/are personelly known to me or haslhave produced INho is/are personally known to me or has/have produced
as identifICation. as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped