HomeMy WebLinkAbout08-7494
,CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL F1REPROTECTION MAINTENANCE
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7494
Permit Number: 7494
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: 5344 9TH ST
ZEPHYRHILLS, FL
Township: Range: Book:
Lot(s}: Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15100-0160
2/13/2008
25.00
25.00
2/13/2008 Phone:
FPM-KIMLEY HORN & ASSOCIATES-ANNUAL-FIRE ALARM
Name: KIMLEY HORN &
Address: 5344 9TH ST
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."
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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
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Fax-813-78~0021
City of Zephyrhills Fire
Permit Application
813-78~0020
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___ Phone Contact for Permit ~if/:Jf?'
iKi /1//e Y /,Ie> rn ~,1 ~';6'C(ml' I '1: Owne<'s Phone N",,'" Il? 1.:3 117 n I I "?,PO
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Date Received
ner's Name
OWner's Address
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Titleholder Phone Number
Fee 'Slmple Titleholder Name
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IS3.l/~ _ ?'rh 5t-
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Fee Simple Titleholder Address
I Lot#
Job Address
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Parcel #
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Sub Division
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
o Bic-Hazard Waste Storage - ANNUAL
'0 Comm Exhaust Kitchen Hood/Duct
o Controlled Bum
o . Emergency Generator < 30 kw
U Emergency Generator> 30 kw ." .
~ FIre Protection M...tenan~
Sprinkler
. Fire Alarm ~
Hood Clean/Suppression D
Sparklers
Sprinkler System Installations
StandpipeS (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
o Fire Alarm Installation
o Fire Pumps
. 0 Fire Works
o Flammable Application- ANNUAL
o Fuel Tanks
o Other: I
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ELE;;:::":Y.sI71 w. wptct-s A"ey71t~gJ ~1- ~~~j
Signature . '. - .
Address II
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Valuation of Project
Edt])! .sec~'C'i~( r$"E?:rvJces
__Y/N I FeeCUrren I Y/N_
I ~P"CJPO//:2...:3 I
I Y IN I Fee Current I Y I N I
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j Y I N I Fee Current I Y I N I
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I Y I N I Fee Current I Y I N I
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I Y/N I Fee CUrrent I Y/N I
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Company
Registered
Ucense #
Company
Registered
License #
Company
Registered
Ucense #
PLUMBER
Signature
Address I
MECHANIC4
Signature .
Address I
OTHER I
Signature
Address I
Directions:
Company
Registered
Ucense #
Company
Registered
Ucense #
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.
'_~___".___"_""_"M_'''_'._''''_M'_ '''__y_ .._..... .. .
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,:NOT04CE.SF::oeSD.RESTRICTIONS: The undersigned 'understands1hatthis permit maybe~l:Ibject to ~deed" restrictions".
"Yihich may -be;m13re r:e~bictive .than County re,gulati13ns. The undersigned. assumes 'responsibility for ComPliance With any
applicable deed restrictions. , .' . . . 0 '. .
'UNUCENSEO CONTRACTORS AND .CONTRACTOR RESPONSIBll.:.mES: )f the owner has hired a contractororl
: contractOrs to undertake work, they may be required to be licensed jn accordance with 'state andlocat reg1Jlations. If the
con1;ractor is not licensed as required by law, both the owner and contractor may be.cited for s':mlsdemeanor violation
under.state law. If-the owner or intended contractor are uncertain as to ,what licensing requirements may apply fo( the
lntended wori<, they are advised to contact the Pasco.county Building Inspection D,ivlsion-licenslng Section at 727-847-
. 8009. "Furti1e"!'are,1f the awner has hired a contractar otcontractars, he is advised to have the contractOr(s) sign
portions.of the contractor Block" af-this-applicatian for which they will be respanslble. .If you, as the owner sign as the
contractar,' that may be an indicatian that he Is nat properly licensed. and Is nat enUUedto' pennlttlng privileges in Pasco
Caunty.. . . . .
CONSTRUCTION'LlEN'LAW (Chapter713, Florida Statutes, as amended): Ifvaluatian of wark is. $2,500.00 ar mare;'1
CertifY that I,the applicant, have been provided with a, copy af the -Florida Canstructian Lien Law-Hameawner's
Protectian Guide. prepared by the 'FlaridaDepartment of Agriculture and Cansumer Affairs. If the appliCant is sameone
other tharrthe .owner", I.certify that I have abtalned a copy of the abave described dacument and promise in good faith ta
deliver It ta the .awnei"'" prlar' to .commencement. .
_ . . . 'CONlRACTOR'S/OWNER'5 AFFIDAVIT: I certify that all. the information in this application is accurate and
.. ,.... ... "that' all, work .will. be 1:Ione In.. oompliance ,with.. atl..applicable..laws ,regulatiRg.,constnJotiol'li':'Zl;JF1IF1g'.:al'ldc.landum om..
develapment. Application is hereby made to abtain a penn.it ta do wark and installatian as indicated. I certify
that na work, or installatlan has commenCed priar to Issuance af a pennlt and that all work will be perfQrmed to
meet standards af all laws regulating .constructian, Caunty and City codes, zoning regulatlans, arid .Iand
develapm~nt .regulatians in the jurisdiction. I alsa certify ,that I understand that the regulatians af ather
gavernment agencies may apply ta the intended wark, and that ~ is my respanslblllty to. i~entlfy what actians I
mustiake ta be in compliance. .
If l.am the AGENT fOR. THE. OWNeR, I pramise in g~od faith to inform the awner of the permitting condltlons'set farth:in
this affIdavit Priar '~P. coiTlIJ1~ncli1g constructian. I understand that a separate permit may .be required far, electrical' work,
plumbing; signs; wells, :pools, air Condltianlng, gas, or ather installatlans nat l;'pecifically. included In the applicatian. A
P.e.r.mlt jS$UE~d. Stjall:b~ cons.trued ta be a 'license to proceed with the wark and nat as auth~rity to vialate, cancel, alter, ar
set..asldeaoy",prOvlslons of the technical codes, nar shall issuance of a penn It prevent the BuDding Official from ttlereatter
'requiring,a .ccmectian of errors in pll:!ns, construction ar viqlatians af any codes. Every permit issued shan become invalid
, iiri!~jfje:)Y.Qn<.i41i.itnqrlzed"by such .permlt is' commenced Within six manthl? D! penn.lt.issuance,ar if "!Ork authorized by
.',t~e;:p~ilj~i@iiju$~rid.~d ar abandaned for a periad of six (6) mo~thsafter the time the work is commenced: An extension
. maY:'be reqaested. -in ,writing, from the Butlding Official ,far a l'l9r1od nat to exceed ninety (90) ..days and',wJlI demanstrate
. j#~~~ ~t..se for the extensian. If work ceases far ninety (90) cansecutive days, the job Is considered abandaned.
WARNiNG'T-O OWNER: YOUR fAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOU,R "RqP.~'q: .IF y. .1 ..m?;[f;?.tB'J4I~~CJNG~ CONSULT
Wl+H . . ~. R"', . El)... coMNlE'NCEMENT. .
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Subsatbed and sWorn to {or aftinned) before me this Subscribed and sworn to (or affirmed) before me this
. .'.- .
...",.; IsIme ~ known to me or hasJhave produced WhO IsIare personally known to me or haslhave produced .
. as Identificafion. as Iden1Ification.
Notary Public
Notary Public
. COmmission No.
Commission No.
Name of Notary fNped, .printed or stamped
Name of Notary~. printed orstarnped