The URL can be used to link to this page

Home My WebLink About08-7496 ;CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Clrt 7496 Permit Number: 7496 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 2/13/2008 Total Fees: 25.00 Amount Paid: 25.00 Date Paid: 2/13/2008 Phone: Work Desc: FPM-WESTBROOKE MANOR - ANNUAL FIRE ALARM SYSTEM Address: 6701 DAIRY RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-03900-0060 Name: ALLEGIANCE SENIOR CARE Address: 6701 DAIRY RD ZEPHYRHILLS, FL. 33542 CuY"viJ~ -\~5 2.. r l '-t/()~ I tJ1-.. 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." -.. P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 City ofZephyrhills Fire . Permit Application Phone Contactfor.Permlt 9'~ 9- Owner's Phone Number I ~ J.J 1171r C2.. Iw ~I )' . ~C> tlo .-7/$"1 . I Titleholder Phone Number III II 813-780-0020 Date Received ner's Name OWner's Address Job Address I I i tt7N bair)' RJ Fee .Slmple Titleholder Name Fee Simple Titleholder Address 1 4'Q ~ Fax-813-780-0021 Sub Division Parcel # I ] Lot# I l"'" "'NtU .KUM "K"""K" ,"^ NU """J o Bio-Hazard Waste Storage - ANNUAL .D Comm Exhaust Kitchen HoodlDuct D Controlled Bum D . Emergency Generator < 30 kw o Emergency Generator> 30 kw ~ Fire Protection Maintenance ~ Sprinkler 0-===:-. . Fire Alarm . ~ Hood OeanlSuppression 0 D Fire Alarm Installation D Fire Pumps . D Fire Works D Flammable Application- ANNUAL D Fuel Tanks D Other: I :~:atuc;:r I ~ ~'. Add~ is-if'?! w. w..re.f5 AY~ 7'Ji"'j>'I, ELECTRICIAN Signature Address I I 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 Sparklers Sprinkler System Installations StandpipeS (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL ., Valuation of Project I ~'l I I I Company Registered Ucense # [dDT [jecUriry .seT'Vlce.5 L Y ~_ Fee Current I · Y 1 N-t e-r C?t?t:!J//o..:3 I Y IN I Fee Current I Y I N I I Y I N I Fee Current I Y I N I I Y/N I Fee Current I Y/N I I Y/N I Fee Current I Y/N I I Company Registered Ucense # Company Reglst~red Ucense # Company Registered Ucense # Company Registered Ucense # .- ~------_....._....._..-_.._.._..._-.- .....-.-. --... ... . :.NO-r.fCE.SFi:O&ED,RESTRICTIONS: The undersigned understands that this .permit may .besubject to ~deed" restrictions". ..whIch may be.more restrictive .than County re,gulations. The undersigned assumes 'responsibility Tor ComPliance With any applicablE) deed restrictiGns. . . . .. . '. . 'UNLlCENSED CONTRACTORS AND 'CONTRACTOR RESPONSIBIL.mES: .If the owner has hired a contractor. or. ,contractOrs to undertake work, they may be require~ to be licensed In accordance with 'state andlocat regiJlations. 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 conb:actor are uncertain as to. what licensing ;requlrements may apply fo( the intended wort, they are advised to conta.cl:the Pasco County Building Inspection D;vlsion-l.:.icenslng Section at 727-847- . 80D9..Furthe~ore, If the owner has hired a contractor .otcontractors, 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 property licensed. and is not entlUedto. permitting privileges In Pasco County. .' CONSlRUCTION'UEN.LAW (Chapter713, Florida Statutes, as amended): Ifvaluation.ofworkis.$2;500.00 or more.'1 CertifY that I, .the applicant. have been provided with a. copy of the .Florida 'Construction Lien Law-Homeowne(s Protection Guide. prepared by the 'Florida Department of Agriculture and Consumer Affairs. If the appliCant Is someone other than.the .owner', "certify that.1 have obtained a copy of the above described document and promise In good faith to deliver It to the .owner" prior' to .commencement. . _ . . . .CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all. the information in this .applicationisaccurate and .. ........ "that-call.work.will. be <lone In.ooml3liance.wtth..aU..applicable..laws.regulating,.coAstn:lotion,-:.zOAIAg.:and..land..m...... development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no woli<. or Installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction. County and City codes, zoning regulations, arid .Iand develop'm~nt regulations in the jurisdiction. I also certify .that I understand that the regUlations of other government agencies may apply to the intended work, and that It is my responsibility to. identify what actions I mustiake to be in compliance. . . If lam the AGENT fO~ THE OWNeR, I promise in g~od faith to inform the owner of the permitting conditions'set forth :In thls affi.davit pnor -~9. coiTlln~ncjng construction. I understand that a separate permit may be! required for. electrical" work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not ~peclfjcally . Included in the application. A P:e.r.mnjS$u~d ,Sti;all:~ cons.trued to be a .license to proceed with the work and not as amho.my to violate, cancel, alter, or set..aside al)y...prOvl~ions of the technical codes, nor shall issuance of a permit prevent the Building Official fro!1l thereafter . requlriOg.acarrection of errors in p~ns, construction or viqlations of any codes.. Every permit issued shall become invalid . .un'_itie~~rK.'autn(Jrized.'by such ,permit Is commenced WIthin six month~ e>! permit. issuance, or if ~ork. authorized by .. ,~;~~iS~i:iu$p~rided or abandoned for a period of six (6) mo~thsafter the time the work is commenCed. An extension . ,mayjJe req~ested, In .writing, from the Building Officlal.for al3Brlod not to exceed ninety (go).days and'.will demonstrate . ~~~~ ~use for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNiNG ':ro OWNER: YOUR fAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR pAYING lWICE FOR IMPROVEMENTS TO YOu.R pRqP.ERTX: .IF Y. .1 . ..:rQ,qpJAI~~"~CJ"'G, CONSULT ~. R. ,.A:gj' ,\ . 0 . E"O"f'coMlJieNc MENT.. .- i--:'. .. .... ttmQSfll.,.'..' . ;: 1.. ..' .. '. . .. . .. .. .: . ../1.. " . ./V"/J..::....i:...h;...j" Jf"r.,......-:..-:&..f}.~..--_..._._._.-"-_..__....;_...4-~.-.r.."I~,..,:...:........J....... . l1 .. ~ ...M ... . ... ................,... _...".OWiiER~OR.AGENT~...~ CONTRACTOR ~~ SWscrIbed and sWorn to {or affirmEld) beforE! me this Subs~ and sworn to (or afIlrined) before me this ..'- .... .. ..-. .... . ~ IsIare p~ knoWn to me or hasIhaYe jXDduced WhO IsIare.PersonaHy known to me or hasIhave produced . . . as ~on. . . as identification. Notary Public Notary pubnc COmmission No. Commission No. Name of Notary fNped,prInIBd or stamped Name of Notary~. pr\ntecI or stamped