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HomeMy WebLinkAbout08-7232 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FLAMMABLE APPLICATION PERMIT 7232 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7232 FIRE FLAMMABLE APPLICATION FIRE-FLAMMABLE APPLICATION NOT APPLICABLE Address: 3951 COPELAND DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 24-26-21-0000-00100-0080 . Name: WHEEL BLAST Address: 3951 COPELAND DR ZEPHYRHILLS, FL. 33542 11/26/2007 50.00 50.00 11/26/2007 Phone: ANNUAL - FLAMMABLE APPLICATION 25-30,000 GAL OF PAINT c) ~,(}}sd . if'1I--D c:o 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. ~URE ~ PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 .w~:i_.~~L~t.~1!;;;!,~i~,2", ..! I tJ A 1-1. / J, III ( 4- 5 ~ r-l L 0 L I~~/ 8'13-780-0020 Owner's Name Owner's Address City of.Zephyrhills Fire Fax-813-780-0021 Permit Application ,IIi mr- ,_ _,;~~~; Contact for Pe~it ~,!!l,"- ,~"..~J,~!Q_UJ ~,","!.~_., rr Owner's Phone Number I $ , 1 11-' ,..r II" I I ., ~ r .:ce h c-l-r./li FL JIr 1.- :::r tV '- Fee Simple Titleholder Name Titleholder Phone Number II II 71 ~- ITii~i~trfWli~-~~-~~~~ I Lot# I V1- 2.lrtJ 1- t'1.10-t?P/PO- pC/it? lUtll AII'III:.U rt'(UIVI t"'t'(ut"'l:.t'( I Y I",^ I'IIU III.JI:.) 'l' Wi? _.;,l~ ~~"'1'i~UJfiNmmVT&:."mIlm~t Fee Simple Titleholder Address a:::=s-~~'md~I~:~ -~~ ~ ~L~~ Sub Division M!M~~1'?nxd~~~.~f~~ ~W-=Wi~i"=-'ftJlitT'~'-fiII Bio-Hazard Waste Storage - ANNUAL - !il;lt;;'ii'R Parcel # D D D D D D Comm Exhaust Kitchen HoodlDuct D o D D D D D D D D D D Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression D D Fire Alarm Installation D Fire Pumps D Fire Works @ Flammable Application- ANNUAL D Fuel Tanks D Other: ~~~~~I/jI~ Contractor Signature Address I Fumigation Tent Hazardous Material (Tier 1\ or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum "' ".r-lO ~OO I<ff""L " , 1~ /lo..n f"t '1,,-~r Pf\-~^~ Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project . - I Company I Registered I 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 I Registered License # ELECTRICIAN Signature I Address I I PLUMBER Signature Address I MECHANICALI Signature Address I OTHER Signature ~'l ~ _ lL ~ Y I N I Fee Current Y/N Y/N Y I N Fee Current Y/N Y I N Fee Current Y I N I' Fee Current Y/N Y/N Y/N Fee Current 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, NOT,ICE-QFDEED..RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed~ restridions" -which may be. more restrictive .than County regulations. The undersigned assumesresponsibility'for compliance 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 convactor 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 Pasco .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'LIEN'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;" 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-done in. compliance. with-, all,.applicable..laws . reglllatiRg.-construction,-"zoning--and--land" -- ,,,,. development. Application is hereby made to obtain a permit to do work and installation as indicated. (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.Jocoriu:nencing 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 ~rmit:issuedshall:be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setaside anY provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring ,a correction of errors in p1i:!ns, construction or violations of any codes. Every permit issued shall become invalid . .unless";UiE6vork'authorized'by such permit is commenced within six months of permit issuance, or if work authorized by . tfie':perrm(js"si.t$.p~rided or abandoned for a period of six (6) months after the time the work 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 , j#~~le ~i.Jse for the extension. If work 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 IMPROVENiENT~ ~9 Y~lJ~.~~q,~E~rr:'""""f-'"!&YJ~T,,-t;~P..19,9~J~I~_~INANCING, CONSULT Wl+1i :y..(llUR'~L-ENtlER.,.(!)R~AN,"A:gClRN~IBEFOlDRE";REOOlWING'YUIlK,j[OTICE OF COMMENCEMENT. i ~~:w~~a~~D~]!1j1t03)'t' .:"'. .' , . H_ _.__w_.__________.________________.____..____... .-------.." ....... ........-.-- ..... .".- CONTRACTOR Subscribed and sworn to (or affirmed) before me this . by Who is/are personally known to me or haslhave produced as identification. ^" ~ ~ ~NotaryPUblic Notary Public Commission No. .Commission No. ,.....,f~K .. ~l r. aren L. MillAr Name o. . . _ ~"''tmd09664 ~~1,~......~ Expires October 29, '2010 ,Sf,,'I\ Bonded Troy Fain. __, In. 1CIOo3IS-70'I Name of Notary typed. printed or stamped