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
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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.
~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
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8'13-780-0020
Owner's Name
Owner's Address
City of.Zephyrhills Fire Fax-813-780-0021
Permit Application
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rr Owner's Phone Number I $ , 1 11-' ,..r II" I I .,
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Fee Simple Titleholder Name
Titleholder Phone Number
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71
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I Lot#
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Fee Simple Titleholder Address
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Sub Division
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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
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~
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~
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.
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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