HomeMy WebLinkAbout08-7247
CITY OF ;ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
_';;;'.i-":-
7247
Permit Number: 7247
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38615 LAN ING
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s}: Block: Section:
-Subdivision: SLEEPY HOLLOW MHSUB DIV
Parcel Number: 02-26-21-0260-00000-1200
11/29/2007
25.00
25.00
11/29/2007
FPM-HOOD CLEANING - 6 MONTHS
Name: SLEEPY HOLLOW MHP
Address: 38615 LANSING
ZEPHYRHILLS, FL. 33542
Phone:
FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
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."
/~~ATURE P ITO~ICER
PERMn EXPIRES IN 30 DAYS WnHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Recc:ived
Owner NlIJne
Owner Address
.'
City of Zephyrhills Fire
Permit Application
I
I
1 \ - Jct .
Contact Phone Nbr
II 782
Owner Phone
111100
Sleepy Hollow MHP
813
38615 Lansing -54 W
Fee Simpile Title Holder
I Titleholder Phone Nbr
II
II
Fee Simple Titleholder Address
Job Addn:ss
Subdivision
38615 Lansing -54 W
Parcel ID
0'2 - 2(g - 2 \
O'2<c,o _ 60000- 120-[)
B Bio-Hazard Waste Storage - ANNUAL
Cornm Exhaust Kitchen Hood - Duct
D
D
D
[ill
Controlled Bum
~tno
D
D
D
D
D
D
LP -- Natural Gas Annual Sale
Places of Assembly - Annual
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
Emergency Generator <30 KW
Emergency Generator> 30KW
Fil1~ Protection Maintenance - Annual
Sprinkler
Fire Alarm
Hood Clean -- Suppression
Fire alarm Installation
Fire Pums
Fire Works
f~ammable Application - Annual
Fuel Tanks
D
D
D
D
D
D
Other: I
LP - Natural Gas Installation
D
D
l2t
B
B
B
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System )
Torch Roofing
Waste Tire Storage Annual
Value of Project
$1 I
Other Sign
Address
Contractor Sign
Address
Electrician Sign.
Address
Plumber Sign
Address
Mechanical
Address
Company
Registered
y
N I Fee Current I
License
Company
Registered
y
N I Fee Current I
License
Company
N I Fee Current I
Registered
y
~~6~
118330 Lawrence Rd. Dade City, FI
License
Company
Registered
N
y
License
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 wor1< 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.
Security Fire Equipment, LLC
@ N I Fee Current I ~~
502552000220004
NOV/28/2007f~Er 01 :56 PM ZEPHYRHILLS BUILDING
F~Y Nn Ql~-~Q~_nnnLl
. J. .~. \.--' _' J '..' '..1' "",' '..;
F, 802
---~---.......----
-~-_._---_..._.:...-.....-..._..._....-- --.. .. . ....
" .
..N(i)1fICs"~,tJE6P;R.ES1RlCnoNS; ~M'underSlgned.underSt8nds:that thls..permlt m~'b8.:subjeet to '!~.. restrictions"
'Whi~h m~(~.more'~clive'.than'iC~ regu~~. ,.~igned,'BS~i'responsibnly'fDr .comPlianee \lI4th arw'
appUcab(e,'deed restridlGns. .' . '.' " .,
'UNLICENSED 'CONTRACTORS ,>>tD .CON1RACToOR .RESPONSIBlLmE&: .If'the owner has hIred.'a contracior,Of'
con~ctol'S. to undertake Work;.tJ:1ey'may be ~ired-~':.be Bcensed ~ accoma~. wJth 'state :and ,local, f8SIlJlatJons. if the
con~' IS not ~~~.as I"lMpred .by laW, both the,owner,~ contractor.~ ,btt.cIted for,a'.m18demeanDr VIolation ,.'
urider sta'te law~ If:the owner or IntendeCI contJ:BolDr are -uncertain ~ to .what lk:ensiog'mqUlremeniB may. apply for the
Intended work.1hey are advised to co~,the Pasco ~ Building Jnspection])Malon-UoBn8ing S,ectIon at 7.27-84.7- .
800lt . Furthennore. if the owner has .hlred a.~I~~ at contraotors. he is:.advit!ed to have the Co.~r(s) sign .
. portions.Ofthe .contractor,B!odr_of,thiS.-apP.fic?aU~n for whidb tAey WIll be rwponalble. 1f}'DU. as the owner sign .'the '
contractor,' that may -be an indicatlon:that he is not prOpeIfy llcensed,.-Jd is notentitJed 10 per:mil6J:lg' prMIeglMo'in PUeo .'
County. .' , ,.' " ' ",." -' , ,
CONSTRUcnOH'LreN'L.AW (ClUIpter713, 'FIorkhi stBlut.sr, as amendllCl): '1f:'lalUatfon.ofwork i.:S2.500.00 or mO~'I. :
certifY lhSt 'I, the applicant. hIwe' been ~Ided wtth, a copy, of' the . ~1Orida 'COnstriJct\Qn. Uen Law-:-Hcxneowner's '
Protection 'GuldeB prepBred by ttie 'Aorida- Department fJf AgriCulture ~ ~sum~r AffaIrS. If the applicant is someone
other tharrthe lIowner", I.certify that.. have otxatned a copy of the above (fescrJbBd document .,promise In goOd faith to
-delNer It tn.the -owner" prior toW11lmencemenl '" . , '.... - ':' " " ,
._' ,CON1'RACTOR'SIOWNER'S AFFlDAYn':,.1 certify that arL~ infonnatlon in th1s IIP.J)IIcalIon is'acourale and '
. ~.. ,_.. ,._ :that.a\l.werk-wl(. he..ne in-,eemJillanoe.witti-.aIJ.-eppllcBbJe..~'f8gu1~-QOAsbUctIDA-,-"%eRmfi':afld..l8Rtt...,.:--
. development. Application is henJby made to obtain e permit to do work aJ1d inStallation as lndlcateD. I certIfY . "
that no work. Of' ln~n has commenced pr1pr to IsSL!ilhCe of a.permit.and that ad work. ~ be ~Qrme.d to
. meet atandards of 811 ,laws regulating .cons..-uction.. County 8nd CIty oodes, zoning iegtiJatlons. and ,land"
develop.m,.,t J'8QUIa1ione ,in the jurisdIctioQ. I ~ certify;that I understand that: the regula60ns of other.
government agencles may aPPlY to the Intended work, arid that ~ i$ my reSponslbllty tD:~tIfy wtuit actions I .'.
. rnust.1ake to be In compliance. . . , - '. . . - . ,
If I am 'the A~NT "OR. THE ~; I ~ in pd faith to inform -the ow~. of the permitting 'qonditions sel forth ,In'
.this affidaVIt Tirioi' -lP, comlJlttnciRg construoUon. I understand that II sepml\e permit may'.be raqulred fur.eledrlcar work,
plumbing; signs; wells. :pools; air conditioning. gaS, oF ottier installaUons not fPeciftcaIly, ipcluded in the appliGatloR. A
. ~itjs.$Ue.d.sn.JI:~ ooJlsjrued tQ be a1tcenseto.prooeechvlth tt1e,WOI1t and not ~ ~ to vtolate,~... Of'
set.JisidEi anY.~ of the technical codes, nor 8haIIIssuance of II permit pnw~ the Bu.ding.Qmciaf from, thereafter
. requll1ftg.a:cxmection of erroi's 111 p~nB, construction or ~ns of any codes. Every permit Issued $hall beCome.lnvalid
. .u~~)'lo.rt(~'by such .permit is commenced Withln'siX ~ of ~,,,uance, Or if work authorized P.Y '.
. " .~;~,iiatJsiU,jij.rid-' or 8bar1doned for a perioctof six (6) months after tRe ~ the work ill ~. ,~extenslon .
. 'fR~ R!q~8S1ed,. in .writing, from the Building OfticIal.for a ~ not to ~ ninety (~)..days ~"wIll c1e~onstrate
. ~Iabf. caUSe fOr tt1e extBnsion. If work ~, for ninety (90) consec:uttVe days, the jab Is 00n81~ abandoned. '
.t ":' __~ . ; , . 0,; . . .,.
. 'wAfUCiNG 1!0 OWNER: YOUR 1:AlLURE TO RBCORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR
~~~~~~~'C~
'-_~:=---......... 3~~--._."~'-'-~-
, . , . asidll~' '. " . ' ..~ "
, d ~ \l' "- . Notary Public
_..~L~
, ..
'N~~
~Publlc " '
Named
,,~n~ ~';"/), .' .' '.'
. .... . . ~~ KlI~el\ L. MlI/er '
, , ... '. ml:JJlllii9R , 13066'"'84 .
. NBme~No~"', "....~.~lres.October29 '2010 '
, , ,Sf,1'l\ -'n....F_.1 I
. . . -...~l'lIlI