HomeMy WebLinkAbout08-7249
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7249
Permit Number: 72 9
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: CHURCH
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
11/29/2007
25.00
25.00
11/29/2007
FPM-HOOD CLEANING - 6 MONTHS
Phone:
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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."
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~ C CTORSIGNATURE 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 of Zephyrhills Fire
Permit Application
I
I
Date Received
\{ -~~
Contact Phone Nbr
Owner Nmne
I I 1202
II 7R2
Owner Phone
Owner Address
St. Elizabeths Episcopal Church
5855 16th St.
RB
Fee Simple Title Holder
I Titleholder Phone Nbr
II
II
Fee Simple Titleholder Address
lob Addrc..-ss
5855 16th St.
Subdivision
11- 2(,-2.-1
ParcelID
0010 -b50Db-OO\D
B Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood - Duct
D
D
D
D
D
D
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
D
D
D
till
Controlled Bum
Emergency Generator <30 KW
Emergency Generator> 30KW
Fire Protection Maintenance - Annual
LP - Natural Gas Installation
~o
LP un Natural Gas Annual Sale
D
D
[2J
D
D
D
D
D
D
Sprinkler
Fire Alarm
Hood Clean un Suppression
F ire alarm Installation
Fire Purns
Fire Works
Flammable Application - Annual
Fuel Tanks
Value ofProiect
$ I I
Places of Assembly - Annual
B
B
B
Recreational Bum
Sparlders
Sprinkler System Installations
Standpipes ( Sprin1der System )
Torch Roofing
Waste Tire Storage Annual
Other: I
Contractor Sign
Company
Registered
y
Address
N I Fee Current I
Electrician Sign.
License
Company
Registered
Address
y
N I Fee Current I
Plumber Sign
License
Address
Company
Mechanical
N I Fee Current I
Registered
y
Address
License
Other Sign
Address
Company
Registered
18330 Lawrence Rd. Dade City, FI
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 work of ( $5000.00 ) requires a Notice of Commencent
Supply two (2) sets of drawings with applicable documentation
Allow 10.- 14 days for review after submittal date.
502552000220004
NOV/28/2007/WED 01: 56 PM ZEPHYRHILLS BUILDING
FAY ].10 01?_70n_nn21
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,-NOlflci:.9F,DE5D=RESm.lC'tIoNS: ~ne"undenfagned understands :that this..permlt maiY'be.:stlbjeot to '!daad- restrtctions"
.Which may1;,e.-mor.,nestric1iYe'!han=iCOUflty regula~. "l"'M.smdersigned.assurn8s.responsibilJlyfDr .comPliance WIth BrW'
applicable'deed restridlens. " :', ' , , ' " .' .'. .
'UNLICENSED 'CON1'RACTDRS,A'ND ,CON1RACToOR .RESPONSIBlLmE&: ,If 'the. owner has htred'a contnlcior.or
con~lIcto':'8 to undertake work;'tI:18y'may be ~ired-~-:.be Bcensed ~ aceor.da~.wJth -stata:and .locaI:f8SllJ1aftons. if the
cont,ractor is not DCl!lrIsea .as~red.by law, both the.owner,~ contractor.~;,blt,cIted for,a'.m18den'Htanor violation
under state law':, If :the o~er or 1ntendeC:t mnu:acmr are -uncertain ~ to .what lk:ensif1lQ'TllCfulremenfs mSy, apply for the
Intended ~ 'they are advised to co~,the Pasco ~ BuOdinQ JnspectionDlvtaion-Uoensing ~n at 7.27-84.7- .
8009. 'Fur1hennore, if the owner has .hlred a ,COJ4J~ or contractors, he is :adv~ to have the Co.ntractor(a) sign .
, portions.Of the "contractor .B~od(_of.thiS :aPP.ficaII~" for whiCh they WIll be reBPOO$lbIe. 1f}'DU. as the owner sign aS'the '
contract01l', ' that. may be an indicatlor1:that he is not propesfy llcensed-8nd is notentitJedio per:milfiog'prI.vIleges'in PBscio .'
County. . . ' . ,.' " - ."," .' , ,
-cONSTRUCTIOH'LEN"LAW (Chapter713, 'FI0rtd8 StIlIlut.a, as amend"): 'If:valuatlcm,ofwork .:$2.500.00 or mO~'I. :
CertifY th8t 'J, !he applicant. have' been ~Ided with. 21 copy, of.th8'~JDrida 'COnstriJctlQn. Uen ~~er'6 '
Protection 'GuideD prepared by ttie 'Florida, Department pf AgrICulture and c;:on~ Affabil. If the applicant is someone
other tharrthe -(Mfl8f", I.certify that.. have o6talned a copy of the aboVe ijescrJbed document ~,promise In goOd faith to'
, .dalnter It to.1he Downer" prior towmmencemenl ',. -' , '.' . ' : ' " '. ,
,_' ,CONTRACTOR'SIOWNER'S AFFIDAVIT: .,1 certify that au. the information in this IIppacaUon ,is:accurate and '
, ._. ,_ ...._ :jhat-'a1I-work-wOl. .--Gene m' eompllance.witti-.al).-eppllcahl&.!aws .-r8tJUlatiRg-(lOftStnictlOlt;:'%9RiRu,:afld..ISRd...,..--
'. development. ApplicatIon is hereby made to obtim a per~ to do worit aJld InStaIaIion ~ 'indicated. I certify : .'
that no work- or ln~n has commenced pri9r to Iss,,!ance of a ,permit.and that all work 1NII be ~nne.d to
. meet stIIndards m all. laws regulating .consJructiOtl,. County and CIty codes, zoning i'egIiIatIons, and ,land"
davelop.mtmt nsgulatiane .in the ~. I also certify ;that I understand that the regulEiions of other'
government agencies may aPPlY to the Intended work. arid that ~ is my teSponslbllly to:~tIIY what actions I .'.
, 'must1ake to be In comptiance. ' , . . '. . .' ' ,
If l.am 1he A~NT ftO~ TJE OWNEJt" I ~ in pd faith to Inform 1be ~. of the permittInG 'c;;onditions sel forth:ln'
.this aftidaVIt prior ..,p. commftnciRg construction. I ~nd that . separate pennit may ,be raq..ed for.electrtcal" work,
plumbing; signs; weJt8, :pools~ air conditioning, gas, at: other installaUons not ,Peci&dy. ipcluded in the appliGatloR. A
, ~-mitja$Qe.d,QlI,~ oonsjl'Ued tQ be a1tcenseto.jJrobeedwlth tt1e,work and not ~ a~ to ,*,oIate, canJ;&l,Iil.. or
Set..kile anY JwOV~ of the technical codes, nor shall Issuance of a permit pnw~ the Bulding ~ from. thereafter
. requ~.a:C(J'rF8C6on of arroi's 111 ~nB, construction or vIQIstions of any codes. Every permit is8Ued $hall bedome.lnvalid
. .ii__itiit':~~1>y BUOh .permit is" commenced Withln'sIx ~ of pel'n)it,~, or if ~ authorized P.Y .
'.' ,5;p.~;~ilifJs~~ or Sbandoned for a perioctof six (6) months after tM time th8 work 18~. 'An extension'
. .m~ ieq~ested.,in.writing, from the Building OfticJaI.for a ~ not to ~ ninety {~),.days ~',w111 de~onstrate
,~aabk.il cause for tOe extBnsion. If work ~, for ninety (90) consec:utl\ie days, the job 18 Con8I~ aBandoned. '
., -:' -- ~ . ~ . . ". ~ . . ...
. 'wAflNiNG ro OWNER: YOUR FAILURE TO RECORD A NOncE OF COMMENCEMeNT MAY RESULT IN YOUR
. PAYING TWIce FOR IIlIpROVEIIiENTS TO YOUR p~~ ,IF J'AU~.:-m~~ANr-'tU., CONSULi
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O":,miSSio.n #. 00609664' ' .'
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4iIP..:,~~..~ Kare,n L. M.iller :: ".. '.
, ~ ~__" 9899884
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. 'IT... Ilonded T!oy FI... I_rancl, Ine- 800-385-7019
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