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Home My WebLink About08-7251 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7251 Permit Number: 7251 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 7350 DAIRY RD L ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): ~ Block: Section: Subdivi,sion: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-001 0-06900-0020 11/29/2007 25.00 25.00 11/29/2007 Phone: 6 MTH HOOD SUPPR -ANNUAL -ZEPHYRHILLS HEALTH & REHAB Name: ADVENTIST HEALTH SYSTEM Address: 7050 GALL BLVD ZEPHYRHILLS, FL. 33542 frJ B IV' J" 3/-,0 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." ~ .. d~ . LA:t"~ /' C CTOR SIGNATURE P IT OFFICER 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 Contractor Sign I Company Address I Registered y N I Fee Current I Electrician Sign, License Company Address I I Fee Current I Registered y N Plumber Sign License Address I Company Mechanical I Registered y N I Fee Current I Address I/cg~ License Other Sign Company - Address I 18330 Lawrence Rd, Dade City, FI Registered y N License Directions: Fill out application completely. Company Security Fire Equipment, LLC 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 502552000220004 Supply two (2) sets of drawings with applicable documentation Allow 10 -- 14 days for review after submittal date. City of ZephyrhilIs Fire Permit Application -tr ~51 Date Recdved i l- "l-~ O/j Contact Phone Nbr I I I II Owner Name I R13 Owner Phone 7RR I I 4300 Zephyrhills Health & Rehab Owner Address 7350 Dairy Rd, Fee Simple Title Holder I Titleholder Phone Nbr II II Fee Simple Titleholder Address Job Addn.'Ss 17350 Dally Rd. Lot Nbr. Subdivision Parcel ID 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 LP - Natural Gas Installation D D D ~ Controlled Bum Emergency Generator <30 KW Emergency Generator> 30KW Fire Protection Maintenance - Annual LP un Natural Gas Annual Sale Places of Assembly - Annual D D D D D D D D D Sprinkler Fire Alarm Hood Clean - Suppression Fire alarm Installation Fire Pums Fire Works Flammable Application - Annual Fuel Tanks Value of Project $1 I B B B Recreational Bum Sparklers Sprinkler System Installations Standpipes ( Sprinkler System ) Torch Roofing Waste Tire Storage Annual Other: I NOll/28/200'!/WEr 01:56 PM ZEPHYRHILLS BUILDING FAX No. 813-728-~G21 F, C02 -~----, -~----:-----""_":''''-I.'~-''--'-''--- _... .. ,. .... .' . ..NO-nCe.QF,t.)E5P:RESTRICTlONS~ :rhe"undersigned .understands:that thf&..permlt m;~'be.:subject to '!d~" restrictions" .Whlch m8l('be-mOMt'lestriclive'.than~OUIl1Y regul~. 'llIs.undersigned 'assumes 'r&sponsibiltty'for .comPliance With sriy , applicable"deed restrictlGns. ,. : '. . , , . " '. ' , '" ' 'UNLICENSED 'CONTRACTORS .AlID .CotnRAC'f.OR .RESPONSIBLmE8: .I(the. owner has hJred'a contractor .or c:on~cto~8. to undertake Work."tI:1er'may be ~ired'~-:.I_ Bcensed ~ aceor.d~, ~ -stat.nmd ,local, f8SlJlations. if the cont,ractor- IS not n~s~ .8Sl"8lprsd.by law, both the,owner.~ contractDr.~. ,be.cIted for.a:mtademeanor vIolaUon ,.' urider state law':, If :the ~er or In~ mflb:8clDr are -uncertain ~ to .what lk:ens""g'1'8qulremenis may, apply for the Intended work. '1hI!lY are advised to co~,the Pasco ~ Building Inspection:Dlvlsion-UoBnsing ~n at 127-847- . 8009. . Fur1hermcre. if the owner has .hlred a.co~ at contractors, he is :.adv~ to have the ciQ~r(s) sign . . portions.Ofthe ccontractor.B'ocIr..of,~ .-a~~ for whidb tAey' wUI be responalble. 1f}'DU. as the owner sign ..'the . contractol'. ' that. may -be an indication :that he is not prdpeI'fy llcensed...d Is not ,entitled 10 per:miI6og' prI.vIIegI!Is . in PUC'o .' County. ' . , ,,' : ' .,' , . .' . . -CON~UCn~.LteN'LAW (Chapter713. 'R0IkIti StIIluW8, as amend.c:t): '!f:\faIuatlon,ofwork .:$2.500.00 or mO~'I. ; certIfY that'l, !he applicant, have' been ~Ided with. a copy. of.the'~JDrida 'CbnstrUct)Qri, Lien Law-:-H~er's ' Protectiorl 'GuldeB prep8red by tIie 'Aorida- Department fJf AgrICulture and Consumer Affalr8. If the applicant is someone othertharrthe -CMOer", I.certifythati have 06tatned a copy of the aboVe rteScrIbBd document .,promise In goOd faith to' .-deli\terltto.the-owner"priottowmmencemenL '., ." .,.,' ':..,. ", ,_ ' CONTRACTOR'S/OWNER'S AFFlDAYn': ,,1 certify that Sll the information in tI1I9 aP.PlcatlOn is'accurate and ' , ~.. '._" .:. -:JI1at--all.WGr'k.wll he--Gone il'l' oompllance.wilti-.aIJ.-eppl~~ -regul~...c;IO,,~;:.ieRmg,:aAd-l8Rtt...,.:-- development. Application is hantby made to obtim e permit to do work ard inStallation as "indicated. I certify . .' that no work, or ln~n has commenced prt9r to Iss,,!iIl"IOe of a.permit ,and that all worit y.e be ~Qrme.d to . meet standards of 8I1.1aws .-.guIatIng ~on.' County 8ncl CIty codes, zoning i'egliJanons, and .Iend ' . davelop.mtIRt rsgula1ione ,in the juriscIIotioI). I also certify:that I understand that the regdIa60ns of other' government agencies may apply to the Intended wor1c. arid that ~ is my reSjxmslbltty to,i~tIfy what actions I ,', . must1ake to be In compliance. ' " '. . . . , (f lam1he ~NT "a~ 1'.HE OWN~" I ~ in ~ faith to inform 1h8 owDat. of the parmitting 'c;onditions set tor1h:tn' .this afridaVIt Prioi~,comm"nctAg construotlon. I understand that a sap&ra\B p8rmit may-be raqlJlr'8d for.eledrtcarwork, plumbing; signs; well., :pools~ air conditioning, gaS, at: oilier installations not ,pecifIcaIly.ipcIuded in thI!I appIiGafloR. A . ~1lia$Qe.d ,stH.llI:~ consjrUl!ld tQ be B 1tcense to.proba8dwlth the ,WOI1t and not as aulhertty to violate, can~, alter. or Set,Dida aOY'~ of the technical codes, nor shall Issuance of a permit ~ the Bulding ~ from. ther8after . requlFtitg.a~tion of errors Ir1 p~nB, construc:tion or YIQ&stions of any codes. Every permit is8Ued shall bedome.lnvalid ''-'nl'~'''.:L'-=.:.::;~''''::''.b..--:...-I''b 8UCh.-.n.rf is'-commEinc8d Withln'sIx rnonthlp of~,~. or if work authorized hu , U ",PB' ,"u.t. "- en..., I\orI ~ 'Y ........ ..... . ., .-:, , '..,ffi~;~<:iS~~ or Bbarldoned for a perioctof six (6) months aftertRetime th8wortclll comrneoOeC:I..An exteJlslon . . .m~ ;eQ~ested,.m.writing, from the Building OfficJal.for a ~ not to ~ ninety (~)..daya ~',wll c1e~onstrate ,~AlIIP caUSe fOr the eninsion. If work ~. for ninely (90) consecuttVe dBys, the job Is CiDnSldered abandoned. . , ...... --; , , " . ";,', , . wA'RNiNG 1!0 OWNER: YOUR 1=AILURE TO RECORD A NOTIC! OF COMMENCEMI!NT MAY RESULT IN YOUR . PAYING TWIce FOR IMPROVEI'tliENTS TO YOUR '~1..;1F lAU.~.:'[Q~~.6.ur-'"ti. CONSULT . . . . .~iCId~(J:~~~l!El~j;l.lif~." ..' , .,WI;I;i(~ . .. .. ' ,,' " , , ",,' :~~)~::::~_:~.~.:..~,..,_._..:.__._..'..,_~~:_~_..,...',:.~_.._.:-__:i~.:i:....:';'~.'..:.:.'::'~.::, ',': ..~:......., _.:, ..::_....~..........,~ OWIIIEROR AGIiNT. ' .' 'CONTRA~ ' ., SW8cribed and'sWam lD (or aftInned) ~me thbi ' s~ SId..... ., (ex: lIIIInned) bIfDr8 me this' - by , . ..-, ....~ .'.. ;', ~.... ~1cnDwn IOmeor~ ~ :,' ,WhO Is/8r8 pin;an8II)' ~ to me~~_producII!1., , , , , as idl;ilI-..ao... " '. " .,' , as idellIIcdon. . . ." , Notary PutiIio . .' . , ~Publtc " ; . COmmlsslDn No. ...: . .~1ssipn~ :. , .:.. . Name gf Not8ry typed. prIntIICl or sBnped Nlune m:NoIIQ.... pdnI8d or~' "