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Home My WebLink About08-7513 CITY OF ZEPHYRHILLS 5335 -i8THSTREET (813) 780-0020 ANNUAL FIRE 'PROTECTIONMAINTENANCE ,( OF ZEP YRH 'I -. 5335 -!8TH S REE'" 751'3 780-!l['20 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: 7513 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E NOT APPLICABLE Address: 391 00 SOUTH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 13-26-21-0100-00000-0070 2/18/2008 25.00 25.00 2/18/2008 Phone: FPM-ANNUAL FIRE ALARM-ZEPHYRHILLS TRAIN STATION Name: MANUEL LUNA Address: 39100 SOUTH AVE ZEPHYRHILLS, FL. 33542 ~6 /~~ yt ';/,"1 /v<6fP'"' 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 AlTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON CALL FOR INSPECTlON - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 r;~:te Rewved OWner's Name OWner's Address J d-{~~I- I ;Zep^y r Aft! ~ I HOof" l4 ~t3 Phone Contact for Permit 1~~._ ~U~?~ U~:J I II II City of.ZephyrhiJIs Fire Permit Application :7id,~1 Fax-813-780-0021 OWner's Phone Number ( Fee Simple Titleholder Name II I I 139/00 I I Titleholder Phone Number I II - Fee Simple Titleholder Address Job Address Sub Division --u o o o o o o D o D D D Contractor Signature Address ~ 4~ I Parcel # ilr~ rr1 I Lot# I (~~... 2---\-0 {()O- DC>OOO-007o \Ut:SIAINl::U rKUIVI t"KUt"l::KI Y I~ l'IUIIL.l::) ... B FUllliycdiulI T tllIL D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Re~eationalBum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL Valuation of Project Company Registered License # I Company Registered I License # I Company Registered I License # I Company Registered I License # I Company Registered I License # ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICA4 Signature I Address I OTHER Signature Address I Directions: tile-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenanc~ Sprinkler 0 Fire Alarm ~ Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: n,. - '::5'~ 6-I-,nD[ Y I N Fee Current Y I N Y I N I Fee Current Y/N Y I N I Fee Current Y IN I I I I , J Y I N I Fee Current Y/N Y I N Fee Current Y/N .~ ~ (~...O Fill out application completely. Owner & Contractor sigh baclCof application, notarized (Or, copy Of sighed 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 1 0-14 days for review after submittal date. ----..-....._-_....--~.--.,...--.~..._...- ,.-..-...- - ~_..... ._~-' '- . .NOT-ICE.QFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subject to "deed" restri~tions" ' "Whic.h may be. more ~e~trictive.than County regulations. The ,undersigned ~ssumesresponsibilityfor compliance with any applicable deed restrictions. . ' " "" ' ' 'UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or contractors to undertake work, they may be required to. be licensed in accordance with 'state and local reg1.ilations. If the contractor 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 intende~ 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- 800~. 'Furthermore, if the owner has. hired.a ~ntractor .or contra~tors. he is advised to have the contractor(s) sign portlons.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 $2,500.00 or more;" certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than"the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to ,commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and , .., "that- all.-work-will be-done in, compliance.-with-.all-applicable..laws .regulatiRg.-construction,.,zoning.:and--land----nm-- development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work. or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that It is my responsibility to i~entify what actions I must-take to be in compliance. If I am the AGENT fOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior -to. coiiu:nencing construction, I understand that a separate pennit may be required for, electrical work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not !?pecifically included in the application. A ~rmnis$u~d.sti~lI:b~ 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 ,requil'ing.a.carrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid , .unles.S:iije:~orfauthorized"by such permit is commenced within six months of permit issuance, or if work authorized by ,.tIiE;:pennit:is~u~'p~rided or abandoned for.a period ~ six (6) mo~ths after the time th~ work is commenced: An extension ,may:t:re requested, tn writing, from the BUilding OffiCIal-for a penod not t~ exceed mn~ty ~90).da~ andwtll demonstrate . j#~~le ~use 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 PAYlNG~CE I=tlR iMPRO~ 'ENTS -r:~ Y~~~J~~9P.E~~,.;.~.YR'L!~~HB.!g,P I '- t,I~~I~A~Cn"'G., CONSULT WI+hI ~.o.uR L-ENQER-CDR R ' Rm~)sEJ;0RE-R~NGYOtlK'"1I'-' E' F.: MEN CEMENT. i .~:l:!EIQ"u,:,'," ,,,:q., ~t1;m '. ~"', ' , , .....~_.._._.__.__..._..__.__.~._-----.__.~---.---~.--..__....__ ..... ..... ..... ... .._......_..__u_.~. _..H.sr...~. "l'.WI..I-................,.......,. .. oWNER OR AGENT Subscribed and swo to {or ) before me this .' by Who is/are personally /<nOWll to me or has/have produced , as Identification. Notary pubnc Notary Public ,Commission No. COmmisSion No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped Technician Work Report Date of Work: Not Scheduled District : 292 Technician Francis Lewis Mckinney Owner Christopher R Brackett 13444159 Task Number Scheduled Start Service Request Service Request Customer Acct Customer Name Site Name Contact Name Site Address City State In Planning Time Type Number 644403 Zephyrhills Train Station Inspection-Auto Gen 9275456 Payment Terms: Immediate Shane Leblanc Phone 813-780-0022 39100 South Ave, Zephyrhills FL Zip 33540-5255 BillTo Name BillTo Address: City State City Of Zephyrhills 5335 8th St, Zephyrhills FL 33540-4312 zip Contract Number: 844242 Inspections: Feb 2008 Task Type Task Name Problem System Summary Notes Service Plan: FA-TEST/INSP 2 Person Inspection FA-Feb 2008 Priority Medium Current Inspection: Feb 2008 Inspection SYSTEM-FA-SMPLX 4004/4005 Simplex 4004/4005 System Feb 2008 Created BY AutoGen Serial: CONTRACT COVERAGE ANNUAL INSPECTION OF THE SIMPLEX 4005 FIRE ALARM PANEL AND ALL ASSOCIATED DEVICES INCLUDING: (5) SMOKE DET; (4) DUCT DET; (6) PULLS; ( 4) A/VS. CLEAN/SENSE TESTING TO BE PERFORMED 100% EVERY OTHER YEAR (EVEN) . INSPECTIONS SHOULD BE COORDINATED WITH SHANE LEBLANC @ 813-780- 0022. LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 00654604 INSPECTION INSPECTION - Sense Testing And Cleaning To Be Done On Even Years