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Home My WebLink About08-7583 v. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7583 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: 7583 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E MEDICAL Book: 25.00 25.00 3/06/2008 Phone: FPM-FLORIDA HOSPITAL FIRE PUMP -SPRINKLER Name: FL HOSPITAL OF Address: 7050 GALL BLVD ZEPHYRHILLS, FL. 33542 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." .... 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 DATE 03042008 INVOICE NUMBER PERMIT030408#3 056313 DISCOUNT DETACH BEFORE DEPOSITING 0.00 AMOUNT 25.00 0.00 25.00 No. 3012831 '15'Q 7 813-780-0020 Date Received Owner's Name Owner's Address City of .zephyr hills Fire Permit Application ---~-cJcctr I F1a I J ~ (.k.~. -:J.efJ "yJ )..t t&-. I I I 17D50 I Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address Sub Division --0 D D D D D 1f 1SB-7 Fax-813-780-0021 Phone Contact for Permit I Owner's Phone Number II II II I Titleholder Phone Number I 6u-1/ fj/ed, I I Lot# Contractor Company Signature Registered Address I '-I7eJr C)Q.k... Pc-cr f!t- -r~ Pi- ,,,,q License # ELECTRICIAN Company Signature I Registered Address I License # PLUMBER Company I Signature Registered Address I License # I MECHANIC4 Company I Signature Registered Address I License # I OTHER I Company I Signature Registered Address I License # I Directions: .- EJ D o o o o o o o D D o Parcel # tUl>I AII'Ill::U t"KUIVII"'KUI"'t:KI Y I_",^ l'lUIIl-t:) - BID-Hazard \/vaste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct D D D D D D Controlled Bum _ Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANfUIK Sprinkler 112( h r€.. fl"-V'p Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation FUllliYi:lliUII T tlllt Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL -I Valuation of Project ~Sjrn-~/.v b-t-10r=J( Y I N Fee CUrrent Y I N Y I N I Fee CUrrent Y/N Y I N I Fee Current Y/N Y I N I Fee Current Y/N Y I N I Fee CUrrent Y IN I I - -~ Fill out application completely. owner & Contractof signoaCk .of applicati6h,notariZea{Ot;copy.ofsigneacon1FclctWitl1 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. ...--_#..-_..--~..._~~_...- .._-._~..- - -~..... ._~-- .NO"tICE.OF.DEEO.RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed" restrictions" -Which may be more restrictive.than County regulations. TAe llndersigned assumes responsibility for comp.liance with any applicable deed restrictions. . - UNLICENSED CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors. to und.ertake work, ther may be required to be licensed in accordance with'state and local regLIlations. If the con~ctor IS not hcensed 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. CONSTRUCTIONUEN'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more'l certify that ., the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne;'s Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than'the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. . CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and . _ n.. . _' "that. all.work -will- be-done in. compliance.with-.aU-applicable..laws .regulatiRg..oonstruction;...zoniAg--anduland.--..n.... development. Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and land developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to_ identify what actions I mustiake to be in compliance. ' If I am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior -tp _ coriu:nE!ncing construction. I understand that a separate permit may -be required for- electrical- work, plumbing, signs; wells, :pools, air Conditioning, gas, or other installations not specifically - included in the application. A ~imit~~$U~d.stiall:b~ construed to be a'license to proceed with the work and not as auth~rity to violate, cancei, alter, or setaside! any'-prOvlslons of the technical codes, nor shall issuance of a permit prevent the Building Official from tnereafter . requiring.a.correction of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid _ .un.I~s.sitie~WQrk;aUthQrlzed'-by such .permit is commenced Within six month!:; of permit-issuance, or if work authorized by ._ .tlie;:~ffiift.:is-iju~~rid~d or abandoned for a period of six (6) months after the time the work is commenced. An extension 'maYi~ reql:lested, 1n .wrlting, from the BuUding Official.for a period not t~ exceed ninety (90)-days and-will demonstrate . j~~~e ~use for the extension. If work ceases for ninety (90) consecutiVe days, the job is considered abandoned. . . ~.. ... ___.... ~__....... ~.... .0. .__~...._...______..__.....~_...___..~__~......_ . -.... --. ~. .-.... .. ..-. . . ... .... .--~_... CONTRACTOR Subscribed and swo by Who lsIare personally known to me or has/haveproduced as Iden1lflcation. Notary PubUc Notary Public COmmission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped District : 292 Technician Work Report Miguel A Rivera Date of Work: Not Scheduled Technician Owner Christopher R Brackett 13246648 In Planning Task Number Scheduled Start Service Request Service Request Customer Acct Customer Name Site Name Contact Name Site Address City State BillTo Name BillTo Address: City State Time Type Number 614030 Florida Hospital Zephyrhills Inspection-Auto Gen 9137822 Payment Terms: Immediate Gwen Compton Phone 813-783-6189 7050 Gall Blvd, Zephyrhills FL Zip 33541-1399 Florida Hospital Zephyrhi11s 7050 Gall Blvd, Zephyrhills FL Zip 33541-1399 Contract Number: 155825 Inspections: Mar 2008 Task Type Task Name Problem System Summary Notes Service Plan: SP-TEST/INSP 1 Person Inspection SP-Mar 2008 Priority Medium Current Inspection: Mar 2008 Inspection SYSTEM-SP-FIRE PUMP Fire Pump System Mar 2008 Created BY AutoGen Serial: CONTRACT COVERAGE ANNUAL INSPECTION OF FIRE PUMP. LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 19283985 GENERAL SERVICE PANEL COVERAGE ON FIRE ALARM SYSTEM, MONDAY THROUGH FRIDAY, SAM TO SPM. COVERS LABOR TO TROUBLESHOOT AND REPAIR SYSTEM AS WELL AS ALL PANEL PARTS. PERIPHERALS ARE BILLABLE. Q