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Home My WebLink About08-7585 CITY OF ZEPHYRHILLS 5335 - 8TH STREn (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7585 Permit Number: 7585 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 37834 EOICAL ART ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0080-00000-0030 Name: FL HOSPITAL OF ZEPHYRHILLS 25.00 Address: 7050 GALL SL VO 25.00 ZEPHYRHILLS, FL. 33542 3/06/2008 Phone: 813 788-0411 FPM-ORTHOPEDIC DOCTOR'S SLOG-FIRE ALARM ANNUAL 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 INVOICE DISCOUNT DATE NUMBER 02132008 PERMIT021308A 056313 DETACH BEFORE DEPOSITING 0.00 AMOUNT 25.00 0.00 25.00 No. 3010854 \ '{)1; ~ 813-780-0020 Date Received Owner's Name Owner's Address .. -5-~&- :0 [dJ-eped.c. City of Zephyr hills Fire Permit Application / 1St6 if. Phone Contact for Permit I. ODc.rk" .~ GJdcy f Owner's Phone Number Fax-813-780-0021 II II Fee SimplEl Titleholder Name I Titleholder Phone Number I I I 137 &'39 fVJ..ec I LCc-1 I Fee Simple Titleholder Address Job Address Sub Division II IJr-d J cr I Parcel # I Lot# I tUl> I AINt:U t"KUIVII"'KUI"'t:K I Y I JV. l'lU 11l-l::) --0 D D D D D D D D D D D !:SID-Hazard waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum . Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ~~ Sprinkler D Fire Alarm r:zr Hood Clean/Suppression 0 Fire Alarm Installation Fire Pumps Fire Works Flammable Appfication- ANNUAL Fuel Tanks Other: EJ FUllliYi:lliulI T tlllt o Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation o LP/Natural Gas-Installation o LP/Natural Gas-ANNUAL Sale o Places of Assembly-ANNUAL c==J RecreationalBum o Sparklers o Sprinkler System Installations o Standpipes (Sprinkler Sys) D Torch Roofing o Waste Tire Storage ANNUAL Valuation of Project ~~j rn-(() I~ b-t-I or= H Y IN r Fee Current Y IN Y/N Contractor Company Signature Registered Address I '-I7eJr CX&k... Pc-cr f!t~ -r~ Pi- ,,,,It License # ELECTRICIAN I Company Signature I Registered Address I I License # PLUMBER I Company Signature Registered Address I I License # ~ECHANIC4 I Company I Signature Registered Address I I License # I OTHER I Company I Signature Registered Address I I License # I - Directions: Y I N I Fee Current Y I N I Fee Current Y/N Y I N I Fee Current Y/N Y I N I Fee Current Y/N Fill out application completely. owner&CotltractofsignDaCk-Qf applicati6h;nofanzea{Ot;copy.ofsigned contract WitI1 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 m~ybe subje.ct to "deed" restrictions" .which may be more restrictive than County regulations. The undersigned assumes responsibility for compUance with any applicable deed restricticms. . ' .. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 regUlations. 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 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-l.:.icensing Section at 727-847- 800~..Furthermore,if the owner has. hired. a ~ontractor .ot contra~tors, he is a?vlsed to have the contractor(s) sign portions .of the "contractor Block" of this .appllcation 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. . CONSTRUCTIONUE.tfLAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'1 certify that I, the applicant, have been provided with a copy of the "AoridaConstruction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than. the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. . CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aU the information in this application .is accurate and . .... cthat.. all ,work -will. be-done in. compliance.with..all..applicable..laws ,regulatiRg"coAstructioAj.,ozoAiRg--anduland--uo --.... development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and land developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that It is my responsibility to. i~entify what actions I must.take to be in compliance. If I.am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior -to commElncing construction. I understand that a separate permit maybe required for, electricaf work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not specifically included in the application. A ~rmit ;s$ued stiall:pEl construed to be a .license to proceed with the work and not as atith~rity to violate, cancel, alter, or seLaside- oi:lOyo.provisions of \he technical codes, nor shall issuance of a permit prevent the Building Official from thereafter 'requiririg,acGlTection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . ,unless'i1ie:WC!rk'aut}1prlzedoby such permit is commenced Within six months o.f permitissu~nce, or if work authorized by .. otlie;:pi~"tllili;is-"iju$'p~rided or abandoned for.a period ~ six (6) mo~ths after the tIme th~ work IS commenced: An extension ,ma'y:PB requested, -in writing, from the BUilding OffiCla~ ,for a penod not t~ exceed nln~ty ~90).da~ and.wtll demonstrate . j#~~le ~iJse for the extension. If work ceases for ninety (90) consecutiVe days, the Job IS conSIdered abandoned. . ..... -'.' ~. ...... .. ..-. . . ..' ...... ...... . . ._~. ....-' .-..._._~. -.. ,.. ....---............----..---....----..-.....-- CONTRACTOR Subscribed and swo by Who is/are personally known to me or has/haveproduced as Identification. Notary PubDC Notary Public Commission No. COmmission No. Nam.e of Notary typed, printed or stamped Name of Notary typed. printed or stamped District : 292 Technician Work Report Technician 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 Date of Work: Not Scheduled Owner Christopher R Brackett 13261784 In Planning Time Type Number 614378 Orthopedic Doctor'S Inspection-Auto Gen 9166306 Payment Terms: Immediate Bldg Gwen Compton Phone 813-783-6189 37834 Medical Arts Ct, Zephyrhills FL Zip 33541-4325 Florida Hospital Zephyrhi1ls 7050 Gall Blvd, Zephyrhills FL Zip 33541-1399 Contract Number: 135708 Inspections: Mar 2008 Task Type Task Name Problem System Summary Notes Service Plan: FA-TEST/INSP 2 Person Inspection FA-Mar 2008 Priority Medium Current Inspection: Mar 2008 Inspection SYSTEM-FA-GENERIC PANEL Other Panel Fire Alarm System Mar 2008 Created BY AutoGen Serial: LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 00686299 CY