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Home My WebLink About08-7586 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7586 Permit Number: 7586 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: 25.00 Amount Paid: 25.00 Date Paid: 3/06/2008 Phone: Work Desc: FPM-ZEPHYRHILLS HEALTH & REHAB-ANNUAL SPRINKLER Address: 7350 DAIRY D ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-06900-0020 Name: ADVENT Address: 7050 GALL BLVD ZEPHYRHILLS, FL. 33542 0i\~1J~~ ~ 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 813-780-0020 . Date Received Owner's Name Owner's Address City of.Zephyrhills Fire }!' 1 Ct!( - Permit Application Y y:J Phone Contact fo Permit 1 ~ --:5- -.:1 (X)cr :~ /,.((~ I-I....II"-,J- fd..J-".b I Owner's Phone Number Fax-813-780-0021 II II II I Titleholder Phone Number I Fee Simple Titleholder Name I I 173jD n c:b..l'-Y I Fee Simple Titleholder Address Job Address Sub Division IB, Parcel # I Lot# I tUl>IAII'll::U t"KUIVlI"'KUI"'t:KI Y 1JV.I'lUIll-l::) -TI D D D D D D D D o D D Contractor Signature Address I ELECTRICIAN Signature I Address I I l>1D-Hazard Waste Storage - ANNUAL EJ FUllliYdliulI T tlllt o Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Recreational Bum o Sparklers o Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing o Waste Tire Storage ANNUAL f!:t~ -r.~ Pi- ,,,,q I Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance -~ Sprinkler ~ Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: '-I7eJ( C)Q.k... Pc-cr OTHER Signature Address I Directions: Company Registered License # Company Registered License # Company Registered License # Company Registered License # Company Registered License # .1 Valuation of Project l5jrn-~/.v b-t-.OE~J( Y I N Fee Current Y I N Y I N I Fee Current Y/N PLUMBER Signature Address I MECHANIC4 Signature . Address I I 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 & .Contractofsign-I)aCk-ot applicatioti;:ootariZecl10t;copy-Ofsignea contractWitli 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. 4___~"__"___""'_~__.~_"_~~__'._ '~-"'" _~_' .. . .~OT,ICE.OF:DEED.RESTRICTIONS: The undersigned understands 1hat this permit maybe sl:lbject to ~deed" restrictions" -which may be more restrictive than County regulations. Theundersignedassl:lmesresponsibilityfor comp.liance With any applicable deed restrictions. . . . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors. to unc!.ertake work, ther 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 Pas~ -County Building Inspection Division-L:.icensing 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" certify that I, 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 gODd 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 .. _ p .. ... "that. all.work -Will be-done in. compliance. with-.aU-applicable.-laws .regulatiRg--construction;..zoniAgooand--land.. _n __om development. Application is hereby made to obtain a perm.it 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 perfQrmed to meet standards of all laws regulating .construction, County and City codes, zDning 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 l.am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affi.davit prior .to commencing construction. I understand that a separate permit may -be required for. electrical work, plumbing, signs; wells, "pools, air conditioning, gas, or other installations not specmcally. included in the .application. A ~r.mitissUed .stiall:b.e construed to be a license to proceed with the work and not as autho.rity to violate, cancei, alter, or seLaside' anY-provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring .a: carrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . .unl~s':ltie:~rK;aUt.h()rized.by such .permit is commenced Within six months D! permit issuance, or if ~ork authorized by . .tfie;:~fij~l~ts-su$'pf:,rided or abandoned for a period o~ six (6) mo~ths after the time th~ work is commenced: An extension may;JJ8 requested. in writing, from the Building OffiCIal-for a penod not to exceed ntnety (90)-days and.WlIl demonstrate . j~~#e ~use for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNiNG :fO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING. TWICE FOR IMPROVEMENTS TO YO~~ r.!~..qPE~TI:. .1~~N.TIi~Q,!9,9. J4I ~IN~CJNG,. CONSULT WI+ ~R'".il.-END.6R-CJ).. N . . ,ln~R-e-~..' .,NOTICE.F e EMENT. ~...::~.~~~.~:.~.:::..,... ~_~~.. . t,' .:Y .' .. ... - . . _.... ...._ ..... ....._...._u...._._ .oWNER OR AGENT CONTRACTOR Subscribed and swom {or e before me Subscribed and :ro .. by I Who IsIare personally known to me or has/haveproduced Who is/are persona Iy known to me or haslhaveprocluced . as Identification. as Identification. . Notary PubDc Notary Public Commission No. Commission No. Name of Notary 1yped, printed or stamped Name of Notary 1yped' printed or stamped DATE 03042008 INVOICE NUMBER PERMIT030408#1 056313 DISCOUNT 0.00 0.00 DETACH BEFORE DEPOSITING No. 3012829 AMOUNT 25.00 25.00 Date of Work: Not Scheduled District : 292 Technician Work Report Technician Miguel A Rivera 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 Owner Christopher R Brackett 13684983 In Planning Time Type Number 943170 Zephyrhills Health Inspection-Auto Gen 9431702 Payment Terms: Immediate & Rehab Steve Colton Phone 813-7790182 7350 N Dairy Rd, Zephyrhills FL Zip 33540-0000 Zephyrhills Health & Rehab 7350 N Dairy Rd, Zephyrhills FL Zip 33540-0000 Contract Number: 847011 Inspections: Mar 2008, Jun 2008, Sep 2008, Dec 2008 Service Plan: SP-TEST/INSP Task Type Task Name Problem System Summary Notes 1 Person Inspection SP-Mar 2008 Priority Medium Current Inspection: Mar 2008 Inspection SYSTEM-SP-WET SPRINKLER Wet Sprinkler System Mar 2008 Created BY AutoGen Serial: CONTRACT COVERAGE ANNUAL (MAR) AND QUARTERLY (JUN/SEP/DEC) INSPECTIONS OF (3) WET RISERS AND (1) DRY RISER. LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 01119717 @