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Home My WebLink About08-7601 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7601 Perm. umber: 7601 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: 5740 7TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-02600-0130 3/11/2008 25.00 25.00 3/11/2008 Phone: FPM-PANCO VILLA-SUPPRESSION-ANNUAL ANCHO'S VILLA 5740 7TH ST ZEPHYRHILLS, FL. 33542 ~~3IJD 7Ji 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 1 ~CJiJI ( Fax-813-780-0021 ,J-Q020 City of Zephyrhills Fi~t ..)t'1~ Permit Application Pho~e Contact for Permit ,Ived er'S Name ,er's Address 51'10 Simple Titleholder Name Simple IIt1eholder Address , AddresS J Division D Blo-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood/Duct D Controlled Bum D Emergency Generator < 30 kw D~ Emergency Generator> 30 kw ~ Fire Protection Maintenance - ANNUAL -' . ~~~~ Sprinkler 0 0 0 0 L-...j Fire Alarm 0 0 ODD Hood Cleaning 0 0 oDD Hood suppression ~ 0 O)l.Cl Fire Alarm Installation Fire Pumps FlreWorl<s Flammable Application- ANNUAL Contractor Signature Address ~lIa:~:ress t PLUMBER t Signature E Address MECHANICAL[ Signature . [ --t OTHER Signature Address E Directions: o D D 8 o Recreational Bum t 1 Sparklers o 8 r JT II JI ][ ~ .,~ -' Lot # Fumigation 1"ent HazardoUS Material (Tier II or RQ Facility) ANNUAL Hood Installation LPlNatural Gas-Installation LPlNatural Ges-ANNUAL Sale Places of Assembly-ANNUAL Sprinkler system Installations Standpipes (Sprinkler Sys) Torch RoofinglTar KeWe Waste Tire Storage ANNUAL ] Valuation of Project I \ J 1 J 1 Company Registered License # Company Registered License # K~~~~~~ r.N~;:~~ f Y/N I Feeeunont I E Y IN J \ r Company Registered License # Y/N J J Company Registered License # Fee Current r Y / N T 1 Company Registered License # Y / N T Fee Current I -- : YINJ J Fill out application completely. Owner & Contractor sign back of application, notariZed (Or. copy of signed contract with owner) If over $2500. a Notice of Commencement is required (Mechanical work over $5000) Supply twO (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com) - ., c_: =- ;., :~~~Iii~~,~:~~~":: ~~"--- '-'c-;~:r ,,:, --,,-;~,j..,,', NOTICE OF :DEED RESTRICTIO~~dersigned understands that this permit may :be$u~eBd~rrestrictions" which -may be more'restrictive'thanlQOfrt"iWrregulations. The~undersignedassumes responsibility.:if!;JJj~mpliatTCe\with any, applicable deed restrictions.'. " ' UNLlCENSED:CONTRACTORSJAND .cONTRACTOR :RESP.oNSIBILITIES: . 'If-theowner--ha~L.IIi1.s;!J,C1 .wntractor-or contractors 'to undertake work, 'they may be required to be licensed in accordance with state and ,Iocal're,gulations. If the contractor is not licensed as required by law, both the owner :and contractpr "maybe cited ior .a 'misdemeanor violation under state law. ,If the' owner or intended 'contractor are .uncertain ,as 'to what Iicensing'requlrements may:apply for the intended work, they are advised to contact the Pasco County Building Inspection Division;-LicEmsingSection,at 727-847- 8009. Furthermore, if the owner has hired :a contractor or contractors, he is advised 'to have 1he .contractor(s) sign portions of the "contractor Block" of1his application'for which1hey 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 notentitled.topermittillg ,privileges in Pasco County . CONSTRUCTION LIEN .LAW (Chapter713, Florida Statutes,_as:ame~de~): If valuation of work is $2;500.00 or'more, I 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 describe~ 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 regulating construction, zoning and land 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 identify 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 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 specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO, OWNER: YOURFA1LURE TO RECORD A 'NOTICE 'OF 'COMME C ENTMAYRESULT IN YOUR PAYlNGlWIOE\FORIMPRO-VEMENTS TO YOUR PROPERTY. IF YOU I NO 0 OB IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU N OF' CO MENCEMENT. FLORIDA JURAT (F.S. 117.03) ~ . Notary Public CONTRACTOR !~E~~20r a avep , as Identification. ~4~ 4/f;J(ft~p~. Commission No. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or haslhave produced as identification. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped .P'..""'~ FRANCIS G, SPERLAZZA ~ MY COMMISSION # DD3473S6 ~..:; ~: November 26.2008 I4000UfOTAAY fl. Nmory J);SCOlIJII Assoc. Co.