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Home My WebLink About08-7631 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 FUMIGATION TENT PERMIT 7631 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 1,700.00 Date Issued: 3/14/2008 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 3/14/2008 Phone: Work Desc: FUMIGATION TENT-MONDAY 17TH NOON COMPLETE 7631 FIRE FUMIGATION TENTING FIRE-FUMIGATION TENT SINGLE FAMILY RESIDENTIAL Address: 5304 16TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-17900-0195 Name: BERTRAM,PAUL Address: 5304 16TH ST ZEPHYRHILLS, FL. 33542 r:;f\J l7~ufg 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. ~ ONTRACTOR SIGNATURE P -I: O~I~ER 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 Received City of Zephyr hills Fire Permit Application 1ii031 Fax-81 ~780-0021 81~780-0020 one Contact for Pennlt ',. YtlL("(,e'-1/ est Contra I J.5"'c7t 115tf31J333~ ~07/1l l-/u'Y' 30/' N. ,1 J)ade ei-fy j FL 335...23 I I . I TltleholderPhone Number I II '"' I I I 1.s:gOL! -Ih +h 51-., , I .z~p)1'jrh'- l Ls ) I FL Lot # Owner's Name Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address Sub Division Parcel # I (Utll AINcU t-KUM f-?KUt-'cK I Y I AX NU IIl;c) D Bio-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen HoodlDuct D Controlled Bum D Emergency Generator < 30kw D Emergency Generator> 30 kw D Fire Protection Maintenance - ANNUAL Sprinkler D I Fire Alann D Hood Cl8an/suppressionD D Fire Alann Installation D Fire Pumps o Fire Works D Flammable Application- ANNUAL" D Fuel Tanks D Other: Contractor gl fl r~ I Slgnatu.. -ry- J11 fj/l ~. Address _ ELECTRICIANI Signature . Addres~ I PLUMBER Signature Address I MECHANICALj Signature . Address I ~ Fumigation Tent 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 Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL t r Valuation of Project ! Company I fJl!~rrfll Pee;( ~~ ( Registered ' Y I N Fee Current I Y I N License # I I I Company I Registered Y IN ,I Fee Current Y/N I I Ucense # I I I Company I Registered YIN I Fee Current Y/N I I License 1f.. I I I Company I Registered .Y IN I Fee Current Y/N I , License # I I I Company ! Registered Y/N , Fee Current Y/N I 011 License # I OTHER Signature 'Address I Directions: .1 FiJI 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. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" r..::stricticns" which may,be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 no~ 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-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 I ." ' County., ' CONSTRUCTION LIEN ~W (Chapter 713, Florida Statutes, as amended): 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 icertify 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. ! CONTRACliOR'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 workl or installation' has commenced prior to issuance of a permit and that all work will be performe~ 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 I government :agencies may apply to the intended work, and that it is my responsibility to identify what actions I i must take to! be in compliance. If I am theAGE~T 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, '~igns, 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 aflY provisions,ofthe 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 ~ork authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit i~ suspended :01' 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. WARNINGITO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT 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 C MMENCEMENT. FLORIDA JUry (F.S. 117.0~) OWNER OR AGENT Subscribed and swom to (or affinned) before me this by Who Is/are personally known to me or has/have produced , _ : as Identification. CONTRACTOR Subscribed and m to (or affinned~,fore m, this by J: M. /111 r--:. c Who is/are personally known to me or has/have produced as Identification. Notary Public Notary Public I Commission ~o. I Commission No. i. Name of Notary typed, printed or stamped I Name of Nota!y typed, printed 'or stamped I . \ \ I