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Home My WebLink About08-7650 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7650 Permit Number: 7650 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: 6215 ABBO STATION DR 101 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: SILVER OAKS VILLAGE Parcel Number: 03-26-21-0200-00000-00CO 3/20/2008 25.00 25.00 3/20/2008 Phone: FPM - FIRE ALARM - ANNUAL - PASCO WOUND CARE CENTER Name: CERVALLOS, JUAN Address: 6215 ABBOTT STATION DR (101) ZEPHYRHILLS, FL. 33542 ~~Qy-rJ~ c.r~ 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 i~~:::':)~:'=ii;;;R!1!i~L....~"",,,,",,,,,-,,,,,_w._,,,,,,._.,,,,,,,,L.w. I PQ~ w~~ur~ (.QJ1tQRl I ~~)5 Prbbo{-F ~WrC\n I Fee Simple Titleholder Address I :~~T:;:~:;~ r-~__ I Owner's Name Owner's Address .813-780-0020 /" . City of.Zephyrhills Fire Permit Application Ph?~~~:Uw~~...~,<_,lL'~",,"""''',"4'''~[''=''-=,".~'''''' I ~ I 3 111I lS I J (J~~ Owner's Phone Number Fee Simple Titleholder Name Sub Division '~r, Fax-813-780-0021 II II I Titleholder Phone Number o D o D D D o o D D D o Bmi :.n v """"""'~; *",.'i-~"""""'-~It=:=-),lIf ~~_""",,,,,,_,'iWm1iIIl!lIIlI Bio-Hazard Waste Storage - ANNUAL il%m ,.' Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature , Address I OTHER D D o D D ~ D D D D D D Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D. Fire Alarm ~ Hood Clean/Suppression 0 Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Parcel # -=-~'~~H~~ ,_?~~.j~!,~~-~ I Lot# t Ubi AII'\I~U r-KUIVI t"KUt"~K I Y I pv\ I'\IU III,..~) """"~I1N....a>-"'l.lmjr~~~mB~~ Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Company Registered License # Company Registered License # Company Registered License # Company Registered License # Company Registered -111/PPV Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project Other: ~---~ Recreational Bum 1~~~ee~~~IC 0~~ ,-:b1C E ~ - O()(')I(j(f(p I Y I N Fee Current Y I N I I Y/N Signature m!D--I'rectAI'odndsr:e;.~J 'T" ".~"""';"'~'" ""<'~'"*".P",;",,"""".'M,, ,.",...,;,..,,,.,,,.,,.~_=sf:l # ",I, I ,______ _.. _ _._ ,_ ..........._~_~ """""";',"",~,,,~,'*""~"'-'_''''''''''''''""'''.''""_"'u~ Fill out application completely. Owner & Contractor. sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Nobce 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. Y/N Fee Current Y/N Y/N Fee Current Fee Current Y/N Y/N ~., ,NOT,ICE.QFDEED.RESTRICTIONS: The undersigned understands that this permit maybe subje.ct to ~deed. restrictions. -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 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-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. CONSTRUCTION 'LIEN 'LAW (Chapter'713, 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 "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 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 "that' all ,work . will be 1:Ione in, compliance,with..all-applicable,-Iaws ,regl:Jlating,.constructioni"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 fO~ 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, sfiall:pe construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setasidei anY'provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter 'requirirng.acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . ,unl.ess'itie:vvork'authorized'by such permit is commenced within six month~ of permit issuance, or if work authorized by tlie:perrrnt,'i~-SusP!:lrided or abandoned for a period of six (6) months after the time the work is commenced. An extension may:be requested, ln writing, from the Building Official ,for a period not t~ exceed nin~ty ~90)dars and will demonstrate . j~s.~if!~ble cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSIdered abandoned. WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNlENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVENiENT~ -r:~ Y~~~",P.~9.PE~!X'~~lr,rBiy,!tlTJ;~P,lg,9~J~I",_gINANCJNG, CONSULT wr:r:H :y.:CllUR"~LENJ)SR_(!)R"AN,_A:r:rfJRN'~IBEFimRE.:..R50'ORDING'YOtlR'tfOTICE OF COMMENCEMENT. ~ ~~~::r.~,~~~~~~~~~o.~),::'.~, :_: ,:..',.' __ _", :____ ..n"__'''' ,.....___.__.____._.____.__.__________.___________ ,-....--.,- -,.. h'...._.._,._ -., -, _m ' .OWNER O,R AGENT CONTRACTOR Subscribed and sworn to.(oraffinned) before me this Subscribed and swom to (or affinned) before me this , ~ ~ Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced . as identification. as identification. Notary Public Notary Public Commission No. ,Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped