HomeMy WebLinkAbout08-7691
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7691
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7691
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 38033 MIDD EAVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: WINTERS
Parcel Number:
Book:
Section:
Name: BLAI ,G R N
Address: 38033 MIDDLE AVE
ZEPHYRHILLS, FL. 33542
3/31/2008
50.00
50.00
3/31/2008 Phone:
FUMIGATION PERMIT FOR SFD - SCHEDULED 4/16/08-VIKANE
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"-:~T6RSI~ ~
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON
CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
NOTICE OF FUMIGATION
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~~
V ;, ~ M:...---
LOCATION: 38o~~
Type (House, Apt., Store):
Fumigant (Brom-O- Gas, Vikane):
BOLTIN PEST CONTROL, INC.
Scheduled: Date: ~ -\lo -05
[J'~ *
Approx. Time: =l:-:""t'm
Exposure Period: 24 Hours
Certified Operator in Charge:
HERBERT BOLTIN, JR.
Dade City
352-567-2395
Toll Free
888-272-2871
15534 U.S. 301, Dade City, Florida 33523
*It:3q'm is approximate time we will
shoot the gas. Our technicians
will be at the site at Bam to
put up the tent.
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813-780-0020
City ofZephyrhllls Fire
Permit Applic!rtion
Date Received ...b 3 - .;)(J' 0 L : ::-:1.... Phone contact for PelTl1lt
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CMner'5 Addr~15 ~033 Middle 'Av;nue, Zephyrhills, FL 33542 ,
Fee Simple TitlGh9Id~ Name [- . ~ TItleholder phone Nl.rnber . [
. FeeSlm~le T~der Addre$S.. .~
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JobAdd.~ . . 38033 .:~1iddle Aven'!e, Zephyrhills, FL 33542
. S'Jb Oivision fWinters MRP' .1 Parcel # I
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.0 Ellf>"~ W~te Sto,a9o~ ANNUAL E3. Fumigation Tent
o . Comm ExtlllUst l<ltohen Hood/D'JOl 0 ~ous Matflllal.(T1er II Qr RQ FBoiI~) AN~--~
ICSo .::::::.....,.,'" ~.::=O:::- .' (t. .. ..'Jt...r11 ~./......' .
Em~1'QilflC!( 3el'lSl'atcf ;> 30 k\'i, 0 LP/NatUra' Gs5-ANNUAL. Sale -::rf l & .. .
o Firil Proteotion Maintenance ~ ANNUAL 0 F"la= of Assembly-ANNUAL . ~ .
Sprinkler 0 D ReaeationaJ Bull
F"lTe.Alarm.D D 5parlders
Hood Cl..n/Suppre<>ill<;Jl': D 0 S!rtlldar System Installatlofl$
.FlrG Alarm'lnlltillafion 0 standplpei;: (Sprinkltl' Sys)
FIre Pumps D Torch Rootlng
D Waste lire .$tprage ANNUAL .
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~dress ~. .__,,__: _"~ ,,~..,...._~,~,_ _
D~scftons: .
FIll ol,ll"ppllOllllon complet~)', .
Owner B. Contl'llt:tor, sign back of appliOEltior.,notarn:ed (Or, ooPY Qf'slgned controct wfth owner)
:f over $2500, i:I Noli~ of Commencement i5 roql.linild (M$el'1anlC!l1 \IIIQf\.: over $5000) .
SUpply two (2) sets of dl'l'.Min~6 with lilPplleable documenlEtion
Allow 10.14 day:! for relfil'w after ~ubln!ttal date.
FJre Works
Fllimmable App"~lIon- ANNUAL
Fuel Tank:5
Other:
ConviI"br
Signature
Address
ELECTRICIAN-
Signature . L
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MECHANICAl.[
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COmpany
Registered
Ucense IF
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,.NOT,\CE.QF:"PEBD,RESTRlCllONS:The undersigned-und8rstands:that this .permlt may.be subja.ctto ~deed'restrictions'
:whlcl'l may 'be.more restrlctive.than County ~SiJU\atiDf15. The undersigned, assl:1mes 'responsibnity'fur ~mpllan(;e WIth any
applicable deed restrlctiaT16. . . . . . " . . " .
'UNLlCENSEOCONTRACTORS AND .CONTRACTOR ReSPONSIBILITIES:. If the owner' has hired '2 contractor or
contractors'to undertake work; they may bGt 'raquJred -to .be . licensed lr1 i!lOCordance. with 'state and locaLtegl.llatlons. If:th&
cont,ractor is not lleensedas fSQUirm) by law, bOth the owner andconuactor may beoitec{-for a.llJlsdemeanor vlol.allon
under state law. If the owner or Int~ndEld cont~ctor are uncertain a:; to what llcenalng :requiraments may apply for the
intended wor~,they are advised to contact thef>asco .county Buidlng Inspectlori.Olvlilon--lXensing Section at 7.21~847~ .'
8000. -r::urthannore, tfthe owner has hired a contractor or a:mtractors, he is ad>llsed to havettle contraotor(s) sign
. 'portIons, of !he "contractor Blool<" of tl-Jllt ~plication for. whiCh thBywtll be responsible. .lfycu, as the owner sign as the
. contraotor,.that may be anlndicat10nthat he Is not prOperly ueensedand is not entitled to per:mitting prMlegea in pasco
county,' . .
-CONSTRUCTlON'uefHAW (Chapter713,'Ploridil Statutes"as amended): If.valliation.ofwork 1$..$2.500.00 or more;"
CertIfY that t, -the applicant, have peen proVided with B. copy of the"fJorldaConstructton. Wen L.8~Homeowner's
Protection 'GuldeR pl'cpaf(l)d .by the Flonda Department of AgricuJl11re and CO:lsumer Afiair~. If the applicznt is someone
other thai,. the .owner", I.certify that I have obtained a copy 01' the abov~ descrIbed document and promise In goOd faith to
deliver It to the .owner" prior to.commencement. . .'
.. 'CON"rRACTOR'S/OWNe.R'S AFFIDA V1T: I oortffol that all the information In this appliC8tion is acCurate and .'
... .".. ,,_ "that. all."\vork .VJI1I. be --dClne In ootn~iance. With-,a1J.-appUoabie'.law5 .regl;llati"g-oohttN~GRi:.ioRIAg":and..laRd-.." .-...
development. ApplicatIOn is hereby made to obtains penn)tto do work. and InstaDation as indicated. 'certify
that no. work-or in~t.allatlon hae commenced prior to Issuance of i!l permit and that all work wll be perfqlTm"d to
meet standards of all laws regulating .construction. County and CIty codes; zoning regulations, and .iand
. develop'm~nt regulations lnUle jurisdiction. I. al;O certify .that I undet$tand that the regl1lations of other
govemment agencies may apply to the Intendfld work, and- that ~ IS my ~ponl;lbalty to.l~emtlfy what actions I
. must take to be In eompllanCtJ. . ...-
Ifl am the A~ F~ THE OWNeR. I promise in g~ faith to inform the owner of the permittirig.condltions set fartt-dn
this .affidavtt prior 46. corinnenoing constructlon. I undersf2nd that a separate permit may -be required for. electrical' 'work,
p1umblng, SIgns; weJls,:paoli, alT conditioning, gas, or other lnstaUations not l?pec1fIcally.lncludecl in the applicatioA: A
~,rml~;~$~.d_Stil'I.~~ oofi$ued to be B'licern;e to proceed wlth the work Bnd not ai;3uthoritY to violate, can!=el, alter, or
$E!t.asi~ 'aoY"proit1$lons Gf the technical codes, nor shl'lll issuance of a pBrmltprevent the BuDding OfficIal from thereaftel .
. rcqujring.a' oorreotlon uf errors in p~ns. constl'uct!On or viqlatlons of any code6. Every pel11'\lt issued shall bacom~ Invalid
'. 4p',~~!~~~'jf~.~~tpo.rized:by BUchpermit tS' c<:,mmem;:ed Within six month~ of ~8mt~.I~u~nce, oiif work authorizsd byt. the'~f.I11fi'j$ ~u$P~ndt:ld Of Qbandoned for a penod of SIX (6) months after tne time the WOrY. IS commenced. An extension
_ ,~a reqaested, ~n writing, from the BuIlding Off.iclal ,for a I3Crisd not to exceed ninety ('10) .days and',will d8OlOnstrate
. j~~~ ~Uie far the extension. If work cea~~ for ninety (90) oonsecuttve days, the job Is con5idered abandoned.
~.----._._-----~...--_...-.~.._~-~_.~~-..,.--.._..-- "-.'-" - .' ........ .........
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Notary Public -
.5taZ-A, ft j/n d) ~ JJllli tI '
.eornm4ielonNo,. DD431468 " .
Katherine S. Daley
Nams of NCIt;!1fy typed. ~r1ntad or ~
NaiIIry PUJlio
eommlllli;ln No.
Namf> of Not&ry 'wed, pMted tlI' cwnped