HomeMy WebLinkAbout08-7693
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7693
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:
7693
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 38047 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-03100-0130
3/31/2008 Name: HAMMONS, LORENA J
50.00 Address: 38047 12TH AVE
50.00 ZEPHYRHILLS, FL. 33542
3/31/2008 Phone: 813 783-3864
FUMIGATION TENT-SCHEDULED 4-21-08 3:PM
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
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CON~NATURE P ITOFFICER-
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
LOCATION: 3804, ld~ ~) ~~~
Type (House, Apt., Store): \-\-0 ~
Fwnigant (Brom-O- Gas, Vikane): V .. 't.a....JL.
LJ-02 \ -0.6
Scheduled:
Date:
Exposure Period: 24 Hours
Certified Operator in Charge:
BOLTIN PEST CONTROL, INC.
NOTICE OF FUMIGATION
Approx. Time:
*
3pm
HERBERT BOLTIN,}R.
* 3pm is approximate time we will
shoot the gas. Our technicians
will be at the site at 8am to
put up the tent.
Dade City
352-567-2395
Toll Free
888-272-2871
15534 U.S. 301, Dade City, Florida 33523
N:jV/ 14 /i'UCi7 IViED Oi: 34 P!I!
ZEPHYRH I L....::3 p.J I W 1 f"lG
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City of Zephyr hills Fire
Permit Applic!ltion
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OWne"'5 Name I Arthur H~mlnons _ -.
38047 12 th Avenue, Ze.phyrhilis, FL 33542
-tY 1013/
1 35Wj~~6 7_"Jl..::~~
I 813 . 1'1783-3~6r-
813-780-0020
Owners Addr~5
Fax-813-7S0-o021
Phone contact for Permit
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Titleholder Phone Nl.rnber
Fee Simple TitlGhQIder NOlIlle
Fee Simple ~itIehoIder Addre$S
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Job Add~
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38047 12th Avenue, Zephyrhills,FL
3354~
'1
Parcel ,.
r J1Il'1lIIi5' -~ 'l!:MT
EljD..~ Was.te Stor-ago " ANNUAL
Comm Exhaust KItchen Hood/OLlCl
Controlleq Bum'
. Em$rgenay <,;;enersior < 30 kw
Eme~ ~tcr;> 30 k\v,
FirE! Proteotion Maintenance ~ A.NNUAL
II m 1111 I .. Il ~~I
~ FJm,gatlon Tent
o ~ous Materlal(11er II QT RQ Facility} ANNUAl.
o - -Hood Inlllallatilln
D Lf>/NabJml. Gas-lnslallation
. D LF'/NaturaI Gas-ANNUAL. Sale
o Pla= of Assembty..ANNU~
o ~aaeatiQnaI Bull
D Sparlders
o Spri1k!af System InataIlaUor1$
o
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Spl1nkler
Flre.A1arm .
Hocxl Cle.nlSuppre<ivklr:
.Flm Alarm'lnlltallation
Fire Pumps
Are Works
Flammable App"~1l0n- ANNUAL
standplpe.i: (Sprinkltr Sys)
Torch Roollnl}
Wa$le Tire .Stprage ANNUAL .
FueiTank.s
'1
Valuation of Project
Other:
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Company
R$glstered
Ucen:se #-
I. Company
ReglstQrecl
~ Uc:en:se #
.~ Company
Registered
I UC9I\$fl #
./ Company
'_ . Raglstere:i
I Ucens6 #
. - I Company
Registered
_I =~-ir- Ucense t;
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Contrilcb"
Slanature
Addrells
ELECTRtClANl
Signature . .
Addrees f
P~UMBER . [
SIgnature
Addl'&Ss. I
MECHANI1
Signature . .
AeldrflSS I
OiHSR I .
Signature
~~rdress L ~..~ .~,~ ',~ ,~..__~:_,_.=:
ons:
Y/N r
Fee cUrYent
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Y IN I
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Fee Current
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FIll out ~loatJon completl!l~. ."
Owner & COntrat:tor, sign baak of applJO<lfior..notartted (Or, ::OPY of'$lgned contract WIth owner)
if over S2S00, e NlltiC:$ of Commencement;5 rvq1.li~ (Mechanical work over $5000)
SUpply two (2) sets of dmwin5110 with appHcahle documenb::tion
."How 1 0-'14 dlIy:l for rl\lV'iJl'w after ::;ubmittal date. .
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,.NO't&Cs.GU:;::OEBD,RESTRlCllONS:The uhdersigned'undlJrstands 'that this .permit mew'he subje.ctlo ~deed.'rElStrlCtions.
.-whlc,'" may be more re~trlctive ,than County ~gu!atiun5. Thel.lnclersignad, BSSl:Jmes 'f@sponsibnity'for eornpllance.WIth any
applicable deed restrlctial16. . ' '. . '.'
'UNLICeNSEOCONTRACTORS AND CONTRACTOR REiSPONSIBIUTIES:. If the owner' has hired'8 conn-actor oj-
contractors'to undertake work,: they may b" -r~ulred .to 'be. licensed irJ ~ocDrdanC$. with 'atate end locaLi'e9i.llatlons. Jf:the
conQ'actor is nat licensed .as requirml by law, both the owner and .conttactor may be cited for a .mlsdemeanor vlellltlon
uncier state law. If the owner or Intended contl1lctor areunoertain a:; to what lIcensing :requiraments may apply fOr the
intended work,they are advised to oontact thef'asco pounty Building Inspection Olvlslon-L:.lcensing Sectioh at 7.Z1';647~
8000. .t:urtharmore, If the owner has hIred. a contractor or contracfors, he Js advised to have the contral;ltor(s) sign
. 'portIons .of the "contractor Block" of tl1l$ 'applicalion for, whloh they wl1l be responsible. If You, as the owner s~n as the
. contraotor,that may be anlndicattonthat he Is' not properly licensed. and is not entitled to pea:tnitting prlvlk>aes in Pasco
~~~'. ' . .
'CONSTRUCT'OH'UEN'LAW (Chaptar713. 'Florida Statutes"as amended): IfvaliJatioll.ofworn i:s.$2.5DD.OO or more; 'I
'. CertIfY that I, -the applicant, have been provided with B :::opyof the.FJorldaConstructlon. Uen Law--Homeowner's
Protection 'Guide" pr-eparedby the Flonda Department of Agriaull11re and 'Co:lsumer Affair~. If the appticZnt is someone
other than' the .owner", I.certify thatllulve obtained a copy of the above' descrIbed dooument snd promise In golid faith to
deliver It to the -owner" prior to.commencement. '. . .
.- . CON"rRACTOR'S/OWNER"S AFFIDA V!T: ! certify that all. the information In this application is accurate and .'
., ..... ..- .;that. all.-\ovork ,wUI. be-done In oomlMiaoce. with--.afl.-appUoabie--law5 .regl:llatil'lg'OOhttnl~{}l'li":.ioRIAg';and-.lafl(~..... 'm.
developmEJnl Application is hereby made to obtains penn it to do work. and InstaUation as indicated. I certify
that no. work, or installation has commenced prior. to Issuance of i!l permit and that all work wll be perfqnm,-d to
meet standards of all laws regulating .construction. County and city codes; zoning regulations, and .Iand
develop'm~nt regulations In the jurisdiofiOh. I. sl$O certify .that I understand that the reglJlations of other
government agencies may apply to the Jntendl!ld \Vork. and- that It Is my r:BSPons;lbJlfty to. Jd9ntlfy what actions I
. musttaks to be In COmpllanCfJ, . '. .. '.
Ifl am the A~ FO~ THE OWNeR. I promise in g~ faith to inform the owner of the permittirig. conditions set forth .In
thlsaffidavtt Prior 46. corillnencing construction, (understand that a separate permlt may -be f'8qulred for. electr1car 'work.
plumbing, SIgns; weJls,.-pools, air conditioning. gas, or other Installations not !?pecIf]caHy.!ncluded in the applicaliorl; A
~.rlT.1lt;~$i.J~.dSti1:lIl.'h~ oorimrued to bE; a 'lioenr;;a to proceed with the work and not ooalithority to violate, canqei, alter, or
$St.asidri al)y'proVl~lio.ns Gf the technical codes, nor shall issuance of a parmltprevent the BuDding Official from thereaftel
. reqU.iriRg'EI' oorrection at errors in p~ns, construction or viqlatlons of any codes. Every permit issued shall becotnil Invalid
'. ~nW~!;t!i.e:~lf~_~~~:'by BuchPer:m1t I$' ~mmen~d WithIn sbc month~ of ~enn~.I~u~nce, or.if work authorized by
fue-:~f..~.j$ ~u$Pcndt:td or 12bandoned for a penod of SIX (6) months after ij:!e time the work IS commenced.. An extension
. '~e ~eq~8sted, ~n writing, from the BUilding OfficIal ,for a periad not to exceed nin$ty egO) .days and',wiJI dliMTlOnstrate
, iiiStiftab.f$ ~uae far the extension. If work cea~8$ for ninety (90) consecutive days, the job Is con!iidered abandoned,
.,. .. \ ~...-, . I' . '.
WARNING TO OWNER: YOUR FALURE TO P..fICORD A NOTICE OF COMMENCEME!NT MAY RESUL i IN YOUR
PAXlNG TW!CE FOR IMP~OV~..ENTS TO... .YPURJ)~9P.J:!~~t . IF, Y.o..l.l.lJ11fiNP..1Q,~JAItJI..~'~NCJNli,. CONSULT
" W. .. ~. +.:r1rJ . I~SEfeUiW:~R~-v.m!lif.'l'tO~ OF COMMeNCEMENT. .
i'::~"~A~m: ....~... .t. ::_~.7~~"~"-'--"':'-~'-~"'-'~--"':_---:~-CO~CTO~:-JtoItrn;.~e~~i"''Co'ii'tr'61'': ; ..... '-. ...... .........-........
SubscdbGd and ~ to {or allilmlld) bafol'li mO tis Subs~ed and awom~m (atDnned~) me tP, ". )
by . ,'!3~~by ::::;;;:;-;;:~ ~&-fI.r.J~
'M1o isllIlle ~ knor.n tI ~ or hiI$/'haw produCed- ~ - on~)' ~. ve prodlJ?Cd
fIe~.. .' . .. lU iden1lllamor:.
NCltary Public -
SlfJLAJl/u~~" ~/b'~
.... DD431468 .
-commil!slon No. ' .
Katherine S.Dalev
NamlJ of Notary b'Pcd, prlntad Dr:ia:nped
NcbI..y NlIio
COrnmillsion No.
""'t> of Nalsry 4'Plld, pMted CII' CI3mpad
._-
. . l<AtHERINE S. DAm
':'c. NoIIIy Pubic . StMt of FklfIda
. . Mr CommIIIIon Expna Jul22. ..
~.'.DD431_
.... NIlIDIlII ...