The URL can be used to link to this page

Home My WebLink About08-7707 . CITY,OF ~ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE ,PROTECTION MAINTENANCE 7707 Permit Number: 7707 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: 4/04/2008 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 4/04/2008 Phone: Work Desc: FPM-HOOD CLEAN & SUPPRESSION -ANNUAL-ZEPHYRHILLS HEALTH & REHAB Address: 7350 DAIRY RP ZEPHYRHILLS. FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OFZEPHYRHILLS Parcel Number: 35-25-21-0010-06900-0020 Name: ADVENTIST HEALTH SYSTEM Address: 7050 GALL BLVD ZEPHYRHILLS, FL. 33542 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 Contractor Sign I -9r-- ~ 4~--~ "'- Company .- Address I Registered y N I Fee Current I Electrician Sign. License Company Address I Registered y N I Fee Current I Plumber Sign License Address I Company Mechanical I Registered y N I Fee Current I Address License Other Sign Company Address Registered y N I Fee Current I I License Directions: Fill out application completely. Company Security Fire Equipment, LLC Owner & Contractor sign back of application, notorize ( Or signed I C? N I F~ CUIT,"' I Copy of contract with owner) Registered If over $2500.00, a Notice of Commencement is required Mechanical work of ( $5000.00 ) requires a Notice of Commencent 502552000220004 Supply two (2) sets of drawings with applicable documentation Allow 10- 14 days for review after submittal date. City of Zephyr hills Fire Permit Application # 1i01 Date Received I 4/4/200R Contact Phone Nbr 1'i2-424-090t'i Owner Name Owner Phone I Rl1 II 7RR II 4100 Zephyrhills Health & Rehab Owner Address Fee Simple Title Holder I Titleholder Phone Nbr II II Fee Simple Titleholder Address Job Addn:ss 7350 Dairy Rd. Zephyrhills, Fl Subdivision Parcel ID n Bio-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood - Duct Emergency Generator> 30KW D D D D D D Places of Assembly - Annual Fumigation Tent D D D D Controlled Bum Hazardous Material (Tier II or RQ Facility) Annual Emergency Generator <30 KW Hood Installation LP - Natural Gas Installation Fire Protection Maintenance - Annual LP - Natural Gas Annual Sale D D D D D D D D [H ..J. CL.€ieI,./ Recreational Bum Sprinkler Fire Alarm Hood Clean - Suppression Fire alarm Installation Fire Pums Fire Works Flammable Application ~- Annual Fuel Tanks B B B Sparklers Sprinkler System Installations Standpipes ( Sprinkler System) Torch Roofing Waste Tire Storage Annual Value of Project $ I I Other: I NOTICE Of DEED RESTRICTIONS: The undersigned understands that this permit may be subject 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 wiH 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, 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 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 done in compliance witli all applicable Jaws 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 wiH 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 affidavjt 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; YOUR FAlL.URE TO RECORD A 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 COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR 4~~/~ Subscribed a~rn to ( ed) before me this by Who is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this _ by Who is/are personally known to me or has/have produced as identiflcation. Notary Public Notary Public I CommiSSion No. I Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped