HomeMy WebLinkAbout08-7709
CITY OF,ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7709
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv.Cost:
Date Issued: 4/04/2008
Total Fees: 25.00
Amount Paid: 25.00
Date Paid: 4/04/2008 Phone:
Work Desc: FPM-SUPPRESSION ANNUAL- SLEEPY HOLLOW MHP
7709
FIRE PROTECTION MAINTENANC
FIRE-PROTECTION MAINTENAN E
MOBILE HOME PARK
Address: 38615 LANSING AVE
ZEPHYRHILLS, FL.
'Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SLEEPY HOLLOW MHSUB DIV
Parcel Number:
Name: CHATTERLY,FRED
Address: 38615 LANSING AV
ZEPHYRHILLS, FL. 33542
(\ ~~ \
V LY'\
FIRE ACCEPTANCE Final
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
Date Received
4/4/200R
111111
Owner Name I
"1_ Hollow MlIP
Owner Address .
Fee Simple Title Holder
City of Zephyrhills Fire
Permit Application
-#'1101
Contact Phone Nbr
l'i2-424-09Ofi
Owner Phone
I Rl1
II 7R2
I Titleholder Phone Nbr
II
II
Fee Simple Titleholder Address
Job Address
38615 Lansing -54 W Zephyrhills, Fl
Subdivision
Parcel ID
Fumigation Tent
B Bio-Hazard Waste Storage- ANNUAL
Cornm Exhaust Kitchen Hood - Duct
0 Controlled Bum
0 Emergency Generator <30 KW
0 Emergency Generator> 30KW
D Fire Protection Maintenance - Annual
Sprinkler D
Fire Alarm 0
Hood Clean - Suppression ~
D Fire alarm Installation
D Fire Pums
0 Fire Works
0 Flammable Application - Annual
0 Fuel Tanks
0 Other: I
o
o
D
D
o
o
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
LP - Natural Gas Installation
LP - Natural Gas Annual Sale
Places of Assembly - Annual
B
B
B
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System)
Torch Roofing
Waste Tire Storage Annual
Value of Project
$ I I
Contractor Sign Company
Address Registered
Electrician Sign. License
Company
Address
Registered
Plumber Sign License
Address Company
Mechanical Registered
Address License
Other Sign Company
Address Registered
License
y
N
I Fee Current I
y
I Fee Current I
N
y
I Fee Current I
N
Y N
Directions:
Fill out application completely. Company
Owner & Contractor sign back of application, notorize ( Or signed
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
Supply two (2) sets of drawings with applicable documentation
Allow 10 - 14 days for review after submittal date.
Security Fire Equipment, LLC
502552000220004
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-
B009. 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, 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 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 work or installation has commenced prior to issuanGe of a permit and thatall work wili 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 FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidav\t prior to commencing construction. I understand that a separate penn it 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 authorily 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 FAILURE 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 ATTORN/:Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA.JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
_ by __
Who is/are personally known \D me or has/have produced
as identification.
CONTRACTOR ~c:...~~
Subscribed and ~n to (or ed) be ore me this
Who is/are personally known to me or has/have produced
as identification.
Notary PubliC
Notary Public
Commission No.
I
Commission No.
Name of Notary typed. printed or 5tamped
Name of Notary typed, printed or stamped