HomeMy WebLinkAbout08-7692
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7692
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/31/2008 Name: WINTERS MHP INC
Total Fees: 50.00 Address: 38022 WINTER DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/31/2008 Phone: 813 782-8709
Work Desc: FUMIGATION TENT SCHEDULE 4/16/08 1:00PM
7692
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 38038 MIDDLE AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: WINTERS
Parcel Number: 14-26-21-0000-00200-0000
Book:
Section:
~/L~or Q>
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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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" C~OR SIGNAT~ P -I: ~FFI~ER
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
Fumigant (Brom-O- Gas, Vikane):
Exposure Period: 24 Hours
Certified Operator in Charge:
~ .
()~~OL
BOLTIN PEST CONTROL, INC.
NOTICE OF FUMIGATION
Approx. Time:
HERBERT BOLTIN, JR.
Dade City
352-567-2395
Toll Free
888-272-2871
15534 U.S. 301, Dade City, Florida 33523
Ipm*
* 'pm is approximate time we will
shoot the gas. Our technicians
will be at the site at 8am to
put up the tent.
1]41 _7!tE~ ~2:~4 ?~
ZEPEYRH I LS B') [ L1J 1 NG
813-780-0020
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City of-Zephyrhllls Fire
Permit Appllctnion
PI10ns contact far Permit
LlI:i . I
. ] owner's Phone Nu~bar
Date Received . r 3. dO _c'O~ml.'.
'm - 1 D<i ~,.,L'~'I::_' . _u_'oc_____"...........I..........4 ~.
OWner5 Name ~by Ball,
Owner'5 Addr~ll
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, 1.1 782 . 'I [8709
l352
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1813
38038 Middle' Avenue, ' Zephyr hills , FL 335.42
Fee Simple TitlGhQIder Nwne
Fee Simple T,it1eI'dcler Address.
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~ TItleholder poone Nl.rnber [ J! I.'
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Zephyrhills, FL 33542 Lot # I.
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~.!c?J~ds~lIS 1. ..u_><__. ,,," r l "~-~;f>'O_. ~ ,~ I _ ' ..,J.... 1 Ucense 8 r
FlU Oil! IIppIlcallon complet~)'. . . . '
Owner & oontret.'tor, sign beak of applloation,notart:ed (Or, :lOPY of $lgned contract WIth owner)
if over $2500, II NOlle:$ of Commencement is Illq1.lired (M$et.anIClili \'IIClri.: over $5000)
SUpply two (2) sets of dmvvin515 with applicable documenilltion
,"1110'10' 10-14 dlly:l for re"i~w ~"'r l5ubmittal date. .
Job Addra:s
. S'Jb Division
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Conn"lcr
Signature
Address
ELECTRICIAN,
Signature '
Addreea I
p~UMaER .1
Signature
Adclrass I
MECHAN'4 -
Signature .
Addrfl&8 r
OTHER I
Signature
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~g038 Middle Avenue,
IWinters MHP .
; .[1. J;I -.v""MT
Eljo..~ Waste Storage M ANNUAL
Comm Exhaust KjtOMn Hl)()(j/DlJct
Controllacl Bum.
, EmtlrgelJ(7f Generator < 30 kw
Emerglilfic:lJ GenErator ;> 3U kW,
Fir~ Proteolion M~lntenance ~ A.NNUAL
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SJ;11'Inkler
FIre.Alarm '
Hood C1..n/Suppreiil;ll<;!r:
.Fln~ AImm'lnllta.a1ion
FIre Pumps
r=J1ll Works
Flammable AppKe:allon- ANNUAl.
Fuel Tanl<5
other:
"I . \V~IR'I~U t-KVM.r'Kut'r;KI,T IN. NVI le;l ~~:
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Fumigation Tent
Parcel'
Ha:;1:afdOUS MatenaL(11er II or RQ Feoilit)'} ANNUAl..
Hood InstaDation
LP/Naturnl. Gss-lnsl8llation
LP/NatlJraI Gali-ANNUAL. Sale
P1acell of Assembty.ANNUAL
Reaeational Bull
Sparlders
SJrl1klar System InsUilllltloll$
standplpe$ (Sprinkler Sys)
Torch Roollng
Wa$1l!: Tire .$tlrage ANNUAL .
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Valuation Qf Project
Company
Registered
UcelUic #-
Pest Contro
Fee CUlT.nl
Comp:my
R~lstered
Fee Current
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Ucen5e #
Company
Registered
Y I N I Fee current
Ucsnae #
Camp_IV .
.. . Registered
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Y I N r FIiIB Currenl
Y I N .j
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Ucense 1/.
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FH Curreni I
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Company
Registered
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..NOT:1CE.QF:~DEBD,RE5TRlCllONS:TM unclersigned'undesrstands that thle ,permit m~'be subje.ctlo ~d&ecl.restrlCtions.
:whlch may :be 'more restrlctive .than County rE!gulatioos. The undersigned, assumes 'responsibility ior eompllanceWlth any
applicable deed Testrlctial16. . . .. ,. . . .,' '
'UNLlCENSED.CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES:. If the owner has hired. '8 contractor or
cQntractorsto undertake work~ they may bEil Nqulmd to .be . licensed m i!looordanee. with 'atateBnd, tocaI:tegJJlatlons, If:the
cont;ractor is not lIeensedas rBquirBd by law, both the owner and .contractor may be cited for a,rolsdemeanqr vlol.allon
under state law. If tile owner or Inttlnded contractor are uncertain 11:5 to what licensing ,requirements may apply far the
intended work. they are advised to contact the Pasco County Buidlng Inspection Olvlslon-Wcensing Saclion at 7.Z1.647~ .
8000. -t:'urihermore, If the owner has hired. a contractor or contra(:tors, he hi adl/lsed to have the contraotor{s) sign
, 'portions, of the "contraotor BlooK" of t~~ ~pplicalion for whlOh th8y WIll be responsible. . If you, as 1he owner sign 8a the
. contractor, .that may be anlndicat10nfhat he Is. not prOperly licensed. and is not entit1edto pea:mitting prlvllE)ges in Pas(',o
county... . . .
-CONSTRUCTION.Uc)l'LAW (Chapfar713'-Florida Statules"as amended): If-vcduation, of work i$_$2.50D.OO or more; 'I
. CertIfY that I, .the applicant, have been proVided with B. copy of the -florldaConstructlon. Wen Lsw-:-Horneowner's
Protection 'Guide" prepEifedby the Flonda Department of A[Jicull11re and CO:lSUmer Affair~, If the appticznt is someone
other than'the .oWner-, I.certify that I have obtained a copy of the above descrIbed document and pramls.e In goOd faith to
deliver It to the .owner" prior to ,commencement. '. .. .
'. CON1RACTOR'SJOWNER'S AFFIDA V!T: I certtf'/ that all. the information In this application is accurate and ,.
d. ... n ,:. .,that. all.\~rk .WIlI. be done In oernl'Uance, with-'atl--appnoabie.-~ws 'regL1lati"g-ootlttnl~a~'I..'.ioAIAg,:and..laRd-"'.-".
developm&nl ApplicatIOn is hereby made to obtains peMTl!t.to do work. and InstaDation as indicated. I ~rtIfy
that no, work-or installation has commenced prior to Issuanoe of a permit and that all work wit be perfqnne.d to
meet standards of all laws rEl9ulatin~ .construction, County and City codes; zoning regulations, and .Iand
developmt!nt regulations (nthe juriediotion. I, alc.o certify .that I undel1ltand that the regl1lations of other
government agencies may apply to the Intended work, and that It Is my reiPon&JbDlty to,l~9I1t1fy what actions I
. must taka to be In compllanCfJ. . , .
In am the A~ F~ THE OWNeR. I promise in g~ faith tc inform the owner of the permittirig, conditions set forth ,In
thls ,affi.davtt prior -fp' corrunenoing constructlon. ! understand that a separate permit may be required for. electrical 'work,
p1umblng, signs; wells,:pools, aIr conditioning, gas, or other InstaUations not ~peclflcally. lnoludccl in the applicatior-l. A
~tro~;.$U~dQIl.'b~ oofi$ued to bE; alio8nsEl to proceed with the work and not ai;alitho.r1ty to violate. CBn!JeI, alter, or
&et.aside BUY'Pfovt$lons Gf the technical codes, nor 5h~1 issuBnce of a parmltprevent the BuDding Official from thereaftel .
. requjring.e' oorreotion C1f errors in p~ns, construct!on or viqlatJons of any codes. Every permit issued shall become Invalid
, -4,9W~!~~~lf~_~~~o.rized:.by Buch .per:mlt IS' c:>mmen~d Within six month~ of ~enn~,I~u~nc:e, or if work authorized. by .
,the.:PflL~'J$ ~u$P~nQf:ld or lilbandoned for a penod of SIX (6)months after IfUi: time the work IS commenoecl.. An extensIon .
. 'ma'y~6 req~8sted, tn .writing, from the BuIlding Offtclal ,for a peried not to exceed ninEtty (gO) .days and.,will dtJlTlOnstrate
,jUSiitlabte caUSe far the extension. If work cea!;i~ for ninety (90) oonsecutlve days, the job Is considered abandoned.
.~.., -'--, . .. .
WARNING TO OWNER: YOUR :fAILURE j'O P-l!CORD A NOTICE OF COMNlCNCEMI:!!NT MAY RESULT IN YOUR
PA YlNG TWICE FOR IMPROVeMENTS TO YPUR r~9p.J:!f~,'r.(: ..IF y, .INtF4 ..1P..P.!:rAIJ'lI..~!~NCI~ii", CONSULT
,,~~~~1;TQ~~E-$iS stnlie.-:' .. if..JfcJ ',F COM~~ CEMEN
i",!~;;.-~ ..:: .l:::'....:.,.".,.:....~--~;;iBOrtin-'p'~st;l:on€r';l.... · ....-. .... ...........-"
Subscribecland~ID{OrBflilm~beft1remalti. .5. . .SubS~ed;lnd5\\OO1U~bef\l(e~~.
. by . .. 3-~D!i . ~ ~h1..J
'M1o isliA pecwnally kncrm W,) ~ (lI' hi\$lhave prodUC2{\ W!w ~ IlY . m or ~\Ie prod~~
. M ~1ioI'\, ...,.. u identlfbltigr~
Ncbll)' PdlIio
Notary Public -
cOrnmlnion 11I0.
Narnf> of Not&ry !wed, pMted or stamped