HomeMy WebLinkAbout08-7768
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7768
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:
7768
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 5114 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/24/2008
50.00
50.00 ZEPHYRHILLS, FL. 33542
4/17/2008 Phone:
TENT FUMIGATION ON GARAGE WNIKANE - SCHEDULED FOR 4/28/08
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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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'~ORSI~ 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
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LOCATION:
S\\y
Type (House, Apt., Store):
Fumigant (Brom-O- Gas, Vikane):
Scheduled:
Date:
Exposure Period: 24 Hours
Certified Operator in Charge:
~~ .
~p.o\..
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BOLTIN PEST CONTROL, INC.
NOTICE OF FUMIGATION
Approx. Time:
*
3pm
HERBERT BOLTIN, JR.
* 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
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City orzephyrhlll:,; Fire Fax~13-7g0-0021
Permit Applic!ltion "
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CH/nersName [Elite Property Solutions J DwTler'IiPhoneNU~b"! I 813 " JI. 714 "1f3388-
(Nmer'sAddre55 U5215 SR 54,' West, z~phyrhiils, FL' 33541
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813-780-0020
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Registered. .
Ucense #
Compi!lny
Registered
Ucaose #
Comp;lfW'
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Ucens6 #
COmpany
Registered
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ELECTRlctANi
Signature . _
Address r
p~UMaER. .1
Signature .
Addl'Qss r
MECHANICAL.f' .
Sigilatl.ll\1 . .1.
Aeldr&ss r
OTHER I
Signature
ittltFnrdress L. ..,".. . ~,"I~'" n*'~-~;~-
ec ons:
Flll Q\lt applbatlon completel).. ". . . .
Owne; &. contTactor, sign baol<:. of eppljc;atior..rlota~ed (Or. ::OPt of sIgned contract WIth owner)
if Qve, $2500, a No;IIiO$ of Commencement is roq\.lirvd (MliJe.....anicai won.: over $5000)
SUpply tw::J (2) sets of. dl'T.iVlioSlo with applicable dacumeniRtion
Allow 10-14 days for relli.vw after ::;ubm!ttal date. "
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Valuation Qf Project
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Fee Current 1
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..NO--aG:E.QF:~DEBD,RE5TRlC110NS:The uoderstgned'undlSrstands that this permtt m~'he subje.ctto ~dead"rElStrdions'
:whlcA may 'be more restrlctive .than County ~~latioo6. The llnclersignad assumes 'responsibUityfur mlllIiliance W11h any
applicable deed restrictions. ' . . . . :. . . . '.' '
'UNLlCENSED.CONTRACTORS AND .CONTRACTOR REiSPONSIBIUTIES:. If the owner' has hired '8 contractor or
contractors to undertake work,: they may b(iT~ulrod in'be'licensed .In :!looordance. with.~tate Bnd.local:i"egJ.llatlons. If:thEl
contraotor is nat licensed as requirBd by law, both the owner and .contractor Illay beoitedfor a.mlsdemeanof violation
unoor state law. If the C?wner or Intended contractor are ~naertain e:s to' what Ilcen31ng .requiraments may apply fOr the
intended work. they are advised to contact the Pasco pounty Buidlng InspecUon Dlvislon....-I.:.tcensing Section at 121.847~ .
. 8000. . Furihannore, tfthe owner has hired a cORtractor or contraolors, he Is advised to have the contraotor(s) sign
. 'portIons .of the "contractor Blool<" of t<1l~ ~pplicalion for whlOh they wlli be res~n.&ible. .lfyou, as the owner sign as the
. contractor, .that may be anlndicaUonfhat he Is' not pr6perly licensed. and is not entitled to per:mitting privileges in pasco
. County. . . . . '.
CONSTRUCll0N'USN'LAW (Chapt:ar713. 'Florida Statutss"as amended): If.valliation.ofworn is.$2,50D.OO or more;'1
. CertIfY that I, 1I1e applicant. pave been provlded wit", a. copy of the . "fkJrldciCorwtructlon. Lien Law-:-Homeowner's
Protection 'Guide" prepaft'ldby the FlOrida Department of Agricull11re and CO:1sumer Affairij. If the appliC%nt i1$ :someone
other than'the .owner" I I.certify that I have obtained a copy of the above' descrIbed dOOOh1ent and prnmls'e in goOd faith to
delive~ It to the -owner" prior to .commencement. '. .
.. . CON1RAC1'OR'S/OWNr:!R'S AFFIDAVIT: I oertff'1 that all. ~e information In this application ,is accurate and .'
... ..... .._ -=that. all.'\~rk .wIlI. be 'done In oernl"liance.wiJ:h..'an.-appUoable,-~w5 .re$ll:llating-ootltmiot~GRr:.zonIAg'.:and..laRd'"'' .....
development. ApplicatIOn Is hereby made to obtaIns pennitto do work and InstaUation as indicated. I certify
that no. work. or in!>iaIlatton has commenced prior to IssuanCe of tI permit and that all work wIt be perfQnm~d to
meet atandards of all laws regulating construction, County and City codes; mning regulations, and .Iand
. develOP,mftnt regulations In the jLlJisdiotion. I. al;o certify .that I understand that the regl.1lations of other
government agencies may apply to the Intendfld work, and that It Is my r:esponl;!bUlty to.I~9!ltlfy what actions I
. . must taka to be In compllanCfJ. ' ....
Iflam the A~ fO~ THE OWI-ISR, I promise in 9~ faIth to inform the owner of the permittirig. conditions set forth ,In
this.affLdallff prior46.corinnencinQ constructlon. I understand that a separate permit maybe required for.electrlcar'w9rk.
plumbing; Blgns; wells,:pools, aIr Conditioning, gas, or other InstaUations not !?peclfIcaUy.lncluded in t1l6 applicatioA. A
~tmlt;~$ua..d.~I1:~~ ootisjrued to be a 'liasnsa to proc8ed wtththe work and not aS2.u'thoritY to violate, canqel. alter, or
set.asi!ie ar.i)'pfoVlslons of the technical codes, nor 5h~1 issuance of a psrmltprevemt the BuDding Official from thereaftel .
. requjriAg.a'()(:JITection c1f ~ in plans. construction or violatlons of any codes. !::very pennlt issued shall become Invalid
'. ij9.~~!~~~i:f~_~~lpo.rized:'by BUch'.permit f$' ~mmen~d Within six monthfi of ~nn~.I$!iu~noe. or.if \~ork authorized by
. fue'~f..~.j$ f.tu$PCn~d or ~bandoned for a penod of SIX (6) months after ltte time the work IS commenced.. An exteru;ion
. '~$ ~eq,,!8lted, ~n writing, from th6 BUilding otlicI.a1.for a periOO not to exceed niMty (90) .daysand'.will d8lllOnstrate
,jOOUftahte Ci!use f~ the extension. If work cea~8$ fOf t:'l!nety (90) oonsacudve days, the job Is considered abandoned,
."'...\ -,_.; . '" " ...
wARNiNG TO OWNER: YOUR FAiLURE TO p..5CORO A NOTICE OF COMtJleNCEW:NT MAY RESULt IN YOUR
PAXlNG TW!CE FOR IMP~O~.'E"'~ Tq YPUR_f'~9P,",~l'(l'~.y'QUJ!!.tfi~D.,:rQF.1;r41~..~J~NCI~li.,. CONSULT
"WR= v.tn~.-. '.' : . 't;t'D'R ~lB ~1l:6.:R . Vtro~.TC ~ 0.- COIIIME CEMEN . .'
;:1'~;;k..;';;Hi ,:', ')::""::":"':"':'''--~~'llomn''Peiit'-Confrol "" ..,. .... .m"~
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Who is/llIre personally ~ kI ~ ex- hil$Jhaw prodUC2!! ~ ~rlI0~iiY me ~ve prodlr..ecl
. M IdenIIfIoaliof\. .' . .. as iderltlflartigr.
. Y{~ x1.l;) . '.
.!'iathe<ine S. Daley ~
.Comm4l$lon r.io.~D431368
. Katherine S. Daley
Namlil ot NotaIY typed. ~r1ntBd or Sa:t:ped
NClfary Public -
Noblry PLtlliD
COmmlni;ln No.
Name. of Notary wed, prtnted t1l' cWnped
~. u .. KATHERINE S. DALEY.
NaIIIY PuIIIc . .... aI FIoIIdI
~ . . _ .., C4lmnllla.lnn ExpiIII Jul22. -
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~~;!'1' ?:"'~.~ COI'IlIIlisslon' DO 431. .
"",Jif,:.l"'- BoncIId B NlIIiooal No AIIn.