HomeMy WebLinkAbout08-7820
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7820
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:
7820
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 4804 LAKESIDE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s}: Block: Section:
Subdivision: WINTERS
Parcel Number: 14-26-21-0000-00200-0000
5/02/2008 Name: BLOOD, DONALD
50.00 Address: 4804 LAKESIDE DR
50.00 ZEPHYRHILLS, FL. 33542
5/02/2008 Phone: 813782-5248
TENT FUMIGATION TENT-SCHEDULE 5/5/08-MONDAY
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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.
7 ~ ~
' C~NTRA~IGNATURE P I~O';FI~ER
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
BOLTIN PEST CONTROL, INC.
NOTICE OF FUMIGATION
LOCATION:
Lc.\~5~ \:;Vv-L. 7#-/') ~V' L.iLl-,
, b
Type (House, Apt., Store): ~lL ~ ~ ~a 0 ~
Fwnigant (Brom-O- Gas, Vikane): V ; \cA,l"-Q...-
Scheduled: Date: S - S - ob -
L\W4
Approx. Time:
*
3pm
Exposure Period: 24 Hours
Dade City
352-567 -2395
Toll Free
888-272-2871
* 3pm is approximate time we will
shoot the gas. Our technicians
will be at the site at 8am to
put up the tent.
Certified Operator in Charge:
HERBERT BOLTIN, JR.
~ .
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15534 U.S. 301, Dade City, Florida 33523
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ZEPHYRH I L,:;:; B' J : WI ["lG
Fe~ Simple TitlGhQIder N;irne
FeeSlmple ~ltlehoIder Address.
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Job Add~ L
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813-780-0020
, Date Received
CNmer'5 N;lme
Owner's Addr~5
, S~b Division
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ELECTRICIAN
Signature
Addre8s 1_
pl.UMaER 'I
Signature '
J owner's Phone Number
0<i",~'\lS .~L 2>"S'l~
, Tltieholder Phone Nl.rnber [
City ofZephyrhll1s Fire
Permit Applic!ltion
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Fax-8~3-780-0021
Ptlornl contaot for Permit
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\vtH~II~{) t"KVIVlr'KUt'~~~ IN< ,,,vI Ie;) r=:
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' I Parcel'
Elp..~ Was~ Storage ~ ANNUAL
, Comm Ext.aust Kltohen Hood/Duct
controlla':! Bum'
, EmergenC7f Generator < 30 kw
Em~rgelcy i3en<<atol ;> 30 ~:w,
Fir'" ProlecUon Maintenance ~ ANNUAl.
Spr1nkler 0
FIre,Alarm. 'D
Hood Cl.an/Suppr~lQl': D
,FlrQ Alarm'lnstaGation
Fire pumps
Are Works
FhilmmabJe App"e:atlon- ANNUAL
Fuel Tan4
other:
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,~, ' Company
~ Registered
Adcll'EtSS r J Uc9li$6 #
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Acldresa [" I UcenS6 #
OiHSR I ' " - , ,] Company
Signature ~ . _ Rsgistcrcd
~~:s~ss '"._o..~_:~-...~ .,.._~,:~_.,_ .._ .,_ .-- v~ n~~~ge If r L
RlI o\lll!lpplleajJon complvtlllly. ' . ' ,
Owner & contrst:tOt, sign baol<. of applloatior.,notaMed (Or. ::oPY Qf' sIgned con~ct WIth owner)
:t over $2500, e NotiC$ of Commencement is roql.lif1iill:l (Ml'ehanlcai WQri< over $5000)
5I.tpply two (2) sets of dn:Min516 with applicable docurnentElion
......ow 10-14 d8y5 for r","iJitw etter subtn!ttal date. '
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Fumlgatlon Tent
~OU9 Matellal,(Tler 1\ or RQ Faoilit)') ANNUAl.
Hoodlnstallatign
l.P/N<iliJml.Oss-lnsiallation
LP/NatUra! Ga&-ANNUA!.. Sale
F'13= of Nl15elTlbly-ANNUAL
Reaeational Bu'n
5paflderS
slri1klar System InstlIllatlofl$
standplpe.S (Sprinkle/' Sys)
Torch Roollng
Waite Tire .Stprage ANNUAL ,
.\ Valuation Qf Project
Company
Registered
Ucanse fI.
Company
Registered,
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Licenlle #
[~ I N J ~Fee Current
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'~ Y I N I Fee current l
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,F .y I N r Fes Current
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F$e Curreni
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..NO-T:lCi:.QF:',DEBO,REsTRlCtlONS:The ul1dersignedundIJrstand5thBt this .permit may'ba subje.ctto ~deed.'restrdions.
:whlctl may be 'more lestrldtive .than County ~gu\atioo5. The llndersigned, assumes 'responsibility 'fur rornpllancewlth 8l'!Y
applicable deed restrlctif!lns. ' . ' ' ' ' " ' . ','
'UNLICENSED CONTRACTORS AND ,coNTRACTOR RBSPONSI8IUTIES:. If the owner' has hired, 'S contractor or
contractors 'to undertake wlJr~ ihey may b" l'~ujred .to 'be licensed irl 21ccordance. with 'state and loca\::i'egi.llatlons. \f:the
cont,ramor is not licensed as requirml by law, bOth the owner andeonttactor may becitadfor a.mlsdemeanor vlol~lon
under state law. If the owner or Intended contractor are ~naertain .:5 to what licensing ,requiraments may apply for the
intended work. they are advised to contact the Pasco ,County Buidlng Inspection DlvIslon---!Xensing Sectlon at 7.Z1.847~ .
8000. -Furthannore, If the owner has hired, a contractor or contra(:tors, he is adl/l6ed to have the contraotor{s) sign
. 'portlons, of the "contrilctor 51001<" of ti1la ~pplication for whiCh they will be raspoosible. ,lfygu, as the owner sign as the
contractor, that may be an indicat10n that he Is not properly licensed and is not entitled to per:mitOn9 privileges in pasco
county.' .' .
'CONSTRUCTION'USN'LAW (Chaptar713,'Florids Statulu"as amended): Ifvalliation.ofwork i15.$2,50D,OQ or more;'J
, CertIfY that l, '!he applicant, have been proVided with B copy 'of the 'AflorldaConstructlOn. Wen Law-:-Homeowner's
Protection 'Guide" pr-epEil"fldby the Flonda Department of A~cultl1re and Consumer Affair~, If the appliC2.nt is :someone
other than'the .owner-, I.certify that I have obtained a copy of the abov~ descrIbed dooument and promise In goOd faith to
dellve~ It to the "owner" prior to ,commencement '. ' .
'. CON"rR..CTOR'S/OWNE:R'S AFFIDA vrr: 1 oertlf'l that all, the information In this appliC8tion is accurate and ' "
__ .".. ,:. "that, all,,\vork .VJIII- hedcme In oern~iance' with..all'-Bppnoabie"~ws .regl:llati"g-oonctni~Gf\i.:.ionIAg'.:and..laRd-""-:"
development. AppUcatlOn is hereby made! to obtaIn's p8nTlittO do work. and InstsDation as indicated. I certlfy
that no, work-Dr installation has commenced prior to IssuanCe of i!I permit and that all werk wIt be parfQll11B.d to
meet standards of all laws regulating .construction. County and city codes; zoning regulations. and ,land
, devetop'm~nt regulations In the jllJ'i8diotiOl1. I, at~o certify .that I understand that the reglJlations of other
govemment agencies may apply to the Intended \'Vork, and that It Is my res.ponalblllty to.ldsnllfy what actions I
, musttake to ba In compliance. ' ....
If! am the A~ F~ THE OWNeR. I promise in g~ faith to inform the owner of the permittlT\g condItions set farth ,In
thls ,affi,da\llt prior 4p, corfllnenoing constructlon, I understand that a separate permit may -be raqulreQ for. electrical' 'wprk.
plumblng, Signs; wells,:pools, aIr conditioning, gas, or other Installations not !?peclflcally.lnoluded in the applicatioA, A
~,r.m\~;.$ua..d.Stj;a\l.'b~ oons.trued to be a'lioern;;e to proceed with the work and not ai;al.itho,rilY to violate. canqel, ciher, or
!i:et.asidt1'8oy"prOV1$lona of the technical codes, nor sh"'l issuanoe of a pBrmlt.prevemt the BuDding OfficIal from thereaftel '
, requjrlRQ.et' oarrectton af errors in p~ns, construet!On or viqlatlons of any cadet;. Every permit issued shall bacom~ Invalid
'. ~.p.W~!!~~~I!;.~~tpQlized:'bY BuchPer:mit IS' c~mmenc?ed WithIn siX month~ of ~8nn~.I$lIu~nce, or ,if work authorized. by
the'~f..~.j$ ~u$Pcn.d or =:abandoned for a penod of SIX (6) rnonths after ijlll time the WOrY. IS commenced. AIl extensIon
, ,~a ~eqli,l.med, ~n writing. from the BtJllding OfficIal ,for a ~riad not to exceed ninEtty ('10) ,days and'.will demonstrate
, jciStifiati1$ caLlse far the extension. If work cea~Et$ for ninety (90) oonsecutlve days. the job Is considered abandoned,
'. -' ..-, ' . .
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WARNING ro OWNER; YOUR 1=AlLURe TO p..eCORI> A NOTICE of COMNlENCEME!NT MAY RESUL i IN YOUR
PAXlNG lW!CE FOR IMP~OV~,'EN~ TC? YPUR r~9~...r;:g~: ,~.y, .INI5 .1:QtRP.JAIt1I..r.'~ClNli", CONSULT
..wt+ v.Ci:lU- ,~.l;I'D' , .IS etD1fe;.:, . Iff<<: 'F coMME! cEMEN
;:~;;;.:OEitT.m. .. ):~':..'.. '.. .,;i;:.._-~ ~~Gi;;~?e';~CQ;~ ,........ ~... ......-~
SUbscrlbedand:sWc.nlD or 1'8 me h, ,s , Subs~edand6WOm1O(oratmrn~~.dbhs) ,-
, by , "_ ~U;O&..bY ~ /YJ' .
V\Il1O islal8 peqwnally k/1CfMl YJ ~ or hil$/tIBW produced peraonally , ~ or ~ve proau::ecl " '
M ~oo, ' U idel'ItIftaItigr.
NCltary Public -
~/A,/u/;?/.J /. .;?Jtl/I/i; .
.000m4ifion No'. :b J) 4_'1 / '? t., '.It,
, & 1-/71'> Jr- / ~ f'J S.' (7JcL It' II
8 of NotarY typed, ~rlntBd Dr $mp8d, I
Nab\1')' PtilIic
oQrnm!llsi;ln No.
NBlnf> of Na\Bry iwlld, pMted or ci2mpad
. KATHERtES. DALEY
. NoIIry NIle. .... CJI FIDIldI
. . .., ~"..., &pIMI.....22...
CommIIIIon. DO 431.
'8DndId NIlIliIlII MIl,