HomeMy WebLinkAbout08-7821
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
FUMIGATION TENT PERMIT
7821
Permit um er:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
78 1
FIRE FUMIGATION TENTING
FIRE-FUMIGATION TENT
NOT APPLICABLE
Address: 6221 AGATE STREET
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: OAKSIDE MHP
Parcel Number: 02-26-21-0020-00300-0010
5/02/2008 Name: A INS, ESTHE
50.00 Address: 6221 AGATE STREET
50.00 ZEPHYRHILLS, FL. 33542
5/02/2008 Phone: 419 289-2882
FUMIGATION TENT-SCHEDULED 5-28-08 WEDNESDAY
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
T ~ ~
I ~SIGNATURE P IT-O';FICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEC110N
CALL FOR INSPEC110N - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
. "
BOLTIN PEST CONTROL, INC.
NOTICE OF FUMIGATION
LOCATION, Wd\ orrJ;:u. ~ ,~
Type (House, Apt., Store): Si ~ M t+-
Fwnigant (Brom-O- Gas, Vikane): V \ \Cor-Q...
Scheduled: Date: 5 - db - ob
Approx. Time:
*
3pm
Exposure Period: 24 Hours
Dade City
352-567-2395
Toll Free
888-272-2871
* 3pm is approximate time we will
shoot the gas. Our technicians
will be at the site at 8am to
put up the tent.
Certified Operator in Charge:
HERBERT BOLTIN, JR.
~ .
D~!:r~o\-
,
15534 U.S. 301, Dade City, Florida 33523
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CIty' ofZephyrhll1s Fire -* '1 ~V Fax~13-7g0-0Q21
Permit Applicertion '
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Fee Simple Titleholder Addre$S l... '
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ELECTRIClANI
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Ol.-acllons: -:- - -- -- -all"-'~"""""" "1 ~,.:~~et# ilO --
Fill Ol.l! "pplbatlon complet~I)'. '
, Owner & contractor, sign back of Eppljcatior..nota~ed (Or, ::opy of $lgned contract wtth owner)
;t over $2500, is Notic$ of Commencement is raQl.lir..:! (MIJc,...anlcai \'VOrl( over $5000) .
SUpply tw::> (2) sets of, dmwin~~ with applIcable dacumenmlion
All",^, 10-14 days for rellj,ew after lliubtn!ttal date.
813-780-0020
OWnSr'5 Name
Owners Addr~5
Fee Simple Titlwh9Ider N;lme
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Ellr>-~ Waste Storagl) M ANNUAL
, Comm Exhaust rQto."len Hood/Duct
ControllillQ Burn'
. Emtlrgenoy Generalor < 30 lew
Emlirgeric;t Gcn<<atcr ;> 30 k\v,
Fir~ Prateolion Mlllntenance ~ ANNUAL
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FIre pumps
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Flammable AppU~t1on- ANNUAL
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Fumigation Tent
Hatal'OOUS Matertal.(TIer II or RQ FBoiI~) ANNUAl..
, 0 . Hood Installation
LP/Naturlll, Gas-lnslallalion
LP/NatLiraI GaB-ANNUAL. Sale
PlaO<:5 of Assembly-ANNUAL
Reaeal.ionaJ Bull
SparlderS
s~ar SY5lem Installations
standplpo$ (Sprinld~ Sys)
Torch Roollng
Wa$le Tire .Stprage ANNUAL. ,
. , Valuation t;lf Project
Company
Registered
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.,NO-llCs.SF:',PEBD.RESTRlCllONS:The' underslgned-undsrstands .that this .permit may.be subje.ct 10 ~dead. 'restrictions'
:whlCR may be 'more restrlctive.than County I"f!gulaticms. The undersigned assumes 'responsibitityfor eomplianceWlth any
applicable deed restrlctiaoo. ' ' , ' ' :, ' ' ' ',' .
'UNLICENSED CONTRACTORS AND CONTRACTOR RaSPONSIBIUTIES:. If the owner' has hired '8 contractor or
contractors 'to undertake work,: they may b(il T~ulmd to 'be 'licensed .In ~ooordan'ee. with 'state and, local.~i'egUlatlons. If:the
contraotor is not licensed as requirEld by law, bOth the owner and ,contractor may becite.dfor a,rulsdemeanor vlol,atlon
unoor state law. tf the owner or Intended contractor are um~rtain e1~ to what Jlcen:3lng .requirements may apply for the
intended work, they are advised to oontact the Pasco pounty Buiding Inspection Dlvislon-,I.xensing Secllon at 1Z1.847~ ,
, 8000. 'Furthermore, tfthe owner has h!reda contractor or contraulors, he is ad"'sed to have the contractor(s) sign
. 'portIons, of the "cont1i!ctor Stool<" of t'1l~ ~pplication for whlOh theywl1l be res!JQosible. ,lfycu, as 1M owner sign as th8
,contraotor,.that may be anlndicat10nfhat he Is 'not pr6perly lI~nsedand is not entitled to per:mitting prlvllcgea in pasco
county. . . . ' "
'CONSTRUCTION'USN'LAW (ChapfBl'713,'Florida Statull!l$"as amended): If ,valliation. of work ilS_$2,50n.OO or more; 'I
, eertItY that I, 'the applicant, have been provided wlti:l a r;cpyofthe 'Ai=lorldaConstTuctlon Wen Ll':Iw-:-Homeowner's
Protection 'GuideR pr-eparedby the Flonda Department of AlJicull11re and "Co:1SUmer Affair~. If the applicznt is :someone
other than' the .oWner", I ,certify that I have obtained a copy of t'lB aboVE! described doooment and promise In goOd faith to
delive~ It to the .owner" prior to ,commencement. " ' '
'. . CONmACTOR'S/OWNeR'S AFFIDAVIT: I oertff'1 that all, the information In this application is accurate and "
d, ..... .._ "that. all-'\~rk .d. he 'Clone In cern~iance. wim-.aU--appnoabie,'~w5 .reffll:llatif\g-oohttni~Of\.-:-ionIAg'.;anc:Haflc,1..... ,.:..
development. Application Is hereby made to obtains perrnitto do work. and InstaDation as indicated. I certify
that no. work- or installation has commenced prior. to Issuance of i!I permit and that all work wll be perfqnn8,d to
meet standards of all laws regulatin~ construction. County and city codes; mning regulations, and .land
, develOP,mttnt regulations tnthe jurisdiotion. 1.91;0 certify .that I understand that the regl1lations of other
govemment agencies may apply to the Intended worn, and- that It Is my ~$pooslblllty 1O.1~!lntlfy what actions I
. must taka to be in compliance. " ' "- '
Ifl am the A~ FO~ THE cwlER. I promise in g~ faith to inform the owner of the permittl1lg. conditions set forth ,In
this,affidalltt prior4P,cojjnn~ncii1g construction. I understand that a separate pennlt may-be required for.electrlcal"wprk,
plumbing; SIgns; weJls,:paols, air Conditioning, gas, or other InstaUations not l?pecIf1calLy.lncluded in the applicatioA, A
~,r.IT.I~~s.~i1a_d,S:t-#lII.'b~ oonmrued to bE; a 'Iioense to proc&ed wfth tht; work and not aSalithorit}' to violate,. can~i, alter, or
Set-aside: ar.i{pfoitl$lons Gf the technical codes, nor 5h~1 issuance of a parmitprevemt the BuDding Off1cIal from tnereaftel '
, reqUjri,Rg- a' oarrectlon at emXs in p~ns. construet!On or viqlatlons of any codes. ~el')' pettr'llt issued shall become Invalid
'. i:iQW~!'~~~I!~.~~lpo.rized:'by such ,permit l~ ~mmem?ed WithIn six months: of ~ann~.I~u~nce, Or ,if work authorized by
,the~l~.j$ ~u$PCn~d or ~andoned for a penod of SIX (6) months after ltte time the WOrY.IS commenced., An extension
. ' ~e ~eq""8sted. ~n writing, from th8 8ullding OfftcIaI.10i a periad not to exoeed nin~ty (90) .daysand-.will demonstrate
,jiiStlfiatife ~use far the extension. If work cea!;i~ for t:'Ilnew (90) consecutive days, thejob Is considered aiJandoned.
....., __., . I' . .'
WARNING TO OWNER: YOURFAlLURE TO PJSCORD A NOTICE of COM,..CNCErJlt:!NT MAY RESULi IN YOUR
PAXlNG TW!CE FOR IMP~OV~EN~!2 Yg[~f'~qP'~1).'l'IF.YQ,l,l.lt([r;NP..:rQ~;r~1tJl..~'~ClI'Ui.. CONSUI.:oT
..W _, ' , ,'R"O' "'.~s =wrd5":K ' 'vm!I.k.m 'ffeE 01"" COMME CEMEN '
l::.~_;;:;:oa.r .:~:.j.:~:':..:.,:.,,~.._.~-~ ~.~--;;-":ci;~F~ ,.....- . ... -.-
Subscribed and ~ 10 {or Bffin'tIod) before me tis Subscilbed ilnd 6WXt1.1n (or afIioned~f\>fl: InO tlis
" by S-I-Q~~:Jn""'" "
Who iSlare ~ knov.n kJ ~ or hiltiltl8w prodtlce'1 ~ IsI8le . iiin'nCl'Mi to m~ ~ve produ::ed
M lder!l'fIoalioI'\.' " . .. u Iden\lfla!ligr.
NCltal)' Public .
5f'L1-ft Ih.J;"''') ../. )) t1 ~~
.commil!$lon NO._D.1LL\ ~\ 310 ~ .' ,
.~hp~V'\i'\~ S .~\t~
Name of NotarY typed, prlnl8d or ~
Nobtry PLtlIic
COmmlslli;.1n No.
N1ornf> of Notary tnled, printed or ~tlmped
. I<ATHERI~IE "DALEY .
. . NatIrY P"oli( SPite of Florida
i. . MJ CommisSllll' Fxc.Jlfp.s ,ul 22. ~
ComITllSS~.l1l IJ uO 431:l68 '
, ' Illnd8d By Nauonal Notary AIIn.