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Home My WebLink About08-7909 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7909 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: 7909 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E NOT APPLICABLE Address: 5420 GALL BL ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-12100-0254 5/30/2008 25.00 25.00 5/30/2008 Phone: FPM-HOOD CLEAN ANNUAL-MORRISON BUFFETT _ (\ ~)) V ~;\w 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 TOR OS-/27 #11,,9 . .. ii:=~~___""",,,,,_,,j~)""'__"""'n City orZephyrhills Fire Permit Application ~,...._ _~=~~~~~rmit_l~__, I Owner's Phone Number I ~:II QLtJ HdIU/TfTfI Owner's Ad!?Ps 6o~q73t TAMPA :rt. 3367/f I I __riii!lillIliRl1Il~w-'~",__._~,_ /S4-Zo I Owner's Name Fee Simple Titleholder Name 1)(" T Fee Simple Titleholder Address Job Address Sub Division Fax-813-780-0021 Jj,,",~~_~" II II I Titleholder Phone Number I ''iW(' Ir:~~r o D o o D o D o D o D D II II ~--~p~j__illi~""_mcal~ I Lot# I 6ALL 3L1/LJ f1(JRR/~'oN t)U74=~( I Parcel # I ~.~"'\iV"'1-'''r~'W1lIW'"",~' l' Bio-Hazard Waste Storage - ANNUAL D D D D D D D D D D D D !!I!mlIII""""""'" w~ PLUMBER Signature Address I MECHANIC4 Signature ' Address I Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler Fire Alarm D D D Hood Clean/Suppression Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: ~Il;iii OTHER Signature (Ut:SIAII\I~U r-KUIVI t-'KUt-'~KI y fA/, I\lUII\"'~) J ~-=~~lrrr ~r:~~ * Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL ~ I Valuation of Project i:oST71l1 Fi'7t IJf:S I I L()M'fl'ET~ -EKfh4t/sr cari/IJIU(; Contractor ! d /? ~ ~ Signature ~ Address ?OMK ~7 79fHPr4- .::J:'L33G/7. ELECTRICIAN I Signature I . Address .1 , I I I I I =.~""""",,,,,,~,,,,,,.,, .'", ,_,'~''''","n ,="., ""." ~,...,u".~.~"l Ili'tl<"re:'MlFJriiIl' !Ill Company Registered License # Company Registered License # Company Registered License # Company Registered License # Company Registered .. R - ..!. J<""""""'_Addres~L""'T Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. --"'( "'~A I L(~tf1f~rr~1/~~f I I I Y IN I I I I I I I I Y IN I Fee Current Y/N Fee Current Y/N Y/N Y/N Fee Current Y/N Y/N Fee Current License # I I .,L_,~_ ....4 J ~t!"'~.~tlii~~~W&~'p'.<l_".p~"",~", --"''';'<;''''''i~'I!if-~!f--~';"a::.::l'."+:~ _~__...._....__.._-~~-~-_.~-"'...-......_....- ,._..___.. .__M ._ ,NOT,ICE.OFDEED.,RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" re~trictioris" -which may be, more restrictive than County regulations. The undersigned assumes responsibility for compUance with any applicable deed restrictiQns. . . 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 accordanc~ 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 Pasc~ .county Building Inspection Division-licensing Section at 727-847- 8009. . 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 (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more'l certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne;'s Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than' the "owner", \.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'SIOWNER'.s AFFIDAVIT: I certify that all the information in this application is accurate and .,'that' all.work ,will be <ione in' compliance,with"all,-applicable"laws . regulatiRg.-construction.".zonin9"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 issuance of a permit and that all work will 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 fOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth. in this affidavit prior,tocommElncing construction. I understand that a separate permit may be required for,electricalwork, plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically included in the application. A plarmit"issuedsn;al1:be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setasidei anyproVisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter ,requirh'Jg,acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . ,unless"1tie~~ork.authorjzed'by such permit is commenced within six months of permit issuance, or if work authorized by the:pe"friilt.is"sus,pi;lrided or abandoned for a period of six (6) months after the time the work is commenced. An extension may:pe requested, -in writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate . j#s.~~ble c8.i.rse 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 IMPROVENiENT~"t:~ yQLJ~r.~q,~E~!X~,.c.lr,?'9u..~~n;~p..~.P,9~J~If\l"RI"'ANCJNG, CONSULT Wl+hI ~CllUR . 6R.,.(!)R"AN_A+TORN&v.'fB6pGlRE-RE~CJRD1N'G'Y.01!iR,troTlCE OF COMMENCEMENT, i =-,.,::,-,:.:,l":.IE"""3i8,t_;.""',.,,fi,,,,,' .~_'..' ,',..:.\:.~_...B....'..,", .',..'. ." :,',~,.:-J'._7.t,O,,3,,),'.i,'.'.'-':,',",".' '..' , __' _ ".".."" ,___...___...,__....,.._m________.m....-.n.-.--...---'....---....-___.........m'_..".._......,,_m ,. , CONTRACTOR Subscribed and swom to (or affinned) before me this by Who is/are personally known to me or haslhave produced as identification. ,OWNER OR AGENT Subscribed and swom to (or affinned) before me this . by Who is/are personally known to me or has/have produced , as identification. Notary Public Notary Public .Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped