HomeMy WebLinkAbout08-7950
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7950
Permit Number: 7950
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 37815 15TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: N/A
Parcel Number: 10-26-21-0600-00000-0010
Book:
Section:
6/10/2008
25.00
25.00
6/10/2008 Phone:
FPM-SUPPRESSION -SEMI ANNUAL-WELLSPRING ASSISTED LIVING-DONE 6/13/08
Name: JOSEPH,JOSEPH
Address: 3781515TH AVE WEST
ZEPHYRHILLS FL
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
-....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
OCT/31/2007/WED 02: 18 PM
Fee SImple Titleholder Name I
Fee Simple Titleholder Address j ,
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Sub Division _ __ _
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.D Blo-H!l;I;arcl Waste Storage" ANNUAL
D Comm Exhauflt Kitchen Hood/DUct
D Controlled Bum
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D
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813-780-0020
Date ReceIved
OWner's Name
Owner's Address
'lII'lIiIA..-'RIIlIIIi\1_
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ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
-# 1qz;o
p, 002
Fax-813-7'80-0021
City of-Zephyrhills Fire
Permit Application
Phone Contact for PermIt
4-
....1'
. Emergency Geneflitpr < 30 kW
emergency Generator:> 30 kw
Fire Protectlon Maintenance. ANNUAL
D
D
~
sprinkler
Fire Alann
Hood CleanlSupprssslon
Fire A1ann Installation
Flrg Pumps
Fire Works
Flammable Appllcatlop- ANNUAL
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL. "
Fuel Tanks
Other:
I .
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:~~~~::r '~~;:~:d 82~ j Fe~~~t i ~ ~NC IU~ .'
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Address r I License # " I I
pL.UMBeR. I _J Company [
Signature., _ _ Reglstergd r . Y I N Fee Current Y ! N [
Addrel>$ r J . License # 'I I
MECHAN, ICALjI company I, . ~
Signature ' I ' Registered , Y I N r Fee Currant c- Y I N I
Address I I L.lcense # . I I
~~~;:re [ I ~;:~~dl Y I ti.J Fee Current I Y I N I
~=~:'~'V~:~r~-~ 1.'.'.:' -,' .~~.,,--=~ --~ r ~~. .~:~~~#~L~~~_~_.~ <r~~~-.._..~J-..'- ~~
Fill out appllcatJon oompletely" " ,
Owner & Contra~or 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 draw1ngs wIth applicable documentation
AllOw 10-14 days for review after submltta' date.
OCT/31/2007/WED 02: 18 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 003
..NOT:ICJ:,.G)I;,:l;>EED.RESTRICTIONS: Theunderslgnedunderstands that this permit m~y'hB sl:lbjact to ~deed~ restrictions" .
,which maybe-'mGre restrictive ,than 'County'regulatians. Tf;te undersigned aS5umes'responsibllity'fof compliar:lce with any'
applicable d.eed restrlctlGns. ' . , " ' .
'UNLICeNSeO CONl"RACT()RSAND .CONTRACTOR RESPONSIBIII.I:rIES: If the owner has ,hired a contractor or
'contractorsto undertake work, they may be required to: be licensed in accordance ~Ith '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
lntendedwork. .they are advised to contact the Pasco ,County 8uilding.lnspectio'n Dlvision-I:.icensing Section at 727-847-
8009. 'Furtherm'ore, if the owner has hired a conlractor or contract~rs. he Is advised to have thecontractor(s} sign
portions. of~he .G.ontr~ctor, Block" of this 'appllcatlon for which. they will be responsible. If you. as the owner 31gn as th.e
contractor,.that may be an indication that he is not.properlYlIcensed and is not'entitled to per;mittlng prlvUeges. in Pasco
~~ " ' .,.' ,
CON~TRUGTIONUEN1.AW (Chapter'713, 'Florida St;!,tutesi as amended): Ifval~ation.ofworkJs $2,500.00 or more;'1
certify that I, the applicant, have been provldeCI with. a. copy of the "Ronda Consl:r'qction Lien Law-:-Homeowner's
Pr,otectlon Guide~ prepared by the Florida Departinent of Agriculture and Consumer Affairs..lf,the applicant is someo~e
other than-the "owner", Lcertify that'l have obtained a copy of the above descrIbed document and promise in. good faith to. ,
deliver It to the .owner" pr.iorto.commenoement; ',", ' . " .
" ., CON-rRACTORrS/OWNER~S AFFIDAVIT:. I certify that all: the informatlqn in this applic;atiofl.ls acqu~te and.
... ..'.... ... "that- all.work -will. be "liCll'le In: Gomflllance. :witti-, 2\lI--applicabIB:. leiws ..regl:llating,<ooAstrl:lctlc'%"zclAiAg.:and"lano"',""
development. Application Is hereby made to obtain a permit to' do work and instalh:dion as Indicated. I certify
, that no wor.J<' or'installatlon has commenced prior; ,to Issuancie of a permit and ~haf' all work will be performed to
meet stand~rds.of all laws regulatlng .construciJon, County, alld City. codes, zoning regulations, ~nd .Iand
dsvelopmf:.nt .regulations in the Jurisdiction. I alsO certify :that I understand .that the regulations of other
govemment agencies may apply to the Intended work, and that 'It is my responsibility to. i~entlfy what actions I
" mustiake to be In compliance. .
If I ,am the AGENT FO~ T:HEOWNER, I, promise In good faith to Inform the owner of the pemiittlng conditions set forth ;In
thiS affidavit pri.or _~P. coii1m~ncjRg construction. I understand that a separate permit may be requIred for. electrlcaf work.
plumbing; si~ns; wells, :pools, air Conditioning, gas, or other installations not ~peciflcally.lncluded jn the application. A
p,eilJl.\tis.~UE!.d.sli.all,'b.~ coii~fruea to be a'license to.proceed.wlth the work and not as alithrnrity to violate, cancel, alter, or
set~si,r;!fn:;.T:ly".proijl!;iions of the teohnlcal codes, nor ~hall issuance of a permit prev!=lnt the Building .qfflcial from tl1ereafter
. 'reqtl,lr\rilg.a: correction of errcirs in pll;!ns, construction or viQlatlons of any codes. ,Every permit iSf!ued shall become invalid
,'. '~n!~~,~'1tt~~r!~~~~_a.~f!1p.rized:'bY such .permlt is' commef1,~d Within six monthl!! of permit i~!iu~nce. or If work authorized. by
. ,the:~fiii:it.js ~u~p~ncll!ld or abandoned for a period of, SIX (6). months aft6r the time the work IS commenced. An extension.
. ' 'ma:y~'.be r-eq",ested. ~n .writlng, from the Building Official .for a l"eriad not to exoeed ninety (90) ,days and'-willdemonstrate
,jji1stjf}q~le c~iJ.se for the extension. If, work ceases for ninety (SO) conseoutive days, the job Is considered abandoned.
..... "'-. . .j' .' .
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, Notary Public
~..t...vd.-'~ ~ ~p H6taryPublic
. .comm~slonND.D12 57/8' b 9
, '~~A'~~~
N~me of Ngtary typed, printed gr stamped '
Commission' No.
Name of Notary typed. printed OI'slamped
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-rJ,~;~J r{biic State of Florida
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[1. ,:13sion 00571869
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