HomeMy WebLinkAbout08-7977
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7977
Permit Number: 7977
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38906 NORTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04400-0140
6/18/2008 Name: JJ L INC
25.00 Address: 38906 NORTH AVE
25,00 ZEPHYRHILLS, FL. 33542
6/18/2008 Phone: 813715-0560
FPM-ALARM -ANNUAL-AZALEAS ACLF INC-6/23 or 24 scheduled
~1"02
1 -' 3))$
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
.
Date Received
Owner's Name
Owner's Address
City of Zephyrhills Fire-
Permit Application
11 1011
Fax-813-780-0021
Phone Contact for Permit
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Owner's Phone Number Lsw I ? I C; II () I) {, 0 I
325'10
Titleholder Phone Number I
II
/I
Job Address
s _~ 5 lot 0 1 Lot #
Sub Division
3<i.9Db
M}f A V~
Le f>l.r~ ,'/J (
I Parcel #
\-= L.
I
D
D
D
D
D
D
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
~,ry ~ ~~er
D 0 0 0
00 0
Doooc]
Do 0 DC]
Contractor
Signature
Address
Signature
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature ,
Address I
OTHER
Signature
Address
Sprinkler
Fire Alarm
Hood Cleaning
Hood Suppression
D
B
D
D
D
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
D
D
D
B
D
D
D
D
D
D
D
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 RoofingfTar Kettle
Waste Tire Storage ANNUAL
Valuation of Project
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
~I So 1,,+,'01
rc;ryNl Fee Current I (~ I N
-
[]:; F DOCX) \.{ Y t
I Y IN
I
I Y/N
Fee Current
Y/N
Fee Current
Y/N
Y/N
Fee Current
Y/N
Y/N
Fee Current
Y/N
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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybesubjectto-"deed":restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliancewith any
applicable deed restrictions,
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 accordance 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 Pasco 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 i5$2,500,OO or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify thatl have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning 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 to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and swom to {or affi
by
Who is/are personally known to me or has/have produced
as identification.
CONTRACTOR
Subscribed and swo
by
Who is/are personally known t
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
P~sco County Parcel: 11-26-21-0010-04400-0140001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Freauently Asked Ouestions
Other Parcel Cards: 1 I 2.
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, June 14, 2008
ParcellD 11-26-21-0010-04400-0140 (Card: 001 of 002)
Classification 74 - Homes for the Aged
Mailing Address Assessment (totals)
JJ PABLO INC Ag Land $0
38906 NORTH AVE Land $113,008
ZEPHYRHILLS, FL 335423820 Building $179,328
Physical Address Extra Features $3,769
38906 NORTH AVE
ZEPHYRHILLS, FL 33542-3820 Total Assessment $296,105
LeGal Description (First 4 Lines) Save Our Homes $0
CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $296,105
LOTS 14 15 16 17 & 18 & THE
LOT 13 LESS SOUTH 2,00 FT
BLOCK 44
Land Detail (Card: 001 of 002)
I~Li;e Use If Description Zo~units ~q: Price Condition Value*
0100 SFR 00 ,000.00 SF $5,26 1.00 $110,460
0100 I SFR I 00 3,920.00 SF $0,65 1.00 I $2,548 I
~ Additional Land Information
II 0,57 I Tax Area II 30ZH II FEMA Code IITJIResidential Code II ZHLHLP?
Building Information - Use 74 - Nursing Homes (Typical Skilled Nursing Facility) (Card: 001
of 002)
Year Built 1955 Stories 1.0
Exterior Wall ~ Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring ~ Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 3,0
Line Description Sq. Feet Repl. Cost New
1 BAS 2,380 $186,116
2 I FST I 100 $3,910
3 FEP 840 $45,982
4 FOA 406 $7,976
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 CLFENCE 1955 1,400 $494
2 UDU-M 2002 1 $2,975
3 .um.!.=..M 1988 1 $300
Sales History
Previous Owner TESSNER VANCE
Year I Month I Book/Page Type Amount
2006 12 7336 1 1533 WD $375,000
http://appraiser.pascogov .comlsearchlparce1.aspx?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&b... 6/18/2008