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Home My WebLink About08-8123 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE ~ 8123 Permit Number: 8123 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: 36841 CLUBHOUS ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: SILVER OAKS Parcel Number: 04-26-21-0000-00100-0020 Book: Section: 7/29/2008 25.00 25.00 7/29/2008 Phone: FPM-HOOD SUPPRESSION 6 MOS-SILVER OAK GOLF SCHEDULED 7/29/08 Name: SMITH, BRANTLEY Address: 36841 CLUBHOUSE DR ZEPHYRHILLS, FL. 33542 (fAM G-4-06 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 . " J ~~~:z~~;:~:~,_"~,_L<~,,~.l:,,,::-.tl"._- ~ l ~)>..(vr;-/? a,q/< (];dL p- i 30 t'l/ (? k (.) i3 )-/({J(J.5r;- I I )wner's Name )wner's Address ~ :ee Simple Titleholder Name :ee Simple Titleholder Address I:::~,a~-r~-~~m"_b~ I >::~<:{:~~~~.._~~Y~~1. ;ub Division Contractor Signature Address I ELECTRIClA1 Signature Address I PLUMBER I Signature Address I MECHANICALI Signature Address I ~~ Fax-813-780-0021 Owner's Phone Number ] I TItleholder Phone Number I II II Parcel # I '-~~~'<<*M!t~H~~:;;:~:",;t;:~?H.:u.t:!W"~lif~ .. I~ .. 1,",,~~J:lif'1 ~'9)'if D D D D D D Bic-Hazard Waste Storege - ANNUAL Comm Exhaust Kitchen HoodIDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Are Protection Maintenance - ANNUAL 'O[9!!!l ~ ~ ~ Sprinkler 0 0 0 L-J Fire Alarm 0 0 0 0 c=J Hood Cleaning 0 0 0 0 c=J Hood Suppression I2l 0 ~ 0 c=J ~ ~~,=-'- D Other: I :~z~~~=~,;;.~~ I Fire Pumps Fire Works Flammable Application- ANNUAL D D D D D o D D D D o o ~ Fumigation Tent Hazardous Material (T1ef' II or RQ Facility) ANNUAL Hood InstaUation LPINaturaI Gas-Installation LPINatural Gas-ANNUAL Sale Places of Assembly-ANNUAL ;:: j.yr' Recreational Bum Spartders Sprinkler System Install Standpipes (Sprinkler Sys) T arch RoofIngfTar Kettle waste Tire Storage ANNUAL Jf 9"/:) ~ "'j .;-2- vi. :2 6 Valuation of Project .L..'~ ~_ =P~x.;.~-~~~l".i .... llilrl. Company Registered License # Company Registered License # Company Registered License # Company Registered License # Company Registered License # OTHER Signature Address birections: I Y I N Fee Current .1 I I Y / N I Fee Current I I I Y I N I Fee Current I I I Y / N I Fee Current I I ~J/h~ F7:,,, CJ.!![] Fee Current 1 <1 Y/N Y/N Y/N Y/N Y/N All 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 $50(0) Supply two (2) sets of drawings with appNcable 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':'rrestrictions" which may be more restrictive than County regulations. The'.undersigned assumes responsibility for:compliam:e'with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: 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 citedior 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 BuUding 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 which1t1ey 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 UEN LAW (Chapter 713, Florida Statutes,.as ,amended): If valuation of work is $2'-500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by'the Rorida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtain~ 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 tf 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 ATTORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) , CONTRACTOR SubsCribed and sworn to (or affirmed) before me this by VVho islare personaUy known to me or haSlhave produced as Identification. OWNER OR AGENT Subsatbed and sworn to (or aftInned) before me this by Who Is/are personaUy knoWn to me or haslhave 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