HomeMy WebLinkAbout08-8142
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8142
Permit Num er: 8142
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 CLUBHOU
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 04-26-21-0000-00100-0020
8/01/2008
25.00
25.00
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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
813-780-0020
Date Received
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Owner's Name
Owner's Address
City of Zephyrhills Fi~. . ~/ e ( ~ '1/
Permit Application 1X'
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Fee Simple TItleholder Name
Fee Simple llt1eholder Address
Contractor
Signature
Address
ELECTRICIANI
Signature
Address I
PLUMBER I
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address I
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Directions:
W'~.~r
Job Address
Sub Division
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Bla-Hazard Waste Storage -ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
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Fax-813-780-0021
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I Owner's Phone Number .~ -115~ I -,
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I Titleholder Phone Number I
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Sprinkler
Fire Alarm
Hood Cleaning
Hood Suppression
Fire Alarm Installation
Fire Pumps
Fire Works
Aammable Application- ANNUAL
Fuel Tanks
II
II
I Lot#
Parcel #
o
o
o
D
D
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D
D
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Fumigation Tent
Hazardous MaterIal (Tier II or RQ Facility) ANNUAL
Hood Installation
LPlNatural Gas-lnstallation
LPlNatural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Spar1<1ers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch RoofinglTar Kettle
Waste Tire Storage ANNUAL
I Valuation of Project
Company
Registered Y/N I Fee Current I Y/N
License #
-
Company
Registered Y/N I Fee Current I Y1N I
License # I
Company
Registered Y/N I Fee CUrrent I Y/N I
License # I
Company
Registered Y/N I Fee Current I Y/N I
License # I
Company
Registered Y/N I Fee Current I Y/N I
,J License # J
...........---~
Fill out application completely.
Owner & Contractor sign back of application. notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Con1mencement Is reqirired(Mechanlcal work over $50(0)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (htIp://appraiser.pascogov.com)
CITY OF .ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUALiF1REPROTECT10N :MAINTENANCE
8145
Permit Number: 8145
Permit 'Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/04/2008 'Name: FUNG GARDENS
Total Fees: 25.00 Address: 5118 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/04/2008 Phone: 813788-4586
Work Desc: FPM-HOOD EXHAUST CLEANING QUARTERLY FOR FUNG GARDEN
Address: 5118 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: '1-1-26-21-0010-07000-0011
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FIRE.ACCEPTANCE Final
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 permittee per day of operation or a minimum df $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
City orZephyrhills Fire
Permit Application
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813-780-002Ci
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
Fax-813-78D-0021
I Titleholder Phone Number
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Bic-Hazard Waste Storage - ANNUAL
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Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
" Address I
_.....M....,..."
Directions:
I I Valuation of Project
I HOOD ~)(~:'T C~}'/IJJG.- ~z)Il~ ~~'::t
Company ILlI.//I/a.-R~i3 SEft///Ct7S
Registered Y / N , Fee Current I Y I N I
License # I I
Company I
Registered Y / N I Fee Current Y I N I
License # I I
Company I
Registered Y / N
License # I
Company I
Registered Y I N I Fee Current
License # I
Company I
Registered Y / N ,. Fee Current
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
D
D
D
D
D
D
D
D
D
D
D
D
Hood Clean/Suppression
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
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Parcel #
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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 /
/ 1 g /~~
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
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filmS
Fee Current
Y/N
Y/N
Y/N
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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 1D-14 days for review after submittal date.
---_.~--~.~--~--~~---------......-.....__.....--.,..- "-..---.. .-~ . ~
. NOT,ICe.OFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subject to "deed" restrictions"
.which may be more restrictive than County regulations. The undersigned assumes responsibility 'for compliance 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 regLilations. 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'LlEN'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;"
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 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
... .'that. all work . will be <lone in. compliance. with.. all.applicable..laws .regulatiRg..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 commElncing 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:b.El construed to be a license to proceed with the work and not as authority to violate, cancel, alter. or
set.aside' anYprovisions of the technical codes, nor shall issuance of a permit prevent the Building .Official from thereafter
. requirililg.acorrection of errors in pll:!ns, construction or violations of any codes. Every permit issued shall become invalid
.i..inless"1tit:6vork'authqrizedby such permit is commenced within six months of permit-issuance, or if work authorized by
the:periiiH,.is"~us:perided 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
. j#~ifi.~ble 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 IMPROVENiENT~ ~~ YQLJ~.P'~q,J:',-~~rr~}~,r.&'!Jt.f.T5~J2,1P,q~J~lf'tL~I"'ANCING, CONSULT
Wi+H :.y.(i),ln(~LEND.6R_(!)R~AN..A+:rlORN~ISEP0RE":REatnm1NG'YUu~,trOTICE OF COMMENCEMENT.
i ;:=.~::r.4T!~~~~~~1~~.~io.3).'.~' .~.':.:..._ ....... :_....._____.. __....._._m....__..._.__.____.______...__............_____._._. -.... .-...............-... - .
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identlfication.
.OWNER OR AGENT
Subscribed and swom to {or affirmed) before me this
. by
Who is/are personally known to me or has/have producecl
. as identlfication.
Notary Public
Notary Public
.commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
City of Zephyrhills
5335 Eighth Street . Zephyrhills, Florida 33542
(813) 780-0015 Date
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Tax Parcel ID #
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City, State, Zip ..( /I~~i;/.;.. Pi- ;J';3 -s.-7/)
NOTICE: All assessments are due and payable within (30) thirty days after date and will
bear interest at the rate of9% per annum thereafter. Plt'ase send postage for return receipt.
Receipt N ~
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Amount Due
153380
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