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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 (". .(,))jL .,,/ / Ore ~/ ,- 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 ~,~3!1~~ Owner's Name Owner's Address City of Zephyrhills Fi~. . ~/ e ( ~ '1/ Permit Application 1X' .. 1 ~. r T I ~....;\ \ue<l~t) ~ (~ --; l 0 ~ '-\: \ t. \\.\.\0 V\~ 'i)il- I .~ bfj~ 1 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 __ I;;; - -IT Directions: W'~.~r Job Address Sub Division ~"'-,-- f~ I D D D D D D Bla-Hazard Waste Storage -ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL . [9!!!) ~.~ ~ OoooL-J Ooooc=J ~ ~ ~ ~ B Fax-813-780-0021 :~ Pho~ Contact for Permit t- U 1J I Owner's Phone Number .~ -115~ I -, 7 4~\\~'^\\\~ \ ~ I Titleholder Phone Number I I , \"t'l...S I I I i I 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 D D D D D D D ~ 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 r\ r ~ ;DB V l?J1'Jp 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR 'PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office -813-780-0041 City orZephyrhills Fire Permit Application ~~~~~L-.-_., '{j~Lf/!i~..!l~IP/L~~$~''''~~~= C~~~;;:L~::-:L~..~,,~~,~.LL~L J L71 S2Lo +fOP..V/1T/f I Owner's Phone Number Ig /.~ IIS4S-11'135/ I-q:> 0 PlY k CJ7J8 171M?//- fL "336 7-f I I ]j;Irli~~l!l!A~~l'~{t;'_ 'l\"~~~ ~- IFt{IJ~ GARDf3JJ I 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 II II 1m? "W"'-'" -, __1>'!1'i _'!I'~~~[:1:+f~'Ir~-'-<--~~ SI/g I - .. ll!i~~~~~nlml~'''''''~~I'' -e~- Bic-Hazard Waste Storage - ANNUAL o o o o o o D D D D D D ~~~~'lmlmli'n rr~U1'''''=~ 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: ~"'~';~'''''"'-~''.'~''''''-'_;'~ , ,," ....,,,,,._,,,,'~,,,.,,=,,- .~"...""."..""",~..J II G/fLL 15L1/D. I I Lot# Parcel # \ Ub' AII'IIt:.U rKUIVI t"'KUt"'t:.K I r I AA I'IIU II,-t:.) _~~I!I1!i~~"-~ ~ r'lm'f~; -k 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 ~~~iA'~-"'-'- ..,.,m ~ Wfi filmS Fee Current Y/N Y/N Y/N ~i~;::.# _.^l~<"_<~"".,~.<~<~,,,~<,,,y,,,,,,,,,,.,,,__,",,_,~ 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 ,:.:? d / ..7)/......t..-?,;t . "..,...-* ,. I /", .~;> I / ~" (i~ ,.1 . .//;1.. Li::- Physical Address ( ( ) Paving Assessment ) Other l" /'/" -- 1/ Tax Parcel ID # ..... I /1> /~/~U";-'?:-.. .~,,":(i /.' /) i1U Name '..... '(",U', / ' ,/ ,'-/ t.,.. /'......::L-"_~. -- '1,1,'-1 i/ /'_ ,,.1< ,'... . J I "-;7 -r"" , I, .., I. ...-, / Street No. -';',..- L' "-/ I (Y /) /rJl-l...:.._/l /1;Ji::'.( ,I 1._ 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 ~ ;- s~,.--, (...' Amount Due 153380 // ! .. <> 20 -L!...:L I~"l ~ ') - ~.~..r .~ , ,. ;, ._.r...,L/Lt..."" ./;-$.-" 'j'. .d:-' ...,' /:" ...J-, .-::-1-,' ~-1<.' I J ., .. ../ ~~.1 l..', .oJ: ..<;.. t.., ."./ iMt,j; L.. , .'" , .t A."l .I,j_... '.'1 it' 1/...... .J.>- ;t ..-I,,';" .,...... /'/ n .^-- f;'ZS · / li,";- I # ;