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HomeMy WebLinkAbout08-8162 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8162 Permit Number: 8162 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: Book: 8/06/2008 25.00 25.00 8/06/2008 Phone: FPM-HOOD EXHAUST CLEANING QUARTERLY FOR CHINA WOK Name: HAUNG, JAMES Address: 7254 GALL BLVD ZEPHYRHILLS, FL. 33542 tj()Y- iJ 0/19 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 INSPECTlON CALL FOR INSPECTlON - 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 -Zephyr hills Fire Permit Application Phone Contact for Pennit Fee Simple Titleholder Name , ::;:01{ Q ILAS2l-0 -H-oRfjlt-T# I?O BOX Q7.M 7?tHM t=L I I ~~~~m~i<~_'~~r1'o.mJ>_-,_....,....,_./.J1 IUIII,vA- f.l?l0I< Fax-813-780-0021 Owner's Phone Number 1~/1 I Titleholder Phone Number II II Fee Simple Titleholder Address - Job Address Sub Division :ILl//)# ~~":"""'~"iIl~'11__~-~*,~ir ] Lot# ,U" ""No" eKUM eKU:OK" "'^ NU "Col T TT -n~' 1i_~~!:it~"" '""~_~fll ,.~~~ 'l2S 1- GriLL I .ILI. ..4 ~~~~fi'~~W_~~-"-7 Bio-Hazard Waste Storage - ANNUAL D o D D D D D D D D D D -->Ill Contractor Signature Address .I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICA,~ Signature I Address I OTHER Signature Fire Works Flammable Application- ANNUAL *. C Fuel Tanks -~ I I HOOP -e-,lt-tlrlt( 5;7 CL&fA/ I A/ " Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler Fire Alann D o o Hood Clean/Suppression Fire Alann Installation Fire Pumps Other: .. I I I I """'''''~''~",,':''''''''''M<'''':;';',".''''''--~*'' Parcel # IT ="""' D D D D D 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 Installation Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered ,== ^ -iiWi' /l - tltV/~c;p. 5'~ r~V/JCS Y I N Fee Current Y I N I Y I N I Fee Current Y I N I I ~- Y I N I Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Address I ~=:~"'-"""W;-'\l'" ~'.:.ili.....='h;;"",,";;,;;;""'''''-'''''':''''..J.'''.'~~''''''-''''::''''''=';''''~''',~",,,;,;;~~;~~-,,~;';;''''''?'''-:o."'- 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. ~~r::e # ".l~",~"",,,,,~>,,,,,",,.,,,_,<,.,._"~,..._",..~.,,_,,,,,,,,,,,,,,,,,~ -_.~-~.~-~--~~-~-_....._.,..._~-_...-- ..--.......;-...--. . ~." NOT,ICE.OF.~DEED.RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed" restrictions" which may be more restrictive than County regulations. The undersigned assumesresponsibility'for compliance with 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. ' CONSTRUCTIONLlEN'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 AFFIOA VIT: I certify that all the information in this application is accurate and ,.,. ..that. all.work-will, be 'Cione 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 developm~nt 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 cOl1unencing construction. I understand that a separate permit may be required for. electrical work, plumbing, signs; wells,'Poo1s, air conditioning, gas, or other installations not specifically included in the application. A ~rmit':issued.s:hcill:be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setaside anyprovisions of the technical codes, nor shall issuance of a permit prevent the Building .Official from thereafter . requirirng.acorrection of errors in plC!ns, construction or violations of any codes. Every permit issued shall become invalid .Linless:'11i~6fJorK;authorized'by such permit is commenced within six months of permit issuance, or if work authorized by the:permJLis"SUS,pEHided 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.C!ble ca.iJse 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 TW!CE FOR IMPROVENiENT~ ~9 yQLJ~"r.~9,~E~!X~J!\yaYlN.JEt'!J2.~p,g~J~lf\I}~It.,aAtIIC.ING, CONSULT .' Wl+hI )(.QUR~L.EfIU)ER...(l)R,.AN,,.A+rORN~ISEpgRE-REOCJR1!)1NG~YOtlK'irOTlCE OF COMMENCEMENT. ; =~~::r.~~~~~~~~:.~{)S),~". ~,':.:............ :___., .____ _.. ---.-- .________._____.__._w_. __._____..___....n___' w.._.___'..... __..n._."__....' ...- ' CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. ,OWNER OR AGENT Subscribed and sworn to {or affirmed) before me this . by Who is/are personally known to me or has/have 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