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Home My WebLink About08-8180 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8180 Permit Number: 8180 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: 38545 5TH AVE HISTORIC ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15100-0140 8/07/2008 25.00 25.00 8/07/2008 FPM-FIRE ALARM ANNUAL- G(Q)~d {)/ 1$-~ 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 OCT/I1/2007lTHU .01: II PM 813"780-0020 Date Received "" iTff Ill; ... OWner's Name Owner's Address ZEPHYRHILLS BUILDING FAX No. 813-780-002111- rot ~O CIty of.ZephyrhJIIs Fire 11 Permit Application P. 00 I Fax-B13-78CHlO21 - - 1I.~ _~ne Co~~~..r.o..r.!:~~~ t1~J...Jl~Jl:l~L.. Owner's PhCr!A Number I II ' I J II II Titleholder Phone Number Fge Slmple Titleholder Name Fae Simple TItleholder Address Job Address ~t4~-~___IJ noth Ad=:J ~SIIlED . ~. ~ ;.u...':lIII.,.... '""~'QIl~ Ttr~- -...a;.}......_-r. Directions: . Fill out application completely. Owner 8: COntractor sign back of application, notarized (Or. copy of signed contract with owner) If OVer $2500. a Notice of CommanCGmant Is requIred (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Sub DIvIsion ~"'1J11~J I Contractor Signature ELECTRICI Signature Address I I PLUMBER Signature AddreslO I M!;CHANICAi Signature Address I OTHER Signature :l.. : ~ lIiIIIIIlll!.,. L III III r 1 "" ...... -..-............. ~ .4iil'Ml'" , ..""."jO ..."'!.lllli! W I Onv.l f\'i~ L~P;4!.hill<, R 3~D. ~ 11.01.. 1141-~ , . . ~ ParceJ# Ult~,~!~-~t';u91~~te) IU! r _~t~~l l~~ ~~~s ,,~ ~u ~lr ~~Jl Ii ~-I--.i. -~~- - ""'-~F D D o D D . D D D' Hood Insta:iatlon D D . 0 Places of A~sembly-ANNUAL D Recreational Bum D Sparklers D Sprinkler Systarn Installations D StandpIpes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL r ( ~s Blo-Hazard Waste Storage - ANNUAL Comm !;xhaust Kitchen Hood/Duot Controlled Burn . Emergency Clanerator < 30 kw Emergency Generator> 30 kw Fire Protection Malntanance - ANNUAL sprtnkler D ,Fire Alarm . Hood Clean/Suppression 0 FJre Alarm Installation Fumigation Tent Hazardous Material (Tier II or RQ Facilily) ANNUAL . LP/Natural Gas-Installation LPJNatural Gas-ANNUAl Sale, , Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tank.. I Valuation of Project Other: Company RegIstered Licens9 # I CQDvnlt'fra' t:j.y( .G:xn.Mu~fCQliC>>1S #n<- '. CD/ N _. Fee Cummt ,LV I t! ,. , [t1 cxx:o .,gS- I . I Y / N Fee Current I Y i N I I I I.. Y I N I Fee Current Y I N I 'I I I Y I N I' Fee Current Y IN I I := I I Y I N I Fee Current C~mpany Registered License # Company Registered License # Company Registered LIcense # Company Registered Y IN I ---~"1oIlil~~~# ~[_:_------ '"_''''~~''' "'~_I.""J~ ~ Pl~ ...................,lIIIDI OCT/ll/2007/THU 01: 12 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002 --~-'~--~"'-"""'7-.......-_....--....._~---.,,- ..........---------..--~ . ......... ,--,.. .'NOT,I(::e~QF,])EED,'Rl:STRICTIONS: The undersIgned -understands that this permit m~y'be subject to "deed" restrictions" -which may be'm~re ~e~tfictlve .than County regulations. The undersigned, assumes 'responsibility'for compliance with any applicable deed restncbl3l'ls, , ' . - . UNLICeNSED CONTRACTORS AND -CONTRACT-OR 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.-r9g.Ulatlons. if the contractor Is not licensed as required by law. both theowosr and contractor may be.Clted for a ',misdemeanor violation under state law. lfthe owner or intended contractor arB uncertain as to, what licensing -requirements may apply for the Intended wor~, they are advised to contad ths Pasco .County Building Inspection DivIsloJ1.-L:ic~mslng Section at'7-27-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions;of fhe "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'prMIBges in Pasco County., . . CONSTRUCTION'LlEN'LAW (Chaptur713. 'Florida Statutes, as' amended); If valuation of work 15,$2,500,00 or more;'1 certify that I, the applicant, have been provided with a copy ,of the ~Florjda Construction Lien Law-Homeowner's Protection Guide" prepar-ed by tlieFlorlda Department of Agriculture and Consumer Affairs. If the applicant Is someone other than-the "owner", I.certify that" have obtained a copy of the above described document and promise fngood faith to deliver it to the "owner" prior to commencement .' CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aJl:the information In this application is accurate. and ..-:that- all.work -will be -dene InH compli.mce.wlth..all..applicsble..laws .regulating.-construotiol'lr;zoniAg.:and..lal"Jd..-........ development Application is hereby made to obtain a perm.1t to do work and installation as indicated. I certify that no work, or installation has commenced prior to Issuance of a permit and that all work will be pBrfQrm~d to meet standards of all laws regUlating construction, County and City codes, zoning regulations, and land developm~nt regulations in the jurisdiction. I also certify ,that I understand that the regulations of other government agencies may apply to the Intended work, and that it is my responsibility to identify what aclions I must take to be in compliance, ' If I ,am the AG~NT fO~ mE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth:in thIs affidavit priortp. commEjnclhg construction. I understand that a separate permit may .be required for. electrical' work, plumbing; signs; weJls,'Poo1s, air conditioning, gas, or other installations not specifically, Included In the application. A p,ef.mltjs$Qt=!d,Shi'lIl'b.e oon~trued to be a,'license to. proceed ,with the work and not as authority to violate, cancei, alter. or set;isltje. 'an~":p.rovlslons of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter , .requirlng-a'.cGrrectlon of errors in pl~ns, construction or violations of any codes. Evsry permit Issued shall become Invalid ,', ,up"~~~:i~~;;~~t~:.~i:JtpClrized"bY such ,permit lS'commen~ed Within six months o.f permIUs~u~nce, or if ~ork authorized by ,'.~li.e:pE:}tJ.llit.,js sus,p~nd~d or abandoned for a period of SIX (6) months after the.time the work IS commenced, An extension . maY-he requested. ~n writing, from the Building Official.for a period not to exceed ninety (90},days and will demonstrate ,j~~~~~hil cause far the extension, If work ceasss for ninety (90) consecutive days, the job is considsrBd abandoned. WA'RI,jiNG TO OWNER: YOUR FAILURE TO 'RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING ~,CE FOR IMPROVENir:NT~ ~9 X~UR r~q~/~! ,IF.'y,QIUJ~Il;~Q,:r~.H~J~lfll.,E.'~~"'CJ"'G, CONSULT W:t:1iI ~ 'RobE -!ERe (R,A ..AT,ti, " tiS .F-t!fR~'R"BC. , Jim'V i.! ICE OF COMMElilCI:MENT. i"-.l~~' 1~~,tt1"it05f'!"~';'" , I . . " " ",.;, .' _ .._.tr...~' ...,.......~.. '......__.... .....~/. . ._. ,...."',.".... ..........-.-- ----, ~- WOo, ___.~.........___ _........_____......~..~~______...__n_____......_~ --- ..~ .. .OWNER OR AGENT ' , CONTRACT Subscribed and sWorn to {or aflirrned) before me this Subsprlbed , by Who is/are personally known to me Of haS/have produced Who lsJare , as Identification. Nomry Public Notary Public Commission No. ,Commis6lDn No. Name of Notary typed, pnnted Dr 5ti\'tmped Name Df Nobary typed. printed orfitamped