Loading...
HomeMy WebLinkAbout08-8181 C , 0 0 { f(""'l~l_Cl 1....'- (....~ ~)~ CITY OFZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL fIRE PROTECTION 'MAINTENANCE lj', ~;: ftr'--f) - , -> c.T/Iv,k '~S' f\) 8181 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv.Cost: Date Issued: 8/08/2008 Total Fees: 25,00 Amount Paid: 25,00 Date Paid: 8/08/2008 Phone: Work Desc: FPM-SPRINKLER QUARTERL Y- WESTBROOK MANOR-SCHEDULE 8/8/08 8181 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 6701 DAIRY RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02.,26-21-0010-03900-0060 'Name: ALLEGIANCE SENIOR CARE Address: 6701 DAIRY RD ZEPHYRHILLS, FL. 33542 cJ~~o~ ~/'LP 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTYIIF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENTI n ... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 City of Zephyr hills 'Fir.-e' Permit Application Date Received' ., ,. J F / ~b ~ Ie.. ' , . . ,"' . P~~"ne Contact for Pe,rmit. J .,. I I [I I "':~:'::;iWlt~&HK:~:?:1~~~~~~!iMH~j'$tK~W;~W:g{~..";".;",:~,,,>""'~""":":"f~''''''''''''~''::~A'''~_'''''')i;'~'''':,,,,^,;';~'''''';~\<.~~~-''''Di}..~.ti.l~~~~_:f,:~ig~::~;,~)i;'w:\""""~~.~"..,.;<<>~2!b'"""""""~:;,,,,,~.j";;;:<:",,,,,~mr"'.':':~":~N;';~'~''''''''~'>i';'''''+''~ 'I II I ,I I 813-780-0020 Owner's Name Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address Fax-813-780-0021 Titleholder Phone Number II II Job Address I Sub Division I g:~'11i~aH%~~~'t~Zi&.~~~~W'~- D D D D ~ D ~ D W&_~Nf;;n~~~~at.:~ Contractor Signature Address ELECTRICIAN Signature Address I PLUMBER Signature Address I MECHANICALI Signature Address I OTHER Signature ;~~".,~ !\~~m~~~\ & \~I~~ ~ I Lot#1 Parcel # "."",..,;11I"" D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation o LP/Natural Gas-Installation o LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) o Torch Roofingrrar Kettle o Waste Tire Storage ANNUAL Valuation of Project Bic-Hazard Waste Storage -ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL 0~'~;"~D Do 0 oc=J Doooc=J Do ooc=J Sprinkler Fire Alarm Hood Cleaning Hood Suppression Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: I _~~~_.,_",_d<Wt; Company I I Registered Y I N Fee Current Y I N License # I Company I Registered Y I N License # I I Y/N License # I Company I Registered Y I N License # I Company I Registered Y I N Fee Current Y/N Company Registered Y/N Fee Current Fee Current Y/N Fee Current Y/N Address License # Directions: 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, Parcel #- obtained from Property Tax Notice (http://appraiser,pascogov.com) 'NOTICE OF :DEED 'RESTRICTIONS: The undersigned understands that this permit may besubject:to'~deed"rrestrictions" which may be more restrictive than County' regulations. The ,undersigned assumes responsibility for :complial7lce\with any .applicable deed restrictions, UNLICENSED CONTRACTORS AND 'CONTRACTOR RESP,ONSIBILITIES: 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 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 the "contractor Block" of this application'for whichihey 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 .LIEN .LAW (Chapter713,Florida Statutes,-as :amended): If valuation of work is $2;500.00 or more, I 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'SAFFIDA VIT: 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 if 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 (gO) 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 NOTICE F COM ENCEMENT. FLORIDA JURAT (F.S, 117.03) CONTRACTOR Subscribed and swo 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 Aug. 8. 2008 11: 35AM Cox Fi re Protection STATE OF FLORIDA ..DEPARTMENT OF FlNANCIAL SEIlVlCES .DIVISION OF STATE:FIRE MARSHAL. TALLAHASSEE, 'fLOiUJ>A . . . CERTIFICATE OF'COMPETENCY No. 2485 P. 1 . .. . . ., . THIS C~TIFlES THAT; 'RONALD E cox 7910 PROFESSIONAL PLACE TAMPA, FL 33637- , BUSINESS ORGANIZATIoN: cox FIRE PROTECTION INC . CONTRACTOR II IS LIMITED TO mexEtOnON of coNTRACTS ~QuiM:iG'THE ABrLJ1Y TO LAYOUT, FABRICATE, INSTALL,INSPECT, ALTfR.oR SERVICE WATER SPRINKLER SYSTEMS; WATER SPRAY SYSTEMS, FoAM-WATER SPRlNXLER SYSTEMS, FOAM.W A TER SPRAY SYSTEMS, STANDPIPES, COMBIJIiATION STANDPIPES A~DSPRINKLEJtt IUS~J{Sj ALl,PIPING THAT IS AN INTEGRAL.P~T OF THE SYSTEM BEGINNING A'rTHE POINT of SERVICE, SPRINK,LEll TANK HE~TERs; AIR LINES', THERMAL SYSTEMS USED IN CONNECTION WITH SPRINKLERS; AND TANKS AND PUMPS CONNECTED THERETO, EXO-UDtNG PM-ENGINEERED SYSTEMS. ~.~ Chid Flnlnelll Omcer 07 01' 2008 07 16. HiIIsborough Issue D'IAl Type Class County .016982000.11985 '. LicenselPemiit Number 0687S4003S Application 11 150.00 0630 2010 .Taxes & Fees' Expire Date . . "' ... CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8183 Permit Number: 8183 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: 5500 6TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-09000-0180 8/08/2008 Name: DAVIS, JAMES & SUE 25.00 Address: 2605 ROBIN DR 25.00 PLANT CITY FL 33563 8/08/2008 Phone: 813 754-3647 FPM-FIRE ALARM -ANNUAL-BABCOCK FURNISHING L)~eJ ~v5~0tl 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTYI IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENTI" ... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 ZEPHYRHILLS BUILDING FAX No. 813-780-0021~g? P.OOl City of.Zephyrhllls Fire .-tf FaX-813-780-OO21 PermIt Application . "~te R~~e.!.v~i _ j.L".........V'r---'-'" ..__~ I ,_ . p~~ntact for PermIt -lJ~J-'r++-~~~ll.~~~L~ 'I~\".)~ c. "" ~Ul 0 I OWners PhcrIQ Numher I II ' . I L 12.k052~t'. ~'M\-C,~~ pl ~38D~ Ii "I Ti1l,hol'oc Phon, _be< I II II Fee Simple Titleholder Address' . ::. :~; ==-~-~-:4~~J.;~M~~~LV;~;;; ;- --:~;-:~ sub Division _ _ _ _ I Parcel # ll\-- Z~.. 11 -~~~ ~a~ - 9 l~ . (U 1 "r=,~KU r=,1"I. rli I II,,; ~ t""'......~1 -..IlII!:":I....-- - ._.!!j! 11 1 .."" . .!lfi!J ~ ~1RlP"", """,-..A:1ll~II!" r~ ,D BID-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood/Ouct ' D Controlled Bum D ,Emergency (lenerator <: 30 kw D . D Fumlgatlon Tent D D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale, , o Places of A~$emhly-ANNUAl.. o Recreallonal Bum D Sparklers D Sprinkler System Installations D StandpIpes (Sprinkler Sys) D Torch Rooting D . Wasw Tire Storage ANNUAL r OCi/ll/2007/THU 01: 11 PM B13-7BO-0020 Owner's Name Owner's Address Fee Simple Titleholder Name Hazardous Material (Tier II orRQ Facility) ANNUAL Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL , , D. o ,D D D D Sprlnkler ,Fire Alal11l Hood Clean/Suppression Fire Alal11l Installation D . o Fire Pumps Fire Worl<s Flammable Application- ANNUAL Fuel Tank.. 1 Valuation of Project Other: ';'~_l ~ddr~sL':::~~':'~_~_~~"RI'I~~ -").. Directions: . Fill out application completely. owner & COntractor sign back of application, notarized (or. copy of signed contract wi1l1 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. Contractor Signature Company Registered Licen.,e # C~mpany Registered I License # l Company Registered J License # I Company Registered I LIcense # I Company Registered ELECTRICIA Signature Address I I PLUMBER Signature Addre510 I MECHANICA~ Signature Address I OTHER Signature - J. Ucan:ss # ...-.. _.il LlIlllillP__ r r I CtJiplrJlrfla I i:..W t/ flj,!!1IIL1n/CdJ/~J b,(.. . Ct.X N J Fee Current ~ · . 1C:r:~"i'5' I . I Y/N I I. Y/N .\ I Y l N r Fee Current I I Y/N I Fee Current I Y/N I L.~_~__~~~ ...." _, Fee Current I Y/!iJ I Y IN I I Fee Current -= Y/N/ I OCf/ll/2007/THU 01: 12 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002 --'-......--...---......-..':'...---..,.--....-................---...- .........-.-.--..-. ,..~._. ,-.". .~NO:t:IC;E.QFDeED,.REs:rR'C'fIONS: The undersigned understands that this permit m~y'he subject 10 ~deed" restrictions" -Which may :be..more restrictive than County regulations. TRB undersigned assumes 'responsibility 'for compJiant;e with any applicable dead restrictians, , ,'. ' 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 wlth'state and localreg.Ulatlons, If the contractor Is not licensed as required by law, both theownar arid contractor may be.clted for' a'.mlsdemeanor violation under state law. Ifthe owner or intended contractor are uncertain as to. what licensing 'requlrements may apply for the Intended worls, they are advised to contact the Pasco .County Building Inspection Division-licensing 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 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 tndication that he Is not properly licensed and is notentitlad to permitting'prMleges in Pasco county, ,. CONSTRUCTION'LiEN'LAW (Chapter713, Florida.Statutes, as amendtld): Ifvaluation of work is $2,500.00 or more; I Certify that I,' the applicant, have been provided with a copy ,of the "Florida Construction Lien La~Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant Is someone other tharrthe "owner., Icertify that I have obtained a copy of the above described document and promise in good faith to deliver it to theuowner" prior tocommencemenl '., CONTRACTOR'S/OWNER'S AFFIOA VIT: I certify that all the information In this application is accurate and ," ::that. aU' work -will be-done Inu compliance,wlth"aU.-applioable..law5' ra!;lUlatiflg"GOnstrtiotiol'l;,";ioniAg,~and..land.." development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify 'that no work. or installation has commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating construct jon, County and City codes. zoning regulations, and land developm~nt regulations in the jurisdiction. I also certIfy .that I understand that the regulations of other government agencies may apply to the Intended work, and that it IS my responsIbility to, identify what actions I must take to be in compliance, If I ,am the AGFNT fOR T.HE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth In thls am.davlt prior -tp, comm~nclhg construction. I understand that a separate permit may .be required for. electrical' work, plumbing; signs; wells, pools, air conditioning, gas, or other installations not specifically. Included In the application. A PfJfmltjs~~l:!.d,Sti;;!II'b.e oons.trued to be a,:license toprocaed .wlth the work and not as alithority to violate, cancei, alter, or set..asIOe. any':provl$loJls of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter "requirh~g.a'.carrecllon of errors in pl~ns, constructlon or violations of any codes, Eve!)' permit Issued shall become Invalid ,', ,un.J~~~'jg#~i^?~t~.~i:J\!1o.rized ~bY such permit lS'comrnen?ed Within six months o.f permit, is~u~nce, or if ~ork authorized by ,{n.e:~trrrlt.Js susp~nd~d or abandoned for a period of SIX (6) months after the time the work IS commenced. An extension , ma'y:pe requested, in writing, from the Building Official ,for a period not to exceed ninety (90),.days and'.wllI demonstrate . j~~*-!~l;ile i::~i.tse for the extension. If work ceases for ninety (90) consecutive days, the job is consider6d abandoned. Notary Publl~ Notary Public Commission No. ,CommisEiIDn No. Name of Notary typed, printed Dr EiUtmped Nama of NDtery typed, prlnt~ or6tamped