HomeMy WebLinkAbout08-8296
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8296
Permit Number: 8296
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: 5440 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
9/10/2008
25.00
25.00
9/10/2008 Phone:
FPM-SUPPRESSION - SEMI -HUNGREY HOWIES ~ ~
Name: HUN RY HOWIES
Address: 5440 GALL BLVD
ZEPHYRHILLS, FL. 33542
(J p.... ~ ~
L-A U~
(V~ ~~
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 INSPEcnON
CALL FOR INSPEcnON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
..
813-780-0020
DateRecelved
~~~1'<;i!i'"'
Owner's Name
Owner's Address
City of Zephyrhills Fue-
Pennit Appfication
t,n" .. . ~ '._ ,l~~
: #~Y ~f;:s~
I
'1
T ._.~--~. ---
J.-'~.4.,.,~,<""
Fee Simple TIIIehoIder Name
Fee Simple 11tIehoIder Address
~',cC"';'CC";';"~C"',
Job Address
SUb DivisIon
~----
~
D
~~_~';7'~.o;"__
=1
Address I
ELECTRICIMi
SiglllltUre I
Address I
=1
Address I
=I~'
Address I
OTHER
SignatuRI
Addnlss
DiRlctions:
Fax~13-780-0021
~ Contactfor' PermIt
..."'---:clENa;;:..:.;;...:.......='" ~
Owner's Phone Number
TIIIlIhoIder Phone Number I
J I
.,;.~;:~-'":'f,....'~~;..;,'-;.~J~._=-'I"O"'-'=-~
Fuel Tanks
other: I
-~~.:<;;c.---""','"._-~"'-.~."-~,~'%'?'::i~-".~-~"%~,.;>,,.'li',~_;""'~~~:;/:')-;;,~_.~._._._~"':~~'~;~-_..=.~~::! ~
T .;'\~,,:;:;;:,.. ~-~:".~..~
.....,,'~':"":-.~...;;T~'...,....,,':O"='Y""'r
D
D
o
D
D
D
Bio-Hazard Waste Statage - ANNUAL
Comm Exhaust Kitd81 HaodIDuct
C0ntr0lIed 8l.m
Emelge!1CY GelIBl'11tDr < 30 Itw
ErMIgency Gel..-a1Dl > 30 Itw
FIre ProIec:ticx, ....._lCe - ANNUAL
O l!!!!I !!!I,~ J!!!!Q
o OOL-J
DoooL:]
DoooL:]
00 eroL:]
SprInIder
FIre ARm
Hood 0e8ring
Hood~,
Fire AI8rm b IStIIIIaIIoo I
Fire Pumps
Fire Works
RarmI8ble Appkalloh- ANNUAL
'"'"'-'~~~~".~.~._.--_...~-.;,
I Lot.
-.~.-::~~:~""'P;..:;:': :..~;"l<.:..;'-r:~'-:..'~.,.
'/
]
"._~...*,..,'r-.~ TW"--'>Z-'W.=-==-="''''
Pan:eI .
~..,"-~~~...,-""~.'"-"'~...,..~<~
D
D
D
D
o
o
D
D
D
D
o
o
I
FUmIgation Tent
HazaIdous Mal8riaI (TIer II or RQ FacIlity) ANNUAL
Hood IIlSta11a1l.A.
LPINatLnI Gas-Jn.oo\ n Ha..
LPIN8IunII G8s-ANNUAL SlIfe
Places of AssernbIy-ANNUA
Rec......18I Bum
SparIders
SprinIder System Installations
Standplpe& (Sprinkler Sys)
Ton:h RoaIIngITar KeIIIe
Waste TIra S1IlnIge ANNUAL
, Valuation of Project
-'-..~ - ,"'":,..... u_:-;:~~~",. -~":-~"":"'-. ..?:: ~ "-~;'~:'--;"::""" -"-.;~~::;r<..r~"_,_,,.~:t":~:; ~_~:,C'=" ".."
/~ y~ ./.A~/~_.....
L.- ~'/~Y"<--
1
I
I
I
f
I
I
I
=1
LIcense# I
=1
License . I
=1
License. I'
= I Y/N , FeeClanlnt I Y/N I
LIc:enIe. I I
Ls~,;a /77' ;:::;;~t::' co...., 'RjUS ~
~N I Fee CIanInt I Y I N__
'S62:.~
Y/N I FeeCumlnt I Y/N I
I
Y/N I FeeClanlnt J Y/N I
I
Y/N , FeeClanlnt I Y/N I
I
~
Regiate,ed
License .
."...,,:.,~~,...:cC. .~-_-_..--~- ,,_'-''+~":
",~,~~""';'-:'-""":",",;-y;"'''"'':':::;.;;;
Fill out ~J cOlnplalBly.
Owner & ConncIor 8Ign back of 8Pf)Iicatio... noI8rIz8d (Or. c:apy of signed conlr8ct with owner)
If - S25OO. . NalIce of Col..)...IOIIII....llls I1IqUkwd (Mecha.... wortc __ $5000)
Supply two (2) .. of dnMIngs with ~orAcabler doc:umel.....,
Allow 10-14 days for' review after submIItaI date. Parcel . - obCaIned ftom Property Tax NalIce (hIIp://appraIser.pascagov.com)
IOTICE OF'DEED RESTRICTIONS: The undersigned understands that this permit may .be' subjectto:-"deeid':' !T'SStrictions"
tlhich may be more restrictive than County regulations. The',Undersignedassumes responsibility for!COmpliance'with any
IpplicabIe deed restrlctions.
JNLlCEN$ED CONTRACTORS AND CONTRACTOR RESPONStBILRES: If.the owner has -hired-:a~contractor or .
:ontrac,mrs 10 under1ake work, they may be requIr8d 10 be Hcensed in ~dance with state and local-regulations. If the
:ontractor is not licenSed as required by law. boIh the owner .and contractor may be cited -for a misdemeanor violation
Inder state ,-. If -the owner or intended. OOIf11actor are uncertain.as to what 1icensi1g -requlremerns may:apply for the
ntended work, they are advlsetHo contact the-Pasco County BuIdIng Inspection Division-Licens SectIon,at 727-847-
SQ09. Furthermore. If the'owner ~ hired a contractor or \OUImaetors. he is advised to have -the contractor(s) sign
>Ortions of the -oollbadDr Block" of this appUcationior which1hey wit be responsible. If YOU. as.the owner sign as the
xmtractor. that may be an indication that be Is not property licensed and is not entitled-to permitting privileges in Pasco
:ounty.
::ONSTRUCTION.LENLAW (ChaplBr713,FIorida Statutes,.as.amencled): If valuation of work is $2;500.00 or more, I
31Ify that I. the applicant. have been provided with a copy of.the -FlorIda Construction Uen Law-Homeowner's
;)rotectlon Guide" prepared by1he Rorida Department of AgricuItl.n and Consumer Affairs. If the applicant is someone
Jther than the -owner". I certify that I have ~ a copy of the above desaIbed document and promise in goodfaith to
jeliver it to the -owner" prior to commencement.
CONTRACTOR'SIOWNER'S.AFFIDAVIT: I certify that all the information In this application is accurate and
that all work wll be done in compliance with all applicable laws regulating construction. zoning and land
development Application Is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior to issuanCe of a permit and.that all work will be performed to
meet standards of all laws regl ~ construction. County and CIly codes. zoning regulations. and land
development regulations In the jurl$didion. I also certify that I undersIand that the regulations of other
. government agencies may apply to the intended work. and that it Is my responsIbHlty to identify what actions I
must 1ake to be in compliance. .
If I am the AGENT FOR "THE OWNER. I promise in good faith to inform the owner of the permilling condlllons set forth in
this. affidavit prior.to commencing construction. I unc:lt::. ~ lei that a separate pennit may be required for eIecbicaI work,
plumbing. signs. wells. pools. air condltloning. gas.' or other Niall ~ not spectIiGaIIy 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 BuIdng otftcial from thereafter
requiring a COI1'&dion 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) mu.ftI.s. after the time the work is commenced. An extension
may be requested. in writing. from the BuildIng 0fIIcial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work oeavss for ninety (90) consecutIve~. the job is COI1Sidf;nd abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD Ii.. 'NOTICE -OF 'COIlIEtJ-::BEN1' MAY-RESULT" 'YOUR
PAYING TWICE FOR M'ROVEIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR II=NOI;R OR AN ATTORNEY BEFORE RECORI)IItG YOUR NOTICE OF COIIIENCEIENT.
FLORIDA JURAT (F.S. 117.03) .
COIfI'RACI'OR.
~ibed and SIlIOfIlto (or atInned) before me 1tlIs
py
VVho IsIare pat..OU811y knlMn to me or ba8IhaV'8 pmdUc8d
asidaoAdkH..
OWNER OR AGENT
SUbsaibed and sworn to (or aIIinned) b8b8 me 1hls
py
'M1O IsIare person8Ily knlMn 10 me or tBr/h8Ve produced
as ideo~..
Notaly PublIc
Nolary PublIc
eu..II.11$sIon No.
Cud......., No.
Name of NoIarY~. prinIed or ~
Name of NoIarY twl8d~ prInIed or .....peeS