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Home My WebLink About08-8305 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8305 Permit Number: 8305 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: 6701 DAIRY RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-03900-0060 9/12/2008 25.00 25.00 9/12/2008 Phone: FPM-SUPPRESSION SEMI-WESTBROOKE MANOR DONE BY SEPT 19TH Name: ALLEGIANCE SENIOR CARE Address: 6701 DAIRY RD ZEPHYRHILLS, FL. 33542 t[~JB (11 6 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date R8ceMd Owner's tame . Owner's Adchss CIty ofZephyrhUls~~ Permit Application -:{t~ '30~ F_~13-780-0021 ; ~. ContaCt for PermIt ~:; -- Fee SIn1H TIlIehaIdIr NlIrae Fee SImple""""" Adena Job Address Sub DMsIon gA/~E I Lot. 1 .1 P.n:eI # D D D D ,&it ConInIcIllr SignMIn Address ELE SignMIn Adchss I PlUMBER I Slgnatln . Address I ~ Address I OllER I SIgnRn Address I Diredions: o 8Io-Huard W.... StIlnge - ANNUAL 0 FurnIpIIon Tn Comm EllhaIIlICIchwi HoodIDuct 0 tIlIDrdous........ (TIer U or RQ F8CIIty) ANNUAL ConInllIed 81m 0 Hood ......... ~_lil8lrr.;y~<30kw D LPJNanI~ Emergelrr.;y GeIwaaDr > 30 kw D LPINatIniI Gas ~.... FnPl.Alodlol...........ICa-ANNUAL D P'-sol~AL ~_ BTTT'~ 8::-,:.._".. ..........- --, 6a 0 J( 0 E3 "'__"'1 Fn AIIrm ..11l1l1111n E3 TORlh RaaIrvIT- K.aIe Fn Pumps . - - - - . -- w....,.... SIanIge ANNUAL Fn Wortca FIMlm8bIe AppIIcdoI... ANNUAL ~ .1 VaIu8Iion of Project full T'" , Compq ~.-I LaMe . Company R8gIstIInd L.IcIne . CompMy R8gIstIInd LIcense . Company . ~ LIcense . Y I N Fee CUrNrt Y/N l FeeCUrNrt I Y/N Y/N l FeeCUrNrt J Y/N I j Y/N', FeeCUrNrt l Y/N, I Company ~ LIcense" . FII out IiIlflIc IlII "" 4lClI.1ll11111y. o.n. & CormIctDr aIgn '** 01 ~atb.. r~ (Or. copy 01.... c:annct wIth-> If _ S25OO. . NoIce 01 coo....anwnt Is raq&*-I ~1Ii::aI work - S5OOO) Supply two (2)... 0I1hw1ngs wIlh 8IlflIeable documelllatlon . AIt:Nt 1~1" ct.ys for IWVIew after submittal ct.ta. ParceI#-oblaIned from Property T_ NoIce (hIIp:l/appnllser~.c:om) 'NOTICE OF DEED RESTRICTlO~d8l'8Igned understands that this -permit may .be:suqJ,,~Btid7:lfSStrictlons. which .may be more .restrlctive '~n1'QOW1\flregulatlons. TheJJnderslgned .assumes responslblllty"~mpllaRC8wilth any. .applicable deed resbictlons. .. . . -. 'UNUCENSED .;C~CTORS~1CONf:RACTOR :RE8P.oNSIBILITIES: ""If 1heowner ~'"b.''' .a ;OOntractor 'Or - contract0l"l1o undertake work, they may be required 10 be IIcenIed In IlCCOI'dance with state and ,Iocal"regulatlons. If the contractor Is not lIcenSed as required by law. both the owner and contractor may be - cited 101' .a "mlademeanor violation under state law. .lfthe owner or Intended 1X)ntnlCtor are u~.as.to what llcenslng'requlrements may :apply for the Intended work. they are advised to contact1he'Pasco County au.dlng Inspection DMSIon-Llcenslng Sectlon.at 727-847- 8009. Furthermore. If the owner has hlred;a contractor or contractors. he Is advised to have:the ,contractor(s) sign portions of the -contractor Block- of 'this application 'for which "they wll be responsible. If you, as1he owner'slgn as the contractor, that may be an Indication 1hat'he Is not properly licensed and Is not entitled -to permitting :privlleges In Pasco County . CONSTRUCTION UEN LAW (Chapter 713, 'Florida StatutM,_.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 -Rorlda 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 .AFFIDA 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 InstaUatlon 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 QOnstructlon, County and City codes, zoning regulations, and land development regulations In tI:Ie jurisdiction. I also certify that I understand that the regulations of other . government agencies may appIy.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 affIcIavlt prior to commencing construction. I uncleratand that a separate permit may be required for electrical work. plumbing, signs, wells, pools, air conditioning, gas, or other InataIIatIons not spec~1y 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 ~uance 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 pertod of sIX (6) months after the time the.work Is commenced. An extension may be requested, In writing, from the Building OffIcIaI for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. " work 08.'" for ninety (10) consecutive days, the job Is considered abandoned. . \ WARNING 'TO OWNER: YO'UR F~URE TO RECORD A 'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR JM2ROVEMENTS TO YOUR PROPERTY. IF YOU I ND TO 0 N FINANCING, CONSULT ( ". . FLORIDA JURAT (F.S.117.03) OWNER OR AGENT SubIatbed Md IWOn\ to (or aftIrmed) before me this . ~ Who 11I118 peI'ICNIy knoWn to me or haIIhave produced as Idenllftcdon. tomeorfia11hav8 --'" . as Identlftcatlon. ~~-~ Comrnlulon No. NotIIIy PublIc CommIIaIOn No. HaM of Neary~. printed or stamped Name of NotarY~, pMted or stamped ~~<....v~~ FRANCIS G. SPERLAZZA MY COMMISSION # D0347356 ~OFp,.r,p EXPIRES: November 26,2008 1-'l00-3-NOTARY Fl. Nowy Disoount A=x;. Co. ~