HomeMy WebLinkAbout08-8340
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8340
Address: 6215 ABBOTT STATION DR 101
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0200-00000-00CO
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25.00
2--5, S'\)
Name: CERVALLOS, JUAN
Address: 6215 ABBOTT STATION DR (101)
ZEPHYRHILLS, FL. 33542
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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
Fee SImple 1ltIehoIder Address 1
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Directions:
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City of Zephyrflills Flf.&'
Pennit Appfication
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Bio-HazanI waste Sknge-ANNUAL
Comm Exhaust KIIchen HoodIDuct
ConIroIIed Bun
Emergency Gett6l:ab:lf < 30 kw
Enl8fge"CY ~_.... > 30 1M
Are Pratedion Mait*lI_.ce - ANNUAL
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SprInIder
Are AIBnn
Hood CIe8nIng
Hood SUppressIon
Are ARm II..........
Fire Pumps
Are Works
Flammable Apr'Io:- 4.. ANNUAl.
Fuel Tanks
other: I
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FumIgallon Tent
HazaIdous MalIIriaI (TIer II or RQ F8cIIty) ANNUAL
Hood Il...wdol.
LP/N8IunII Gas L 1111, TDh
lPINat1nI Gas NlHUAL 5BIe
Placesof~AL
Rieue.aliaual Bun
SJBkIers
Sprinkler SystIIlm tnstaIIatlons
StalIdpipes (Spririder Sys)
Tordl RooIingITar K8lIIe
Waste TIre Stcnge ANNUAL
~ Valuation of Project
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FBI out application compIeliIlIy.
Owner & CormtcIDr Iign b8ck of application. naC8rIzed (Or. copy of llIgned contract wfth DM1eI')
If _ S25OO. . NalIce of CommeIIC8IMIIlI8 requInld{Me(Jhelllall work _ $5000)
Supply two (2) .... of cInIwlngs wfth ~bto> docun....liol,
Allow 10-14 days for review after submIlaI date. Parcel # - obIained fn:Im Property Tax NoIIce (hIlp:/Iappraiser.pasalgOV.com)
1000CE OF"DEED RESTRICTlONS: The undersigned understands that this permit may "be.subjectto."detid~9lISbictions"
mich may be more restrictive than County regulations. The",undersignedassumes responsibility for!COl11pliam::e\with any
Ippllcable deed restrictions.
JNLlCEN.SED CONTRACTORS AND CONTRACTOR RESPONSIBLITES: If"the owner has 'hired':a~axrtractor or .
:ontrac;;tors to undertake work, they may be required 10 be licensed in accordance with state and locahegulations. If the
:ontractor is not licensed as required by law. both the owner and con1ractor may be cIted""for a misdemeanor violation
ander state laW. If -the owner or intended, contractor are uncerIain.as to what licensing'requirements may:apply for the
ntended work. they are ~.to contact the-Pasco County Bulding Inspection Division-Ucensi Section,at 727-847-
SOO9. Furthermore. 1f the owner NIs hired a contractor or contnIctors. he is advised to have 'the contractor(s) sign
lOI'tions of the Kco......to. Block" of this application -for which 1hey wit be responsible. If YOU. as"the owner. sign as the
.oubador. that may be an indication that he is not properly licensed and is not entitIed"to permitting privileges in Pasco
::ounty .
::ONSTRUCTION.LENLAW (Chapter 713. Florida Statutes...as.amended): If valuation of work is $2;500.00 or more, I
Btify that I. the applicant, have been provided with a copy of.the KFJorida ConsIruction Uen Law-Homeowner's
=>rotectlon Guide- prepared by1he RorIda Department of AgricuIlu'e and Consumer Affairs. If the applicant is someone
lther than the -owner". I certify that I have ~ a copy of the above desaibed doa.nnent and promise in good-faith to
jeliver it to the -owner" prior to commencement.
CONTRACTOR'SIOWNER"S-AFFIDAVIT: I certify that aU the information In this application is accurate and
that all work wll be done in compliance with all applicable laws regulating construction. zoning and land
development. Application Is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior to issuance of a permit ancUhat all work will be performed to
meet standards of all laws regulating construction. County and CIty codes. zoning regulations, and land
development regu~. in the jurisdiction. I also certify that I UI'Idt.~ld that the regulations of other
_ government agerlCies may appjy to the Intended work, and that it is my responsJbIIty to identify what actions I
must take to be in compliance.
If I am the AGENT FOR THE OWNER. I promise in good faith to inform the owner of the permitting condiUons set forth in
this. affidavit prior.to commencing construction. I ul"&h::.$flaII ad that a separate permit may be required for eIecIricaI work,
plumbing, signs, wells, pools. air COIIdItioning, gas..or other illStal tions not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as auIhority to violale, cancel. alter, or
set aside any provisions of the tect'il1icaI codes. oor shall issuance of a permit prevent the Buiding Official from thereafter
requiring a conecIion of errors in plans. construction or violations of any codes. Every permit issued shall become invaiid
unless the work authu. ized by such permit is commenced within six months of permit issuance. or if work authorized by
the permit is suspended or abandoIled for a period fA six (6) 1YIUIdh& after the time the work is commenced. An extension
may be requested, in writing. from the BuildIng 0IfIciaI for a period not to exceed ninety (90) days and Will demonstrate
justifiabie cause for the extension. If work ceares for ninety (90) consecutive days, the job is ~ abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE'OF "COUIIENCBENT MAY'RESULT IN "YOUR
PAYING TWICE FOR M'ROVEIENTS TO YOUR PROPERTY. F YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR I RIIlFR OR AN ATTORNEY BEFORE RECORDItIG YOUR NOTICE OF C()IItlFII~RIAIT.
FLORIDA JURAT (F.S. 117.D3) ,
COIITRACI'OR
SuboaAibed and SlIlIOIII to (or aIIinnBd) befor8 me this
py
V\b) IsIant .....__Icnown 10 me or 1.aaItWI4'8 pnlduced
as IdenIIcaIIon.
OWNER OR AGENT
SUbscrIbed and swam to (or aIIirmed) befor8 me thIS
py
Who isIare personally known to me or haSn1ave pnxIuced
as idi!Io-...o...
NoIary PublIc
NoIary PublIc
COtlllhdssioJ, No.
CudnldsaiDn No..
Name of NoIBIy~. prlnIed or ....1lp8d
Name of Notary typed~ prtnled or :ltJ...p..d