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HomeMy WebLinkAbout08-8579 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8579 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8579 Address: 38220 HENRY DR Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: Date Issued: 12/01/2008 Name: HCR MANOR CARE Total Fees: 25.00 Address: 38220 HENRY DR Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/01/2008 Phone: Work Desc: FPM-SPRINKLER QUARTERLY-HCR MANOR CARE- DONE 12/1/08 A TOTAL SOLUTION,INC FIRE PERMIT FEES 25.00 FIRE ACCEPTANCE Final 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 007/02/2007/TUE 11 :27 AM ZEPHYRHILLS BUILDING FAX No. 813-732-002' a °. 001 eta-780-0020 City ofZephyrhillsFirs S 1 tax-ats-7eaooa1 Permit Application = t Date Deceived Phone Contact for Permit 71; ,. z /S Ownefs Name C R Pro e� t LL as Phone Number •� � Ownefs Addrese 'c5 33. A J .r,rr i c c J , O Fl X13 b o Fee Simple Titleholder Name I Titleholder Phone Number I Fee.SimpleTltieholder AddressLI Job Address . O Inr fir` Lot# Parcel#, 02 -2(, 2-) OOS'U OOi4 U O12 Sub Division Blo-Hazard Waste Storage ANNUAL ( Fumigation Tent © Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tar II or RQ Faclllly)ANNUAL Controlled Bum ' Hood tnatallaflon Emergency Generator<30 kw V LP/Natural Gas-Installation Emergency Generator a 30 kw LP/Naturei Gas ANNUAL Sale tire,Protection Maintenance-ANNUAL Places ofAesemby-ANNUAL y e r Sprinkler A ❑ El Recreational Bum Fire Alarm El ❑ ❑ ❑ El Sparklers Hood Cleaning ❑ ❑ ❑ [_-] Spunkier System Installations. Hoed Suppression ❑ .O ❑ I Standpipes.(Sprinkler iys) '` (J ) • Fire Alarm Installation' Torch Roofing/Tar K itie r Fire Pumps Q Waste Tire Storage ANNUAL . r• Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other. Contractor compe Jo ti ( 5a_w rs Signature Registered LYJ N Fee Current. /N Address 3 i icense# ELECTRICIAN Company Signature Registered Y/N Fee Current L1/N Address • ucense# • PLUMBER Company 5lgrtature Registered Y./N Fee Current N • Address License#. MECHANICAL 'Company signature Registered YIN Fee Current Y/N Address License# OTHER Company Signature Registered YIN Fee Current _YjjLj 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,(Meohanical 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(hitpl/appraiserpascogov,com) OST/02/2007/T'E '1 : 27 AM ZEPHYRHILLS BUILDING FAX No, 81~-702-2221 F. 272 . 'NOTICE OF DEED'RESTRICTIONS: The undersigned understands-that this permit may be.subject('to'"deed":restrictions which maybe more restrictive than County regulations. The••undersigned.assumes responsibility:for:compliarnce+with any .applicable deed restrictions.. :UNLICENSED .CONTRACTORS ANDCONTRACTOR RESPONSIBILITIES: if the owner has'hired-ca''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 violati for on under state law. If the owner or intended contractor are uncertain as to what licensing-requirements may'app)y Intended work,they are advised-to contact the-Pasco County Building Inspection.Division--Licensing Section_at 727-847- 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 indication that he is not properly licensed and is not entitled-to'permitting.privileges in Pasco County. CONSTRUCTION.LIEN LAW(Chapter 713,Florida Statutes,.8s.amended): If valuation of work is$2500.00 or more, I certify that 1, -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 promise in good faith to deliver 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 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 incompliance. 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 byy 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(90)consecutive days,the job is considered.abandoned. 'WARNING TO OWNER: 'YOUR FAILURE TO'R.ECORD 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 RECORtING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F-S.117.03 OWNER OR AGENT CONTRACTOR Subscribed and to(or affirm m tips �ut�scn ed and b m (or affirmed reT�is is/are`p oyn2ily known to me or has/have pro Who is/are personally known to me or has/have prod uid as identification. as identllic ation. ; `fi t Diary Public' < \ - Notary Public �, I Commission o. Commission No. ^, Name of Notary typed;printed or stamped Name of Notary typed:printed or stamped fi"Rp n 4 ary pubii,,State of Florida ....Notary✓u ,ic State of Fionda ; Eii1eoeth De Jesus o Eii�abeth De Jesus MyCommission DD639910 c > p ity Commission DD639910 of�" x:pires 0?I13i�011 9j�oF °..... fires h2J13J20i 1