HomeMy WebLinkAbout08-8580 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8580
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8580 Address: 6937 MEDICAL VIEW LN
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: 02-26-21-0290-00000-0060
Improv. Cost:
Date Issued: 12/01/2008 Name: RYMAN, KEVIN
Total Fees: 25.00 Address: 6937 MEDICAL VIEW LN
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/01/2008 Phone:
Work Desc: FPM- FIRE ALARM SEMI-DAUGTERY RD BLD- DONE 10/29/08
A TOTAL SOLUTION, INC FIRE PERMIT FEES 25.00
II
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."
a.,
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
OCT/v2/2C07/TTJE 11 : 27 AY ZEPHYRHILLS BUILDING FAX No 813-78c-0021 P. 001
813-7$0-0020 City ofZephyrhlIis1iW' Y! Fex-813-7B0-0021 ,-
Permit Application VV
Date Received Phone Contact for Permit `j i.2
owner's Name 14C, ;v-► 4 o i 5 L L C. IOwners Phone Number 13 83 3 5 30/
owners Address 18 7 1 I G tie, R d L1 a FL 3355 '
Fee Simple Titleholder Name Titleholder Phone Number LI
Fee.Simple Titleholder Address L '
Job Address . . Q-JM ) i L. Let#
Sub Division Parcel# 0 2 ,26 21 0250 00000 0060
El Blo-Hazard Waste Storage ANNUAL Fumigation Tent
. Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier Ii or RQ Facility)ANNUAL
Controlled Bum E Hood Installation
Emergency Generator<30 kw [ ] LP/Natural Gas-Installation
• Emergency Generator a 30 kw a LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL L Places of Assembly-ANNUAL y e r
O D I O
Sprinkler ❑ p O Recreational Bum
Fire Alarm O 2( ❑ [ I El Sparklers `f j
Hood Cleaning O O O L ] EJ SpdnklerSystem Installations, t
Hood Suppression • ❑ .p . O11] Standpipes.(SPd ler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
0 Fire Pumps [ ] Waste Tire Storage ANNUAL .
fl r
Fire Works .
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks . .
Other. •
Contractor company o l t o n
Signature Registered Y/N Fee Current . I Y1 N
Address f53 ! license#
ELECTRICIAN Company
Signature Registered LY/N ,Fee Current Y/N
Address • license#
•PLUMBER Company
Signature Registered Y/NJ Fee Current N
Address License#.
MECHANICAL Company
Signature Registered Y/NI, Fee Current Y/N
Address License#
OTHr=R • 00 Company
Signature . - Registered 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 1(Y-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com)
CCT/02/2777/TUE 11 :27 AM ZEPHYRHILLS BUILDING FAX No 2i3-78u—G021 P. 202
'NOTICE OF:DEED'RESTRICTIONS: The undersignedunderstands-that this permit may be•subject:to-"deed".:restrictions"--.
• which may-be more restrictive than County regulations. The-•undersigned-assumes responsibility:for compiiant;e+with any
• applicable deed restrictions.,
;UNLICENSED CONTRACTORS AND"CONTRACTOR RI=SP..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 maybe 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 727-847-
8009. Furthermore, if the owner has hired.a contractor or contractors, tie 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,-as amended): If valuation of work is$25OO.OO 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 commencements ,
- CONTRACTOR'S/OWNER'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 issu'ance..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'FORTHE 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(90)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 LENb R ORAN ATTORNEY BEFORE RECORDLNG YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F-S.117.03)
OWNER OR AGEN CONTRACTOR
• ub�aibec{and swo to(or tforg tt19 b9d bWom (or efinn re s
Who is/are personally known to me or has/have roduced Who is/are personally known to me or has/have produ
as identification. — as identification.,
Ary Punic' l l�Z� Q J Notary Public
Commission No. (e 3�;S./ Commission No._ te 3 q g/V —
Name of Notary typed;printed or stamped • : . • Name of Notary typed,printed or stamped
'oraryPuDecr5tate 01 NOnd ,��Y orb o,ary -ubic State of Florida
Elizabeth De Jesus - r° . Elizabeth De Jesus
; My Commission DD639910 ' °mss to'y Commission DD639910
of °M1 Expires 02/13/2011 - OF '-° Ex ires 021.13/2011 •
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