HomeMy WebLinkAbout08-8611 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8611
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8611 Address: 37411 EILAND BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-05300-0000
Improv. Cost: �:��� ;,
Date Issued: 12/05/2008 Name: GOLDEN HEALTH SERVICES INC
Total Fees: 25.00 Address: 2424 CURLEW RD
Amount Paid: 25.00 PALM HARBOUR, FL 34683
Date Paid: 12/05/2008 Phone: (727)781-5885
Work Desc: FPM-ANNUAL HOOD SUPPRESSION FOR WEST WIND ASSISTED LIVING
HERNANDO FIRE&SAFETY EQUIPMENT FIRE PERMIT FEES 25.00
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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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
a.,
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
City of ZephythflIS ?. Fax-813-780-0021
813-780.0020 Permit Application _ -
= Pfnoiis Conbct faCorkact for Psmrt
Date Rao*4W
Os Phone Number
Owners Nam. -Owners Address L/r,/
FiWI_ r
Fee Sknpie TMleholdsr Name TYbtwidsr Phone Nunbsr __________
Fe.
Fee SknpbMddwidsrAddntss
Ld�
Job Address
Parwl#
Sub Division
Blo-Hazard Wash Sloraps-ANNUAL [J Fudga on Tent
a Cann Exhaust Khcnsn FbodlDuct a Hazardous MalsrW(Tsar li or RQ Facility)ANNUAL ._. _._.....
aContrcllsd Bum Hood kwta ,
a
0 Enrnag.nyen G rator<30 kw LPMtual EJ
Emergency Generator)30 low a LPitlatwal Gas-4 NNUAL Sale ` f
Firs Probcdon Wbkttenerws-ANNUAL
®® a Places of,bssrnANNUAL
Spik,aar O O O Rea.MBond Bum
Fire Alarm O O O Spry
Hood cww" O O O SLJJ.r m kJ.-4s
Hood suppr...om O O Shrdippee(SP SY$)
Fke Alarm kaWaBon - _ J Torch Roo i ITar Kaitls
Fks Pulps _ - - a Waste Tks Storage ANNUAL
RmWods
fldIOoblS APøC01 ANNUAL -1 Valuation otPfoject
• FwIT
CaMraebr Righm �
N Fes
Sigrsekm
Addnse Liosres s
Rsgislsrsd ��Foe Conant Y/N
Addrem license$
PLUMBER Co!nPany
Sgretue Repfstersd YIN Fee Glrrrsnt Y
l NJ
Address Clemas•
MEcHANICALI Conaiiy
Sigratue Rspbtsred Y/N Fee Consul I Y/N
Address Lianas e
OTHER Company
Rpkdsrsd Y Fee Ghent I YIN]
Md,sssl Lowe
FYI ØO fl Co.
ons r sign back
notartzsd(Or.copy of signed contract with owner)
Owner a contractor sign beck of apPYca"%
W over$2500.a Nobs d Commsnesmsnt is rsvuksd(Mmimmical work over$5000)
Supply two(2).ssfs rs drawings with submittal
appal data.
domoy"ntetlon Parch a-obtained from Property Tax Nodes(http•J/aPPraisar pssoopo .cO m)
Allow 10-14 days for rovisw after submittal dal..
'NOTICE OF DEED RESTRICTIONSWU1hdersigned understands that this permit may.besul;l dead':treetric Ions"
which may be more'restrictive'than'�Ooit 1 WegU1attons. The.undersigned-assumes responsibility ppmpIiaace'with any .
.applicable deed restrictions.
'UNLICENSED.'CONTRACTORS-AND.WiIRACTOR.RLBPONSIBIUTIES: --if`the owner hat[hit d:a ontractor nor
contractors 10 undertake work, they may be required to be licensed In accordance with state and.local-regulatbns, if the
contractor is not licensed as required by law, both the owner and contractor may be 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, he Is advised to have the.contractor(s) sign
portions of the 'contractor Block' of this application,for which Ihey will be responsible. If you, as-the owner'sign as the
contractor, that may be an Indication 1hat be Is not properly licensed and Is not entitled-to permitting.privileges In Pasco
County.
CONSTRUCTION-LIEN LAW(Chapter713,Florida Statutee,asamended): If valuation of work is 32500.00 or more,
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 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 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 specMeolly 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, after, or
set aside any provisions of the technical codes, nor shall istuance 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 sbc 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. ¶work ceases for ninety(90)consecutive days,the job Is considered abandoned.
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE'OF'COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I D TO O N FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU lICE QF O MENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT
Sub$cribed and swum to(or affirmed)before me this psdmmm ( nn
Who personally kn b me or heatiwe produced �Nro I s Pu( Y kr to m,,haadhaYe
as bar tlon. as identification.
No Public
Notary Pubic Y
commission No. Commission 3 735
Name of Notary typed.printed or stamped Name of Notary bred.Pry or stamped