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Home My WebLink About08-8693 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 8693 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8693 Address: 7050 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 lmprov. Cost: �,, Date Issued: 12/30/2008 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/30/2008 Phone: Work Desc: FPM-SUPPRESSION SEMI- FLORIDA HOSPITAL-MAIN KITCHEN DONE WK OF 5TH JAN CINTAS FIRE PROTECTION FIRE PERMIT FEES 25.00 t f Y 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 0C'T/31/2007/WED 02: 18 PM ZEPHYBHILLS BUILDING FAX No, 813-780-0021 P, 002 813-7so-0020 City of_Zephyrhilis Fire Fax-8137800021 Permit Application Date Received -3G 'd Phone Contact for Permit r/ -1 ��ss��,, �x tt� Owner's Name ` Q X17 wner's Phone Number 'i : .rI Owner's Address �O Titleholder Phone Number Fee Simple Titleholder N me Fee Simple Titleholder Address Lot# Job Address { Sub Division Parcel# EJRio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RO Faculty)ANNUAL Controlled Bum [ ] Hood Installation i 0. Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator 30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembky�ANNUAL Sprinkler E Recreational Bum Fire Alarm Sparklers Hood Clean/Suppresslon L-J Sprinkler System installations a Fire Alarm Installation Standpipes(Sprinkler Sys) Fire Pumps [ J Torch Roofing Fire Works Waste Tire Storage ANNUAL El Flammable Application-ANNUAL. Q Fuel f Valuation of Project 0th IJContractor Company Signature Registered /NJ Feb Current Y!N Address License# ELECTRICIAN Company Signature I Registered Y/J IjJ Fee Current Y/N Address License# PLUMBER Company Signature Registered I .Y/N I Fee Current I Y/NLI Address r License# ' MECHANICAL Company Signature Registered , Y/N • Fee current I Y/iLi N Address V License# . OTHER Company Signature Registered L Y/N_j Fee Current I Y/N Address License# Directions: Fill out application completely_ Owner&Contractor sign back of applcation,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 V Allow 1044 days for review after submittal date. CCT/3 /2007%3'ED 02, 13 PU ZEPHYEHILLS BUILDING FAX No. 813-730-0021 F. 003 -NUTICI~,OF•'DEED.•RESTRICTIONS: The undersigned-understands that this permit maybe subject to"deed"restrictions" -which may more restrictive.than County regulations. The undersigned assumes•responsibllity for compliance with any. applicable deed restrictions. 'UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: 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 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.pf:the "contractor Black" of this-application for which they will ,be responsible. If you, as the owner sign as the contractor,-that may b an indication that he is not.properlylicensed and is not entitledto permitting privileges in Pasco County: CONSTRUCTIO.N'L'IEN'i'_AW(Chapter'713,Florida Statutes;as:amended): if valuation_of work is$2,500.00 or more; 1 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", !.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. - GON-T`RACTOR'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-•ail•-applicable•laws•.regulating.-oonstruction;-•zoning••and•-Iand---- - development. Application is hereby made to obtain a permit to do work and installation as Indicated. I certify that no world 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 develapmen# regulations in the jurisdiction. I also certify :that I understand.that the regulations of other government agencies may apply to the Intended work, and the#.k is my responsibility to,identify what actions i must-take to be in compliance. if lam 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 cohimencing 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 permltissued.shall,pe construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provision;;of the technical codes., nor shall issuance of a permit prevent the Building-Official from thereafter requIring•acorrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the;.w►grk?utJ1Qrized`by such.permit is commenced within six months,of permit issuance, or if work authorized by the-pe rmtassuspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may. a requested,in writing, from the Building Official.for a period not to exceed ninety (90) days and-.will demonstrate ji stjfiat le cause far 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 PRQPERTY, .JP,YOU.I Q,,t Aftl FINANCING, CONSULT litllTH YtDL1 LEM15. R Q YAN,A RN �IHEIKb!≥;l3 1 1 OT MM1r110EMENT. ';W1 ER!DR AGENT CONTRACTOR Subscribed and sworn to or affirmed)before me this SubscIbe aid sworn to(or affirmed)before me this' by 2- by I Emil g•, t J K'/ Nye Who is/are personalty known to me or has/have produced , - Whoñaiets p I�'knowr to me or has/have prod dced as identification. _„ \)(W1" nFes. as identification. Notary Public Notary Public Commission No. commieslon'No. S 3'7 D CIv" aviclin Name of Notary typed,printed or'stamped Name of Notary typed,printed or stamp . cow•oo iii s JOOMAf1sYaaot Mh.i b • irq y'u f__ .if AC atM�l oQ o mft3%* � ' I WW'OO CON n0+Imma;t