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Home My WebLink About09-8746 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8746 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8746 Address: 37820 13TH AVE Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0010-03400-0000 Improv. Cost: xy Date Issued: 1/20/2009 Name: PASCO COUNTY SCHOOL BOARD Total Fees: 25.00 Address: 7227 LAND O LAKES BLVD Amount Paid: 25.00 LAND O LAKES FL 34638 Date Paid: 1/20/2009 Phone: Work Desc: FPM-FIRE ALARM ANNUAL- PASCO SCHOOL BOARD s' SIMPLEX GRINNELL LP FIRE PERMIT FEES 25.00 i V FIRE ACCEPTANCE Final ... s 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 813-780-0020 City of Zephyrhills-Fire,• I(,, Fax-813-780-0021 Permit Application T Date Redeived �Q�o Phone Contact for Owner's Name 1t C-O Owners Phone Number 1 � Owner's Address d & i "D �' Fee Simple Titleholder Name l,- ,d Q c 361 Titleholder Phone Number I C� I Fee Simple Titleholder Address Job Address 3i p J O 3th A e Z Q. ( ; 15 �, 3S Lot# L1 Sub Division Parcel# —24i- —Vb O .. , k2 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw [ ] LP/Natural Gas-Installation Emergency Generator>30 kw [ ] LP/Natural Gas-ANNUAL Sale EIIIJ Fire Protection Maintenance-ANNUAL El Places of Assembly-ANNUAL ?Ty emi Other Sprinkler n O O O Recreational Bum Fire Alarm O❑ O $ I El Sparklers Hood Cleaning O O ❑ 1 Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I Standpipes(Sprinkler Sys) 111111 Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps [ ] Waste Tire Storage ANNUAL LIII Fire Works a Flammable Application-ANNUAL Valuation of Project LIIII Fuel Tanks t47 Other:Contractor CompanySignatureRegistered Y/N Fee Current Y/N Address r fps s t � {� 336/0 License# ELECTRICIAN Company Signature Registered Y/N Fee Current L Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current L Y/N Address License# MECHANICAL Company Signature Registered Y/N J Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current L 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 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt //a P Y ( p: ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject°.to-"deed" estrictians" which may be more restrictive than County regulations. The undersigned assumes responsibility 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 fora 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-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(Chapter713, Florida Statutes,-as amended): If valuation of work is $2,500.00 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 commencement. 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 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 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 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 the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE-OF IYOU INTEND TO OBTN NnFIINANC FINANCING, CONSULAY RESULT IN T PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN A NEY BEFORE RECORDING YOUR NOTIC C MENCEMENT. FLORIDA JURAT(F.S.117.0 OWNER OR AGEN CONTRACTOR affbefore me this ed) Subscribed and sworn to(or i before me this Subscribed and sworn (by by Who is/are ersonally known to me or has/have produced Who is/are personally known to me or has/have produced P as identification. as identification. Notary Public Notary Public Commission No. Commission No. printed or stamped Name of Notary typed,printed or stamped . Name of Notary typed,P Technician Work Report Date of Work: 01/01/09 District : 292 Technician : Francis Lewis Mckinney Owner : Christopher R Brackett Task Number : 17950133 Assigned Scheduled Start Time : 00 :00 Service Request Type : Inspection-Auto Gen Service Request Number : 12042832 Customer Acct : 1572755 Payment Terms: Immediate Customer Name : Pasco Csb Transportation Southeast Site Name Contact Name : John Boucher Phone : 813-794-7961 Site Address : 37820 13th Ave, City : Zephyrhills State : FL Zip 33541-0000 Bil1To Name : Pasco County School Board Bi11To Address: 11835 Tree Breeze Dr, Maintenance Dept - John A Boucher City : New Port Richey State : FL Zip 34654-1808 Contract Number: 918192 Inspections: Jan 2009 Service Plan: FA-FULL Task Type : 2 Person Inspection Priority : Medium Task Name : FA-Jan 2009 Current Inspection: Jan 2009 Problem : Inspection System : SYSTEM-FA-SIMPLEX 4010 Serial: Simplex Prog 4010 System Summary : Jan 2009 Created BY AutoGen Notes : CONTRACT COVERAGE ANNUAL INSPECTION (JAN) OF THE SIMPLEX 4010 FIRE ALARM PANEL, (4) SMOKE DETECTOR, (10) HEAT DETECTOR, (3) PULL STATIONS, AND (5) AUDIBLE VISUAL UNITS.