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Home My WebLink About09-8752 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8752 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8752 Address: 38220 HENRY DR Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN 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: 1/23/2OO9 j= 5e Name: HCR MANOR CARE Total Fees: 25.00 Address: 38220 HENRY DR Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/23/2009 Phone: Work Desc: FPM-SUPPRESSION SEMI HEARTLAND OF ZEPHYRHILLS DONE 1/23/09 COMPLETE PROTECTION LLC FIRE PERMIT FEES 25.00 FIRE ACCEPTANCE Final 7 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 ,z sus-7so-oo2o City of.Zephyrhills"Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit Owner's Name 14e0/ 7*-ic Owner's Phone Number vL� F7 ii Owner's Address 3' Z Z a GN/- '-c— Fee Simple Titleholder Name Titleholder Phone Number I I1 Fee Simple Titleholder Address Job Address �� z.20 �K '�� Lot# Sub Division Parcel# 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 Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL emi Other Sprinkler O ❑ ❑ Recreational Bum Fire Alarm E ❑ ❑ ❑ I Sparklers Hood Cleaning O O O Sprinkler System Installations Hood Suppression ❑ ❑ I Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL LOO J Valuation of Project Fuel Tanks Other: Contractor Company Signature Registered Y/N I Fee Current Y/N Address _ License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature L Registered Y/N Fee Current Y/N Address L License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature f✓ZC t\Q'J Registered /N I Fee Current Y/N Address S7 7 License# d/1. l OC,[t h7 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(httpJ/appraiser.pascogov.com) s may F RESTRICTIONS: The undersigned understands that aissumes spa sib lty for:comp)an e twi the any NOTICE OF which may be more restrictive than County regulations. ,undersigned _applicable deed restrictions. be licensed in accordance with state and local regeanor�violation SED CONTRACTORS AND`CONTRACTOOR RESPONSIBILITIES: If the owner has hireda con rac or or UNLICEN be required'to s If the contractors-to undertake work, they may 'applyfor the contractor is not licensed as required by law, both the owner.and contractor may be cited-for a misdemeanor County Building Inspection Division—Licensing Section_at 7 for the may under st ate law. If the owner or intended contractor are uncertain.as to what licensing-requirements contractor(s) sign intended work, they are advised to contact the:Pascowill be responsible. If you, as the owner sign as the 47 he is advised to have 't e ed a 8009. Furthermore, if the owner has happlication-for which-theractor or contractors, privileges in as the portions of! the "contractor Block" of this application properly licensed and is not entitled-to permitting. contractor, that may be an indication that he is not prop y County. Chapter713, Florida Statutes,-as:amended): If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN. ant, ( provided with a copy of'the "Florida Construction Lien Law an o eownons certify that I, the applicnt, have been. prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant in good faith to Protection Guide" that I have obtained a copy of the above described document and p other than the "owner", I certify is accurate and deliver it'to the"owner" prior to commencement. that all the information in applicationthis construction, zoning and land CONTRACrk will be done S AFFIDAVIT: I certify applicable laws regulating that all work will done in compliance with all permit and that all work will be performed to development. Application is hereby made to obtain as issuance of a p work and installation as indicated. I certify construction, County and City codes, .zoning regulations, and land that no work or installation has commenced prior to Is that I understand that the regulations of other meet standards oful all laws regthe lating jurisdiction. I also certify what actions I development regulations in the j government agencies may apply to the intended work, and that it is my responsibility to identify permitting conditions set forth in must take to be in compliance. be required for electrical work, if I am the AGENT FOR THE OWNER,IPctionfs I lu understand thatnaoseparate permit may A this affidavit prior to commencing con gas, or other installations not speccally included in the application. plumbing, signs, wells, pools, air conditioning, of a permit prevent the Building Official from thereafter e invalid shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or permit issuedpermit issued shall beta set aside any provisions of the technical codes, nor shall issuance codes. Every requiring a correction of errors in plans, construction or violations of any authorized by such permit is commenced within six amonths fter the of e.h permit issuance,ork commenced. Aphorized iby unless mit work omonths 90 days and will n extension the permit is suspended or abandoned the a period Official six (6) period not to exceed ninety (90)may be requested, in writing, on. the Buildings for ni. for a justable caus e for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.CcEM AY WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICEYOU INTEND N BT T M NANO NG CONSULT RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IFWITH Y•UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JUKAT(F.S.117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to(or affirmed)before me this Subscribed and swam to(or affirmed)before me this by by Who i—" 0ar p rsonally known to me or ha aside tfication. Who is—/are personally known to mis dentificaetionroduced Notary Public Notary Public commission No. commission No. Name of Notary typed,punted or stamped Name of Notary typed,printed or stamped