HomeMy WebLinkAbout09-8769 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8769
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8769 Address: 38906 NORTH 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: 11-26-21-0010-04400-0140
Improv. Cost:
Date Issued: 1/28/2009 Name: JJ PABLO INC
Total Fees: 50.00 Address: 38906 NORTH AVE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2009 Phone: (813)715-0560
Work Desc: FPM- SUPPRESSION /HOOD SEMI- PABLO
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00
�lY
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
813-780-0020 City ofZephyrhills Fire� Fax-813-780-0021
Permit Application 6
rate Received _-� Phone Contact fo _.
r Pemut
)wner's Name a .G` Owners Phone Number i His I
bSzc
)wners Address L39'L _,iLiiC /f L
:ee Simple Titleholder Name Titleholder Phone Number _______________
:ee Simple Titleholder Address
ob Address Lot#
arb Division
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
ElEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
[ J Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
erm ® omer
Sprinkler E] O O O Recreational Bum
Fire Alarm El a ❑ ❑ II [ l Sparklers
Hood Cleaning O J>� O � [ J Sprinkler System Installations
Hood Suppression ❑ O CI El Standpipes(Sprinkler Sys)
El Fire Alarm installation o Torch Roofing/Tar Kettle
Fire Pumps El Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL _______ Valuation of Project
El Fuel Tanks
0 Other
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN[ Company
signature Registered YIN YINj Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature ________________ ] Registered /N Fee urrent N
Address Q ,
License# 2
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(http:l/appraiser.pascogov.com)
IOTICE OF'DEED RESTRICTIONS: The undersigned understands that this permit may be-subjec tm-`dedfwestrictiow
+hich may be more restrictive than County regilatlons. Thundereigned assumes tesponsthllfty ompliancetwith any
deed restrictions.
JNLJ AND W. lithe owner has -hied-a-co<nhactor or - -
ontractots to undertake work,they may be required to be licensed in accordance with state and tocal-reg laffons. If the
on ractor Is not licensed as required by law, both the owner and cotnaactor may be died-fur a misdemeanor violation
trader state law. If the owner or intended-contractor are uncertain as to what licensing Tequiarriectts may apply for the
ntended work,they are advised to contact the-Pasco County BtAding Inspection Division—Ucensing Sec tlon.at 727-847-
1009. Furthermore,if the owner has hied a contractor or contracaors, he is advised to have the contractor(s) sign
xxtions of the contractor Bbdk of this application-for which-they whit be responsible_ if you, as the owner signas the
entrac tor,that may be an indication that he is not properly licensed and is not er>fNed'b permitting privileges in Pasco
rottnty.
:ONSTRUCTION-LEN-LAW(Chapter 713,-Florida 8 ,.t s,-as-arrnendad): if vairailon of work Is$2,500.00 or more,
artily that t, the applicant, have been provided with a copy of-the Florida Consbuciorn Lien s
'roiedion Guide' prepared by-the Florida Depertrnent of Agrksnlbrse and Consumer A1Fais. if the appiicarrt Is someone
oher,than the owner,I certify that I have obtained a copy of the above described document and promise in goodfalh to
ieliver It to the`owner'prior to
CONTRA AFFVAVIT: I certify that all the k n salon in this application is accurate and
that ad work will be done in compliance with sit applicable tarts regui brig consb* Ion, zoning and land
developnment. Application is hereby made to obtain a permit to do work and iron as inked. I certify
that no work or itsla' n has coo u enced prior to Issuance of a permit andthat aY work whit be performed to
meet standards of all laws regulebig corwtnx*on, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand thet the regulations of other
government agermaes may apply to the inlsrnded work,and that It is my respornstlity to identify what actions I
must talre to be In compliance.
to
If I am the AGENT FORTHE Ogood�wNet, I promise in faith horn the owner of the perm oondtions
t set forth in
this affidavit prior to commencing corwtruction. I understand that a separate perms may be requked for electrical work,
plums signs, wells, pools, air conditioning, gas,-or other in - Ions not specifically included in the apptiration. A
permit issued shat be construed to be a license to proceed with the work and not as aulhorlty to violate,cancel,after,or
set aside any provisions of the teclxrica l codes,nor strati issuance of a permit prevent the Boding Official from thereafter
requiring a ra a r ion of emoms in plans,conshuotion or vioialions of arty codes. Every pen*issued shall become invalid
unless the work authorized by such permit is commenced wilhin six montius cof permit Issuance, or ft work authorized by
the permit is suspended or abandoned for a period of six(6)nmordhs otter time thee the work is commenced. An extension
may be requested, in writing,from the Budding Oflicia l for a period riot to sou eed ninety(90)days and will demonstrate
justifiable caves for the eoon. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WANG TO OWNER: YOUR F/ULURE TO RECORD A NOTICE-OF MAY RESULT WI YOUR
PAYING TWICE FOR TO YOUR PROPERTY F_YOU INTEND TO OBTAIN FWANCWG,CONSULT
WITH YOUR LB OR AN A
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