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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 FLORIDA JURAT(F.S.11T.03) OM ORAB®IT "' RAci R St1t-4bed and swan b(or aMmed)bias me orris Sabsesbed sad worn to(arawnasd)berme ms bk Who tsfse pbummly brown b me ar h=fiuw podEroed Who lsta[e pea�caary b torn.a ramA�are poduoed aside m as iaioa. N yt tic Hictery. rc won f Q5u No. Name of Notary typed.P or stamped Name of Noway typed.Pinned Cr stamped