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Home My WebLink About09-8771 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8771 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8771 Address: 6851 WIRE RD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-01200-0000 Improv. Cost: Date Issued: 1/28/2009 Name: ELKS LODGE Total Fees: 25.00 Address: 6851 WIRE RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/28/2009 Phone: (813)782-4604 Work Desc: FPM-HOOD CLEAN SEMI-ELKS LODGE SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00 �vl 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 3O 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. 8-71 / Fax-81sas0-0021 Permit Application l )ate ReceNed Phone Contact for Permit )wners Name Owner's Phone Number )wner's Address s ( LJ4 /— *ee Simple Titleholder Name Titleholder Phone Number 1 II I I _� -se Simple Titleholder Address ob Address Lot# L-J sub Division Parcel# 0 Bio-Hazard Waste Storage-ANNUAL > y Fumigation Tent Comm Exhaust Kitchen Hood/Duct [ J Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum [ J 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 � ® r Sprinkler n O O O Recreational Bum Fire Alarm E 0 O O 1 Spaddere Hood Cleaning O $ ❑ T Sprinkler System Installations Hood Suppression O O O I Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps - Waste Tire Storage ANNUAL Fire Works _____________ Flammable Application-ANNUAL 1 � Valuation of Project Fuel Tanks Q Other. Contractor Company Signature Registered YIN Fee Current I YIN Address License# ELECTR1CIAli Company Signature I Registered -Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N I Fee Current Y/N Address License# MECHANICAL Company Signature Registered YIN I Fee Current I Y I N Address License# OTHER Company Signature / - Registered I urreht N Address Q License# Q 2 z .-�.-'..,`..� _� .. -_._..,._ _ _ . .__ .v. .-. ---.--� � _ �A= Directions: Fiff 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//appraiser.pascogov.com) to ICE OF-DEED RESTRICTIONS: The undersigned understands that this permit may.be-subjectfWdeesde'stridions'- fiich may be more restrictive than County regulations. The-uxleraigned assumes responsibility irrcompllaace'wtth any mppfiaabte deed restrictions. JNLJCENS� AND . If-the owner has t*ed-a-conhac for or ontractors to undertake work,they may be required lo be licensed in accwdanoe with stale and locai-regut ons. If the osd actor Is not licensed as required by law, both the owner and coulur may be cfiedior a misdemeanor violation under state law. If the owner or intemded_coniactor are wicermin as lo what licensing-requiernents may apply for the ntwded work,they are advised to oo,Msct the-Pasco County Bcllding Inspection in9 Section_at 727-847- 3009. Furthermore if the'owner has hired a aontracior or conbacbrs, he is advised to o have the contractor(s) sign onions of the contractor Bloc of this appikwtion-for whichihey wit be respond4e.. If you, as-ihe owner signas the onbactor,that may be an kidkatiorn that he is not properly licensed and is not entitedto permitting privileges in Pasco NSI'RUCTiON-LIEN-LAW(Chmplvr7l3,-Florida ules,asmmwKim* if wagon cf wok is$2,300.00 or more, I �ertffy that 1, the applicant, have been provided with a copy of-the 'Florida Consirucdon Lien s rrotedIon Guide' prepared by-the Florida Deperbnerd of Agriculture and Coimwner Attains. If the applicant is someone ,flier than the owner",l certify that i have Olhlaihed a copy of the above described document and promise rn goodfaith to tether It to the'owner'pear 10 CONTRA -AFFDiAVIT l certify that all the information In this application is accurate and that all work will be done in compliance with all applicable ' regulating construction, zoning and land development. Application is hereby made to obtain a permit to do wok mid iotaIatian as ihdlcet.d. I certify that no work or iastellsHnn has commenced parr to Issuance of a permit andthat all work wIM be performed to meat standards of all laws regmrlat ig construe i % County and CIly codes, zwlrrg regulations, mid land development regulations in the jcsis8diori. i also catty that I understand that the regulations of other govensrierd agencies may apply to the itbended wall,and that it is my responsibiily to lder�y what actions I must take to be in compliance. - if I am the AGENT FORTI E OWNER, I promise in goad laith to moors the owner of the pennillIng cordliays set forth in this-affidavit prior-to commencing co,,sln. lion. I understand that a separate permit may be required for electrical work, plumbing, . wad, pods• sk conditioning, fP -or other NNWMbm not spedRcaty included in the application. A permit issued shall be construed to be a license to proceed with the work and not as aultMW to violelg cancel,ate, or set aside any provisions of the tectmical codes,nor shall issuance of a permit prevent the Building Otiicial from thereafter requiring a comedian of Mors in plans,comstritmlion or violations of any codes. Every permit issued shell become invalid unless the work authorized by such permit is commmmenced wthin six months of pemdt issuerce, or it work authorized by the permit is suspended or abandwned for a period Of sins(6)months after the Gmme the work is commenced. An extension may be requested, in wrung,from the Bolding Official for a period not to exceed rirnety(90)days and will demonstrate justifiable cause for tie wctension. If wait ceases for riiiety(90)corsecutve days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A'NOTICE'OF CICF4T MAY RESULT WI YOUR PAYING TWICE FOR RdY ITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LBINJ OR AN ATIERNEY BEORE RECORDING YOUR NOTICE OF CIICF &T. FLORltA JURAT(FS.117.03) Sucribed actl swan b(a'aiinnsd)base me U S'mJacmibed and ac>rbm b(oraAnm-Ii)bete me Orris V ho l /ace pecsandly IQawn b me ar h pm1bN d Wow rs/sce jecsone W brow me or tndhmne Pnxrcx ed as idecmticaion. as idenrion. Notary PuW Htofary P th c �om adseion Gbaammbsion No. Name of Notary typed 1ifl.d or stenmpm Name of Nommy I) ed,Pitied or stamped