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HomeMy WebLinkAbout09-8813 CITY OF ZEPHYRHILLS 5335-8TH STREET' (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8813 Permit Number: 8813 Address: 4330 20TH ST Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Township:EPHYRHRange: Proposed Use: COMMERCIALBook: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: Date Issued: 2/11/2009 Name: ZEPHYRHILLS BOTTLED WATER Total Fees: 25.00 Address: 4330 20TH ST Amount Paid: 25.00 Date Paid: 2/11/2009 ZEPHYRHILLS, FL. 33542 Phone: Work Desc: FPM-FIRE ALARM ANNUAL-ZEPHYRHILLS WATER- LLIANEFIRE PROTECTION SERVICE FIRE PERMIT E ACCEPTANCE Final Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to prevention and protection related activities such as inspections, st,. for the costs fire costs related to the aforementioned, plan review,administrative fees,and other Complete Plans, Specifications and Fee Must Accompan the Fire Department's Fire Marshal or required y Application. Commencement of work without written a inspecire D shall be charged double permits or opening up for commercial activity without an approved final I of 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 NOTI OF COMMENCEMENT." NOTICE 4 P IT PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 813-780-0020 City of Zephyrhills Fire 1 ?j Permit Application `r Fax-813-780-0021 Date Received c ti• • Phone Contact for Permit 2 ( .•- k 2�' — 3 77 Owner's Nameu Owner's Phone Number Owner's Address Y 3 3 ZO �� Fee Simple Titleholder Name L� Titleholder Phone Number LI �J Fee Simple Titleholder Address Job Address 3 3 Lot# LI 7 Sub Division Parcel# LI 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 EJ LP/Natural Gas-ANNUAL Sale. Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL Sprinkler Recreational Bum Fire Alarm E Sparklers Hood Clean/Suppression Sprinkler System Installations El Fire Alarm Installation Standpipes(Sprinkler Sys) El Fire Pumps El Torch Roofing El Fire Works Waste Tire Storage ANNUAL JJ Flammable Application-ANNUAL ElFuel Tanks Valuation of Project El Other: Contractor _ D/ Signature IN�C�C.��rwi, / Company Registered Y/N p!o Address 3Z C.14L Fee Current �f M,Ol..4GE LuNGwou�j 327 ELECTRICIAN IJ License# LI Zvvoo 37/ Signature Company Address Registered Y/N Fee Current PLUMBER License# --� Signature 71 Company LIII 11 Registered Y/N Fee Current Y/N Address MECHANICAL License# LI Signature Company Registered Y/N Y/ Address Fee Current License# I ETHER signature Company Address Registered Y/N I Fee Current irections: -mom License# ' �a.s •.-;tea .., ..e.. tu:e. na:, k 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. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" ulations. The undersigned assumes responsibility for compliance with any which may be more restrictive than County re 9 applicable deed restrictions. ensed in accordance with state and local regulations. violation CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor o r UNLICENSED be required to be Ii be cited for a misdemeanor contractors to undertake work, they may law, both the owner and contractor may requirements rements may apply for the contractor is not licensed as required by Building Inspection Division—Licensing Section at 727-847- under state law. If the owner or intendaed ct the Pasco County Buildsn as to what licensingnvised to have the contractor(s) sign intended work, they are advised to co he is a will be responsible. If you, as the owner sign as the 8009. Furthermore, if the owner has happlic tiontfortwh which the contractors, privileges wner in Pasco 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. If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statute, as amended): applicant is someone certify that I, the applicant, have been provided with a Statute , of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Aogf!t„etabove described document and prom and Consumer Affairs. If the se in good faith to that I have obtained a copy I other than the"owner", I certify is accurate and deliver it to the"owner" prior to commencement. that all the information in this application and land CONTRACrk will be done S AFFIDAVIT: certify h aI applicable laws regulating construction, zoning that all work will done in compliance made toitobtalin a permit to do work and installation as indicated. I certify development. Application is hereby thmed to regulations, and land f a and that et no work or installation has commenced prior to issuance ountyoand Citytcodes, zonling work will be Pes°of other meet standards oful all laws regulating construe ion, that I understand that the regulations actions I development regulations in the jurisdiction. I also certify responsibility to identify government agencies may apply to the intended work, and that it is my must take to be in compliance. conditions set forth in Ipromise in good faith to inform the owner of the permitting g required for electrical work, If I am the AGENT FOR THE OWNER, A this affidavit prior to commencing construction. I understand,that a separate permit may wells, pools, air conditioning, gas, or otherlinstalIations not specifically included in the application. plumbing, signs, to be a license to proceed with the work and not as authority to violate, cancel, alter, or set as issued an shall ioe construed codes. Every permit issued shalt become invalid set aside any provisi ons of the technical codes, nor shall issuanc of anypermit prevent the Building Official from thereafter by requiring a correction of errors in plans, construction or violation k authorized by such permit is commenced5wimhonths after the time the work is commenced. An extension unless the Work g0 days and will demonstrate the permit is suspended or abandoned for a periOffc al for a period not to exceed ninety ( ) Y may be requested, in writing, from the Building 90 justifiable cause for the extension. If work ceases for ninety( )consecutive days,the job is considered abandoned. WAR YOURAY LT IN FAILURE TO RECORD A NOTICE OF INTEND TO OBTAIN COMMENCEMENT FINANCING, CONSULT PAYING T TO OWNER: OVEMENTS TO YOUR PROPERTY. IF YOU PAYING TWICE FOR IMPROVEMENTS WITH YOUR LEN DER OR AN ATTORNEY BEFORE RECOAtDING YOUR NOTICE OF COMMENCEMEN . FLORIDA JURAT S1 L0 CONTRACTOR OWNER OR AGENT Subsc1ribed ands rn to(or affirmed)before me this Y Subscribed and sworn to(or affirmed)before me this Who ovally known to me or I s, as /hadent'fca ced by roduced Who is'personally known to mas denftfication• Notary Public Notary Public Commission No. Commission No. ed, rinted or stamped Name of Notary tYP P Name of Notary typed,Printed or stamped I i � I