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
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