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Home My WebLink About09-8832 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8832 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8832 Address: 39110 SOUTH AVE Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANC E Township: 26 Range: 21 Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: 13 Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0000-00500-0000 Improv. Cost: Date Issued: 2/18/2009 Name: ZEPHYRHILLS DEPOT MUSEUM Total Fees: 25.00 Address: 39110 SOUTH AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/18/2009 Phone: Work Desc: FPM-FIRE ALARM ANNUAL-ZEPHYRHILL TRAIN DEPOT SIMPLEX GRINNELL LP FIRE PERMIT FEES 25.00 L/t 3�Z Wiz., 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 of Zephyrhills Fire 2 Fax-813-780-0021 Permit Application Date Red eived Phone Contact for Permit /3 (r3 v7 3 O2 Owner's Name Owner's Phone Number Owner's Address Fee Simple Titleholder Name Titleholder Phone Number I C7 L7 Fee Simple Titleholder Address �� Job Address I 3 ?/ ov1'h AUe, 7 /`7///S Fi- 3 350 �� Lot# Sub Division Parcel# EJ 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 LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL emr J er Sprinkler ❑ ❑ ❑ L I Recreational Bum Fire Alarm ❑ ❑ '( L7 El Sparklers Hood Cleaning E ❑ ❑ ❑ a Sprinkler System Installations Hood Suppression O O O 7 11J Standpipes(Sprinkler Sys) El Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps El Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: Contractor Company Signature L Registered J Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N I Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N f Fee Current Y/N Address License# MECHANICAL Signature Company Registered Y/N Fee Current LY/N Address License# OTHER Signature LCompany Registered J Y/N Fee Current Y/N Address License# 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://appraiser.pascogov.com) understands that this permit maybe NOTICE OF DEED RESTRICTIONS: The undersigned The sib Ibty for ompl ance'with any which may be more restrictive than County regulations. he undersigned assumes espon applicable deed restrictions. owner has UNLICENSED CONTRACTORSeA may CeONTRACTOR Ot be RESPONSIBILITIES: licensed NSi BILITIaccoES: I with state and localeegulations contractor If or the contractors to undertake they contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatir on under under state law. If the owner or intended contractor are uncertain o contact the Pasco County Buildings to what Inspectionl Divis oning reL cens ngts may:apply Section at 727-847- intended work, they are advised t ign ports Furthermore, if the owner of thiss happlicationtfortor or which-theyractors, he is advised will be responsible. ftyou, as the owner s signs as the portions of the "contractor Block" PP contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. valuation of CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as a de):Ifrida Construction Lienk is $2,500.00 ,5—Home wn is certify that I, the applicant, have been provided with a copy of the is someone other than t Guide" prepared I e by that I hahe ve obta ained ant of copy of the above described documure and Consumer lent and promise intgood faith to other than the"owner", I certify deliver it to the"owner" prior to commencement. CONTRwCTORlSbe done S AFlDAVIT: I certify that all the with all ppli able laws information egulatingtconstruction, zon zoning accurate land that all work will be done in compliance development. Application is hereby pri made to obtain a permit to do work and or rior to issuance of a permit adinstallation that all ltwork will beperformed ed. I certify that no work or installation meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development rnment regulationss in l torthe intended work, and that it is my responsibility toction. I also certify that I understand that eide ratify tions of what actionher s I government agencies may apply must take to be in compliance. forth in If Iamaffidavit the AGENT FOR THE OWNER, I l inform separate permit may be required for conditions electr electrical set this l work, prior to commencing construction. I understand that a on. A plumbing, signs, wells, pools, air conditioning,license to proceed other with the work and not as authority specifically au to violate, cancel,l,al1ter, or permit issued shall be construed to be a P set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit iss ed shall be come invalid permt commenced in six months of issuance, or if work orized by unless the work authorized r b such d forlals of six(6) mhonths after the time thetwok is commenced. Anhextensi n the permit is suspended or abandoned period may be requested, in writing, from the oBlucea esng Ofolrininety(90)period consecutive days, the job isOconsidered abandoned.demonstrate justifiable cause for the extension. If w WARNING TO FOR IMPROVEMENTS OWNER: YOUR FAILURETO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FI PAYING TWICNANC IN IN CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or hasthave produced Who islare personally known to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped DETACH BEFORE DEPOSITING No. 3043311 INVOICE DATE t NUMBER DISCOUNT AMOUNT 02122009 PERMIT021209 0.00 50.00 056313 0.00 50.00 Technician Work Report Date of Work: Not Scheduled District : 292 Technician : Francis Lewis Mckinney Owner : Christopher R Brackett Task Number : 18139412 In Planning Scheduled Start Time Service Request Type : Inspection-Auto Gen Service Request Number : 12185854 Customer Acct : 644403 Payment Terms: Immediate Customer Name : Zephyrhills Train Station Site Name Contact Name : Shane Leblanc Phone : 813-780-0022 39/,a Site Address : 380 South Ave, City : Zephyrhills State FL Zip 33540-5255 BillTo Name : City Of Zephyrhills BiilTo Address: 5335 8th St, City : Zephyrhills State FL Zip 33540-4312 Contract Number: 844242 Inspections: Feb 2009 Service Plan: FA-TEST/INSP Task Type : 2 Person Inspection Priority : Medium Task Name : FA-Feb 2009 Current Inspection: Feb 2009 Problem : Inspection System : SYSTEM-FA-SMPLX 4004/4005 Serial: Simplex 4004/4005 System Summary : Feb 2009 Created BY AutoGen Notes : INSPECTION INSPECTION - Sense Testing And Cleaning To Be Done On Even Years LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 00654604 CONTRACT COVERAGE ANNUAL INSPECTION OF THE SIMPLEX 4005 FIRE ALARM PANEL AND ALL ASSOCIATED DEVICES INCLUDING: (5) SMOKE DET; (4) DUCT DET; (6) PULLS; (4) A/VS. CLEAN/SENSE TESTING TO BE PERFORMED 100% EVERY OTHER YEAR (EVEN) . INSPECTIONS SHOULD BE COORDINATED WITH SHANE LEBLANC @ 813-780- 0022.