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Home My WebLink About09-8834 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8834 ANNUAL FIRE PROTECTION MAINTENANCE '.._ 83 _."- ;1,::.en.. �s... € � 9v', a '' v*a r�}"^� 2 S' .w. '-₹_-•--w Y'�,'F 1 Permit Number: 8834 Address: 38924 C AVE Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0100-03300-0040 Improv. Cost: _, Date Issued: 2/18/2009 Name: ZEPHYRHILLS WESLEYNN CHURCH Total Fees: 25.00 Address: 38924 C AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/18/2009 Phone: Work Desc: FPM- FIRE ALARM ANNUAL-WESLEYAN CHURCH -DONE JAN 09 IPW PATTIE ELEC.&REFRIGERATION FIRE PERMIT FEES 25.00 iiud ,;, ;_ o JJI!� � �:..: " ... .. . "`,^;`.&;�'w ..> 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." 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.ZephyrhillsFire: 39" Fax-813-780-0021 Permit Application Date Received — Phone Contact for Permit Owner's Name ale S/ A,7 CA ur'-4 Owner's Phone Number Owner's Address 3 C.. +` Zt fi i1/S /• 35Z Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address ..!w._,M. ..:.. .......».� t::.,........4 . %f` " ?".^ . x?�k.` M'? .;h.°�s..a' , ;;,a, , ,..... u.,.,..�..,,.. ,,..,,. Job Address 2q C .4Je. Zt Z Lot# Sub Division Parcel# ..................................... ' �,. r.„„.... ... ..r. W.> .,mrw.-....,... Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RD 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 r y emi Other Sprinkler O O O Recreational Bum Fire Alarm O ❑ �= Sparklers Hood Cleaning ❑ 0 O I Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other: Contractor //�� Company Signature /e C��C 74r,c Registered /N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N 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 Y/N Fee Current Y/N Address License# ._..:<:.. ..u..—.-.w.:.:.::..... .w-.nr.:..... a.. —._..._._..w.`- - -- -- ..',-*-<xae.:+....of«uvvakEds'sem�c::sv.5+.x>yns`t�Y43'.xc'xr,a-:.a s ._x.:u .u....�+.t+:::.....v_:.<......x+:W^uaia a--_.vY.. .:w-.. 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) erstands that this permns" `NOTICE OF DEED RESTRICTIONS: The undersigned The undersign d as may responsibility for:complianceSw tl°�oany which may be more restrictive than County regulations. .applicable deed restrictions. the owner has UNLICENSED CONTRACTORS AND.CbON RAC o be RESPONSIBILITIES: licensed O S BILITI accordance with state and locale egulations.c Ifr or the contractors-to undertake work, they maye owner nd I the on contractor is not licensed as required by 1 contbractoroth hare uncertain as t contractor tnlicensing-requirements may apply or he under state law. If the owner or intended Buildin Inspection Division—Licensing Section-at 7.27-847- intended work, they are advised to contact the Pasco County 9 P to ign 8009. Furthermore, if the owner has hired .a contractor or contractors, he is bleed youa a the owntera sign assthe portions of' the "contractor Block" of this application-for which they will be esP contractor, that may be an indication that he is -not properly licensed and is not entitled-to permitting privileges in Pasco County. Florida Statutes,_as:amended): If valuation of work is $2;500.00 or more, I CONSTRUCTION.LIEN LAW (Chapter 713, of the "Florida Construction Lien Law—Homeowner's certify that 1, the- applicant, have .been provided with a copyand Consumer Ilcant is someone Protection Guide" prepared by the Florida Department of A0 lthetabove described documlent and prompse in good faith to other than the "owner", I certify that I have obtained a copy of deliver it'to the"owner" prior to commencement. is accurate and CONTRACTOR'S/OWNER'S-AFFIDAVIT: I certify that all the information in this application that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and prior to issuance of a permit and lthat lalltwork will be performed ion as indicated. I certify to that no work or installation has commenced meet standards of all laws regulating construction,fi also certify that ction, a City codes, zoning nd understand that andtheegulations egulationso other land development regulations in the jurisdiction. government agencies may apply to the intended work, and that it is my responsibility to identify what actions must take to be in compliance. forth in If I am the AGENT FORTHE OWNER, I promise I in dgood errstandh to thatnform the owner of the a separate permit may be requi required for conditions electr cal work, this affidavit prior to commencing construction. application. A plumbing, signs, wells, pools, air conditioning to proceed with the work and not as l authority included oiolate, cancel, alter, or permit issued shall be construed to be a o fter set aside any provisions of the technical codes, nor shall issuance of a peer the perm t issued shall become ining Official from d requiring a correction of errors in plans, construction or violations of any codes. Evry nce, or if work unless the work authorized by such permit is commenced six within six months of after the time permit the issu is commenced. Anhextens oorized e the permit is suspended or abandoned for a period of (6) eriod not to exceed ninety (90) days and will demonstr at may be requested, in writing, from the Building Official, for a9 consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety( ) AY RESULT IN YOU WAR NING TO OWNER: YOUR FAILURE TO RECORD A`NOTICE F YOU INT-COMMENCEMENT END TO OBTAINM NANO ULT INN ULR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 islare personally known to me or has/have produced Who is/are personally known to me or has) ove produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,punted or stamped Name of Notary typed,printed or stamped