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Home My WebLink About09-8852 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8852 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8852 Permit Type: FIRE PROTECTION MAINTENANC Address: 38635 5TH AVE Class of Work: FIRE-PROTECTION MAINTENAN E Township: : Proposed Use: CHURCH p� Range: Book: Square Feet: Subdi: Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 11-26-21-OO1O-15OOO-OO9O Date Issued: 2/25/2009 Total Fees: Name: UNITED METHODIST CHURCH 25.00 Address: 38635 5TH AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/25/2009 Phone: Work Desc: FPM-FIRE ALARM ANNUAL-UNITED METHODIST CHURCH-SCH 2/25/09 ALLCOM SOLUTIONS INC FIRE PERMIT FEES 25.00 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 inspection shall be charged double permit feete final per day of Ordina co 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 813-78t1-0020 City of.ZephyrhillsFire! VU L Fax-813-780-0021 Permit Application V g(�� Q Date Received Phone Contact for Permit � 1!__!f_ .. � I Ow ners Name g ti L- Owner's Phone Number Owners Address Fee Simple Titleholder Name Titleholder Phone Number C_____ Fee Simple Titleholder Address r cr*^y . r -N' Psi; Lot# Job Address UG�J Sub Division y 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 �r y emi er Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ � I Sparklers Hood Cleaning ❑ ❑ ❑ L _—� Sprinkler System Installations Hood Suppression ❑ ❑ O 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: _ .. ... r Company Conntt ractor SignatureCus Registered N Fee Current Y/N Address 1S94License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICALI Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N j 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) s perm may-be NOTICE OF DEED RESTRICTIONS: The undersigned The:undersigned alssumes responsibilby for:complian eswithoany which may be more restrictive than County regulations. .applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has -hire&:a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner.and contractor may be cited-for a misdemeanor y violation under state law. If the owner or intended contractor are uncertain.as to what licensing requirements may apply for the intended:work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section.at 727-847- 8009. Furthermore, if the owner has hiredlicationtfor which theyractor or rwi will espons ble if you, as the ownerrs, he is advised to have the ractor sign as(s) sthe ign portions of the "contractor Block" of this app 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 (Chapter713, of the "Florida Construction Lien Law—Homeowner's certify that I, the applicant, have .been provided with a copy is someone other than Guide" prepared, I ce by that I hahe ve obtained a a copy of thet of ture and Consumer Affairs. If the above described document and promise intgood faith to other than the "owner", certify deliver it'to the"owner" prior to commencement. - CONTRACTOR'S/OWNER'S-AFFIDAVIT: I certify that all the information regulatingrltconstpruction� zoning and land is accurate and that all work will be done in compliance with all app' development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWNER,construction. I understand that a sepaate permit may be promise l faith inform hmrequg d for conditions electr cal work, this affidavit prior to commencing plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.permit e work t a issued a shall io construed technical codes, nor shallto be a license to issuanceed with of a permit prevent th not as e Building ority to (olate, cancel,Official from thereafter er, or requiringset aside any provisions of the issued shall become invalid requiring a correction of errors in plans, construction or violations of any codes. Every permit unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by s r the a permit eis suspended in ned or g, froabandoned he Buildingod of Official ix forG)a periohd not to exceedme the n ninetk is y days anded. An extension will demonstrate may be requested, writing, from 9D consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90) MMENCEMENT WARNING TO OWNER: YOUR F ILURE TO RECORD TO YOUR PROP RTY.rICE OF IF YOU INTOEND TO BTAINMINANC NG CONSULT Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA'JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR 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 has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. printed or stamped Name of Notary typed,printed or stamped Name of Notary typed,p