HomeMy WebLinkAbout08-8294 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8294
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 8294 Address: 6151 12TH ST
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:
Improv. Cost:
Date Issued: 9/09/2008 Name: CHURCH OF THE NAZARENE
Total Fees: 25.00 Address: 6151 12TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/09/2008 Phone:
Work Desc: FPM-HOOD SUPPR-ANNUAL-CHURCH OF NAZARENE BEING DONE END OF SEPT)
HERNANDO FIRE&SAFETY EQUIPMENT 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 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
CRy of ZephyftISfi*w Fax-813-780-0021
813-780.0020 Perm It Application - .
PtaiConhct for Parma
Dais Received r=
Ownnrs Phone Number ��
Owns Wrra
Owners Address / S S •
Fee Simple T der T18
WdIw Nsme sholder Phone Number FI L i
r I
Fee SknpWTMhlddsrAddress
Lot of
Job Address
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PafC5l!t
Sub Divhfon
Lilo-liazad Wass Stomps-ANNUAL a Fowp Don Tent
D Comm Exhrxat HoodlDrxt n Hazardora Mates Mar 1l or RO Facity)ANNUAL
a ����„r � Hood ixtltltbn
0 Errr.rp.rwy Generator.c30 kw p LPMatiral Gas-bnislallOfl
EJsnry Generstor>30 kw a Sal.
Fie Prowctlon Molnionance-ANNUAL
®® Mhos dAss.mWy-ANNUAL
$ n i7 p p i &m
FMsAhom O ❑ 0 F I Sparklers
Hood clu.nirp 0 O O I I SpiW S krsv�.8one
Hood SI AI1Sion O O I I s sndpp••(SPiJJs Sri)
Fie Alma batrallon _ Torcho�n
Ropliar MWO
Fie Pwv _ - R Wass Tie S Saps ANNUAL
A,m.ble Appkadon-ANNUAL Valuation of Project
Fiat Tanks
DomF
Cortr.ebr I j Cary
tt.pewr.d [W1F F«
Address Lkxtrw S
ELE
ELECase Y/N Fes Cun.rrt Y/N Sign*Address Lkxr»e s
PLUMBER Carry
slgnabx. R.plswrsd Y/N Faa Crn.rt Y/N
Lbsnse S
Address
MEcwNIcfr4 Company
Signature Replswred Y/N Fe.Cunsrrt Y/N
Address Ucsrw S
OTHER � ComPmy
OTHER Rompatw Y/ Fes(.wmt Y/N
Address License i
Dlreetlons:
Fi ci* UQfl O°^ rrofadro.d(Or.Dopy d signed cortrad at h owner)
Owner 3 500.a for sign bunk d appfta#fon. work over$5000)
8 over$2500.s Notice d Conrrrerroenrert lo rprib(kAechar>ical
Supply Iwo(2).ast$d drawings wllh.pplieabl.doaxrmrrwtlorr Parcel#r-obtained from Property Tax No80.(hCp�hPP -0a�°O°vAwn)
Allow 10-14 days for wvsw after subnfl&dais.
'NOTICE OF'DEED RESTRICT IONSiatPtindersigned understands that this permit may.be sub deeid restrictions"
which may be more•restrictive'thanvOoibM regulation. Theundersigned.assumes responsibility �ocmpliauce'anrith any
applicable deed restrictions.
'UNLICENSED CONTRACTORS NDONTRACTOR:RESP.ONSIBILITIES: ,if-the owner ha&,'tWmd contractor-or -
contractors to undertake work,they may be required to be licensed In accordance with state and iocal-regulations. If the
contractor Is not licensed as required by law, both the owner and.contractor may be cited for.a•misdemeanor 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 Divislon—Licensing Section.at 727-847-
8009. Furthermore, If the owner has hired:a contractor or contractors, he Is advised to have the.contractor(s) sign
portions of the 'contractor Block" of this application for which they will be responsible. if you, as-the owner•sign as the
contractor, that may be an Indication that-he Is not properly licensed and is not entitled t0 permitting,privileges In Pasco
County.
CONSTRUCTION LIEN LAW(Chapter7l3,Fiorlda Statutes,as.amended): If valuation of work Is$2;500.00 or more,
certify that i, the applicant, have been provided with a copy of-the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise In good faith to
deliver It to the owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I cortify that all the information In this application Is accurate and
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 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, I promise In good faith to Inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. A
permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, after, or
set aside any provisions of the technical codes, nor shall Istuance of a permit prevent the Building Official from thereafter
requiring a correction of errors In plans, construction or violations of any codes. Every permit Issued shall become Invalid
unless the work authorized by such permit Is commenced within six months of permit issuance, or If work authorized by
the permit Is suspended or abandoned for a period of six(6)months after the time the work Is commenced. An extension
may be requested, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE-OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I ND TOO N FINANCING, CONSULT
WITH YOUR LENDER OR AN ATrORNEY BEFORE RECORDING YOU N TICE OF Ô MENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACT -
Subscribed and swam to(or aflmmed)before me this
by •
Who is/aIs/arePAY known b me or haidhave produced iwspgsoriii1t knoi . mor produced
as Idendflcatlon. as Identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� Y.�c FRANCIS I- SPERLAllA
MY COMMISSION 8 DD347356
8o EXPIRES:November 26.2008
"For fot
b80)-3 NOTARY II.Notary Discount Assoc.Co.
HERNANDO FIRE & SAFETY EQUIPMENT CO., INC.
1109 Ponce De Leon Boulevard
Brooksville, Florida 346O1
Phone: 352-796-4433
Fax: 352-796-5679
1-8OO-33O-623O
City Of Zephyrhills Permit Dept. September 5,2008
05335 8th Street
Zephyrhills, FL. 33542
Attn: Permit Dept./Fire Inspector
Good Morning:
I am mailing these permit applications to you so that we can service these customers in a timely manner.
Please inform the fire inspector that we will have these accounts completed by the end of the month,
and please have the inspector call our office before going out to check on the these accounts so they
won`t waste their time. Also here is the check for$50.00 to pay for two permitsand the third permit
will use up the credit we have with you.
If anyone has any questions about these permit applications or about any of our customers in your area,feel
free to call our office Monday-Friday 8 am-4:30 pm and we will be glad to answer your questions.
Sincerely,
Frank Sperlazza
Service Manager