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08-8388
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8388 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8388 Address: 7350 DAIRY RD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-06900-0020 Improv. Cost: Date Issued: 10/03/2008 Name: ADVENTIST HEALTH SYSTEM Total Fees: 50.00 Address: 7050 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/03/2008 Phone: Work Desc: FPM-SUPPRESSION/HOOD SEMI-ADVENTIST HEALTH SYSTEM SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00 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 813-780-0020 City of.Zephyrhills_R Fax-813-780-0021 Peimit Application Date Reaived Phone Contact for Pen* owners Name I L J owners Phone Number I I 7 OwFee Si Address Titleholder Phone Number �� (__ Fee Simple Titleholder Nerve Fee Simple Titleholder Address Jobs 7 3.�-� z lit# Parcel See .. . Blo-Hazard Waste Storage-ANNUAL EJ Fu nigelfon Tent a „Exhaust Kitchen H0O ,Duct o Hazardous Material(Tier II cr RQ Facaty)ANNUAL 0 Conaoied L3un Q Hood k tlon Emergency Generator<30 kw Q LP1Nab cal Gas-krsbdlaion Erna. ..y y Gerroretor>30 kw a LPNiearat t3 s A NNrAL Sale El Fire Protection Moinierranoe-ANNUAL Pieces of SAL "M Sadder El O p I a Recreational Bum Fire Alarm ❑ ❑ O El Sparklers Hood Clearing [3 O a O Fz�_ El Sprinkler System loons Hood Suppression ❑ ❑ [ J S (Sprkilder Sys) Fire Alarm Installation Q Torch RootkgfTar Kettle Fire Pumps © Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL I_ Valuation of Project Fuel Tanks Q Other: Contra Comp ____ _ Signature RegWmad Y/N Fee Current Y/N Address Lk # ELECTRIC wry signature Registered Y/N Fee Current Y/N Address Lk erase# PLUMBER Co rap Signature Registered Y/N N Fee Curent Y/N _ MdressjI license# MECHANICAL Company Signature Registered YIN Fee current Y/N Address Lknse# OTHER Compreny ____ i2! r2 Signature Registered N Fee Current Y/N Address / b / _nse# 6a Directions: Fi11 out application completely. Owner&Contractor sign back of application,notarized(Or.copy of signed contract with owner) If over$2500..Notice of C.onvrrerroamark Is required(Mechanical work over$5000) Supply two(2)sets of drawings with appicab a documentation Allow 10-14 days for review attar subniital date. Parcel#-oblairiad from Property Tax Notice(i p://appraiser pascogov com) NOTICE OF'DEED RESTRICTIONS: The undersigned understands that this permit may.be-subjec ttodeedresbic tons which may be more restrictive than County regulations. The-.undersigned assumes responsibility for!compliarace+with any applicable deed restrictions. JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If-the owner has -hired--a-contractor or ontractors to undertake work, they may be required to be licensed in accordance with state and local-regulations. If the ontractor is not licensed as required by law, both the owner and contractor may be cited-for a misdemeanor violation inder state law. If the owner or intended.contractor are uncertain-as to what licensing-requirements may:apply for the ritended work,they are advised to contact the-Pasco County Bung Inspection Division—Licensing Section at 727-847- 3009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign )ortions of the "contractor Block' of this application for which they will be responsible. If you, as-the owner sign as the ontractor, that may be an indication that he is not properly licensed and is not entitled'to permitting privileges in Pasco county. .ONSTRUCTION.LEN LAW(Chapter 713, Florida Statutes,as-amended): If valuation of work Is$2;500.00 or more, ertlfy that 1, the applicant, have been provided with a copy of-the "Florida Construction Lien Law—Homeowner's 3rotection Guide" prepared by-the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone ether than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to feeler It to the"owner'prior t0 commencement. CONTRACTOR'SJOINNER'S-AFFIDAVIT: I certify 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 commenting 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,alter, or set aside any provisions of the technical codes, nor shill issuance of a permit prevent the Bung Official from thereafter requiring a erection 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 COMNENCENT MAY RESULT IN YOUR PAYING TWICE FOR INFROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(F.S.117.03) O fl OR AGENT CONTRACTOR Strbscxted and sworn to(or affirmed)bofom me this Subadted and sworn to(or W*med)before me this by _by Who Lsian personally loo mr to me or hasfhave produced Who Islas personably known to me or hasftan,e prorhroed as id�erAllicaMon. as identification. Y Public Notary Public Commission No. ConmIesion No. Name of Notary typed.pThd or stamped Name of Notary typed,prbttad or stamped