HomeMy WebLinkAbout08-8389 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8389
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8389 Address: 38615 LANSING AVE
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1200
Improv. Cost:
Date Issued: -Name: SLEEPY HOLLOW MOBILE EST INC
Total Fees: 25.00 Address: 38615 LANSING
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/03/2008 Phone:
Work Desc: FPM-SUPPRESSION SEMI ANNUAL-SLEEPY HOLLOW MHP
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES
25.00
. �
FIRE ACCEPTANCE Final ' a '
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 Zephyrh�1S FIi Fax-813-780-0021
Permit Application
Date Received Phone Confect for Permit
Owner's Name S L�L D 1-c<, /-� owners Phone Number 1 I 1 .1 liii
Owners Address
Fee Simple Titleholder Name 1 Titleholder Phone Nunber r � I I
Fee Simple Tttietwtder Address
Job,Address 3 ( I L/3 f s I N Lot#
Sub Division Parcel#
Q Biohazard Waste Storage—ANNUAL Q Furigetion Tent
Lamm Ethaust Kitchen HoodlDuct Q Hamdous Material(Tier If or RD Facility)ANNUAL
a Cones Ijm Hood hmta_alion
Q E9ency Generator<30 kw Q LP,Natr.af G -I on
Q Emergency Generator>30 kw LPMatuial Gas-ANNUAL Sale
DAre Protection Mdntenaroe-ANNUAL Places of AssernMy-ANNUAL
®�
Sprinkler p ❑ ❑ ❑ i p Bum
Are Alarm Q Cl O O Q Spalders
Hood 9 p ❑ D ❑ 1 Q SprirIder System M: do errs
Hood Strpprerlon (
o ❑ t3'� ❑ _. I p Standpipes(SpdnklerSys)
Q Fire Alarm katellelion Torch RooNrglTar KM,
Fire Waste Tire Storage ANNUAL
Fire Works
I_I Valuation of Project
Fuel Tanks
Q Outer.
Contractory
Signature Registered I Y/N I Fee Current Y/N
Address License#
ELEcTR1 �
signature Registered Y/N Fee Current Y I N
Address License#
PLUMBER Company
Signature3 Registered [_Y I N Fee Currant Y I N
Address Licarne#
MECHANICAL Company
Registered YIN YINI Fee Current Y/N
Address l______________________________ #
Sjrmwm r,,2_ r1+ Sao i pz� Ear
Registered N Fee Current Y/N
Address /X33b Licarrse# i z
FBI out application completely.
If over casign bad of en,no arlaed(Or,copy of signed contract with owner)
of Supply two(2)sets reclukad(Mecimrrical work over$5000)
Allow 10-14 drawings with
days fior review slier submittal date. Parcel#-obtained from Property Tax Notice(htlpl/appraiser past' v core)
1OTICE OF DEEDRESTRICTIONS: The undersigned understands that this permit maybe-su t "deed"!resbirbons"
which may be more restrictive than County regulations. The;undersigned assumes responsibility for'compliarme'WIth any
ippiicable deed restrictions.
JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has fiired-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 a misdemeanor violation
inder state law. If the owner or intended-contractor are uncertain-as to what licensing-requirements may apply for the
ntended work,they are advised to contact the-Pasco County Building Inspection i Section:at 727-847-
3009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
mriions of the"contractor Block" of this application-for which'they will be responsible. If you, as the owner sign as the
licensed and is not entitled-to permitting privileges in Pasco
xntractor, that may be an Indication that fie is not properly
;ounty. merKNed). N valuation of work is$2,300.10 or more, I
ONSTRUCTION.LIEN LAW(Chapter 713,�Florida Statutes, -a
ertify that 1, the applicant, have been provided with a copy of the `Florida Constiuction Lien lam--Homeowner's
protection Guide' prepared by'the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
,ther than the'owner", I certify that I have obtained a.copy of the above described document and promise in good faith to
ieliver It to the"owner'prior to commencement. application is accurate and
CONTRACTOR'SIOWNBt'S AFFIDAVIT: I certify that all the information in this
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 atl work will be performed to
meet standards of all laws regulating won, County and City codes, zoning rem, 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. conditions set forth in
if I am the AGENT FORTHE OWNER, I promise in good faith to inform the owner of the permitting
to commencing won. I understand that a separate e permit may be required for electrical work,
this affidavit prior air conditioning, gas, induded in the application. A
plumbing, signs, wells, pools or other installations not specifically . or
permit issued shall be construed to be a license to proceed with the work and not as authority to ding Official from violate,cancel,
after, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the issued shall become invalid
requiring a correction of errors in plans, or moons of any codes. Every permit
unless the work authorized by such permit is commend 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 (9 0)
will to
justifiable cause for the extension. If work ceases for ninety(90)�days,
d.
MAY'RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A ROTICE OF COMNIWC1T
YOU INTEND TO OBTAIN FINANCING,CONSULT
YOUR PAYING TWICE FOR TO YOUR RECORDING
Y �
WITH YO LENDER R OR AN ATTORNEY BE ORE
NOTICE OF COIMENCiT.
FLORIDA JURAT(F.S.117.03)
Subsalbed andand sworn 10(or armed)before me Ws SisaIbed andand swam b(or aNrrned)before me this
by
who tw ere perky MOM to Gorr who Ware personate Iatowr► me or
tmeflie'e produced
as ideodficatiofl.
Notary Public
Notary Pubec
Corn nlssicn No.
Commission No.
Name of Notary typed.Printed or stamped Name of NO'tery typed,pdNsd or sl