The URL can be used to link to this page

Home My WebLink About08-8394 • CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8394 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8394 Address: 5855 16TH ST Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05000-0010 Improv. Cost: Date Issued: Name: ST. ELIZABETHS EPISCOPAL CHURCH Total Fees: 50.00 Address: 5855 16TH ST Amount Paid: 50.00 ZEPHYRHILLS Date Paid: 10/10/2008 Phone: Work Desc: FPM-FIRE SUPPRESSION 6 MOS MAINT & 6 MOS HOOD EXHAUST CLEANING SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00 pry 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.Zephyrhills'Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit ,. �� .��. • �.�:.... .,.,•-.. ,.,.;r ,....�a .��.so- ,�...�� .�.,,, �� ;' �:�•.��.�o. ^a° ^�.�:.�: ..,,,� . I .....a....M Owners Name Owner's Phone Number II II Owner's Address Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address ,r'..•. ,.�:. 4,..,. *;.. r nT� Y "" 9`+. .w� ,..,€..> g, i�: ..">?. ,:., w ,> ! ti�E; r"A.,...us.;. .yar.,,d.a ' ..'e 7 y S Lot# Job Address Sub Division Parcel# 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 em! Other Sprinkler ❑ O ❑ Recreational Bum Fire Alarm E ❑ ❑ ❑ r Sparklers Hood Cleaning O 0 0 I I Sprinkler System Installations Hood Suppression ❑ Jr- 0 1I fl 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 Registered Y/N Fee Current IY/N Address License# ELECTRICIAN Company Signature Registered j Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N IFee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N I Fee Current Y/N Address License# OTHER Company Signature Registered N ee Current I Y/N Address /P33 4f2çJ License# -('. � ;tZWo V �,,•. , r, .: �.«..N..-.h.«z::xawuM.ex,x� ..M.�may.:ti.wMue.,�.... e ... ., . .... .:;ti '...*S..i .�5�.". 4 ....ae^. ,au.A.,razae�.a.,,ma.a,+�snaxau ., ,�. 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) NOTICE OF:DEED RESTRICTIONS: The undersigned understands thatthis permit may be subject,to-"deed":restrictions which may be more restrictive than County regulations. The undersigned assumes responsibility for,complianceSwith any .applicable deed restrictions. UNLICENSED CONTRACTORS .AND-CONTRACTOR RESPONSIBILITIES: If the owner has -hired-.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 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 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-to permitting privileges in Pasco County. CONSTRUCTION.LIEN LAW(Chapter713, Florida Statutes,-as-amended): If valuation of work is $2,500.00 or more, I certify that I, -the applicant, have been provided with a copy of-the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by theFlorida 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'S/OWNER'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 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, alter, or set aside any provisions of the technical codes, nor shall issuance 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 INTEND TO OBTAIN FINANCING, CONSULT 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. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8394 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8394 Address: 5855 16TH ST Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05000-0010 mprov Cost: Date Issued: Name: ST. ELIZABETHS EPISCOPAL•CHURCH Total Fees: 50.00 Address: 5855 16TH ST Amount Paid: ZEPHYRHILLS Date Paid: Phone: Work Desc: FPM-FIRE SUPPRESSION 6 MOS MAINT& 6 MOS HOOD EXHAUST CLEANING Ty a., ,. SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00 1i_ - ?/o/- 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 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8396 ANNUAL ASSEMBLY PERMIT Permit Number: 8396 Address: 36841 CLUBHOUSE DR Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 04-26-21-0000-00100-0020 Improv. Cost: .., . . . ItiIj Date Issued: 10/27/2008 Name: S & R DEVELOPMENT LLC Total Fees: 50.00 Address: 36841 CLUBHOUSE DR Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/06/2008 Phone: Work Desc: ASSEMBLY PERMIT FOR SILVERADO CLUBHOUSE OWNER FIRE PERMIT FEES 50.00 •,:' ., ,r ., M ,; ,,. :< 4W4Mmss' ,Y FIRE SITE INSPECTION-Final OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813-780-0041 A.. I IC R PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 813-780-0020 City of.Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact fo r or Permit QwnPr's Name Owner's Phone Number II II ( ner s Address, � Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address .......,,,Aa '.....,aF ca.,...•r3",.,f.r...s1^5' f > "".. r• r.h'e' �'_,� ?�' i,"gs.3' :'�. „�a... E s�€•,^y.. ;'?. Job Address.. .Q'/J/ Lot# Sub Division Parcel# 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 v/p 5_ r y emi Other ✓ Sprinkler ❑ O O Recreational Bum Fire Alarm E ❑ ❑ ❑ [ I Sparklers Hood Cleaning ❑ ❑ ❑ T Sprinkler System Installations Hood Suppression ❑ ❑ ❑ II E 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 Registered Y/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# 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) NOTICE OF:DEED RESTRICTIONS: The undersigned understands thatthis permit may subject.to-"deed",restrictions" which may be more restrictive than County regulations. The.undersigned-assumes responsibility for rcompliarice�with any _applicable deed restrictions. UNLICENSED CONTRACTORS AND-CONTRACTOR RESPONSIBILITIES: If the owner has -hired-: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 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 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-to permitting privileges in Pasco County. CONSTRUCTION.LIEN.LAW(Chapter713, Florida Statutes,_as-amended): If valuation of work is $2,500.00 or more, I 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'S/OWNER'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 FORTHE 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, alter, or set aside any provisions of the technical codes, nor shall issuance 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 INTEND TO OBTAIN FINANCING, CONSULT 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 hasthave produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Print Date: 8/20/200E Annual Zephyrhills Fire Rescue InspectionDate: 8/20/2008 3:00:00PM 6907 Dairy Rd A/•InspectorName: Hector Noyas Zephyrhills, 33542 InspectionNumber: 1-171-08-0216 Phone:813-780-0041 Fax:813-780-0044 InspectionCause: Periodic Inspected Party OccupancyType: Assembly SILVERADO CLUBHOUSE/PRO SHOP PropertyUseType: Clubhouse/Rec Hall (000548) ViolationCounts: 0 36841 CLUBHOUSE DR Hrs: 0.30 ZEPHYRHILLS, FL 33542 Phone:813-788-1225 Comments: INSPECTION APPROVAL PENDING. $50.00 ANNUAL PLACE OF ASSEMBLY PERMIT REQUIRED. PERMIT SHALL BE OBTAINED WITHIN 30 DAYS FROM ZEPHYRHILLS BUILDING DEPARTMENT LOCATED AT 5335 8TH ST. Re-Inspection to be performed on or before: September 20,2008 12:00 ai Sign Here Page 1 of 1