HomeMy WebLinkAbout08-8487 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8487
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8487 Address: 5814 8TH ST
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02500-0200
lmprov. Cost:
Date Issued: 11/03/2008 Name: KIDS CORNER
Total Fees: 25.00 Address: 5930 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/03/2008 Phone: (813)782-3333
Work Desc: FPM-ANNUAL FIRE ALARM FOR KIDS KORNER CHILDRENS SERVICES
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SONITROL CORP 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."
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
JUL/15/2007/SUN 02: 55 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 004
813-780.0020 City of Zephyrhills'FIre Fax-813-780-0021
Permit Application
Date Received ;Phone Ce tant�c for Permit
1 �1 S Owner's Phone Number V,?i !l 7l
Cavnet's Name [iL 11'�S
Owner's Address s V • L . T(1 • ' F
Fee Slmpla Titleholder Name Titleholder Phone Number I li_i _
Fee Simple'1ltleholder Address
Lot#
Job Address
Parcel#
Sub Division
Blo-Hazard Waste Storage-ANNUAL Fumigation Tent.
Comm Exhaust Kitchen HooWDuat ED Hazardous Material(Tier Ho!RQ faculty)ANNUAL
Controlled Bum Hood Installation
• Emergency Generator<30 kw LP/Natural Gas-lnstallatlon
fl
Emergency Generator>30 kw LP/Natural Gas-ANNUAL sale
Fire Protectioh Maintenance-ANNUAL Places of Assembly ANNUAL. //
ry emi � R 7
Sprinkler o ❑ Recragtionai Bum
Fire Alarm Q Q D i , Spenders
I] A r
Hood Cleaning Q l Sprinkler System installations fH�
Hobd Suppression p R D Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Rooflng/Ter Kettle
Fire Pumps Waste Tire Storage ANNUAL.
Ftre Works
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Other. .
Signature U� Registered Y/N t0tee Curran Y/N
Address O C u e 1 c( 'License# f O to —7 -7'—
ELECTRICIAN Company
Signature Registered Y I N j Fee Current L.YIN
Address License#
• PLUMPER Company
signature Registered Y/N Fee Current LVI N
Address License#
MECHANICAL Company
Signature Registered YIN Fee Current Y•/N
Addres3 -Llcenae#
OTHER Company
Signature Registered Y/.N__J. Current Y IN
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(httpJ/appralser.paseogov,com)
UL%15/2007/SUN 02: 56 PM ZEPHYRHILLS BUILDING PAX Ho. P, 005
NOTICE OF The,.undersigned understands-that this permit• maybe subject:to-"dee'd"urbs'tridtions° • .
which may be more restrictive than County regulations. The.undersigned.assumes responsibility:for. ompliar elwith-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, 1f the owner has hired.a contractor or contractors, he is advised to have The contractors) sign
• portions of,the''contractor Block'1 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(Chapter 713,-Florida Statutes,-as:amended): if valuation of work is$2500.00 or more, I
certify that 1, the applicant, have been provided with a .copy of the 'Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by'the Florida Department of Agriculture and Consumer Affairs. If the applicant is'someone
other than the'owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner' prior to commencement.
CONTRACTOR'SIOWNER$-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 responsibilityto.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 O AN AT'I.ORNEY 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 worwoJ6r rmel)beto�me d �Sus�fin'
by r k
Who(stare personally known to me or has/have produced Who Is/ (e pers6nally known t he or hasthave produced
as identification. . as ldentirica ion.
_Notary Public. L' �r \). J Notary Public
Commission No. • Commission No. ' -
P." DA
S ION#DD729155
Name of Notary typed',printed or stamped Name of Notary typed,printed or stampe ocrtars:Nove er 19.
I-g(p.}.NOTARY F7.Nay "t A9tOC.CA.
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