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Home My WebLink About08-8496 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8496 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8496 Address: 4330 20TH 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: N/A Est. Value: Parcel Number: 13-26-21-0070-07400-0000 Improv. Cost: � .: ₹= Date Issued: 11/05/2008 Name: ZEPHYRHILLS CORP. Total Fees: 25.00 Address: 777 W. PUTNAM AVE Amount Paid: 25.00 GREENWICH, CT 068305091 Date Paid: 11/05/2008 Phone: Work Desc: FPM-SPRINKLER QUARTERLY-ZEPHYRHILLS WATER BOTTLE-DONE 11/6/08 INTERNATIONAL FIRE PROTECTION IN 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 813-780-0020 City of Zephyrhills Fire / �� Permit Application Fax-813-780-0021 Date Received - O Phone Contact for Permit Owner's Name L 2 1 U V ('9 C44 Owners Phone Number Owner's Address r ✓ Fee Simple Titleholder Name Titleholder Phone Number j Fee Simple Titleholder AddressLIIiIIIiIJ Job Address Sub Division Lot# Parcel# . T Bio Hazard Waste Storage-ANNUAL Fumigation Tent ElComm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw ElEmergency Generator>30 kw LP/Natural Gas-Installation Fire Protection Maintenance-ANNUAL LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL r y emi �Tnher Sprinkler ❑ A( Recreational Burn Fire Alarm � ❑ ❑ tJ ❑ Sparklers Hood Cleaning o o o L ❑ Sprinkler System Installations Hood Suppression p O O ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation El El Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL El Fuel Tanks Valuation of Project El Other: C . •zf,. •�..`,._. a" ;.,;.,•r L . -. atd- SFa ontractor Signature Company Registere1 d Y/N Fee Current Address Y/N ELECTRICIAN License# Signature Company Address Registered Y/N Fee Current Y!N License# PLUMBER Signature Company jj 11111 Registered Y/N Fee Current Y/N Address MECHANICAL License# Signature Company Address Registered Y/N Fee Current Y/N License# OTHER Signature Company Address Registered Y/N Fee Current Y/ •.t. .. .. ;. License# Directions: o v.. Fill out application completely. ...M. � .m. � ,..R 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 ://a htt ( P ppraiser.pascogov.com) s esNO TICE OF DEED RESTRICTIONS: The undersigned The undersigned aerstands that issumes esponsbilbty fpermit maybe ort compl a'nce tw'ith any which may be more restrictive than County regulations. applicable deed restrictions. the owner has UNLICENSED CONTRACTORS AND CONTRACTOR t RESe Oed iBacicordancef with state and localeegulationrsc Ifr or the contractors to undertake work, they may be required contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation apply for the under state law. If the owner or intended the Pasco County Buor are adingin s to what lnspectioni Divss on requirements censingSection at 727-847- intended 009.a work, th y are w to contactor or 8009. Furthermore, if the owner has hired a conttwhich theyrwill be responsible. ifactors, he is advised to have the you, as the ownerr signsas sign the portions of the "contractor Block" of this application for contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. If valuation of work is $2,500.00 or more, I of the "Florida Construction Lien Law—Homeowner's CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,-as.amende certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department obtained copy ofithetabove described document and promiure and Consumer Affairs. If the se int is someone good fa th to that I have obtai copy other than the"owner", I certify application is accurate and deliver it to the"owner" prior to commencement. CONTRACTORSSIOWNERS in AFFIDAVIT: I certify applicable laws information this zoning and land that all work will be done in compliance with all appion as fy development. Application is hereby made to obtain to issuance of a permit and do work and lthat lalltwork wil tlbeaperformed ito that no work or installation has commenced priores, zoning meet standards of all laws regulating construction,also certify ythatdI City stand that heeregulationsaond land f oth er development regulations in the jurisdiction. 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 understath to nd thatnaorm the owner of the permitting separate permit may be required for conditions electr electrical set forth in I work, this affidavit prior to commencing construction. I application.plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app e work not as ority to , cancel,per, or rmit issued shall be construed to be a license to shall essuad with nce of a permit prevent the Building Official from thereafter set aside any provisions of the technical codes, nor requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid nths of ermit issuance, or if work auth orized by unless the work authorized by such permit is commenced within months after the ti m .the work is commenced An extension the permit is suspended or abandoned for a period of six (6) may be requested, in writing, from the Building Official for aperi consecutive not to exceed ninety days, the job is sconsidered abandonedstrate justifiable cause for the extension. If work ceases for n Y(90) WARNING TO OWNER: YOUR FAILURE TO RECORDPE TN Y. IF YOU INTEND TO OBTAIN FINANCING CO SULT OTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) CONTRACTOR OWNER OR AGENT 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