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HomeMy WebLinkAbout09-9505 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9505 ANNUAL FIRE PROTECTION MAINTENANCE q A Permit Number: 9505 Address: 6151 12TH ST Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: IVA _ a : °< ........... Date Issued: Name: CHURCH O F THE NAZAR Total Fees: 25.00 Address: 6151 12TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: Work Desc: FPM - SUPPRESSION ANNUAL- CHURCH OF NAZARENE ,, �t� .. �? , az ,,M,... , �� . €F �. r.�.,> HERNAND• 1 & AF • IPMENT FI 'ERM T FE 25.00 C19,)Q-41 2,0 I \ IR A EPTANGE 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." /A P 'T 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 4 5(LIS' • • 813- 780-0020 City of Zephyfipls fhldtl+? • Fax 780 -0021 Permit Application D: Bassist.* 1 1 .. - Pivot* 1 11..1 L Owner's Name .. _ E . _ el ' y _ . Al ..- _ . Donee& Phone Number I 1 Owner's Address 6 5/ / / � , - " f '� , 4 ! Fee Simple Titleholder Name Titleholder Phone Number ( I I I Fee SirapiellisholdsrAddress1 I r Job Address Lot* Sub Division Parcel it 1 . Elio-Hazard Waste Storage - ANNUAL Q Fu nipatlon Tent • a Comm E,d,aust 1(kh.n Hood/Duct El MRardous Material (Tier II or RO Facility) ANNUAL ED ControNed Sum o Hood installation Emergency Generator < 30 kw LP/Nib/al Gas-Installation ktion l!!!5] IMI 2E3 mx-AN B ji. Emergency Generator > 30 kw LP/Natural G.*- 4NHUAL Sale Fire p Maintenance - ANNUAL a Places of Asssrnbly- ANNUAL Spits** L__ o 0 o _ Ram Bun Floe Alarm 0 0 0 _ Sparklers Hood ClwrYrg 0 0 0 Sprinkler System instablims ' Hood Suppression o o Standpipes (Sprkider Sys) Re Alarm knteratlon - _ _ Torch *i Roofing/Tar g/Tar Ket le ' F. p . — - . Waste lire Storage ANNUAL ' umps Fin work: Valuation of Project Flenanabla Apprcatlon- ANNUAL ) ' Fuel Talks ® ® - 41111R(B110111 ,, Contiedor p swan la i t Registood CirifilllitIgi Addles* /x]$711 ` l if® ® /er' < '7 r1 ' ®.. Limn it 1 :Z ‘° " 0 01[07.0' /74w. . e ; ELE - Company Signature Registered Y/ N Fee Current J Y/ N I Addis's I License * 1 1 PLUkeER f Registered L YIN I Fee Currant 1 YIN I slgrwtaase Addle:: I Company s� Registered I ¥I N I Fos COMM L Y / N Adds f ns Licee * Signeture 1 Reeidered I Y/N • I Fee Currant I Y1N 1 Mrlreis ( _____I License* J FM out appo dtsA contract wit' sonar) Owner Contractor sign' (Okoorpg signed M ovtlr52� Uoe . a No C Supply two (2) seta el drEwrkhgs yr . 10-14 days for reviiww: s& Nilttsl • , 4, oak wait 15000) ID, All ?areel d - obtained from Property Tax Nolte (M pllspprabsr peaoopoV.axn) 'NOTICE OF:DEED RESTRICTIONSIPlitiftbdersigned understands that this permit may.besubjq er dl'Inastrictions" which may be more •restrictive lhan''OotinWWregulations. The:underaignod .assumes responsibIlity mopmpiiaoce'with any applicable deed restrictions. ' , UNUCENSED , CONTRACTORS ►'ND CDNTRACTOR :RESP.ONSIBIUTIES: • •if - the owner .hipsthavontractor or • contractors to undertake work, they may be required to be licensed in accordance with state and local if the contractor Is not licensed as required by law, both the owner and contractor may be cited for misdemeanor violation under state law. .1f 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 .entltled •to permitting : privileges In Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes 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 applyto the intended work, and that It is my responsibility to identify what actions I must take 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 Istuancs 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 sbi (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 juiltif914114 cause for the extension. nif work ceases for ninety(90) consecutive days, the Job is considered abandoned. WARNING TO' 'OWNER 'YO`UR F ►ILURE TO RECORD A NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR PAYINOTIft9GE *MOM TO YOUR FROPE*TY. IF YOB 4 TO * FINANCING, CONSULT 1 . 4 '"r1.. - °�'"`ee. s �, ,. e g .+ 4 ' 7 .11 .03) OWNER Olt µ,. rrlt )' Who "" y kno*n to me or hatAtavo lOd as Identification. > • as Identification. AO • Notary Public �S - 1® /Art 4 Notary Public commhtics+Na.,_ Commission No. J' Name of ; FirfdmPad Name of Notary typed, printed or stamped NCIS >' MY COMMISSION # DD844782 EXPIRES: tobcanl xr'12, 2012 I , . y FI. Na1y Dboouet- NW. Ca