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Home My WebLink About09-9508 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9508 ANNUAL FIRE PROTECTION MAINTENANCE �r. m Permit Number: 9508 Address: 6701 DAIRY RD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0060 Improv. Cost: Date Issued: Name: ALLEGIANCE SENIOR CARE Total Fees: 25.00 Address: 6701 DAIRY RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: Work Desc: FPM- SUPPRESSION SEMI - WESTBROOKE MANOR H - A . 1 F - & AF UI NT FIRE P RMIT FEE 25.00 ♦ f1 € .... ' • 1 .�, �- �, 3 3�+ka N `'•�� - IRE A A oral 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." r• �i P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 4 6 1 ° 813- 780.0020 Cpl)/ Of Z8pF1yr11p1S fIllbc7C+2 °• Fax -813- 780-0021 Permit Application • - Date Received 1 Phone Contact for Permit Owners Nana .. - ' 17 • - ' i�'r:&rA rain • 4 (rrrnrs Phorn Number I ' J Owners Address 6 f7 -4/,„; As / r o / / / " • Fee Simple TMlIho der Name 1 Titleholder Phone Number 1 1 I • 1 Fee Simplef'Meholder 1 I Job Address 4,117 1 Sub Division I Parcel 0 • A• 0 Bbrd Waste Storage - ANNUAL. • a Fumigation Tent • D Corm Edsaust Kitchen HoockD„c a Hazardous Meterlel (Tier 11 or RQ Fealty) ANNUAL 0 Cnfro$sd Bum 0 Hood won Emergency Generator < 30 kw LPIWairsel Gms- Iru�letlon ji, Emergency Generator > 30 kw LP/Natural Gas- AjNNUAL Sale Fire Protection Ma1r nce - ANNUAL Places at Assembly - ANNUAL • ® . S Mder Li O ❑ ❑ Rec Recreational Bum Fire Alarm ❑ ❑ ❑ Sparklers Hood Clearing 0 0 ❑ • BPrinrdar System Instillations . • Hood Suppression 0 ❑ It Standpipes (sprirda.r Sys) • , H Are Mean katsliUon - Tech Roofing/Tar Keels Pumps — - . waste Tie storage ANNUAL ' Valuation of Project Fire Works e , , ,- F Tanks Signature �J 'T,® ® .. Rephtet�r! [� �tI Address Ilt+1 .`f 11 ®,ti/�' - d' X1/0. ®.. L .ns..s Wi t' .ro ' Company • Signature S Rib Feb Current - w Address I \ r License ft I Roswed Y/ N Fee dn.nt I Y PLUMBER Company Sign. L_____ /N 1 Address I 1 License 8 l I . Registered I Y/ N 1 Fee Current 1 Y/ N 1 Address 1 Uwe, tic I I OTHER . Company Sigrre� J Registered Y /N j Fea Current I, Y/N j omit & Pm l llr#f k ( - 4 contract with ow or) omit $2 a Not work over $5000) If over $2800, Note. E46r supply-trro (nuts for w - 0 - obtakred from Properly Tax Notice p.ecagov care) • AMem 10-14 days for ., After,suisrlltW date. •• a' • 'NOTICE OF:DEEDRESTRICTIONSMiRfe' b dersIgned understands that this permit maybesulja esod':xrestrictions" which may be more • restrictive' than'Coiii1regulations. The. undersigned .assumes responsIbIiityjpij mpilarace'with any .applicable deed restrictions. • 'UNLICENSED , CONTRACTORS'Al DOCTOR :RESPONSIBIL:iTIES: • if - the owner htred :acontractor 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 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 Sectieon.at 727 -847- 8009. Furthermore, if the owner has hired .a contractor or contractors, he is advised to have the .contractor(s) sign NOW* 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 $2,600.00 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 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 to be in compliance. If 1 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 pernit 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 provision of the technical codes, nor shall Is *uanoe 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 pmmit 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 is cause for °the extension. 'If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO BR: YOUR FAILURE TO RECORD A'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR PAYfINGIWI E TO YOUR FROM M, IF Y ry ! � Di TO. ' y y� \ Ft ING, CONSULT .8. 11 .03) I it a�lr ►sr►s.. _ OWNER OR Ally beta _ - T Identification. as IderftlAis�porl. "." � �� , / No ry Peak r.I / ®® i / ®`I Notary Pubis iiommasior+ ^Pb,: Commission No. /® Name of or stamped No of Notary typed, printed or stamped " . C13 SP MY COMMISSION # DDB141E2 MOIRES: 2012 I coo NS>?ARY m. Nasty Mama A.o Ca