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Home My WebLink About09-9519 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9519 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9519 Address: 7350 DAIRY RD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0010 - 06900 -0020 Improv. Cost: .,. �, s =, :,, ,eM Date Issued: 9/04/2009 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/04/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- ADVENTIST HEALTH SYSTEM SIM'L X - L L R P RMI 25.00 '0 fb.5- - A - AN 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." err 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 09/04/2009 10:51 FAX 0008 46(e. / . f 813-780 City of Zephyrhills'Fir : t Fax -813 -780 -0021 Permit Application - • Phone Contact forPerrntt STMh O. 4tees Name • L , F . K G R TNNFLL owners Phono Number litil= 1 2 6 . 115 4 8 2 rn glees Address 4701 Oak Fair Blvd TAMPA FL 33610 • Fee Simple Titleholder Name 1 Titleholder Phone Number 1 j Fe a Simple Titleholder Address I . — - • JoliAddress - 1 ?z5v N '1)a 1r-1 . ZePhyonitis PL ?-)35‘It Lot SU 'Division I 1 COI # Rio - Hazard Waste Storage- ANNUAL n Fumigation Tent F Comm Exhaust Kitchen Hood /Duct 0 Hazardous Material (Tier If or RD Facility) ANNUAL, • Controlled Burn 1 1 Hood Installation • 1 Emergency Generator < 30 kw n LP /Natural Gas - Installation •.fl - Emergency Generator 30•kw • o LP/Natural Gas-ANNUAL Sale - - . Fire Protection•Maintenance- ANNUAL - n Places of Assembly-ANNUAL LRIri7 Lamer Spunkier, ❑ O. - 0 Recreational Bum . • • . .. Fire Alar , 0 ❑ ❑ ❑• 1' ' . Spenders , . • ;�.. • Hood Cleaning 1 b ❑ ❑ El Sprinkler System Instellation5 • - `.; - ..Hood Suppression - : f Q p. A' .1 [ . .. Q • Standpipes (Sprinkler. y Ss �. 1 :J. Fire •ihlarm kislallatian - - Torrli Rdcfihg/i ar Keftle T - : - Fire Pumps _ _ ...._,__ __..._ . ,• ._ • Waste Tire Storage ANNUAL • ,;. ?:' p Fire Works ; .. :;.;:ry; Eill. ',• Flammable Application- ANNUAL U Project I :� Valuation of P ct . - i!'".•.• ga ,' Fuel Tanks . , . - • - • -• Q ; • .Other: - • ma COT tractor • / Company 7 Cyr`P• A re. L ' . • Sig' ature Registered Y/ N 1 Fee Current I. Y 1 N I ' ELE CTetlC1Al`l *:: ' : ' .. , Company - ,,.. •. :.. , • Sigi ature , � ,r - Registered f - ;.Y. /•N .. Fea.eurr t 1,..; Y / N I i -% ; Address I .. I License # PLtitvlBER I w Company J c' . • ;..., ; Sigr ature - Registered • Y / N ' I Fee C anent Y I I. N;% I Address I . ' I License # • I • . . .• 1 MEC = HANICAt. - Cor - Sign stare - - Registered Y / N l Fee Current 1 Y / N I . Address - I . . License # I OTH aR Company - • Sign azure !Registered Y/ N I Fee Current 1 Y 1 N• -I Address License # . Mac ar bons' . ' , Ftll out application completely_ ' Ovmer A Contractorsign back of application, notarised (Or. copy of signed contract with owner) • If over$2500, a Notice of Commencement is required.(Mechanlcel work over 35000) . _ - -. 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.pascogov -com) 09/04/2009 10:51 FAX a 009 'NO` - ICE OF:DEEDRESTRICTIONS The.undersigned understands.that this permit may.be•subjecttto "Restrictions " - •, which may be more restrictive than County regulations. The.undersigned assumes responsibility formompliarace'.with any - .app icable deed restrictions_ UNLICENSED 'CONTRACTORS AND RESRONSFBIL•ITIES: If the owner has - hired - :a-contractor - or - - conlractors undertake work, they may be required lo be licensed in accordance with state and local regulations. If the cons ractor is not licensed as required by law, both the owner and contractor may be cited - For - misdemeanor violation under state law. If the owner or intended contractor are uncertain .as what licensing requirements may :apply for the inter tried work, they are advised contact the•Pasco County Building Inspection Division — Licensing Section-at 727 -847- . • 8004: Furthermore, if the owner has hired -a contractor or contractors, he is advised to have the contractor(s) sign port ons of the "contractor Block" of this application which will be responsible. if you, as the ownersign as the cont rector, that may be an indication that he is not properly licensed and is not entitled permitting privileges In Pasco Cou lty. CONSTRUCTION -LIEN LAW (Chapter713, Florida Statutes,as.amended): If valuation of work is' $2;500.00 or more, I . certiry that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Prot3ction 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 , deli%er it to the `owner" prior to commencement. . - - CONTRACTOR'S /OWNER'S AFFIDAVIT: 1 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 peitnit and 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 jurisdictioh. I also certify that I understand that the regulations of other - goverment agencies may apply the intended work, and that it is my responsibility to identify what actions 1 must take to be in compliance. • If l'a n the AGENT FORTHE OWNER,- promise - _in good faith to inform the .owner of.the. permitting .con itions:..setforth in. ; , -•– this - affrdavit - prior to•eornmeRc1 g- construction zruindersfi'aiut- tkiat: a::ILep ate may be si{ for - electrical work, y . : ••, •, _ plum bing, signs, wells, pools, air conditioning,' gas, or *other installations not specifically included in the applic atiOn. 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 side any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requ ring a correction of errors irr plans; construction or violations.of any codes. Every. permit. issued. shall become invalid iihle: sthe work authorized by such permit is commenced within six months of permit issuance, or if work authorized by . .the K errnit 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 justif able cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. • •....7.WAF:NiNGTO. OWNER: , YOUR FAILURE T O RECORD A MAY RESULT IN _YOUR ' ' - .:. :: PAY FOR IMPROVEMENTS TO YOUR PROPERTY- iF YOU INTEND TO OBT . N FINANCING, CONSULT:? :,: WITI1 YOUR LENDER OR AN ATTORN= .'BEFORE RECORDING YOUR • NOTICE '' • Cru: NCEMENT FLOR ~mar DA JR UAT (�. . 11 ?.' - ' „ . vyt :,; ,/ CONTRACTO - � � L ' . a,:' i :.' 1 • OWN15F30RAGENT ``Siticeibitfand'iWom •'(or 1" ed) before methis Subscribed and . •rim to or .= rmed)before me this . by , _ Who is ,/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced as Identification as identrrication. Notary Public Notary Public Comrr ission No. . . Commission No. .Name of Notary typed, printed or stamped Name of Notary typed: Printed of stamped • • .