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HomeMy WebLinkAbout09-9520 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9520 ANNUAL FIRE PROTECTION MAINTENANCE • t , 3`?'= ` a°t_' Permit Number: 9520 Address: 3751 LAUREL VALLEY BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0030 - 00000 -0000 Improv. Cost: 'Niie ; �. 7 __ ; ..r t , MAJESTIC OAK LLC Total Fees: 25.00 Address: 3751 LAUREL VALLEY BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/04/2009 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- MAJESTIC OAKS ' 77 41r77:7777 - 377:77-71: « � ...� ; fi ` , 41,1i 1. �' * 1 ;„ vti l:i E E Y 4a "� e � e ;I Mk X RINN LL LP IRE P RM F 25.00 , l,3 -6:) �,5� ua,a �, FIRE A CEPTAN E 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." 111: Arai 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 10:52 FAX a 010 q w , 81378C City of Zephyrhills'Fire Fax- 813 -78D -0021 Permit Application Da a Received Phone Contact - fo r Permit ens -- ,� .�. . Owners Name fi71YET,FXC, TNET,T, Owner's Phone Number IIIMI ] 626 115482 Qv, flees Address 4701 Oak Fair Blvd TAMPA FL 33610 - FeE , Simple Titleholder Name • 'titleholder Phone Number Fen Simpl®TitleholderAddress 7 • ea sgenswissigroasamentawastim Am,. Jot Address I 31 TD 1 1 - QAofc.k Vc1i1'E..4 ?:,i 335"1 Z Lat# , S ut Division f P arcel # . = B10-I-lazard Waste Storage ANNUAL n Fumigation Tent 1:=1 Comm Exhaust Kitchen Hood/Duct n za Hardous Material (Mar 11 or RQ Facility) ANNUAL • n , Controlled Bum n Hood Installation E ., Emergency Generator < 30 kw n . LP /Natural Gas - Installation Emerge Generator 30 *w • . LP/Natural Gas - ANNUAL Salo n : a , - • . 0 -.. , Fie Pnot®etlon Maintenance - ANNUAL • • • n Places of Assembly- ANNUAL Imo kILIII =II W ,, , . ,,.. Sprinkler. ❑ D Q. - n Recreational Burn Fire Alarm ❑ ❑ ■ Sparklers . • ::'.�: • Hood'Cleeninu ❑ Q • d ❑ 1 I n SpdntderSystem installations • • OOd'�UpP��On' . , ❑ D . p rinkl er Standpipes ( Sp . , '...r,: . F . - 9rn Alonzo Installation _ • Torch Roofl►.igffai K ttle'' -- . . •w _ �' .F Pumps Waste Tire Storage ANNUAL •, x F ire Works . • • . • . • • x .. Flammable Application- ANNUAL ) :, Valuation of project • ''' • F uel Tanks • ,.- , ..... , ... .. _ . n Dther: 1 . • t Con rector - • - Company . r/ ,vL ♦i ' s.. Sign aim aim .. Registered Y / N Fee Cumant 1' Y / N 1 ' Address; I : . .rr_. r ,i ... ,.. , .. .. 1. License# . . - .: 1. gigh ature - . _ �.r •' • . , Registered Y M .l i :.,Fee Cumvttt... ,Y 1 N ' i. Address I ,; 1 License# -PLUMB R, ti . _ Company . r • Sign iture - " Registered Y / N 1 1 Fee Ciitrent•• 1 Y /- Nl i s ' ; Address 1 1 License* , I - . 1 MECHANICAL Company • Sign Ire ' • Registered Y / N 1 Fee Current 1 Y / N 1 • . Address I . ... . ' . 1 License # 1 • OTH t Company . - • Sign; •tune , - Registered Y / N 1 Fee Current 1 Y / N . •1 Address License # Dirac ions: ' - Fill out application. completely. - Owner & Contractoraign hack of application. notarized (Or, copy of signed contract with owner) • W over$2500, a Notice of Commencement Is requtred.(Mechantaal work over $5000) . - -_ Supply t o (2) sets of drawinga with applicable documentation Aliow 10- 14 for review after submittal date. Parcel # - obtained . frvm Property Tax Notice (httpJ /appraiser-pascogov.com) • 09/04/2009 10:52 FAX a011 'NOME OF :D.EED RESTRICTIONS: The .undersigned understands -that this permit maybesubjecttto "deed ";restrictions " - . whi :h may be more restrictive than County regulations- The,undersigned assumes responsibility forcornpliarare%with any .•• - - .aR` usable deed restrictions. UN _ICENSED'CONTRACTORS AND 'CONTRACTOR RESP.ONSIB[LIT(ES: If 'the owner has - hired - :a-contractor or - - contractorsto undertake work, they may be required lo 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 a• misdemeanor violation uncer state law. If the owner or intended contractor are uncertain.as - to what licensing - requirements may apply for the intended work, they are advlsed contact the-Pasco County Building Inspection Division — Licensing Section.at 727 -847- . ' . 901) 9. Fuithermbre, if the owner has hired .a contractor or contractors, he is advised to have the contractor(s) sign por ions of the "contractor Block" of this application which be responsible. If you, as the ownersign as the contractor, that may be an indication 'that he is not properly licensed and is not entitled permitting privileges in Pasco Coi :nty. CO ' ISTRUCTION -LIEN LAW (Chapter7l3, Florida Statutes, .as.amended): if valuation of work is . $2500.00 or more, I . certify that I, - the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Pro :action Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is' someone other than the" "owner ", 1 certify that I have obtained a copy of the above described document and promise in good faith to deli ter it to the "owner" prior to commencement. ' CONTRACTOR'S/OWNER'S-AFFIDAVIT:, .1 certify that all the information in this application is accurate and thet•all work will 'be done in compliance with all applicable taws regulating cbnstruction, zoning and land _ development. Application is hereby made to obtain a permit to do work and installation as indicated...1 certify . that no work or installation has commenced prior to issuance of a perrnit 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 l must take to be in compliance. " - '�'If -`1 rm the AGENT FORTHE OWNER; •I promis in good'faith• to inform the owner:of.the permitting. conditions: sett, forth: in .: - ....... •.- _ . _..... - -._ . _--- _..�_. ..._., a re r c rival wo -. this- a - - -- t o. " to•commeeorn list� uctiof . ; �,ld�r :a Sep t Qe - y.b..re , -it d,for t , ., ., plur thing. signs. wells, pools, air conditioning,' gas, or other installations not specifically included in the application. A ■ _ _ pen nit 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: c©nstruction or violations of any codes. Eve y permit issued•shall. becorne.invalid . • iHESS - the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the )et:rnit 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 justi?rable 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 'CO.MMENCEMENT AY' R IN YOUR ' - - i PAl `ING•TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT • N FINANCING, CONSULT ki e ' - WIT H YOUR NDE Oil AN ATTO ' - ' BEFOR RECO - DiNG YOUR •NOTICE : • C ENCEMENT, . .4 ; <.�i , .FLOi tIDAJURAT (RS`.117.� 7� , ? tiji / CONTRALTO fi - ArtOr; � . :, x; i.'' . • OW ORAaRNT �� — �`'' -! ad) before me this uscbed d • a.to, or - • aped). before. me thus . . i - Sal; • (or: ) Sbri and r b *' . y. Who !s/are personally known to Ma or has/have produced Who is/are personally known to me or has /have produced as idenfficatort. as Identification, • Notary Public Notary Public Corm nission r4o. Commission No. • • Nam• • of Notary typed: panted or stamped . Name of Notary typed; printed or stamped • Sep 01 09 10:18a SG 813- 313 -1606 p.l tl./CO SimplexGrinnell LP Fire & 50 Technology Drive Security - Westminster, MA 01441 SimpiexGrinne// (978) 731 - 2500 AP FAX: (978) 731 - 7756 Payment Requisition Form rhis form is to be used onlywhen payment is required and an invoice is not available ( i.e. permits, drawings, bids). If an invoice is available please go through the standard payment procedures for submitting invoices to accounts payable. 'lease provide a detailed reason for payment and attach any available back up when submitting request. Please supply vendor number. If not available, send an email to sg.apinquiry @tycoint.com. Please fill in 'Request for vendor number" in the subject line. Reference the full remit -to address in the body of the email. You will receive either a response with the current vendor number or information on how to have the new vendor setup. This payment will be made per system payment terms. Exceptions will require additional approval. (RM < $25k or VP > $25k) Note: Signature cards must be on file with Accounts Payable for all approvers stating their approved dollar limit. Request Date: 09/01/09 Cost Distribution m PO Num $ Amt Requestor: Irma Perdomo o #1 / , Email Address: IPerdomo@simplexgrinnell.com a) #2 c #3 Vendor Number: 056313 (.3 #4 #5 _ 'ay - Vendor Name: City of Zephyrhills Subtotal $ - Remit - to Address Line 1: 5335 8th Street Proj Num Ctrl Dist $ Amt - Remit - to Address Line 2: 0 ° #1 City / State / Zip: Zephyrhills, fl 33542 0 #2 #3 Payment Amount: $125.00 2 #4 6 #5 Need by Date: 08/11/09 Subtotal $ - Checks will be cut on Tuesdays & Thursdays a Acct Num Dept Dist $ Amt Reason for Payment: i t #1 62477 652 292 $ 125.00 Permits for inspections in Zephyrhills, FL for July 2009. ru #2 m E #3 cu #4 O #5 • Oefivery Method: U.S. Mail ❑ FEDEX lig Subtotal $ 125.00 7 Deliver to District Grand Total $ 125.00 )istrict Number: 292 edEx Contact: Scott Brackett Cost Distribution in balance. Permanent / 1 Per District -1 Deliver to Vendor Additional Approvals (when applicable) Vendor Name: Contact: Print Name: Mail -to Address Line 1: Title: :Mail-to Address Line 2: 'City / State / Zip: • Signature: Telephone: Date: Approver (Print Name): s ei_ Print Name: :Title: i Q s, ,, Title: Signature: —T � `� �� Signature: late: %///�9 Date: IY TRANSACTION REPORT P.oi /oi •• SEP /04 /2008 /THU 02:52 PM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 SEP /04 02:46PM 96218992 0:01:46 5 OK SG3 9260 09/04/2009.10:47 FAX 001 • • TYCO "SimplexGrinnell .LP :Fire & Security 4701 iOek :Fair. Blvd :Tampa, FL :33610 813423 -2991 Phone 113- 6214992 Fax Tele Fax Transmission • This facsimile transmission may contain confidential and /or attorney /client privileged information belongingto the sender. This information is intended only • for the use of the individual or entity named on this transmission sheet. If you are • not the intended recipient, or the employee or agent responsible to the intended' recipient, you should return to :Bender immediately. You are hereby notified that • •any disclosure, copying, distribution or the taking of any action in reliance on the • contents of this telecopied Information Is strictly prohibited. • September 4, 2009 Date Company City of Zephyrhills • A t on Jackie • • 813 780 0021 Fax Number 1 0 Font" Irma Perdomo • • Subject Permits Application • # of Pages 4- Jackie, Please fax the•receipt to 813. 621. 6892.1 apologize . for not including the applications in the mall • • • 2417 Emergency Servlei laity of Zephyr " Fire Sprinkler Systems • Fira Detec O.ID41 0q 2:25 PM • Fire Extinguishers ` Range Hot 0008171 * Special Hazard Systems • • Sound & C CK930S9475 •" Healthcare Systems 0.00 • Time & Workforce Management • Emergencl Cash • System Design & Installation " Project Ma Check CI 125.0D • Sprinklers Backflow Change Inspection & Testing • Preventive. pousocii 50.00