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HomeMy WebLinkAbout09-9615 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9615 ANNUAL FIRE PROTECTION MAINTENANCE i ° , R7 _ --a�° c •,'+5f� _,1 ;.* ° b Rig°° Q. Ya3 ac's a Permit Number: 9615 Address: 6251 FORT KING RD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 09500 -0000 Improv. Cost: Date Issued: 10/07/2009 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 80.00 Address: 6251 FORT KING RD Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/07/2009 Phone: Work Desc: FPM- SUPPRESSION /HOOD CLEAN- ALLIANCE CHURCH -SCH 10/13/09 r te . - ."'a.s;; .v:. FIRE EM IN F RE PE' MIT 50.00 •NTRA To ERTIFICATE 30.00 c.(oAG (-5 . . � .. .. _. f (a a €��8 a.. . ... - FIRE A - TAN 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." al 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 .,..)-iou-vi.w., i .. _ (.;ity or zepnymine Fire Permit Application dr 13 F _ • • 13-780-0021 Dete Reoeiveg rrr--1 • Phone Con - • Pernik MUNI EMI KUM , o , x: , : ,, ivrr•iiir.loynqin.., .., OV.,,, .f1,0/031701...1 ' L..i4L—Trm%.". 7.... Owner's Name 2' lk (5-(7.pplivrh,11 . . "( 7eLyj s- Owner's Phan _ umber 1 'P k / 31 4 4..,4 - 1 S ZD.51 Owners Address 1 621s / II Rad- '1,T)A. • - Oa) Zez c, I'? ,..? S" R. I Fee Simple Titleholder Name // Titleholder Ph• = Number 1 r[ - 3 11 ig 1 2,g-es1 Fee Simple Titleholder Address r,:,FlrgallrAnre:„ZrrtltjPi tillararif Job Address 6 t. r 4? APEZWIREMEMICii • ..,/..c J # Sub Division 1 Parcel $ r..)- t -00 La -; -, o0 00 :,- . , , , _ , .., ,. • • , .. ,, ,. • ., •• •.• 0 " •• .. I ...., , r-).;. , ,r7-,....7 , El Bio-Halird Wa • Storage - ANNUAL El Fumipation T - • 7 Comm i.xtleust &hen Hood/Duct 1=1 Hazardous Ma! 'al (Tier 0 pr RC' FaCility) ANN 7 Controlld Bum • E:1 Hood Install -- J.1 , 0 Emergecy G ' r < 30 kw = LP/Natural 0 7 EmergeImy Gentiator , 30 kw El LP/Natural G- NNUAL Sale I liel Fire Protection Intenance • ANNUAL = maces of Anti • ly-ANNUAL 1 .-- 1 MI E=i IM 221 . . Sprinklir Li 0 . 0 0 = Recreational B Fire Alain I:=1 0 0 0 1 ------ 1 L] Spenders ! I Hood Cisaning 0 0 i I 1 ri Sprinkler Sy ._..- Installations Hood Sippressh LJ b of 0 1 1 1 Li Standpipes (S. kier Sys) I 1 , = Fire Ala Install/lion Torch Rodin! • r Kettle ,. = Fire Pu ps f Waste Tire S■• • a ANNUAL = Fire Wake • 1' fl] Flammal)le Aeon on- ANNUAL I 4 niill Valuation of P i '-ject = Fuel Ta ks ill ri Other: 1 11 fr i 1 __ !Ilin1.703101E.SMIM175"MariNVTIREET.: %.71;312111111rearDIFSPErnerrairAMMORMEMICIMOSSMEM _J IZ ' ^, - • ' . ' ' ' ••• ' - '' ' ' ' ' ' ' -' , L ' . .- , • • • . ■ ' Contractor / , - 111C- Signature k•e..■-•••--- (4...../ Registered ir J17. Fee Current rzcs ... Address A .jge, 1 1W 7 ■74 - "LialgolY1:7171EINEECOgaitfr - ' ucense * I:. • ..rrya.0 (90/ A.e7 1 i ELECTRICIAN Company I 1 Signature I Registered ' / N 1 Fee Current 1 IV 1 N 1 Address 1 . I License*/ • j_ i _ PLUMBER Co _I ,.:- Company Signature 1 Signature Registered • / N 1 Fee Current / N Address I 1 License # ! MECHANICA Company I Sign . ature I Registered /N 1 Fee Current 1 FiN I Address f License* J i I 011 CR Company • . , Signature Registered 1 zir i=miLt3rE. . Address 1 1 Licensn* • :;0vir.:1:111erNarratai‘,..imomi...e.,11...nwrr: vifelhANolk . ' 4.1.......... .^. ,,' s • 1 '. ' r .... ....r , , %. .. . 1 Directions: Fill out applicatf comp! ly. • Owner S. Contra r sign of oppllootlen, notarized (Or, Dopy of signed contract virth awner) • if over $2500, a 1 tree Of mmencement is required (Mechanical work over $5000) Supply ONO (2) s of d with applicable documentation Ailow 10.14 dy Dr revict after submittal date. Parcel* obtained from 'petty Tex ........ • ;oe (http://appraiser,p .1111 m) NOTICE OF DEED EST 1 CTIONS: The undersigned understands that this per may be subject to "d •" restrictions" which may be more restri: e than County regulations. The undersigned assum i responsibility for corn lance with any applicable deed res iction= UNLICENSED CO TRA ORS AND CONTRACTOR RESPONSIBILITIES: I the owner has hired I contractor or contractors to uncle ake , rk, they may required to be licensed in accordanc: ' state and local r- • lations. If the contractor is not lic nsed ',. s required by law, both the owner and contractor ma be cited for a misde _nor violation under state law. If the o ', er or intended contractor are uncertain as to what li: nsing requirements m I apply for the intended work, they are a• 'sed to contact the Pasco County Building Inspection ' vision -- Licensing Se n • n at 727 -847- 8009. •Furthermore, if th owner has hired a contractor or contractors, he is - •vised to have the co tractor(s) sign portions of the "con_racto ' :lock" of this application for which they will be respon ble. If you, as the o er sign as the contractor, that may be a indication that he is not properly licensed and Is riot 'tied to permitting privi - ges in Pasco County. j 1 CONSTRUCTION UEN (Chapter 713, Florida Statutes, as amended): If luation of work is $2,5' 1 .00 or more, I certify that I, the applica - have been provided with a copy of the "Florida onstruction Lien Le Homeowner's Protection Guide" pr pare r by the Florida Department of Agriculture and Consu r Affairs. If the appli nt is someone other than the "own r", I = ify that I have obtained a copy of the above described • ocument and promise : n good faith to deliver it to the "own r" pri to commencement. - CONT CT• 'SIOWNER'S AFFIDAVIT: I certify that all the inform ion in this application accurate and that all rk ill be done in compliance with all applicable laws lating construction, z• ing and land develop ent. ' . pplication is hereby made to obtain a permit to do wo . and installation as ind. ted. I certify that no ork o installation has commenced prior to issuance of a pe , and that all work will performed to meet s nda of all laws regulating construction, County and C' codes, zoning n�ul ns, and land develop ent . gulations in the jurisdiction. I also certify that 1 u - rstand that the regul tons of other govem ent a • -ncies may apply to the intended work, and that it is m' responsibility to iden ' what actions 1 must to a to b= in compliance. If I am the AGENT OR T - E OWNER, I promise in good faith to inform the owne .1 the permitting cond' ' ns set forth in this affidavit prior to com , • ncing construction. I understand that a separate pe it may be required for lectrical work, :- plumbing, signs, w I s, p• , Is, air conditioning, gas, or other installations not s • ' cally included in the pplication. A permit issued shall a con : ed to be a license to proceed with the work and not .s authority to violate, ncel, alter, or set aside any provis • ns o - e technical codes, nor shall issuance of a permit pre nt the Building Official m thereafter requiring a correctio of e •rs in plans, construction or violations of any codes. E =ry permit issued shall ecome invalid unless the work aut , orize •. by such permit is commenced within six months of • = it issuance, or if wo ; authorized by the permit is suspen • ed o , bandoned for a period of six (6) months after the time e work is commenced i An extension may be requested, i writi e , from the Building Official for a period not to exceed inety (90) days and 1'1 demonstrate justifiable cause for . e e - nsion. If work ceases for ninety (90) consecutive days, ' e job is considered a • = ndoned. WARNING TO OW ER: • OUR FAILURE TO RECORD A NOTICE OF COM NCEMENT MAY RE ` LT IN YOUR PAYING TWICE FO - IMP OVEMENTS TO YOUR PROPERTY. IF YOU INTEN TO OBTAIN FINANCI; G. CONSULT WITH YOUR LEND: R 0 N ATTORNEY BEFORE RECORDING YOUR NOTI e. OF COMMENC ME " . FLORIDA JURAT (F.S. 1 7.03) OWNER OR AGENT CONTRACTOR r ,�, s, ■ Subscribed and sworn to •) before me this Subscribed and swom to (or of l ed) before me this by by Who is/are personally kn- or has/have produced Who Is/are personally known to or has/have produced I s identification. as identification. II Notary Public Notary Public 1 t:ommisslon No. Mr commission N0, III 1 Name of Notary typed, pri ed or mped Namo Of Notary typed, printed 0 ramped • J t I 1 i 1 N