HomeMy WebLinkAbout09-9965 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9965
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9965 Address:
ess: 38420 5TH AVE
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: 11- 26 -21- 0010 - 16700 -0215
Improv. Cost: z" 1 .: ..........
Date Issued: 1/06/2010 Name: JOHNSON, JUDY
Total Fees: 25.00 Address: 11203 N 56TH ST
Amount Paid: 25.00 TEMPLE TERRACE FL 33617
Date Paid: 1/06/2010 Phone: (813)389 -8270
Work Desc: FPM- FIRE ALARM ANNUAL- SYVLIA LEARNING CENTER- SCH
ELECTR• NIC SECURITY S EMS INC FIRE PERMIT FEES 25.00
.00
11,9
9„10
ft.
33 gi $ . I 'iaiier� y;w;
FIRE ACCEPTANCE 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." -1,11P
/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
11 rat r ry mrv. s� v. a ...........«-....-.-
. •• • --.1.-u-.... .........r." 'Minn flaunty and Gity codes..zonlne renuratlorrs, arm rarru
JUN /26/2007/TUE 01:09 P1! ZEPHYRIIILLS BUILDING FAX No. 813 - 780 -0021 P. 002
•
813-7B0-0020 car ofzephyrNII5 . Forr-.13008•0021
Penult App cation _
Skate. Received - •Pl;or. Caiac! r olHem* ----� J - --i
Owners Hems : 't ; S i vc.� Le�ni nS p_4 O . Number 1 -01 ( T 14 - 61-,
Owna'sAddress j 38KZU 57 -- PrJe - - Ee hr` 1-, cc: 3 3 Sg z — 9 31 "i . 1
Fare Simple Titleholder Narrre - E 'ntlelroldst Phone
Pho Narrrber I I I I 1
Fee S - .lower i �+1
visig. JobM i t c fir ads Y/ QCs 33 S'{ � .'
Sub Dlvsion Parcel 0
. D Bieritaxard Waste Stoma -ANNUAL ED Fumigation Tent
Comm exhaust Kitchen Hood/Duct Q Hazardous Material Mar II or RO. Facility) ANNUAL•
D Cen6iux.d mum D toad inst."didn
0 Emesgenr y Generator < 3O kw 1 LPniatrsal nor,
H _ Emergency Genesetar> 30 kw • r --- 1 LP/Natural Gas,ANNCAL Sete
Rai Protect= gisdna mane - ANNUAL D Pisces of Assembly -ANNUAL
Sptirider ❑ o o CD Rea.a ionat Bran
Fire Ahern O 0 ' r-1 D sPaddem
Hood Clearing D O u I I n S dens, sem beiaM>rwr
Hood Suppression O ❑ 0 ❑ I .1 Fe 1� Standpipes Sys) )
� p i iGaul
e Alarm /ns
tion i Torch Aookr�ITar.
F7re Pumps D Waste Toe StmageANNUAL
L Fh. works -
�4rw>m61e Appicagon-ASIA{ L Velilalion of piled C am Fuel Ter=
[J { Other Ann F� l' i c: rc-. Sr-s5 5 x Cl- -; - . . .
/ Company � SSL- Q..iect ' i. Sc c..,r 5}crr.s roc. NUMMEMOSIIME
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Address 1, ri i 0 bait h r il n #1 1_ i= L 3360-1 1 Licence # r C. 00c,"‘ v c i'-I 0 , 1
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f.... R.ptstered C YIN I Fee Con.rrt J Y / N I ,
Address 1 1 License* 1 1 _
PLUMBER .
Siga. / 1 Registered I YIN 1 Fee current I Y/ N 1 ,
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Address 1 1 License* 1 1 —1
s Regt$emd I Y 1 N J Fee currant t Y/ N I t
Addams I 1 - License* 1 - 1
OTHER '
Signature I Registered I. Y 1 N J roe coma I Y/ N I ,
Address License it
ix- ..
Fillgurapplaration conrtrtetety. •
Owners Conbecto{ back ofapproaforr. rsowtrad (Or, copy of signed watt= with owner
W over 52600. a Notice or canm1encernentk required.(Mear.ricai work over 55000) -
Suppiy two (2) sets of drawings with appYnWe docwnentation . •
Allow 1044 days for review after submittal date. Parcel 1k-obtained from Pro Ter Neese (nwrappraiser paacegov.1om)
iUA"/m007I'fo o1 :13 FIB` ZEPIIYB$ILLS BUILDING F AN" No. 813= 'I80-U07f1 F. UU3
`NOTICE OF:DEEDRESTRICTIONS: - the.underbtgned:uhder$tands -that this permit maybe:subjec 'deeid' dtions'
. which:maybe more naive than Countrregulations.`"Fhet idersigned.aasumes responsibWtyioracompllancetwith any .
.applicable deed
- UNLICENSED tCONTRRCTORS AND 'CONTRACTOR RF.SP.ONSIBIL If - the. owner has - hired :a mmitractor gar
contractors to undertake work. they may be squiredto 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 Alsip what licensing - requirements ntayarppty forlfte
intended work, they are advised contact thei Pasco County Bidding inspectionfDlvtaion -- Licensing Section* 7.'27847-
8009. _ Furthermore. if the owner has hired -a contractor or .cor*amors, he is advised •to have 'the contractor(s) sign
• portions of-tfie'oontractor.BIOCIr of this application rihichihey will be respbnsirie. If you, as owner t - as the
contractor; that may be an indication Itist he is not properly licensed and.is not enffiled permitting. privileges in-Pasco
County. CTION UEN.LAW (t ar713. -17orlda Stabutea,as amended): 9 valuation of worlds $2.,300.00 or more l
certify that 1, - trio applicant. have been provided with a copy of the "Fbrkia Construction Lien : s
- Protection Guide- prepared bylhe Florida Department of Agriculture and Consumer AtTairs. If the applicant Is "someone
other than the''owner",1 certify that I have obtained a copy of the above described document and prondse in good.faith to
delimit to &e'atcir a? prior to commencement-
- •CONTRACTORSIOINNERWAEFIDAVIT: -1 certify that all the information in this applicationis•ar crate and
that all work will be done in compliance with as applcable laws regulating construcdion zoning and land
development. Application is hereby made to ouch a permit to do work and instalkdion.askslicated. t certify
that no work or installation has commenced priorio Issuance ofa permit and all work wit beperfor ed to
meet standards of all laws regulating construction, County and City codes..zonkrg. and -land
development regulations In the jurisdiction. 1 also certify that 1 understand that the regulations of other
. govemmer4.ag nciea melt apply - io the-intended -work, and that its my responsibility to iden r what actions I
must take be fn compliance.
If 1 am the AGENTfORTNE OWNER, I promise k -a
good faith to inform thewner tithe permitting conditions satforthin
prior to commencing construction: 4 understand that a separate permit may be required far electrical work.
plumb. signs,. wells, pools, air conditioning, gas, or other installations not spectticmlly Included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to aaenaei,_a ter, or
set aside any proirislons a the technical odes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring -a mrrectlon of errors in pkms, construction or violations of any codes. Every permit issued shall become invalid
unless the work by such pert 1s commend within oh( months o perm issuance, or If work authorized by
the permit is suspended or abandoned for a period of etc (0) months alter 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
bte- causwfor 1he.erdensicn. If work ceases for ninety (90) consecutive days, the job is considered abandoned. - •
- WARNiNG TO OWNER: URE R: - YOUR FAI TO RECORD A 'NOTICE OF'CO1rINIENCEMENT MAY IN YOUR
PAYING :TWICE FOR IMPROVEMENTSTO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT
=� �, - 1 ,- A 'Is,: _ = ���: YO '�.� 11 r ! :'ii ._ =.u!1 .�i� .
art. �. _ ._ -�� � .. �1_.�
FLORIDA JURAT(F.S.117.03) -
Si ed d swam 1a(ota3m1ed) before mattes' Subsxbed and sworn to (or attuned) before ms •hie
Who Is/are personalty known to me or ttaslhuVe produced who Is/are personally Imam to me or l>aalhave produced
o identlltcabon' asldentRation.
_Notary Public •otarl►Pt1*e
Commission No, Commission No.
Name of Nolwy typed; minted or stamped Name of NotmY typed, printed or slumped -