The URL can be used to link to this page

Home My WebLink About09-9997 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9997 ANNUAL FIRE PROTECTION MAINTENANCE j z 6 s ' . x,., Ew .,. � � ^�" c 5 . _` Permit Number: 9997 Address: 5039 1ST ST 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: 10 -26 *21- 0010 - 12800 -009 Improv. Cost: „a Date Issued: Name: MIRA ENTERPRISES Total Fees: 25.00 Address: 5553 BRADDOCK DR Amount Paid: 25.00 ZEPHYRHILLS, FL 33541 Date Paid: 1/14/2010 Phone: Work Desc: FPM- SUPPRESSION ANNUAL- MAINLEY NEW ENGLAND -SCH BY END OF MONTH *e 9 - � .., . x i77 t, � is .. � , x - ,, :` H R, $.. FIR FIG IN FIR P RMIT FE 25.00 (,I Jv ` 3 ._ _...w � , Fl - E ACC P AN 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.” 1111' - „Aar 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 813-780-0020 City of Zephyrhills Fire " I I i 6 , Q� 1 Fax -813 -780 -0021 Permit Application Date Received RWLYZe Phone Contact for Permit i r'W_I. .. IrMIZI Owner's Name /M4P/4 .e.J y ,efAst r�' ! / y /a (z� R 'y I 1- Owner's Phone Number I 1 75•2_ 75•2_ 177 ?c) Owner's Address T Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I XtIOMMEEIMISL . . x .. « : ? #Ea =4;° ' .: °x $''' �S - ''.«,; ,rte 8 -t--":, . e ., v r. - 4, ??"sd :., a ,„ ', N Job Address S o3 1 / IT 5`7" 2(4 Lot # Sub Division Parcel # _ � �G'.... �,` �. e» &Y + °s�€�.� sr.::..:. �- asys.;�.e-.�.tt;az;. � .. ,. .. ' "�.•uGar'•"ati :. .:<: n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL � 1-1 (any) ISemil 03 Uther Sprinkler ❑ ❑ ❑ I 1 Recreational Bum g l-s. Fire Alarm n ❑ ❑ ❑ 1 1 n Sparklers 114114 Hood Cleaning ('� ❑ ❑ ❑ ' ^( C � I I ( I n Sprinkler System Installations 0 el Hood Suppression ICI ❑ ❑ ›il I I n Standpipes (Sprinkler Sys) r n Fire Alarm Installation n Torch Roofing/Tar Kettle n Fire Pumps In Waste Tire Storage ANNUAL n Fire Works n Flammable Application- ANNUAL I / 5-1.) I Valuation of Project n Fuel Tanks 0 Other: I Contractor Com an � ` �� %�� Signature Company F tea:S' �i rent I Y i N • �� • Registered Y/ N I e Current � Y/ N Address '0 - a1„ 4 ,41,Ard!rff I t . y License # ELECTRICIAN Company Signature Registered Y/ N j Fee Current I Y/ N Address I I License # I PLUMBER Company Signature Registered Y/ N j Fee Current I Y / N I Address I I License # MECHANICAL Company Signature Registered Y/ N I Fee Current I Y / N I Address I I License # I OTHER Company I Signature Registered Y/ N I Fee Current I Y / N I Address I License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) NOTICE OF "DEED RESTRICTIONS: The re ons The undersigned _assumes sponsib Ity for complian e�with which may be more restrictive than County g ulat applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If owner has hired :a or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the on contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor viflation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may :apply o intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions 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): e If Const r i $ 2 ,5 00.00 or more, I certify that I, the applicant, have been provided with a copy is someone other than n the " own n er", 1 ccettby that have obtained Department copy of Agriculture above described document and promiise faith to other tha toer ",Ie y deliver it to the "owner" prior to commencement. CONTRACTOR'SIOWNER'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 apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. forth in I h affidavit prior to commencing Ilcation. A plumbing, signs, wells, ono air be a licen gas, or other to proceed with the and not as authority included violatee cancel, alter, or permit a s issued an p provisions constru r e q ic any rectoof r the in plans, technical construct on shall violations of any codes. Every the perm t issued shall become invalid requiring a correction of errors in orized by unless work authorized such permi a period of six (6) months after the ti a the is commenced An extension the permit is suspended pended or r abandoned for 90 day s and will demonstrate may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE S TO YOUR PROPERTY. NOTICE IF YOU INTEND TO OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who is/are personally known to me or has /have produced Who is/are personally known to me identification. has/have produced as identification. as itification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped