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HomeMy WebLinkAbout09-8962 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8962 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8962 Address: 5931 GA L BL D 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: Improv. Cost: i , Z . 4 �, Date Issued: 3/26/2009 Name: ACCENT Total Fees: 25.00 Address: 5931 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/26/2009 Phone: Work Desc: FPM -ONE TANK FOR FIRE SUPPRESSION SEMI FOR ACCENT SHC 4/17/09 - 8 AM fi t c,. ,.., j ' � t ` xa Y aP' » r ; ' .i s 4s�q �" .r.,' eh x : s w UNITED FIRE PROTECTION INC FIRE PERMIT FEES 2 ""-- -0 4 - 3 44 • .:.�. . . o- :: :, m; 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." �r 1i� 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 • , - . _ . _ _ _ ., ,...,. _ _ .,..---. ..:.. __:..... ...., ._:.,:',-,, ...-.....:i. LEPERHILLS BUILDING .• ,,11_, , . 81t.;.i.730-0020 City of Zephyrhilis'izim.. . F2x71:113-780-0(P1 - Permit Application r ______ 7 — -----] Phone Contact for Permit 1 -,,I,=7-1 D,•1:182!Itittcikaic.a. .tt.tNati . ---NOVIHrZatiladValtaaignanglairMISLOBWIECW4INAMCL90601&54004rjggersatg-.....r...,,,,,,,......., — - ....4 . .....1.00.1,,, - ./... , ne7 N ame - - , 0.; , Owner's Phon e Number -,..--------------- ,. 1 i .. I. .... CJ ,..., t .S - 0vrvez AddrasE: L ,D 1 „, t 111 . G- - \ c,,, . - - . • ... 1 1 Titleholder PhOna Number _I F-' Sin e oDl fit1.3hddE,;:r 1l 1 -----..— i — — ..--_---- Fac Simple Titleholder Address — l . • • — • ostivirttimeritiorostkiromerstoi _Ara :t.2;tilltillFiTit114.nttiiiptlitinE=1.1.;,=1.1$00,:ggigeliieliNIOVIte" killith*Weat$0131028110225501$111$61510FiNOMM$116' RerAMittglItientniar.. . . ili$4167.01$4=f Job Lot # Address • I 6-9_3.1 r\ • Cr-o._ P II - • . ... . 1 t -- - - ---- ------- , ---' ---=--- Sub Divn 1 --___ Parcel # ______________________ 7 - 1 Bio.Hea Waste -Storage - ANNUAL El Fumigation Tant -----, , ' • :'-rArr Evhduat Kitchen Hood/Duct , • 1 ..._ 1 Hazeizious Material (Tier 11 or Ftla Facility) ANNUAL . • 1 ____i C::ritro'I0 Burn fl Hood Installation •-----. E3 ergcy Genrator 30 LP/Nat ural Ges-Instellation --•'--. Emene :.t kw -1-.11"%b 9 CCAA 0 n 1 - - -1- L 1 LP/Natural Gas-ANNUAL , i j Emergency Oenerator ..-, 30 kw l 3 0 n X P: re t Malnittriancs - ANNUAL . - fl Places of Assembly-ANN - DE Fzi -----<'----;-- R ? r x \ n' , ; Sprinkler 1 -___- . :1 0 0 CO . 1 Reoreetional Burn - ' • ...C) 0 1 ,Fire Alarm Li p m 1 : J Sparklers 1. Cleaning L: l:1 o o r 1 • - - - n Sprinkler System installations 60 g g ' f+i-YYN ,, ./rAtik.rtupprest:ilor• L.....i 0 X 0 = Stendpmes (Sprinkler Sys) . — Fire Alarm instelletlon , '7 7 Torch Roofing/Ter Kettle [:7 Fire Pump s El Waste Tire Storage ANNUAL ,. • i F,re WrIrkt': Flararnabie Appiication- ANNUAL . , ___1 ValUilt1012 of Project ; , 1 Fuel Tsnks ________ OttleR 1------------------- --..---- tietiel W Z ,ItriesitilWrisatelitlraigNieratoatairOmOnAniegglIMMVIIPMMITTO MICAMINiaatliiiglititeeiettlialeggeitireaRat$592#32015masgaef....44017MelliMissliniemtliteekertAitrre" Contractor , Company . . tr. Signature - Registered Y / N j Fee Current Y / N - . , ,......._-- Mdrant,,L License # E-- 1 — , — -- — — EL P..CTRICANI . Comp — any • Signature . . • Registered --- / 1 1-7775U1717 1 Y / N -- , — --_, AddreSt.1: ' . . License t ---------1 — -- r---- PLUma ER i Company Signature 1 __ Registered Y !N Fee Current 1 Y / N — — .------- Adord;,7 1; . i , .... _____:::J License # L_L______—_... . '', - .- -: = : -,:._ — .7. . .- - ,..— — — mEcHANIcAi , 1 Company' Signature , Ftegistered . Y / N J . Fee curre" 77 N Atidnads • i____ -- _____ . OTHER Company in 1 Sgature I Registered 7 /1 Fee Current 1 Y / N , - . - . Add reSS . License # . • mii out application ogriplfintely. QIN' icr & Contraotoi' sign back ot application, notarized (Or, copy of signed contract with owner) . ii over $2Fir.10, s Net pi commencement is required (Mechanical wcrk over $5004) 5upply two (2) r.ettB drawings With applicable documentetion . . • Allow 10-14 day!: for after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascagov. ' . . • . . , • . • _ ' EF - _ _ .. �H ? BU._I;LDIPdG = y 'NOTICE •DEED RESTRICTIONS: The undersigned understands that this permit may. be' subjecttto - "detad";re'strictions" - which may be more restrictive than County regulations. The'.undersigned. assumes responsibility .for.complianterwith any - .appllcable deed restrictions. UNLICENSED 'CONTRACTORS AND `CONTRACTOR RESP.ONSIBILITII=S: if the owner has .hired contractor - or - • • contractors to undertake work, they may be required 'to 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 B misdemeanor violation under state lava, It the owner or intended contractor are uncertain.as - to what licensing requirements may :apply for the Intended( work, they are advised to contact the 'Pasco County Building inspection Division— Licensing Sectlon_at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contraotor(s) sign . portions rof 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 Statutos,.as:amended): If valuation of work is $2500.00 or more, 1 certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. if the applicant is 'someone other then the "owner', 1 certify that I have obtained a copy of the above described document and promise In good faith to deliver it'to the "owner" prior to commencement. CONTRACTOR'S /OWNER'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 1 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. If i am the AGENT 'FOR OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to cornmenctng construction. 1 understand that a separate permit may be required for electrical work, • plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 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, construction or violations of any codes. Every permit Issued shall become invalid unless the work authorized by such permit is commenced within slx months. of permit issuance, or If work authorized by the permit 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 justifiable cause for the extension. If work copses for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 'OF MAY RESULT IN YOUR - PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN' FINANCING, CONSULT WITH YOUR LENDER OIL. AN A'1TO BFFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA4RA? (F.S. 117 -03) OWNER OR AGENT CONTRACTOR I• • Subscribed and sworn to (or afirmed).before me this Subscribed and swum to (or affittried) before me this • by by Who isl &re personally known to me or has /have produced Who ia/are personally known to me or has/have produced . as identification, as identification. Notary Public Notary Public Commiss;cn No Commission No. • Nam& of Notary typed, printed or stamped . Name of Notary typed, printed or stamped • •