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Home My WebLink About09-8971 24 (i 3 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 8971 ANNUAL FIRE PROTECTION MAINTENANCE x " 7: L x ' Permit Number: 8971 Address: 5510 19TH ST Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 14300 - 0000 Improv. Cost: ,.., 4 ∎ Date Issued: 3/31/2009 Name: FIRST PREBRYTERIAN CHURCH OF ZEP Total Fees: 25.00 Address: 5510 19TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/31/2009 Phone: (813)782 -7412 Work Desc: FPM- SEMI HOOD CLEAN -FIRST PREBRYTERIAN CHURCH -SCH 3/31/09 SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00 C. ( 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." /� 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 813- 780 -0020 City of Zephyrhii)s Fira. Fax- 813 - 780 -0021 Permit Application Date Received Phone Contact for Permit 1-1..., � �I _ Owners Name !_A _ . i = �i -�/ E rev's Phone Number . 1 I 1 1 I Owners Address i ?* - C Fee Simple Trtieholder Name I I Titleholder Phone Number I 1 1 1 I Fee Simple Titleholder Address Job Address I I # Sub Division I 1 _ ❑ Bio- Hazard Waste Storage - ANNUAL ❑ Fumigation Tent ED Comm Exhaust Kitchen Hood/Duct 1::::I Hazardous Material (Tim liar RQ Facility) ANNUAL ED Controlled &en n Hoad iron ❑ Emergency Generator < 30 kw 11 LP/Natural Gas-Installation ❑ Emergency Generator> 30 kw r) LP/Natural Gas - ANNUAL Sale ❑ Fire Protection Maintenance - ANNUAL ❑ Places of Assembly-ANNUAL Sprinkler Li ❑ O ❑ ❑ Recreational Bum Are Alarm ❑ ❑ ❑ ❑ 1 1 ❑ Spenders Hood Cleaning E ❑ ❑ RI 1 n Sprinider System Hood Suppression ❑ ❑ ❑ ❑ 1 1 n Standpipes (Sprinter s 0 Fire Alarm installation ❑ Torch Rooting/Tar Kettle Are pumps 1l Waste Tim Storage AtIIUAL Fire Works Flammable Application- ANNUAL t I Valuation of Project Fuel Tanks E other: 1 Contractor Company Signature Registered Y/ N 1 Fee Current 1 Y/ N J Address I I License* I I ELECTRICIA1 company Signature Registered ( Y/ N 1 Fee Current I Y/ N I Address I License # I 1 PLUMBER I Company Signature I - Registered Y/ N J Fee Currant I Y/ N 1 Ads I 1 License # • I Company Signahre Registered I Y/ N 1 Fee Current 1 Y/ N J Address I I License* I I OTHER Company -5 r_D i2 t .,?e E �,+ a, 0 Signature ''' ' :�-'l� �� ' N 1 Fee corer* 1 Y / N 1 Registered Address �1 License # c z " —• _6cG i L , , Dkections: Fdi out application completely. Owner & Contractor sign back of appNcatlon, notarized (Or, copy of signed coiMract with owner) ff over $2500. a Notice of Commencement is required (Mechenicai wok over 55000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel # - mined from Property Tax Notice (httpl/appraiser.pascogov.com) IOTICE OF RESTRICTIONS: The undersigned understands that this permit maybe'subject kradesinres-trictions" Mich may be more restrictive than County regulations. Themndersigred.assumes responsibility forcompiiance'with any ipplicable deed restrictions. 1NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If - the owner has - hired - :a -contractor or - ontractors to undertake work, they may be required to be licensed in accordance with state and local If the ontractor is not licensed as required by law, both the owner and contractor may be cited a misdemeanor violation inder state law. If the owner or intended_ contractor are uncertain as to what licensing - requirements may apply for the ntended work, they are advised to contact the-Pasco County Building Inspection Division—Licensing Section, at 727 -847- 1009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign lortions of the "contractor Block" of this application - for which they will be responsible. if you, as owner sign as the oni actor, that may be an indiction that he is not properly lied and is not entitledio permitting privileges in Pasco :ounty. :ONSTRUCTION.LEN LAW (Chapter 713, Florida Statutes,.as.amended): if valuation of work is $2,500.00 or more, ertify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's )rotection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone ether than the "owner", 1 certify that 1 have obtained a copy of the above described document and promise in good faith to ieliver it to the "owner prior to commencement. CONTRACTOR'S/OWNER'S - AFF1DAVIT: 1 certify that all the information in this application is accurate and that all work will be done in compliance with ail applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do wok and installation as indicated. I certify that no work or won has commenced prior to issuance of a penult and all work will be performed to meet standards of ail laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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. If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrkai work, plumbing, signs, webs, pools, air conditioning, gas, or other installations not specifically induded 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 Buiding 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 six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months afar 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 ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER YOUR FAILURE TO RECORD A 'NOTICE OF - COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR TO YOUR PROPERTY. IF YOU *TEND TO OBTAIN FNIANCING, CONSULT Y. - . �� _ =� OR ANA • 1....._11 FLORIDA JURAT (F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swum to (or aflimed) before me this Subscribed and sworn to (or affirmed) before me this Who Ware personally known to me or has/rave produced Who Ware pawns* known to me or has/have produced as iderpllication. as identification. No Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped