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Home My WebLink About09-8978 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8978 ANNUAL FIRE PROTECTION MAINTENANCE � . , -r ,.,. .� "" °P's < > "3 , e .t -. gZ, § `:`. # ;".i7 << 5'.x ° Permit Number: 8978 Address: 36841 CLUBHOUSE DR 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: SILVER OAKS Est. Value: Parcel Number: 04 26 - 0000 - 00100 - 0020 Improv. Cost: .. V 7 _ ;1174$:: - 27:7 Date Issued: 4/02/2009 Name: S & R DEVELOPMENT LLC Total Fees: 25.00 Address: 36841 CLUBHOUSE DR Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/02/2009 Phone: Work Desc: FPM -SEMI HOOD SUPPRESSION -CADDY SHACK- SCH WK 13TH APRIL FIRE FIGHTER, INC. FIRE PERMIT FEES 25.00 C Io q 4q4 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 /i A 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 , tre , qm 813 -780 -0020 City ofZephyrhillsFire, Fax - 81,E -780 -0021 Permit Application Date Received — Z —C7 I N it .— ._...._..... ,. 7., .. ...-. ,�.., _ ..„.....,..,.. Pho Contact for Permit 0/Y 3 ft 65 9 15./.9e -ratio Owner's Phone Number 2/3 7.8 1ao2,5 Owner's Name o �F � ✓r•3�` ��`�L" Owner's Address 3Gir ( C( b 335 Titleholder Phone Number 1 Fee Simple Titleholder Name Fee Simple Titleholder Address M.... _..,r r... Y x w,. (o 15 k l 1 C 1,"L C...,-,.e_ -5) r 2 --e v 1^--j 1^--j Lt . \ \ 335 Lot # Job Address 1 Parcel # Sub Division J .• s.,, =«a. Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent I Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL I - Controlled Burn I Hood Installation 1 Emergency Generator < 30 kw I LP /Natural Gas - installation Emergency Generator> 30 kw I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL I � I Places of Assembly - ANNUAL — jUtrly] ''Semi! 1 jutner Sprinkler ❑ ❑ ❑ 1 Recreational Bum Fire Alarm I 1 ❑ ❑ ❑ I I I I Sparklers Hood Cleaning n ❑ ❑ ❑ 1 1 1 I Sprinkler System Installations Hood Suppression ❑ ,Ic ❑ 1 1 1 1 Standpipes (Sprinkler Sys) Fire Alarm Installation I Torch Roofing/Tar Kettle I Fire Pumps I I Waste Tire Storage ANNUAL I I Fire Works Flammable Application- ANNUAL I Valuation of Project 1 Fuel Tanks n Other: Contractor --- Company Signature : Registered L Y / N Fee Current Y / N _ Address License # I ELECTRICIAN Company Signature .. Registered Y / N Fee Current Y / N Address I License # . PLUMBER Company Signature Registered Y / N I Fee Current - Y / N Address I 1 License # MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address I License* , OTHER Company Signature Registered Y / N Fee Current Y / N Address License Of 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 (httpj /appraiser.pascogov.com) which may OF DEED RESTRICTIONS: The u understands r may esponsibility o foritompl an e ` .whwith any hich may be more restrictive than County regulations. Thew derign d assumes .applicable deed restrictions. UNLICENSED 'CONTRA` AND b ONequ red �t be licensed RESPONSIBILITIES: accordance with state and local egufions -contractor If or contractors to the is not licensed undertake contractor is ot licensed. as required by law, both the owner .and contractor may be cited 'for a 00 misdemeanor for the under state law. If the owner or intended act the contractor are County licensing Division —L c ction.at 727-847 - 89de Fu they are advised to contact on 8009. Furthermore, if the he 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 will be responsible. If you, as the owner sign n as the contractor, that may be an indication that he is not properly licensed and is not entitled permitting .privileges County. 0.OD or more, I CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,- of m e nde d) If Colst oion work is Lien .$250 Homeowner's certify that 1, the applicant, have been provided with a copy is someone Protection Guide" prepared by Florida Department of Agriculture above described docum Affairs. ent and promps a th to other than the "owner ", I certify that I have obtained a copy of the 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 County a d C permit a codes .tolling work will l ns, and permed to meet standards of all laws regulating construction, that I understand that the regulations of other development regulations in the jurisdiction. I also certify 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 If I am the AGENT FORTHE OWNER, I promise in good erstand that inform the owner of the permit may be ed for l electr eal work, this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A olate, cancel, alter, or permit issued p construed o be a license des, nor shall issuance of a permit prevent the Building I Official from thereafter set t aside any provisions ns of the he technical codes, permit issued shall become invalid requiring a correction of errors in plans, construction or violations of any codes. Every p y unless the work authorized by such permit is commenced within six after month a s of ti permit vi commenced. , or if work Ap horized i by ork the permit is suspended or abandoned for a period of six (6) months may be ; requested, in writing, from the Building Official, for a peri not to days, d ni n job i9 considered aba dem justifiable cause for the extension. If work ceases for ninety (9 0) consecutive 'WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE 'OF ' N MEN M NANO U TCONS T PAYING IF YOU TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER DR AGENT CONTRACTOR Subscribed and swum to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who i dare personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No., Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped