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Home My WebLink About09-9022 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9022 ANNUAL FIRE PROTECTION MAINTENANCE °° 77 7 7 7.7 77 77 7 7: 7 7 ,3 7 Permit Number: 9022 Address: 6151 12TH 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: Improv. Cost: ,° E7� 6.., > ,., Date Issued: 4/15/2009 Name: CHURCH OF THE NAZARENE Total Fees: 25.00 Address: 6151 12TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/15/2009 Phone: Work Desc: FPM -HOOD CLEAN ANNUAL- FIRST CHURCH OF THE NAZARENE -SCH 4/15/09 . !, � ,r� sea � 2 `_�. �`e ea. z ,.... A TAMPA BAY PRESSURE WASHING INC FIRE PERMIT FEES 25.00 a (0e. 0 i C':. ..> °.: ,(3P „•'rT x:; ._, _ ^R . FH M T _�;, a 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." tW 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 �6 2.. 813 -780 -0020 City ofZephyrhillsFirs• Fax - 813-780 -0021 Permit Application Phone Contact for Permit Date Received I 1 � � = .vE.•� .........r, . ....,.� ,�...�....,..,_...... � ....,.. �...._.. ,: i 1 f r r s4- C/ c", C I U ,� - 2 1 ":1 ' °� - P(/ G^2 fi d e s Phone Number rJ �--3 7erZ 7 Z Owner's Name /� /� � �j�' � � ( '-^ Owner's Address 2 XS / - / 2-t- �� e /r Y/ r1 r % `/ 33 -r-c Fee Simple Titleholder Name 1 I Titleholder Phone Number 1 , Fee Simple Titleholder Address �� M -f ,: „ � µ � -� M s4j„r .. r._ _ _. ..• (CJbb Address / /-5 / / Z 7 —� 6?-- . t,/. / y L J4 /' , - C � : S Lot# Parcel # Sub Division - su I Bio-Hazard Waste Storage - ANNUAL I Fumigation Tent I ( Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL I I - Controlled Bum Hood installation Emergency Generator < 30 kw I 1 LP /Natural Gas - Installation 1 1 Emergency Generator> 30 kw 1T LP /Natural Gas- ANNUAL Sale Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL - (utriyi 'I semi 1 Erb' Sprinkler n ❑ ❑ ❑ 1 1 Recreational Burn Fire Alarm 1 I ❑ ❑ ❑ 1 1 1 , Sparklers ' Hood Cleaning 17 ❑ ❑ x' I 1 1 1 Sprinkler System Installations Hood Suppression 7 ❑ ❑ ❑ 1 1 1 1 Standpipes (Sprinkler Sys) I Fire Alarm installation • J Torch Roofing/Tar Kettle 1 Fire Pumps I 1 Waste Tire Storage ANNUAL n Fire Works I Flammable Application- ANNUAL D Valuation of Project Fuel Tanks 1 1 Other: 1». Contractor , / �� /� /�--- Company Signature Registered Y / N Fee Current Y / N - Address L J / (.),C. I/.✓7 , Tr1 4.} ej e-` - 33 License # ELECTRICIAN Company • Signature Registered Y / N Fee Current Y / N Address : 1 License* PLUMBER Company Signature Registered ` Y / N Fee Current Y / N Address License # 1 MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address 1 -License# OTHER Company Signature Registered Y / N Fee Current I Y / N i Address License ?'! . x.JLri,:wasWaa . uu 4 •. _.:`_• •w.,Yn'ullmuu4vuu w.•.^• .. ... .. ,. '..F n. wR IM. .wr'^., .>... .. 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) which m OF DEED RESTRICTIONS: The undersigned %u dersign d .assumes umes responsibili which responsibility for compliance with any may be more restrictive than County regulat ions. The applicable deed restrictions. UNLICENSED 'CONTRACTORS AND -. bONTRACTO RRE PONSIBaaeoES: If with ow te and local a c ons c tor the 'or - If contractors to undertake work, they may required contractor is s not licensed as nsed. as required intended the uncerta n .as to contractor licensing i rnay :apply for under state law. If the owner or contact 8 00 9 9. Fu rther they are ermore, if the oow n er has ed County .a contractor or Building ontractors, h Inspection Division--Licensing s advised to have the contractor(s) sign p00. Furthermore, wer h that he is not properly licensed and is not entitled permitting . 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 privileges in Pasco County. If valuation aluaion of work is $2;600.00 or more, I CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,- same :amended): "Florida alua ion o on Lien Law — Homeowner's certify that I, - the applicant, have been provided with a copy Ilcant is someone Protection Guide' prepared by the Florida Department of At above described document and promp in good faith to other than the "owner ", I certify that I have obtained a copy of the 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 t op work Application is hereby m made to commenced pobtain o o issuance of a permit and that installation will be performed to meet t no standards rd s installation faall laws has land mt adrd of all laws regulating construction, County faa { understand stand .zoning that the e regulat ons o 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. If I am the AGENT FORTHE OWNER, I promise in 'good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 undoersother th installations separate errni ifical a ly be redquired the r app Cat .no work, plumbin, signs, wells, pools, air conditioning, gas, , cancel, alter, or permit issued shall be construed to o be be a license nor shall ssuance a pe.rmitlprevent the ding I Officeal from thereafter set aside any provisions of the technical codes, requiring a correction of errors in plans, construction or violations of any codes. Every p ermit issued shall become invalid unless the work authorized by such permit is commenced (6) within six after�the t of meethe�workas commenced. authorized by may permit is suspended or abandoned for a per of six may be ;requesteded, , fi i B n writing, from the Building Official for a9period consecufive exceed ninety days, the job isOcon s tiered ab will a doned demonstrate justifiable cause for the extension. If work ceases for ninety ( ) 'WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE F YOU INTEND 'COMMENCEMENT OBTAIN FINANC U TCO PAYI TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swum to (or affirmed) before me this Subscribed and swum 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 o enfiC has/have produced as identi fication. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, Printed or stamped