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HomeMy WebLinkAbout09-9035 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9035 ANNUAL FIRE PROTECTION MAINTENANCE a . €' •are . X ..... P Permit Number: 9035 Address: 6251 FORT KING RD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 09500 -0000 Improv. Cost: i i:11qa 4;;``' Date Issued: 4/17/2009 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 25.00 Address: 6251 FORT KING RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/17/2009 Phone: Work Desc: FPM - SUPPRESSION SEMI- ALLIANCE CHURCH OF ZEPHYRHILL-SCH 4/17/09 3�s� .. .e 9'� IN ' PERMIT FIRE SYSTEMS C FIRE PERMIT FEES 25.00 010512-- t o ' � 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _ P '. IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 Fax-813-780-0021 813 City of Zephyrhllls Fire Permit Application 1 ` Phone Contact for Permit . LL Date Received • r ,rra .. atarraraw eroemm�.cm r,..rrsr,.u„rs„ar^;r',.. . ".... .,...,....wr.,..-a.r.r. .. ..„ +rn„ * ♦ —^ ' ..:. •-,..,. iC�YIG.�,r d 6 - •nffs pwner Phone Number :!3 I i l vK`(p I • Owner's. Name _ w Owner's Address Address • 62SI 4 ..Kt" - �2. •/. .z�• - '1 f• ter. ,j� / 1 - l Fee Simple Titleholder Name j y a ,,, r i•rli Titleholder Phone Number I g ( p , 1 7 0 P - 1 I rs1 Fee Simple Titleholder Addreay lEllai ^.ti•, ... ..eb Address r :YI^Y':.(,;!rl „abT !HIII$"tTn'� e 1 , . p/ Lot # e- /6 • .lab f __aa // __ J p �_ O � �� � � _ O lvO D �� ,,,�� Sub Division 1 t V1� 8 � --� Ul Y1.I # .. . . ,.,T r ,e,nr • 1 ' rRW! NR p�NfA : �IDII� 'M1'A�W73",.`ar.4NRMRBYRr.I! -g' 1:. .-..,:, e 5m! a �R, �Tr1^ �t ?q;al'nrh?f;1�T�::N!¢IM,C"�I _. �. E Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent a Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL ID Controlled Bum Q Mood IrlsInllaliu -1 n Emergency Generator < 30 kw = LP/Natural Gas - Installation 0 C me rig cnoy Ccnernter 1 30 kw • Ln LP/Natural Gat ANNUAL Sale IJ Fire Protection Maintenance - ANNUAL = Places of Assembly- ANNUAL ® r Ea” •I Sprinkler ❑ ❑ ❑ = Recreational Bum Fire Alarm Ej 0 ❑ 0 1 LI Spenders . Hood Cleaning !7 ❑ ❑ I1 I Sprinkler System Installations Hood Suppression 2" ❑ 0 i 1 ` I Standpipes (Sprinkler Sys) n Fire Alarm Itlslallaliurl a Torch Roofing/Tor Kettle - Fire Pumps Tire Storage ANNUAL Fire Works Flammable Application - ANNUAL 1 / 7-s V aluation of Project � n Fuel Tanks . _.,,,.._...,� ., - , ;0 ,, I � t h er: v. F? Lim Nd!•rntrISRII!tI1P. ,T7F'7�?c�?'.IF.?: r....:4,,.s...r...a,rwa,.ruip I!st' ompr 73tomrtei 'Pratmgorro"!JP,'•lF:rt'*In„ 1St! 'iPii tenet'"!!:"..,' Y^!v.,:t. fi ..w.rn`*- ..... 1 ;t'r•,:. - . .... ,,., .q.••�,:f •. ...n' .. . h d'} Ill(. uM;RRfiI .11 i.. ,f7 Contractor ., .. ,! COMPanY � AL ti - • • Signature K'•�^� ! Registered Ilt Fee Current Ir1_,211 Address f tJ 60? v27 V/ f -4,flc, .rj(n'yi l Ucense tk I s 9(e acoroo t eft V j ELECTRICIAN Company l Signature Registered Y/ N 1 Fee Current 1 Y/ N • ) Address 1 l • License* ( l PLUMBER • .Company l Signature , • Registered , Y/ N 1 Fee Current 1 Y/ N Address l l License # ( 1 MECHANICAL Company - l Signature Registered Y / N 1' Fee Current . l Y / N 1 Address 1 1 License* 1 OTHER Company • l Signature Registered I Y / N 1 Fee Current ( Y / N 1 Address 1 1 � Li n e # .... ?ay..•'C,'.,.,�:.. ...:.: .. .. Ih"..:.. h:: a:!<. J• W+ 1:: 1:.. u, Se. 1:. r..:. 1::.. IIPS. lt4 •W4Yn:a1dsA14.4MC! relv�.. err ` Mi;,.^R.''r.'", .. av ? -ro Directions; _. Fill out application oomplctely. • Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) • if over 32500, a Notice of Commencement is required (Mechanical work over 35000) Supply two (2) sots 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 undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law. both the owner and contractor may be cited fora misdemeanor violation under state law. If 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 Section at 727 -847- 8009. Furthermore, if the owner has hircd 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 (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "owner, I 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 I understand that the regulations of other govemment 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 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 six 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 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNCR OR AGENT CONTRACTOR e`u^-^r` ic Subscribed and sworn 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 produccd Who istene 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 Neme of Notary typed, printed or Stamped '—