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Home My WebLink About09-9082 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9082 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9082 Address: 37815 15TH AVE 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: N/A Est. Value: Parcel Number: 10-26-21-0600-00000-0010 Improv. Cost: ' ; , ;, .,;. Date Issued: 4/30/2009 Name: JO JOSEPH Total Fees: 25.00 Address: 37815 15TH AVE WEST Amount Paid: 25.00 ZEPHYRHILLS FL Date Paid: 4/30/2009 Phone: Work Desc: FPM - SUPPRESSION SEMI- WELLSPRING ALF- SCHEDULE 5/11/09 !wit S gh ;`rte 3:. 4. a '.,z- s,....,..... VIGIL INVESTMENTS INC FIRE PERMIT FEES 25.00 1r � `-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 �' 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 .... _ �J'_'7, i?'.i `79:21 AM ZEPHYRHILLS BUILDING FAX No, 813 - 737 -7121 F, 07: 013 - 780 -020 City ofZephyrhills'Flito: .17( v Fax- 813.780.0021 . Permit Application Dare itioG ,. ` Phone Contect•for Permit I' �. • Ov;neri Nam ■ g,/ f r Owner's Phone Number 3 3 J 3 1 I?o5 1 ow ••nera Add,. . '" Ave �% '�� 4L. 3 1 Fee Sample Titleholder Name Titleholder Phone Number 1 , [1_ Fos Simple Titleholder Address - ( - 41 Lot* 1----1 Job Attrrvss ._ - -- - -- - - Sut. blvision Parcel tf J E3 Bio- Hazard Waste Storage - ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct 0 Hazardous Material (Tier 11 or RQ Facility) ANNUAL L7 Controlled Bum l f Hood installation E Emergency Generator 30 kw • - LP/Natural Gas - Installation v,. Emergency Generator> 30 kw LP /Natural Gas- ANNUAL Sale . I t Fire Protection Maintenance - ANNUAL • . Placer: of Assembly- ANNUAL • EMI ® ®"Omer . S d l eCtO ) Ed Sprinkler O ! D Ruci aUonal Bum • Fire Alarm . O D t] ' Sparklers Hood Cleaning 0 Cl 0 1 Sprinkler System Installations • I I •M 0 Pf Q Standpipe! (Sprinkler Sys) , ri Fire Alarm Installation . Torch Roofing/Tar Kettle Fire Pumps ` Waste Tire Storage ANNUAL Fire Works . • Flammable Application- ANNUAL ' .1 ValUatlon of Project Fuel Tanks Other: c,.n, actor • Company 1 5ipnat ire Registered Y / N 1 Fee Current ( Y / N J +d1rdas SiIMIIPW ! L . rIMilli , license # _ 1 . . ELL.C. CIA I 1 ../ Company 1 5i L Registered Y / N 1 Fee Current L Y/ N 1 Ad,Jr955 - License #, PLUMBER . • . Company • igna`srre ��. Resieterod WIEN Fee Current IMO Address 1 License* . I -^—"` M,�.'CHANICAL Company Signature Registered MEI Fee Currant IlliTEll Address 1 . . 1 License Al J • 1 • ;rrFtEtt Company - S, :•:lature Registered • Y / N [ fee Current 1 Y/ N J h Li cense # on actions: ..,- Fill out application completely. • Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) t* over $2300, a Notice of Commencement le require�dl.(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation . • . Allow 10 - 14 days for review after submittal data- Parcel # - obtained from property Tax Notice (http / /apprafser,pascogov.com) U l I LL V�� f ST ec m o L . -b . Po b X 3 . • -(, 1 r,,,,, 1 �L 3 3 L j C1eoMi�,y c oM ' • 813 q 3.)-9 too I NOTI€ E 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 owne and contractor may be cited for a 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 uilding Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the 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 they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly li ensed and is not entitled to permitting privileges in Pasco County. ■ CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute , as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a cdpy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agr culture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of he above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR'S /OWNER'S AFFIDAVIT: I certi that all the information in this application is accurate and that all work will be done in compliance with al applicable laws regulating construction, zoning and land development. Application is hereby made to obta n a permit to do work and installation as indicated. I certify that no work or installation has commenced prior tb issuance of a permit and that all work will be performed to meet standards of all laws regulating constructi n, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I so certify that I understand that the regulations of other government agencies may apply to the intended ork, 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, I promise in good fait 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 ith the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violati ns of any codes. Every permit issued shall become invalid unless the Work authorized by such permit is commenced wi hin six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) rtionths after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a eriod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety ( 0) 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 PROPS . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE - CORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) / / OWNER OR AGENT . NT�jjRACTOR Subscribed and sworn to (or affirmed) before me this Subsibed and sworn to (or rmed) before m i by by Who is /are personally known to me or has /have produced Who ie /are personally known to me or has /have produced as identification. as Identification. Notary Public Notary Public I Commission No. Corn lssion No. I Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped