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Home My WebLink About09-9122 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9122 ANNUAL FIRE PROTECTION MAINTENANCE ..m, tom- =: . .. ... ...... Permit Number: 9122 Address: 38635 5TH AVE 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 -21- 0010 - 15000 -0090 Improv. Cost: Date Issued: 5/13/2009 Name: UNITED MET HODIST CHURCH Total Fees: 25.00 Address: 38635 5TH AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/13/2009 Phone: Work Desc: FPM— HOOD CLEAN ANNUAL— FIRST METHODIST CHURCH — SCHEDULE 5/13/09 v ... "te WASHING INC FIRE PERMIT FEES 25.00 _ ((0 -off 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." fW 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 City of ZephyrhillsFire Fax-813-780-0021 si 7a0 -DO2D P Application + (0 1 act fat-permit ..,.....,L. Date Received 1 ,, Phone Cont �. . � ^^.'„:."°'. " °"w'„'.w' ,.:- ...'..1 . ;S - Owners Phone Number l 1 ) Owners Name ) T 1 rS� 0 Q,�G ± ' " - `�"_ Owner's Address - 6b2 ( S -. — OL Aut./Now ---- b-elL■iik fl . S/35" - ci l Titleholder Phone Number Fee Simple Titleholder Name J Fee Simple-Titleholder Address xs ww .' „ - ".. ii::u, k .id3c.�;e.. W h ..:4:..` '^t 10 Gl, .. n__ j _. y I .. Lot N Jab Address Parcel # Sub Division 1 ''' r Fumigation Tent Bio-Hazard Waste Storage - ANNUAL n Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier II or RQ Facility) ANNUAL n - Controlled Burn J . 1 Hood Installation 1 n LP /Natural Gas - installation Emergency Generator < 30 kw I I 30 kw LP /Natural Gas - ANNUAL Sale Emergency Generator> w I I Fire Protection Maintenance - ANNUAL J 1 Places of Assembly- ANNUAL zap ',Semi! rall 1 Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm n ❑ ❑ ❑ J I J I Sparklers ypgd.Glegning 2 ❑ ❑ ii i 1 J I Sprinkler System Installations Hood Suppression E ❑ ❑ ❑ 1 1 • 1 Standpipes (Sprinkler Sys) Fire Alarm 1 Installation Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 1 1 Valuation of Project 1 --- 1 Fuel Tanks 17 Other: J Company . 4 7-400,14- Contractor Signature &' C-� II Registered Y / N Fee Current Y / N 1 Address i License # 1 - ELECTRICIANI Company Signature 11 Registered Y/ N I Fee Current I Y/ N Address ( License # PLUMBER Company Signature Registered Y / N Fee Current I Y / N Address J License # MECHANICAL Company Signature . Registered Y / N 1 Fee Current Y / N • Address I l - License* OTHER • Company Signature Registered Y / N I Fee Current t Y / N nis iress • License* I Directions: Fill out application completely. Owner & Contractor sign back of application, notarised (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) • • • STRICTIDNS: The understgnerj that ths permit responsibility for mompl armetwtth any ' l ICEyDP:DE –D re citations. "The.0 9 which maybe more restrictive than County 9 _applicable UNLICEN deed restrictions. CTOR'RESRDNSIBILMES: if'the owner has -hired contractor or • - U contractors Oslo 'CONTRACTORS AND JCO A •undertake work, they may be required-to be licensed in accordance with state and local If the contractors - to both the owner .and contractor may be cited - Fora . misdemeanor s violation toe un contractor er t o law. licensed owner n required tende law, asco County Building inspection Division — Licensing Section at 727-847 - state taw. If-the owner or intended. contractor-are uncertain .as - to what licensing - requ'►r Veethe c ntractor(s) sign under are advised.to contact the P 8009. a aurthermore, are they gQQg, i=urther will be� responsible. If you, as - the owner - sign as the contractor, that m if the Downer has hired .2 ��in►rhich-the contractors, he is advised to have .privileges in Pasco portions - of the "contractor a yean indication indicat ion - ta t h e riY licensed and is not entitted'to -permitting •P may be n ion that he is not'prope as.amended). If valuation of work is'�2;6DD.OD or I County. ; Ch erTt3, 1= iorida 5tat ,the =Florida Construction Lien Law— Homeowner's CONSTRUCTION that 1, -the .LIEN LAW ( 1lcant is someone Protection that 1, •the appliced have -the Florida provided :with ,.a copy da Department of Agriculture and Consumer Affairs. If the app Protection Guide prepared by of the above described document and promise in good faith to other than the owner", I certifythat ; I have,obtained a copy i u prior to commencement. Iication� is accurate and deliver it.tothe "owner' p that all the information .in this aPP CONTRACTOR'S/OWN t all be done in s compliance I h hall pplicable laws regulating construction, zoning and land that all merk will b � one,is hereby made-to obtain a permit to do work and installation as indicated. I certify development. ApP � twit and all work will be performed to and City codes, t all work regulations, wi pe and d t o that t a n d rdinstallation fall a has gummenonstrruoction, County a meet standards ul all law -the jurisdiction. I also certify -that 1 understand that the regulations of other ulaiions in - the j responsibility to identify what actions I development geg a apply t e4ntended work, and that it is my . government agencies may pP Y cod faith to inform the owner of the permitting conditions set forth in must take to be in compliance. . romise in -g permit ma be required for electrical work, tf 1 affidavit the AGENT 6o HE DWNER, I P rical A this affidavit prior to commas air conditioning, •1 understand that a separate p d ° in violate, cancel, alter, A Dols, air conditioning, gas, .or other installations not specifically included in the application. plumbing, e i iissued wells, p the work and not as -authority ennit prevent the Building Official from thereafter permit a a ny pr i prbe ovisions c000efs�techn'ical codes, no shale proceed s with a p erson. Every h e Bu issued shall become invalid a or requiring aside any correction of errors in Plans, construction or violations Y a correction of req ed by such permit is commenced within. six months . of permit issuance, or 'rf work authorzed by unless the work author¢ Y eriod of six (6) months after the time.the work is commenced. An will demo strata ones or abandoned for l p Official for• a period not to exceed ninety (90) days the permit is suspended from the I3uitding may be requested, in writing, > 90 .consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety ('Id CJ'[7C) =.�OF 'COMMENCEMENT Mf1Y "RESULT IN 'YOUR WARNING I DWNER: Y OUR FAIL'U O YO RPROPERTY. . ICE:O 'COMMEN EMENIN "FINANCING, IN'YOUR WITH YOUR FOR IMPROVEMENTS AN NATTDRN .BEFDRE - CORDING YOUR NDTIC OF COMM NCEMENT. WITH YOUR ND • FLORIDA (F.s.117.03) R 5 t swum tD (or affirmed) before me this Subs OR AGENT e d r me this by Subscribed and swam to (or affi ) —bY i — to me or ha --- .ho Produced �, Who Ware Pecs as lden produced W mare person ---- to a s identification. fi a ca ti on. produced a ierrttfiti Notary Public • Notary Public Commission No• Commission No. Name of Notary typed, Posted or stamped • Name of Notary type yped: Pd or stamped • •