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HomeMy WebLinkAbout09-9166 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 9166 ANNUAL FIRE PROTECTION MAINTENANCE 9 , . s: , "i,4..F, ; a 8 rz :: ,.i., ° rPr• +. ,€: i: Permit Number: 9166 Address: 4330 20TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: grrniitairfir: '�_ Date Issued: 5/28/2009 Name: ZEPHYRHILLS BOTTLED WATER Total Fees: 25.00 Address: 4330 20TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/28/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- NESTLE WATER PLANT- SCH 5/28/09 1 17:: tiNVIUV;i INTERNATIONAL FIRE PROTECTION IN FIRE PERMIT FEES 25.00 (054 () tal 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." er! r. 7� P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041 813 -780 -0020 City of Zephyrhills Fire Fax- 813 -780 -0021 Permit Application Date Received Z , - U Phone Contact for Permit Owner's Name 1 L L/# - Yb ' t L/ c -fib 4 1 Owner's Phone Number ( 1 1 I Owner's Address 1 2. k. !It ` /il C. J F ( 33i Fee Simple Titleholder Name I I Titleholder Phone Number I I Fee Simple Titleholder Address I I :.a.> � .... Job Address q-,336 2.I 1 _. '— Lot # Sub Division I ( Parcel # I E Bio-Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL Q Comm Exhaust Kitchen Hood /Duct = Hood Installation Controlled Bum I] LP /Natural Gas - Installation El Emergency Generator < 30 kw El LP /Natural Gas - ANNUAL Sale El Emergency Generator > 30 kw = Places of Assembly- ANNUAL El Fire Protection Maintenance - ANNUAL Recreational Bum LIMN Sprinkler �' + (/�'� ❑ ❑ LJ Sparklers Fire Alarm El ❑ ❑ ❑ I 1 E Sprinkler System Installations Hood Cleaning ❑ ❑ ❑ I I E Standpipes (Sprinkler Sys) Hood Suppression Ej ❑ ❑ ❑ I 1 0 Torch Roofing/Tar Kettle El Fire Alarm Installation I Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL I I Valuation of Project Fuel Tanks CI Other: : �1 }4 .::,, @. ^i_b�.vL. - a t>a, �. ., , -.. , .4Y x,..::A3.S�?,,.kX Le:� >,,.r- m.f.'&Si. �tN�iK�esF Sit'=$ F` � W;_ zi?. AMma�:.' 'G. X...,w'°+l^�,�i * .w w4 `4� E.,47e �'.,a kb?.4'ks Contractor / Company j-i.i - KN9Z2Dr9'. /f filto e-cciew _.2 Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I I ELECTRICIAN Company I Signature Registered Y/ N 1 Fee Current I Y/ N I Address I I License # I I PLUMBER Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I OTHER Company I Signature Registered Y / N I Fee Current I Y / N I Address License # 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) 'NOTICEPF :DEED RESTRICTIONS: The undersigned understands that this permit may.be•subjectsto °•:restrictions" which may more restrictive than County regulations. The.undersigned.assumes responsibility.for compliaracetwth any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND "CONTRACTOR r e SPON o ES: I with owne and local reguic ors cto the contractors - to .undertake work, they may be contractor is- not licensed as required by law, both the owner and contractor may be cited - fora misdemeanor violation under state law. If owner or intended contractor- are uncertain .as to what licensing - requirements may :a p iy 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 hired .a contractor or contractors, he is advised to have - the contractor(s) sign portions -of the " contractor Block" of this application which will be responsible. If you, as - the owner-sign n a the contractor, that may be an indication that he is not properly licensed and is not entitled -permitting .privileges County. CONSTRUCTION _LIEN LAW (CFiapter713, Florida Statufces,as amHnded): If valuation of work is 12,300.00 or more, I certify that 1, the applicant, have .been provided -with • a copy of the "Florida Construction Lien Law — Homeowner's is -someone f Agriculture and Consumer Affairs. If the Protection th n the Guide" "owner", I certify byth rtifytha that l Florida hae.obta obtained copy of the bove described document and promii in t good faith to other than °oner", I cea deliver &tothe "owner" prior to commencement. that all the information in this application is accurate and - CONTRACTOR'S/OWNER'S-AFFIDAVIT: I certify applicable laws regulating construction, zoning and land that all work will be done in compliance with all 'app development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify met ee t no st a n nd k or insta ards all i has co ws regulating n cons p tru o ctii o on County and p City t codes, _zoning work regulations, performed d land m at ad o f all al g development regulations y in the apply to the intended workcan that I understand that is my responsibility to identify regulations what actions I government agencies may pp 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. -I un ther nstaliati o s pecifically b re be fo e r le i n work, plumbin, signs, wells, pools, air conditioning, gas, o permit issued shall be construed to be a codes shal proceed suance of a permitlprevent authority Building violate, Offic�al from alter, or set aside any provisions of the technical , ermt issued shall become invalid requiring a correction of errors in plans, construction or violations of. any codes. E very p unless the work authorized by such permit is commenced within ss after time the work issuance or if work authorized by the perriit is suspended or abandoned for a period of six (6) may be requested, in writing, from the Building Official. for a � pen idrsecu o ve days, ni n job i9 da d a :d nd aba dem justifiable cause for the extension. If work ceases for ninety ( 0 ) - WARNING TO OWNER: YOUR FAILURE D YOUR PROPERTY. F YOU INTEND TO OBTAIN FINANC NG, PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY-BEFORE RECORDING YOUR NOTICE OF CD M NCEMENT. FLORIDAIJURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT before me this Subscribed and sworn to (or affirmed) before me this Subscribed and•swom to (or affirmed)• by by WhoWho is/aree personally known to me or has/have produced Who is/are personally known to me or has/hav produced as identification. as identification. Notary Pubtic Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped • •