HomeMy WebLinkAbout09-9197 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9197
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9197 Address: 38602 CR 54 EAST
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:
Date Issued: 6/04/2009 Name: PJ'S AUTO BODY
Total Fees: 25.00 Address: 38602 CR 54 E
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/04/2009 Phone:
Work Desc: FPM-HOOD SUPPRESSION SEMI FOR P.J.'S BODY SHOP -END OF JUNE
'57777 _ ,: pzm,6 ^ t a`� ,, 1 a i ° Z l .Z i €mo.`s w&
HERNANDO FIRE 1 SAFETY EQUIPMENT FIRE PERMIT FEES 25.00
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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."
j
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 ZephyrhUls Fx413. 780 -0021
Permit Application • -
Date Received - -77- ' - Phone Contact for Permit
Owners Nams .. - S„Mare. /► ` r�'�� Owners Plane Number . I 1 1 1 1 1
/ �. -4
Owners Address / l s ir a I IF _ ` __
Fee Skeels T1llalaldsr Narne Titleholder Phone Number
Fee Simpls1ltlslaldsrAddress I I
Job Address 386 ,c Ato" ' - #
Sub Division Parcel #
x
0 Bto.H.zand Waste Storage - ANNUAL a Fumigation Tent •
El Game Exhaust Kitchen Mood/Duet a Hazardous Mshrlal (Tier II or RO Facility) .1 --
D Conte Bum Q Hood kn elation
a Deviancy Generator < 30 kw 0 LP t rat Gas -kn taYtlon 9! 9
jii Emergency Generator> 30 kw LP/Natural Gas - NUAL : .
Rre Protection MakMsnenos - ANNUAL ® ®® Q Places of • • ' AL
�prrer
Spdnidsr 0 0 0 P ssUonel Burn
Fire Alarm 0 0 0 Spatters
Hood Cleaning o o 0 I Sprknlder Sykora irtialorrs - •
Hood Spppree.bn 0 X 0 I • I Standpipe. (Sprkdd.r Sys) •
Fire Mum n - _ Torch Rooting/Tar Kettle '
Fire Pumps — - - Waste Tire Storage ANNUAL
Fire Works .
Fie enable Applealon- ANNUAL ) ) valuation of Project
Fuel Tank
0 •
NM
t; «tractor
SIgnati • IrAirtraillek Campary /:1:�:CJl:���-7,j�'JL�►J
Rellisbred ire12•1102=1111h7EA
Address Ill �3I�7arg=_AP/ /A4d�. liaLban.s# VZ le.L7 '..1.1.7:0 I ;
Gigesakell Pr �� / L ' 1 � '' �' ~ Registered Y / N Fee Current Y / N
Adder I - I License* I I
PLUMBER I I I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I 1 License I I
ME
S I Registered I Y/ N 1 Fee Current I Y/ N 1 I
Address I I License # I I
OTHER 1 I
Signature R.gielsred I ¥/ N • 1 Fee Current I Y / N
Address I 1 Lhar s# I I
Directions: •
FM out application oanpkWy.
Owner & Conlracior sign beck of application. notarked (Or, copy of signed contract wph owner)
M over 12500. a Hoke of Commencement k required (1Aechanieal work over $5000)
Supply two (2). sets of drawkngs with applicable documentation .
ANow 10-14 days for review after submittal date. Parcel 0 - obtained from Property Tax Notice (htlp Happralser pescogov.00m)
•
'NOTICE OF DEED RESTRICTIONS understands that this permit may .be3u eid'r1 bons"
which may be more, rostricWe'than100thtVregulations. The.undersigned .assumes responsibilityilr?mpiiaace9WIth any .
applicable deed restrictions.
... 'UNLICENSED -;CONTRACTORS R ;RESRONSIBILTf1E8: ' 'K the owner fiac[:hk>scf nr
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 - for a - misdemeanor violation
under state taw. .If the owner or intended 'contractor are uncertain as 10 what licensing •requirements may apply for the
intended work, they are advised to contact the Pasco County Budding inspection Division — Licensing Sectlon•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 they wit be responsible. If you, as - the owner sign as the
contractor, that may be an indication that fie is not properly licensed and is not .entitled permitting : privileges in Pasco
County.
CONSTRUCTION .LIEN LAW (Chaptsr713, Florida Statutes,.as.amended): If valuation of work is 32500.00 or more,
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: 1 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 permtt 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
land standards of all laws regulating construction, County and City codes, .zoning regulations,
development regulations In the jurisdiction. I also certify that I understand that the regulations of other
. government agencies may apply'to the Intended work, and that it is my responsibility to identify what actions
must take be in compliance. forth in
set tio
permitting conditions of faith to inform the owner the perins se f
If I am the AGENT FOR THE OWNER, I promise in good K be wired for electrical se f work,
this affidavit prior'to commencing construction. I understand that a separate perm may required
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 Budding 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 sbc (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Budding 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 JMPROVEMENTS TO YOUR PROPERTY. IF YOU , ' D TOO FINANCING, CONSULT
WITH YOUR LENDER OR AN AT'T'ORNEY BEFORE RECORDING Y • `` v E OF • • • ; CEMENT.
FLORIDA JURAT (F.S.117.03)
.,. • ...,, . 46,..._ `%`i a. -
OWNER OR AGENT
Sutucrleed and room to (or a$,msd) baton me this -
his .= . 1 _0 , ' �■
bY
Wt
a Ware personally known b sore+ Who Wan r °.r as identification.
1 /1/id � / /L'>, /l ; /� •, ry Public
• Nohry PubNc / Mir
No. Corte No.
Name of Notary typed: pdnted or stumped Name of Notary typed, printed or stamped
" . FRANCIS SPERLAllA
* MY COMMISSION $ DD8447b2
rj EXPIRES. Deoater 12, 2012
14004.NOTARV H Notary Discount Assoc. Co.