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Home My WebLink About09-9200 ti CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9200 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9200 Address: 3741f EILAND BLVD 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: 03- 26 -21- 0010 - 05300 -0000 Improv. Cost: ... > , 7 , Date Issued: 6/04/2009 Name: GOLDEN HEALTH SERVICES INC Total Fees: 25.00 Address: 2424 CURLEW RD Amount Paid: 25.00 PALM HARBOUR, FL 34683 Date Paid: 6/04/2009 Phone: (727)781 -5885 Work Desc: FPM -HOOD SUPPRESSION SEMI FOR GOLDEN HEALTH SVCS -END OF JUNE > • & l« 6 &a L , syg 6 .�.� ... :.a '., .°. 0.,r; z-, HERNANDO FIRE & SAFETY EQUIPMENT FIRE PERMIT FEES 25.00 \ (C)61 ( 2q . c^ d ' :3. s � t - _ •• § I • : , E z s s y y.- . 2 x b � FIRE ACCEPTANCE Final V 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ,APPP P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 • • 813. 780.0020 City of Zephyrhils figkorr_s^ Fax-813-780-0021 Permit Application - - r • Phone Contact for Permit Date Received 1_.�•�"'__= 1 — 1 - , 1 -1� _ `�- 1 1 1 1 Owner's Name • - i " ne ! i i _ owner: P N umber Owners Address -- �� a rr∎ r / i i C• # _, - - 3 6 I. Fee Simple Titleholder Nome Titleholder Phan Number I 1 1 Fee Sbpl.TlrehoiderAddr.a$ 1 e • Job Address 16- _ // Li ,1 • !I 8/4/ !/l I Lot* 1 Sub Division Parcel v 0 Blo -Hmrd Waste Storage - ANNUAL - El Fumigation Tent • ED Comm Exhaust Kitchen Hood/Duct Q Hacerdous MtlsriN (Tier II or RO Facility) ANNUAL ED Controlled Bum a Hood lotion a Emergency Cenerabr < 30 kw 0 � � � j f � n 0 lit Emergency Generator> 30 kw Sate rT ' Fire Protection MrkrMmanoe - a Places d AssembipANNUAL SprinIder t o 0 0 ® ®® rr I Recreational Bun Fire Alarm 0 O 0 _ I Spenders Hood Cleaning O O O I 1 H SprlmlderSystem MaYBorrs • • Hood Suppression O 0 • I Sir elpi_es (Sprirrlder Sys) Fb Alarm Instigation _ W ^ Torch Rooting/Tar K.W. Fire Pumps . - - - - Waste Tire Storage ANNUAL • Fire Web Reennable Application- ANNUAL ' .1 valuation of Project Fires Tanis I S Contnuot �►ff��'i Company 1r7.:1:471'T.f ,_ -m` • Adds rrrS — i %IF _ ar`,Cf! 12, Lions* : 1/46-70l. - firili174:.'i -i; Company /5 •- - 6 e j • ,9/41•4/1' j Registered Y / N Fee current Y / N Address I ! 1 License. I I PLUMBER I Signature I Registered I Y/ N 1 Fee Coward 1 Y/ N 1 Address I 1 License. I 1 ME Registered l Y/ N 1 Fee Covent 1 YIN 1 I Address 1 1 License f I 1 OTHER grnI a Sat re I . Registered 1 Y / N • J Fe. Covent 1 Y / N Address I I arms.. 1 I • Directions: . F11 out application conot t•ly Owner & Corarac'tor sign beck dapplication. noteda.d (Or. copy or signed contract with owner) If over $2500. a Notice of Commencement is required (M.J .nkal work over 55000) Supply two (2).sets of drawings with applicable documentation Allow 10-14 days for review air submittal date. Parcel - obtained from Property Tax Notice (MlpIlapprais.r.peseopov.com) • • 'NOTICE OF: DEED RESTRICTIONSiRR Thdersigned understands that this permit may .besubt eeidl'oestrictions" which may be more -restrictive 'than+OoU11Wtregulations. The.undersigned .assumes responsibilityjmocmpliai ce any . applicable deed restrictions. 'UNLICENSED • :RESPONSIBIL•RIES: ''If owner - hay.t J gar ntractor nr - • contractors lo undertake work, they may be required to be licensed in accordance with state and .local if the contractor Is not licensed as required by law, both the owner 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 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 - for which they will 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 (ChapterTl3, Florida Statutes,as:amended): If valuation of work is $2,500.00 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 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 constriction, 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 to jurisdiction. i� and t that hat is I understand my r to identify what action . government agencies may apply' s I must taketo 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 Instaaadons 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 sbi (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 abandoned. demonstrate trate justifiable cause for the extension. 'If work ceases for ninety (90) consecutive days, the job is WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE OF - COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR JMpROVEMENTS TO YOUR PROPERTY. IF YOU i 0 TO • = N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU - TICE OF MENCEMENT, FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT ••• ` %`i �•_ S11b4cribed and swan to (or affirmed) before me this • • • • j 7 y � bY Who Wars personally knovm to moor Prod _ • : ` :•""` to me as identification. • - •. • • Notayy Public f 44% . •( •iti_ i--f/iAe�I�1 Notary Public Commission No. Commission No, Co Name of Nobly Wed; pilled or stumped Name of Notary typed, printed or stamped • "k, FRANCIS SPERLAZZA MY COMMISSION # DDS447112 *O erg EXPIRES: December 12, 2012 1 ° m FI. Notary Diwwnt Assoc. CO.