HomeMy WebLinkAbout09-9202 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 - 0020 9202
ANNUAL FIRE PROTECTION MAINTENANCE
73:77.77 g %° ✓ ai d .., E - .:' ix C ,der -` 7 <. ',..
Permit Number: 9202 Address: 6851 WIRE RD
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: 02-26-21-0010-01200-0000
Improv. Cost : Z• 5 2,,. ,, - <�` ,, ,4
ELK
Date Issued: 6/05/2009 Name: S L ODGE
Total Fees: 25.00 Address: 6851 WIRE RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2009 Phone: (813)782 -4604
Work Desc: FPM SUPPRESSION SEMI- ELKS LODGE
S FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00"
(()3k1
x .2 9
•i 1
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."
MOP
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
. '413- 7eom20 try ofZeptryrtiills - F .813- mo -oo¢I
Permit AppYcrtion
Date Received /� AY /� I PAan.CaM�tbrPanaR
Owner's Nome 11Ml2�'!JA '3W i� - �1. Domes Miens timber 7J y b a9
Fes Slnnplr'tlaboklerHema Ti•dddorHicaeNumber t 1 1
Fee Siapis"ilirbolderAddre s f
Affillir
Job Address
Sub o(viilon Poloo ll #
8lo-4hesd Waste Storage -.0a111111AL ED No Tint
Co m Exhaust Ritolliel lbodRiva (� Na daslA.wwt ArrorraaF,oit�jANNWIt
t aMletlAti Hum - El Hood ins Mellon
6meywxyGonmlor { 30Wu t A .e�l�e i elan
�nogsncll®wmaisrc. 30 kw LP1w.al Glaw+A1MMtlfeie
M
Fir. Protection .r�iseeno.— ANNUTAL - M Rhos of AsestablyANNUAL
egii ERE PEI
t o o L1 ; M Burn
Arne Ahem El 0 p
Hood &mi g a O 0 Ill 8pli blerl3yslem inslitifons
Hood Suppression o X C (Sprinkle/Sys)
Flee ilsUfeicn Tpdtlioclfnptfarlfiefre
Igoe Pumps 1Maala?ii�8lorq.AliMAAL
File Woks
Rana eblo
t t
Fiat Tae Valuation Of PrOJett
C[ -
ReyieMd', YIN 1 F..tAm+ent 1 Y/N
Address
G1eo.pari►
w
Ragland YIN Fee Cement I Y / N j
Address
PLUMBER 1 .
Crimpesw
Address I I License* l• I
R. .,.d Fs Caned f ir
Address 1 Licaae I
OTHER
I
Signalise jtc"-e %�eG11,s2— t Hollywad [I�r:� Fa.owent iTL7
Addle= 6, = 7 ill&irs� ticenesir ILYMPWrIIIMPRIIIMIIIIII
FM out appAoefon mapiarh►
Owner It Contractor sign beak ca *plosion. notate* (Or. copy of signed eanbactwler maw)
Waver 52000 i Noise of Comm is
Supply two (T.) sets of drarrirps with aapplicable documental* wwort over WOO)
Mow 10-94 d a y s tornsntew et4 erda I W I Mae. Parma # - oblired darn Ppolnrtar Tax No (l,gintapprateer posmpov oom)
•
•
Iol lCE OF'OEED RESTRICTIONS: The undersigned imderstands that thispertnit mall - 1 edeaievestrictions
rhich may be more restrictive than Cry regulations. The undersigned -as hes responsibifity for mempllaanowith any
Dplicable deed rte= _ if the owner has tailed arcoruhac6or or
INLICIRISED CONTRACTORS AND - CONTRACTOR onbadcas to widsrlaios work, they may be rscp*ed
aloraeed in accordance. with-stab and iocalingul■ lions. If the
:ocgractor is not licensed as required by law, both the waver and contractor may be cited a:mciedemesnor violation
under state law If he owner ea• intended.cortractor are uncertain •as - to whit licensing Tequirethents hay apply for the
mended work, they are rissdb contact the-Pasco County guiding Inspection Minion—Licensing Section :at 727 -847-
3009. Furthermore, Y the owner has hired a contractor or =model* he is animist to have the cankackw(s) sign
*onions of the "oortracior Nock* of this appiloa tion for which wi llas respor*le -. If you, wise annersign as the
ontactor, that may be an indication that he is not proper licensed and is not erM Ned'b permitting privileges in Pasco
GTiort Elt•LAW (Chapter713, Plana 8labsiias,as.amended if js.$2,3110_-00 ar more. I
that I, the sP • have been provided with a copy d the 'Florida Conpiruption Lien s
rrotection Guido' prepared bylhe Florida Oeperbeent of Apiculture and Consumer fairs. W the applicant is someone
Aber than the `owner'', t codify that I have ablsi ed a copy cite abOAe described dosamer>t and premise in good*aith to
taunter it to the `owner prior to corm lenobmerai.
- :AEPIDAVIT I cent* that all the information in this- appW:10m is accurate and
that al wort volt be done in coMplierroe with all applicable lass regulating construction, arming and land
i$ made to dutein a pea* ID do vim* card installation as indicated. 1 certify
that d � O ek in heoeby i suance d a psranit aid•that all workwip be periornued to
met standards of ail laws regulating construction, Cou wok or installation has commenced prior b and Mt mass. aorig regulations. and land
meet
development reguaptpsg is the jlariedidiOn- t also aerlliy that 1 to identify what actions {
. government agencies may:appIy to the i kmded work, and that it is my responsibilibi
must take b be in omuplicnce. faith to 'stone the owner of the pen>a�aiging cenuditions set Toth in
If ! am the AGENT FORME OWNER, 1 prudes in do be for ai eet nl work,
Ms prior to commencing consbudion. I end that
t a separate
s swam* may worked A
pig. TOO: wells. Wolk air conditioning, gee, iiduded h the application. .
to be a Scenes b proceed with the work and not as autho ► * , cancel, , or
permit issued shat provisions dew *chiliad wise, nor dui issuance of a permit prewar* the Building 011icial from thereafter
mitring a amnion dams In plans, construction or of anti cables- Every permit issued shall mid
is commenced within sic months d penult esuanoe, or if work aulhor1Zc d by
the unless the wok autl3 ed or for a period of six months alief dw wink is,amenenced. An extension
may be is from Bulking Mid for a period not to mo d ninety (9 + and vni demonstrate
may bee cause o Ms. *s ID naneideeed abandoned -
justifiable farthe extension. iiwrxk csecsestor ninety �Q) coneec
TO RECORD A WVE" - CF C ICL gsT i1 rtr i NLT 11 T
PAYING G •ib FAR3RIE F YOU snow To OTTAN FINANCING, CONSULT
PAYMG FOR TO YOUR PROPERTY.
WITH YOUR Willia4 OR AN ATTORNEY BEFORE RECOMMITS _
RDRIDA MOW' (F
OWNER OR maw CONTRACTOR
Subscribed sad sworn bfarellineere biome see ipis Subsathed and .ti (arsenrudi belo s
bY
W{�oisrarspeesensrylwis�aid ss as kienOoeaon-
- Noluy MAW Pnbila
rdsdon No, printed
Nome ofNdsiytyped - or dumped
•
Name of NotAry lypprinted a stamped