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HomeMy WebLinkAbout09-9246 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9246 ANNUAL WASTE TIRE STORAGE PERMIT Permit Number: 9246 Address: 37911 SR 54 WEST Permit Type: FIRE WASTE TIRE STORAGE ZEPHYRHILLS, FL. Class of Work: FIRE -WASTE TIRE STORAGE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10- 26 -21- 0030 - 00000 -0050 Improv. Cost: :,: OW: . r ' , A Date Issued: 6/15/2009 Name: MCRAE, T. D. Total Fees: 50.00 Address: 2508 N 50TH ST Amount Paid: 50.00 TAMPA FL 33619 Date Paid: 6/15/2009 Phone: Work Desc: WASTE TIRE STORAGE- WASTE TIRE RECYCLE INC- ONCE A MONTH FIRE PERMIT FEES 50.00 C (./ 0 / eti a4 .g. : 1 °.,, ` .li.a.r7 ,.s :.'. "tea= : : c , W 3 FIRE SITE INSPECTION -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. TIRE REMOVAL COMPANY: PHONE NUMBER: FREQ OF REMOVAL: ICY P IT OFFICER PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 • - T 1 50 a) 0 Dna_ le 813-780-0020 City of Zephyrhills Fire yJ! 9 7-4- % ` Fax- 813 -780 -0021 Permit Application Date Received Phone Contact for Permit aOwner's Name M'4 ,1! I .-.. ,•Im tit A y t a > %e Owner's Phone Number I $t7 / 113 7"7 1 1 / . (9 1 Owner's Address 1 3 1 52 5l ` z e� ><y r-14 r` l5 i rt 3 3 S T �- ' Fee Simple Titleholder Name I 1 Titleholder Phone Number 1 p / 1377 113 8 3 Fee Simple Titleholder Address I I � . ` / ✓evV. Job Address °l I '3 7 9 I 1 5P '5 `1 Ze,. y 4i (5, f/ Lot # Sub Division I I Parcel # I I '.' N"'$,.. ? ", <e..:.in#46.i"ra +a Pn 3: 5d.`.'+ ;3F•,$m'F•`. ->'.s .`*s;..,::3'.. ,.,,_ >.°.$ n: A& ^;,>.�ux4'22`aa.3.,a_:::,' r3 ..v.,;:: ...ask*xxx. Tai( „/.d9 nab` L' i' u'. x1. R"f` wwn% '✓k#'da�_Sv':�k'x"R"fdsXi:mgr.k iNt:t#,Fd ..�.ar:>.. �'.`.a`r es^a -�.f' Il Bio-Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL El Comm Exhaust Kitchen Hood /Duct El Hood Installation El Controlled Bum = LP /Natural Gas - Installation Emergency Generator < 30 kw E=I LP /Natural Gas - ANNUAL Sale Emergency Generator > 30 kw I-1 Places of Assembly- ANNUAL El Fire Protection Maintenance - ANNUAL n Recreational Bum [jjj'j Elaill (y11 tit)` 7 ' Sprinkler D ❑ ❑ ❑ 'Other E Sparklers Et Fire Alarm El ❑ ❑ ❑ I I E Sprinkler System Installations Z, , / / 1 i 1 Hood Cleaning El ❑ ❑ ❑ I I = Standpipes (Sprinkler Sys) t5 3 — Hood Suppression 0 ❑ ❑ ❑ I I El Tor oofmgfiarKettle 1 „ .1 L gfh 4/4- El Fire Alarm Installation T I I 1 Tire Storage ANNUAL - ek i � L, -- 6I l Y� Q Fire Pumps Fire Works Flammable Application- ANNUAL I I Valuation of Project Fuel Tanks n Other: I W tV. ,': . Ar"::. * .'1 ? S "•SfYe,' 'r',:, °. :'e "£Y b ' • ' im"s^,?:,) ,,,, "W'''' , �"'',' '°'' ''' '' `' „4 1. .. . ter. Z. .. x .... A . . .. M Contractor r '/ Company r Signature e - 8 , 1 i, ( r= -..- Registered Y / N J Fee Current I Y / N I Address ( I License # I ELECTRICIAN Company Signature Registered Y/ N I Fee Current I Y / N I Address I I License # I PLUMBER Company Signature Registered Y/ N I Fee Current I Y / N I Address I I License # I I MECHANICAL Company I Signature Registered Y/ N I Fee Current 1 Y/ N J Address I I License # I I OTHER Company Signature Registered Y/ N I Fee Current I Y/ N I Address License # , a�,r- sr: >:>x. xk..� .... z.:.>.. �;» :....;•a,:.»a;';.';•,.....:...: PK.. ..< •.::-. a:s.:;cs. s ,�,stu,w,....s,,A....,. ..•�,:xir:;A,.w�..�: 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 - days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) hiTICEPF :DEED RESTRICTIONS: The undersigned understands undrsigned .assumes permit responsibility.for:comp arse wtt .which any hich may be more restrictive than County regulations. Th _applicable deed restrictions. CTOR RESPONSIBILITIES: If the owner has -hired or UNLICENSED 'CONTRACTORS AND 'CONTRACTOR cotrtractom"to• undertake work, they may be required - to be licensed in accordance with state and local If the f contractor is •not licensed. as required by law, b -the ate uncertair► .as to wa r m cens'tng men may :app y for the violation under state law. If the owner or intended contra Building Inspection Division — Licensing Section_at 727-847 - 8 009. a Furthermore, ore, if the ow owner has hirtd .a County will be responsible. advised If you, have the co n racto si gn pO Og: Furthermore, if the owner has hired .a c nn� � • chtheYmctors' pes advised to have the riv le es�in portions • r, the "contractor ay be n Biopic" of this application-for properly licensed and is not entitled -permitting .p g contractor, that may be an indication that he is •not °.prop y � valuation of work is or more, I County. Chapter.gndsd): CONSTRUCTION rtify that 1, -the tip LIEN LAW ( 7K3, Florida Statutes,•as provided ,with a copy of the 'Florida Construction Lien Law — Homeowner's certify ttiat 1, the applicant, have .been p Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone I certify that -I have obtained a copy of the above described document and promise in good faith to other than the "owner, deliver itlto the "owner" that prior to commencement. I certify that all the information in this application' is accurate and • t CONTRACTOR'S/OWNER t alt work wil l be done in compliance omp liance with all applicable laws regulating construction, zoning and land - devv all development. will done n cation is hereby made to obtain issuance of a permit and•that will be performed to construction, County and City codes, _zoning regulations, and Land that no work or installation has commence prior meet standards of all laws regulating development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the: intended work, and that it is my responsibility to identify what actions 1 govern conditions set forth m must take to be in compliance.. If 1 am the AGENT•FORTHE OWNER, I promise in good faith to inform e owner o the ey be required for electrical s cal whr gas, .or other installations not specifically included in the application. A this affidavit prior to commas air con I s, understand her that a separate d o in violate, cancel, ti A plumbing, e i issued w ins, wells, on air to be conditioning, 9 the work and not as authority se a s a a ny p i io be construed c o i s l lo to shall with permit issued shall become invalid visions of the technical codes, nor shall issuance ns of any codes. prevent Every Pe Building Official from thereafter or requiring any pro unless t a correction of errors y in plans, permit is cction or e dl w io o s after months of e.r work i commenced. ut extension by work authorized by such permit is commenced wmhin, six months of permit issuance, or if work authorized by the unless the w period of six ( (90) days e n c will demonstrate map be is suspended ed, in or g, from the a p ) may be requested, to writing, from the Building Of>'ictal, for a9eriod not to exceed ninety ( 0 consecutive days, the job is considered abandoned. justifiable cause for the extension. if work ceases for ninety ( ) WARNING TO OWNER: YOUR FAILURE TO RECORD A'N CE - C OMMEN M FA INANC N LT NNSULR PAYIN TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y OU WITH YOUR LENDER OR AN ATTORNEY.BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT. FLORIDA JURAT (F.S.117. Subscribed and sworn to (or affirmed) before me this OWNER DR ACsENT (or afftmied).befere me this by Subscribed and •sworn tD ( Who � personally known to me or has/have Produced by as identification. Who isfare personally known is w as de has/have i onroduc Notary Public Notary Public Commission No. • Commission No. Name of Notary typed, printed or stamped • • • Name of Notary typed; pfd or stamped