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Home My WebLink About09-9280 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813) 780 -0020 9280 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9280 Address: 38220 HENRY DR 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: 0477 °4 ,y. Date Issued: 6/24/2009 Name: HCR MANOR CARE Total Fees: 25.00 Address: 38220 HENRY DR Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/24/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- HEARTLAND MANOR CARE- SCH WK 22ND JUNE FIRE PERMIT FEES 25.00 C k )5Q. n /o 1 / !O ..c: 6 „ � - „,a ✓• .j . 4 _. .. _.., _ ^mss �. # .7 , _. 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.” 0PP - A � 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 - :::::/22::::7/777 ; 7 AY / C 4 'n . _i .' • ? � ..__ ZEPH1 � ILLu BUILDING . n,�: � �. - _ . _ iyiu, 1 _ . _i;_ _ B13-7,50-0020 , City of .Zephyrhilis Fire... ' j- Fax -813 -780 -0021 Al Permit Application ` P hone Contact for Permit Mil Date Received ., .. Owner's Name ! \c.- • 1 — C C (.- a f • Owner's Phone Number Owner's Address ( 6'LZ ' d Q f^ • Titleholder Phone Number I • Fee Simple Titleholder Name J Fee Simple 'Titleholder Address Lot # ::: Parcel # i _,...._.:..: Bio- Hazard Waste Storage : ANNUAL ' n Fumigation Tent ED Comm Exhaust Kitchen Hood/Duct : Hazardous Material (Tier 11 or RQ Facility) ANNUAL ED Controlled Bum • p Hood lnatallaUon • Emergency Generator { 30 kw . • . n LP /Natural Gas- Installation . •Emergency Generator • 30 kw Q LP/Natural Gas - ANNUAL Sale . Fire Protection Maintenance - ANNUAL ___.' • El Places of Assembly- ANNUAL rt lamer Q • Sprinkler p ❑ I{ Recreational Bum . Fire Alarm L�. • J o ❑ ❑ 1 1 F i Sparklers Hood Cleaning El ❑ . ❑ 0 1 . 1 Sprinkler'System installations. Hood Suppression ❑ • Di • ❑ I Standpipes.(Sprinkler Sys) 1 Fire Alarm Installation ' • = Torch Roofingfrer Kettle 1 1 Fire Pumps - • ri Waste Tre Storage ANNUAL • Fire Works Flammable Application- ANNUAL .. Valuation of Project Fuel Tanks . . Other Contractor \ . ' ! Registered Fee Current . 1 Y/ NJ Si Address Er. *,. a ° d. . License # • .� ELECTRICIAN Company Signature Registered Y/ N 1 Fee Currant 1 Y/ N i A ( ~ - , License # r --- 3 • — PLUMBER • Compy � I Signature J Registered Y./ N .Fee Current •l Y / I- Address License # Com I . MECHANICAL Signature i Registered Y / N I Fee Currant L. / N J Address ! - • License # 1 . OTHER Company Registered 7 Y / N J. Fee Current j Y / N 1 Signature License # . • Address Directions: ' • Fill out application completely. Owner & Contractor sign back of application, notarised (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement Is required,(MeohanIcal work over 55000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after eubmittal date. Parcel # - obtained from Property Taz Notice (http: / /appraiser.pascogov.com) . 7i(I /I(117iTI,)N' 11 •','� P i L bItiYII - 11LL bUILU1NU PHA 1VU, 01. = - Q"J UULl i • ,„,, 'NOTICE OF 'DEED RESTRICTIONS: 'The.underslgned underat8flds .that this permit may be•subjectito "dead "•:restrictions" -- which may be more restrictive than County regulations. The'•undersigned.assumes responsibility for:oompliance∎with any . .applicable deed restrictions. UNLICENSED CONTRACTORS AND "CONTRACTOR RESPONSIBILITIES: if :the owner has •hired 'or - • - contractors 'to 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 maybe 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 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 contractors) sign he portions of the "contractor Block" of this application for which - they will be responsible. if you, as'the owner sign as t he contractor, that may be an indication that he is not properly licensed and is not entitled permitting p County. . CONSTRUCTION .LIEN .LAW (Chapter713, Fiorlda Statutes,aas- amended): If valuation of work is $2;500.00 or more, I certify that 1, the applicant, have .been provided with ; a copy of the "Florida Construction Lien Law— Homeowner's is 'someone Protection Guide" prepared by Department of A of the above described document -and promPSe in faith to other than the "owner", I certify that I have obtained a copy 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 construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. l certify o that no work or Installation has commenced prior to issuance. of a permit and all work will be e performed d t o meet 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 1 . must take:to be in compliance. . If I am the AGENTFORTHE OWNER, I 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 or plumbing, signs, wells, pools, -air. conditioning, gas, or other installations not specifically included in the application. 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 byy 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 six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a permeve days, d not to ni n job l 90) dad and ed.abll dem justifiable cause for the extension. If work ceases for ninety (90) WARNING TO OWNER: 'YOUR FAILURE TO UR PROPERTY. IF YOU 1NTEND OBTAIN I � PAYING TWICE FOR IMPROVEMENTS TO YQ FINANCING, CONSULT WITH YOU - LEND R O' AN ' ORN . Y BEFORE • ECO • DING YOUR NOTICE OF CQMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT ._,__ g CON I•RACTOR . • . $ubscritad sworn to �(or atrir before is � $ub, ed and swo to (or affirmed) befior s r 1 4 _ ^ �=` 10 o i& <- by A c` - Who is /are personal{y known to me or has/have produce Who islets persona known to me i has/have prod cad. as identification. as identification. ' Notary Public Notary Public' • J Commission No. Commission No. Q 3 4.c -A ..�.- ,SL,_, � Name ofi No ry typed'. printed or stamped Name of No ped, printed or stamped - ,,-. i ,,,,V1 FG ...,. r,, u 0 a e o ori.a • 2 0 ( F ?th D- Jesus �J %9i l " 3D639910• s as uT aa