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HomeMy WebLinkAbout09-9281 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 9281 ANNUAL FIRE PROTECTION MAINTENANCE E . .,, Permit Number: 9281 Address: CHAPEL HILL LP Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03- 26 -21- 0010 - 10200 -0010 Improv. Cost: Date Issued: 6/24/2009 Name: EAST PASCO YMCA Total Fees: 25.00 Address: 37301 CHAPEL HILL LP Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/24/2009 Phone: Work Desc: FPM- ALARM ANNUAL- YMCA- SCH WK 22ND JUNE A TOTAL SOLUTION, INC FIRE PERMIT FEES 25.00 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." A rrAY 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 , 'CT c'' 2 r7%Ti?E' 11 27 AM. ZEPHYRHILLS BUILDING F . x' 7r 0,1'2_70 813-780-0020 City .. ofZephyrhillsFIIe 4-q7/b( Fax- 813- 780-0021 Permit Application r - Date Received - P hone Contact for Permit aM- Y MIMI Owner's Name d -4-� VO`S� b ^ n , V Owner's Phone Number T - I • Owner's Address . 3b \ Ci� ? t ` \ l�,..2:. \ _ _ . . Fee 5lmpte Titleholder Name 1 T itleholder Phone Number 1 • Fee Simple Titleholder Address { 1 1 \ f _ Lot # Jab Address .. 3�� b k C \ / i � 2��{� L . -c� • Sub Division I. . Parcel # • 0 Blo- Hazard Waste Storage - ANNUAL ( Fumigation Tent - r Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier H or RR Facility) ANNUAL • Controlled Burn • n. Hood Installation . ' Emergenc Generator a 30 kw . n LP /Natural Gas - installation h Emergency Generator> 30 kw El LP/Natural Gas - ANNUAL Sale • Fire Protection Maintenance - ANNUAL , • rdt places of Assembly- ANNUAL • Ty� em ({t • Sprinkler ED ❑ 17 ❑ r her _ ' n Recreational Bum Fire Alarm 0 fl l9' I I n S parklers Hood Cleaning ❑ . ❑ .0 1 E Sprinkler System Installations, • Hood Suppression ❑ ❑ 0 a Standpipes. (Spr{nkler Sys) Li Fire Alarm Installation ED Torch Roofing/Tar Kettle • • n Fire Pumps 71 Waste Tire Storage ANNUAL . c Fire Works Flammable Application- ANNUAL Valuation of Project Fuel Tanks n Other. • Contractor �~ Company (7) - o f r Signature -P-'�\ Registered I o ti Current . / N ��ZS� +. License #. _I Addre�s "3 S 3 ..- r L�� _ ELECTRICIAN • - 1 ' Company • . ___I Signature Registered Y/ N I .Fee Current I • Y / N II • Address ( License# [ J • . PLUMBER , Signature Registered Y./ N I ,Fee Current , YIN Address 1 . • . I • License #. I .. MECHANICAL Company Signature . 11 Registered Y / N . 1 Fee Current / N 1 • Address I' I - License #• E 1 4 • OT�11 R Company . �J • Signature Registered — Y / N I Fee Current 1 Y/ N I Address . . Llcenee # . • . rn. wr•: r+ rrsrm•. :.- ..,,!xc.,;a�.�.,,.- .., -„n, _ ..... .... _.,..,,.-.: _ .,:,u+ -.. _-r,., roT-... sr., ti ._.... b1rectiona: • 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, work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after eubmittal date. Parcel # - obtained from Property Tax Notice (httpJlappraiaer.pascogov.com) • ' /LIU / ' I II H I I ' L 4. . Li HM LuninniLLo DUILD1.14 _ , . . • . :. - - . , . . . • • , . . , . • . NOTICE OF :DEED 'RESTRICTIONS: The andersigned understands .that this permit may be'subjecato - which may be more restrictive than County regulations, The,undersigned.assumes responsibllitylor:compliance+with any . .applicable deed restrictions. • :UNLICENSED CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If lhe Owner has ''hired -contractor 'or - - - contractors to undertake work, they may be required :to be liCensed in accordance with state and localTegulationi. 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..et 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 he is not properly licensed and is not entitied permitting privileges in Pasco ' County. . CONSTRUCTION .LIEN .LAW (Chapter 713, Florida Statutesres 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 Protection Guide" prepared by 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 to deliver it to the "owner" prior to commencement _ CONTRACTOR'S/OWNER'S vAFFIDAVIT: 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. I certify • that no work or installation has commenced prior to issuance..of a permit and 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 jurisdiction. 1 also certify that 1 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 work, •lumbing, 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 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 perinit 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 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 ANOTICE - OrCOMMENCEMENT MAY'RESULT IN 'YOUR • . PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOU - LEND R 0* AN A ORN Y BEFORE • ECO • DING YOU - NOTIC OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) • • , . • • • • . • • • • • OWNER OR AGENT • coNTRAcroft ubscribed and swo to (or affirmed) b , - me thisv • ,Subscribed and sworn ,. (or atfirmed),before- , 's • by 1................ - — by . c... - ".• Who is/are personal known to me or has/have produced. • Who is/are personally known to me or has/have produced • • • as iclendfication. — "- as identification. . . • . : ' . ' , . • . , • • _Notary Public' • • Notary Public Commission No. • . Commission No. • ....e..., • Name of Notary typed, printed or stamped . • Name of Notary typed, printed or stamped • . . , . - • . . , • • • . . . ,„ , . . t . • , . . i . .- • . . • • • . , •