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HomeMy WebLinkAbout09-9283 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9283 € ANNUAL FIRE PROTECTION MAINTENANCE , 4,elf, .fr „ y ., 8 ,i 1 =' :ri y . `�1t�$€ , ; r .. , .g }',, .H a ri ,... € Permit Number: 9283 Address: 6937 MEDICAL VIEW LN Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: „: i . 9 ._ e ,:3,;',';• l � � �;, ��° � ate.. 4, Date Issued: 6/24/2009 Name: RYMAN, KEVIN Total Fees: 25.00 Address: 6937 MEDICAL VIEW LN Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/24/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- JG HOUSING SOLUTION- SCH WK 22ND JUNE A TOTAL SOLUTION, INC FIRE PERMIT FEES 25.00 \Y .' V 4.L- \ / M ( Y i IV mss 4' a m a r { F, -� ?c ra s N.. , ; , 111- 2 1: - :.s ; l -,. ..�..__; <9`� ®3l_ ':I.�$ °z� a > _. .._ .k ,., .� 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.” .,!! -r P . " 4 " 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 '- G ` ,- ' (-, , n' ,. _ " Li :i. ZEPHYRHILLS BUILDING 'an L. N -- .i 513- 78o -0020 City of.ZephyrhillS Firre • •• 9- �" 3 Fax - 813 - 78o - 0o2i ,if Permit Application I r P hone Contact for Pemdt i L'f!% V,tle:ti • Date Received • ....: .. .....:... . .. .:: , ..... —,_ .,. • - /./ • / Owner's Phone Number VLF *57 Owners Name �L7 • . 1 / w A , / , S . 3 .353 1 Z Owners Address n 1 1 1 1 • Titleholder Phone Number Fee Simple Titleholder Name Fee Simple Titleholder Address /� m � r O Ze I i hi f 3 s- L • I 1 ` Job Address .. tQ Q� / � ,c4 _. ! 1 1 Parcel # I Sub Division T— . Sic- Hazard Waste Storage - ANNUAL F Fumigation Tent n Comm Exhaust Kitchen Hood/Duct 71 Hazardous Material (Tier II or RQ Facility) ANNUAL • EJ Controlled Bum El. Hood installation Emergency Generator < 30 kw n LP/Natural Gas - Installation . " Emergency Generator > 30 kw • • El LP/Natural Gas-ANNUAL Sale L Fire Protection Maintenance - ANNUAL El Places of Assembly-ANNUAL ra yt 'Semi] MUT" lutner Sprinkler ./o� ID El I Recreational Bum Fire Alarm E ID ❑ ❑ i 1' n Sparklers Hood Cleaning = ❑ ❑ ❑ L. j 1 j i Sprinkler 'System Installations. Hood Suppression D ❑ . ❑ . ❑ 1 1 EJ Standpipes.(Sprinkler Sys) • Li Fire Alarm Installation ' ED Torch Roofing/Tar Kettle • f 1 Fire Pumps n Waste Tire Storage ANNUAL . Fire Works 1 Flammable Application- ANNUAL ValUa6on of Project Fuel Tanks El Other. 7 - ..:.... Company mil'!.! .r� Contractor � —de , Registered [vI Fee Current . IIME Signature�� - Address 'L'f I" ,/rime Z . / License # • � " Company EL � — Registered Y / N .Fee Current Y / N 1 • Signnature sture 1AN • Address � . License # — CvmPanY PL re Registered Y./N' Fee current _ Y/ N Signatunature _.. , Address Ucenae #. 1 MECHANICAL I Cony Signature Registered Y/ N j Fee Current 1 N J • Address __ - License # OTHER j Company Registered Y/ N Fee Current 1 Y/ N Signature License # ,. Address • 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.(Meohanical work over $5000) Supply two (2) sets of drawings with applicable documentation l/a rai asC Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property T ax Notice (h ttp' pp ser .p ov,cam •) . . • • . _„ - -._ i. _ .. L: P.M LET1711III1LLw 1, _ nn , .,, ,,._ __,. - - - 'NOTICE OF DEED 'RESTRICTIONS: The .undersigned understands that this permit may be•subjectit " dedd :restrictions " - ' • which may be more restrictive than County regulations, The,undersigned:assumes responsibility foricompliance any applicable deed restrictions. :UNLICENSED CONTRAC O D be g be ll e S i 9 ae l eo dance with tats and Dori rgul the contractors so o undertake Y Y • co der t is not ( � eh e owner opriiintendedc the uncerta n .as 'to what licensing quiirements may apply under s taw. intended work, they are advised contact the-Pasco County Building Inspection Division—Licensing $eotion_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 Biock" of this application for which - they will be responsible. if you, as 'the owner sign n as the contractor, that may be an indication that he is not properly licensed and is not entitled'to' permitting p County. 500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, Flori Statutes,.as.amended): if valuation of work is $2, owner's certify that I, the applicant, have .been, provided with ; a copy of the "Florida Construction Lien La H os sownens Protection Guide" prepared by Department of A ibed document. nd •promPse in good faith to other than the "owner", l certify that I have obtained a copy of the above descr deliver It to the "owner prior to commencement: and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that a information n this app il cats zoning accuate land that all work will be done In compliance. with all app regulating y development. Application is comma ced prior to ssuance of a permit and that all will performedito that no work or installation h uVations, and land • meet standards of all laws regulating construction, • County and City codes, .zoning reg 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. conditions set forth In If I am the AGENT 'FORTHE OWNER, I promise in good faith to inform the owner of the permitting this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical plumbing, signs, wells, o nsttrued r t be aconditioning, license to p oceed with the installations work and o w as au h City o�violatee cancel, alter, or serms ide issued shall be con fter set aside any provisions of the technical codes, nor shall issuance of a permit prevent Buildi issued Hall (become inrom. requiring a correction of errors in plans, construction.or violations of any codes. Every permit unless m it work w ended o b by n doned e or a period of six (6) months after the t m the work is commenced. An extension may pbe requested, is suspended in d or aban may be equested, in writing, from the Building Official for a period days the job 1s ns tlered. ba justifiable cause for the extension. If work ceases for ninety (90) consecutive WARNING TO OWNER: YOUR FAILURE TO ' RECORD A NOT IF YOU ' C OMMEN MENT M IN RE SU L CON PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER WITH YOU - LEND R O AN A ORN . Y BEFORE • ECO - DING YOU NOTICE OF COM MENCEMENT. FLORIDA JURA7 (FS. 117.03) - CONTRACTOR • Q d AGENT a this Subscribed and swum to Or affirmed) > re :- y . ` Subscnped and ywo to (or a N •) - . • - , .,e� (,,- Y) o by • to me _, has/haYe Produced h e persona by Who is/are personally as id�tfication W is/are persona known to me or has/have pro • sari — • as identification. ' Notary Public Notary Public' . Cammisslon No. Commisslan No. t _ g • N ot r—� p'�� t , . Name of Notary typed, printed or stamped Name of Notary typed; printed or stamped o § Florida , j'3it s o; ;639 nm, + - r . r� it 1 „ '• i •