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Home My WebLink About09-9293 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9293 RECREATIONAL BURN PERMIT Permit Number: 9293 Address: 5510 19TH ST Permit Type: RECREATIONAL BURN ZEPHYRHILLS, FL. Class of Work: FIRE - RECREATIONAL BURN Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 14300 -0000 Improv. Cost: 4::4 Date Issued: Name: FIRST PREBRYTERIAN CHURCH OF ZEP Total Fees: 25.00 Address: 5510 19TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/26/2009 Phone: (813)782 -7412 Work Desc: FIRE RECREATIONAL BURN- HELD ON JUNE 27TH OWNER FIRE PERMIT FEES 25.00 (°'— q l \. ae ®leg 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 activites 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. Per Ordinance 652, the recreational burn shall be maintained at all times and fire suppression capabilities shall be on -site. Zephyrhills Fire Rescue Communications shall be contacted at 813- 780 -0038 prior to the fire being ignited and after it has been extinguished. 461,4 -c- OWNER SIGNATURE P IT OFFICER PERMIT EXPIRES IN 7 DAYS FROM DATE OF ISSUANCE CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - Fire Marshal Office - 813- 780 -0041 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9293 RECREATIONAL BURN PERMIT Permit Number: 9293 Address: 5510 19TH ST Permit Type: RECREATIONAL BURN ZEPHYRHILLS, FL. Class of Work: FIRE - RECREATIONAL BURN Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 -26 -21 -0010- 14300 -0000 Improv. Cost: Date Issued: Name: FIRST PREBRYTERIAN CHURCH OF ZEF Total Fees: 25.00 Address: 5510 19TH ST Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)782 -7412 Work Desc: FIRE RECREATIONAL BURN- HELD ON JUNE 27TH OWNER FIRE PERMIT FEES 25.00 0 ns�:. � `a"S. y ✓ _ ? , KK r� r'e F rs*a' s. : q i`iz r �€5 s .hr -._ � tI t'a r � FIRE SITE INSPECTION -Final �� h : 0.11 d/: T [- 2soCQ9�� Chapter 633, Florida Statutes, authorizes the i ty to charge and collect user fees to pay for the costs of fire prevention and protection related activites 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. Per Ordinance 652, the recreational burn shall be maintained at all times and fire suppression capabilities shall be on -site. Zephyrhills Fire Rescue Communications shall be contacted at 813- 780 -0038 prior to the fire being ignited and after it has been extinguished. OWNER SIGNATURE P T IT OFFICER PERMIT EXPIRES IN 7 DAYS FROM DATE OF ISSUANCE CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - Fire Marshal Office - 813- 780 -0041 A Noose GArme, /� a l l 14 •• • 1 0° 'o gereVaid giefk P ali - r Yt i i4.11% ik t „,, 7.1..A., __ _ ii... iih, ,„iii. ve-• Pi 1 LEv�W all ,. k$) ' '' K EE�,' s (*VICE � `' ` �/ BY j y ;;A:// �:J✓i //� � atc. O e °./ i . A �� evicwer: , 1 I • 11 9 1\41116 \)),, Y icro ■ . 4, q v igN � : City of ZephyrhillsFire • ` , s178D OD2D Permit Application �J Fax- 81:� -78D -0021 /'� - S T' Phone Contact for Permit , Date Received •� t ,_ -')L i - INN Owner's Phone Number 1 75:2, j 1 7€711' .2 Owner's Name ■ Owner's Address Titleholder Phone Number 1 1 'Fee Simple Titleholder Name Fee Simple Titleholder Address! - a.,........_. ��" ._, . �� I�?'.. ,...��. vg �"+�"..afwnl'1,�" °'•�.x "a 1' - .. : -: ,.. ... .. -,� _, . Job Address AP . . Lot Parcel # I Sub Division Fumigation Tent 1 1 Sip-Hazard Waste Storage - ANNUAL 1 1 Hazardous Material (Tier r RQ Facility) ANNUAL 1 Comm Exhaust Kitchen Hood/Duct I I Hood installation n Controlled Bum � g ti/ LP /Natural Gas-In IIation __ Emergency Generator < 30 kw n LP /Natural Gas-AN AL Sale 1 Emergency Generator> 30 kw Li 1 1 Places of Assembly -A UAL Fire Protection Maintenance - A NNU yL ner Limy] lsemrl t - : 1 t tc l' f r r" t° i " / ' ` Sprinkler ❑ ❑ ID Recreational Bum e/ I i it — 1 1 1 1 Sparklers -' --- Fire Alarm FT 173 ❑ ❑ I 1 I Sprinkler System Installations r, Had Cleaning 1 E] ❑ ❑ ❑ Standpipes (Sprinkler Sys) Hood Suppression 1 :- 1 I Torch Roofing/Tar Kettle Fire Alarm Installation 1 Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL Valuation of Project 1 . 1 1 Fuel Tanks 1 Other: I Company . I Contractor Registered L Y / N I Fee Current I Y / N Signature , 17411 �r ��4: `6` 1 Address l 1,i rt,_, , Ma$;� I License# 1 ELECTRICIAN Company Registered Y/ N 1 Fee Current L Y/ N 1 Signature � 1 Address .1 License # Company • PLUMBER Registered Y / N 1 Fee Current L Y/ N Signature Address 1 1 License # 1 Company ME nature ALI [ . 11 Registered Y / N 1 Fee Current Y / N Signature 1 1 Address 1 1 •License # OTHER Company 1 Signature Registered Y / N I Fee Current 1 Y / N Address: License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, e Notice of Commencement is required .(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation . Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) • 'NOTICE;OF :DEED RESTRICTIONS: The undersigned understands that this permit maybe •subjectao - "deed°Yrestrictions" which may be more restrictive than County regulations. The•.undersigned.assumes responsibility. foroompliarice'with any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND "CONTRACTOR RESPONSIBILITIES: If 'the owner has -hired contractor •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 may be cited - fora misdemeanor violation under state law. If the owner or intended contractor are uncertain .as to what licensing 'requirements may :apply for the intendediwork, they are advised to 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 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 entitled permitting .privileges in Pasco County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,-as :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 bythe Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that 1 have obtained a copy of the above described document and promise in good faith to deliver no 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. 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. 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 I must take to be in compliance. If I am the AGENT'FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in d for this affidavit prior to commencing construction. -I understand oe other separate specifically ally mcluded the a plumbing, signs, wells, pools, air conditioning, gas, permit is-sued 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 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 ap consecutive not to days, the job i9 co s and nd will d m justifiable cause for the extension. If work ceases for ninety (9 0) WARNING TO OWNER: YOUR FAILURE TO RE pROPERTY. IF YOU INTEND TO OBTAIN F NANC NG CONSULT I PAYNG TWICE FOR IMPROVEMENTS TO YOUR WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me identification. fi ca on. produced as identification. as ientifiti Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 09 -051 Project: Recreational Burn Number of Pages: 1 June 24, 2009 I have received and reviewed the plans for the camp fire (recreational burn) located at 5510 19 Street and will allow this to move forward. Paying for the permit, the applicant acknowledges complying with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. This has been reviewed in conjunction with City Ordinance # 652 as a camp fire. Camp fire is a fire when piled or stacked shall not exceed 27 cubic feet (3' X 3' X 3'). 2. Camp fire shall be located 25' from tents, motor home, pull behinds, etc... 3. Prior to starting the fire, Fire Dispatch shall be notified at 813 - 780 -0050. Applicant shall advise Dispatch of the permit number and location of the fire. 4. A source of water shall be located close to the camp fire site for extinguishment. 5. The area where the camp fire is located, the ground shall be scraped and blocks placed around fire to provide containment and limit spread. 6. Dispatch shall be contacted when fire is extinguished. 7. Applicant shall ensure fire is extinguished prior to leaving the site or going to bed. �� KE " Y c" TT, FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044 FIRE SERVICE USER FEES Occupancy No.: s- Plan No.: --L Contractor: Business Name: bpre- Billing Address: Business Address: . . /4 —97--- Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: _ PLAN REVIEW FEES INSPECTION FEES PERMIT FEE _ FALSE ALARM FEE — Site Plan N/C _ Annual N/C Sprinkler 550 _ 1st Alarm N/C — Muni - Family /Commercial .06 sf _ 1st Re- inspection N/C Standpipes 550 _ 2nd Alarm N/C (Minimum Charge 525.00 _ 2nd Re- inspection 5100 Fire Pump 550 _ 3rd Alarm N/C Plan Revisions DBL _ 3rd Re- inspection 5250 Hoods 550 _ 4th Alarm 5100 _ 4th Re- Inspection 5500 Fire Alarm 550 _ 5th Alarm 5150 _ SPRINKLER SYSTEMS (Business closed until LP Gas , $50 ` 6th Alarm 5200 _ 0 - 25 Heads 550 violations corrected) Natural Gas 550 _ NON COMPLIANCE $150 _ 26 plus Heads 5100 _ SPRINKLER SYSTEMS Fuel Tanks- per tank 550 STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $ 100 0 Per Riser 550 _ Hydrostatic Test $65 per system Fire Works FIRE PUMP Acceptance Test $45 Per system mp Fire $25 ri Per Pump 5100 _ Hydrant Flow $75 Controlled Bum . a _ FIRE ALARM SYSTEM Hood/Duct 550 — 0 - 25 Devices $50 — FIRE ALARM SYSTEM Place of Assembly $50 Annual _ 26 plus Devices 5100 _ System Acceptance 550 Fire Protection $25 SUPPRESSION SYSTEMS _ Recall Acceptance 550 Flammable Application 550 Annual _ Wet 550 _ OTHER Waste Tire Storage $50 Annual Dry 550 _ Fire Wan /Smoke Wall $15 per wan Generator < KW 5100 _ CO2 $50 _ LP Gas $25 per tank Generator >30 KW 150 Other $50 _ Natural Gas 525 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting 550 II Hood/Ducts $50 _ Tent 10'x10' or greater 515 per tent Torch Pot/Applied $50 A OTHER _ Fire Pump $45 Haz. Materials $100 Annual LP Installation per tan $ 50 Fire Suppression $30 Fuel Tank Installation 550 _ System Acceptance (Per Tank) $50 ` Exhaust Hood/Duct $30 EI Natural Gas Installation 550 _ Re - inspection DBL (Per System) (other than annual) _ 0 Spray Booth 550 0 Inspection scheduled DBL _ and cancelled Tess than _ _ 24 hours Construction Insp. N/C — Emergency Vehicle Ate 550 FALSE ALARM PLANS TOTAL INSPECTION TOTAL' 1 PERMIT TOTAL TOTAL GRAND TOTAL ' ) ..- f Comments: Date: IL" Insrigctor: /