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Home My WebLink About09-9308 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9308 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9308 Address: 6020 GALL BLVD 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 12800 -0000 Improv. Cost: a ... Date Issued: 7/01/2009 Name: GALL BOULEVARD LAND TRUST Total Fees: 25.00 Address: 350 HARBOR PASSAGE Amount Paid: 25.00 CLEARWATER, FL 33767 Date Paid: 7/01/2009 Phone: (727)643 -8922 Work Desc: FPM- SPRINKLER ANNUAL- SAVE A LOT PIPER FIRE PROTECTION INC FIRE PERMIT FEES 25.00 _0))) g _ pp__ e 0 9 , "�yo .- � ;'�a as `' � �' '�a� 3 � --`� .., .: ''° a � ��• hR� � .aa €`�kI � � - a g. FIRE ACCEPTANCE Final „ I 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." ariPP 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 ___ _ -- ZLPHYRHILLS BUILDING _ . 11 33iF _ �I' q30 5 : -- . 1 813- 786-0020 City of Zephyrhihs Fire Fax -a :780.0021 Permit lApplication - Data Received IMMIIIIIII _ i Phone Contact for Fermit ,ww,cx,r«.• •.+icy'",.""'S.'SCt°v'�^' ,.u. °.a ^,. ,an . ,;;.+SSOx -,:... M, n .. ... _. a., N i Owner's Name C G \\ \ \I 1 - C ` i� '.Owner's.PhoneNumber \ 1 �� Owner's Address t - `• Pee Simple Titleholder Name • 1 'Titleholder Phone Number : i • Fee Slrnple Titleholder AddreSS . —. ,- �..._._ . • Job•Address. \Q (' ` ` cl ` Loth Sub Division Parcel # • :.!J Zcp," 7 ' C O � p&30 -0 .'.' iUiitAINtU f-uUM K'1tUNtttlY 1 ( YC.fi!(;} n 3iv Hazard Waste Storage ANNUAL n Fumigation Tent I Comm Exhaust Kitchen Hood /Duct . • . C Hazardous Material (Tier 11 or R4 Facill ANNUAL f I Controlled Burn • n Hood Installation — • Emergency Generator < 30-kw • 1 I LP /Natural Gas - Installation L 1 Emergency Generator> 30 kw - • I • 1 LP /Natural Gas - ANNUAL Sale. . Fire Protection Maintenance - ANNUAL 1 Places of Assembly - ANNUAL • Sprinkler - - n ..RecreatIonal Bum Fire Alarm 1 f SparKlers Hood Clean /Suppression = Sprinkler System Installations , Fire Alarm Installation • • • n Standpipes (Sprinkler Sys) • I Fire Pumps j F 1 - Torch Roofing • Fire Works ' n Waste Tire Storage ANNUAL Flammable Application- ANNUAL E Fuel Tanks . • J 1 Valuation of Project Q Other: . Contractor • • • Company Signature Registered . Y! N i Fee Current 1 Y / N ' Address • 1 - License # 1 ELECTRICIAN . Company 1 Signature . Registered . Y / N • Fee Current Y / N Address l License # , PLUMBER Company. Signature • 1 1. R Y 1 N. ! Fee Current • Y . 1 N Address 7 1 • License # • MECHANICAL . i I Company J signature Registered .Y i N Fee Current 1 Y/ N 1 Address l ■ 1 License # oTHER — . Company Ca y N I BWrial \T/ .;gnature 1111W11116. � ! Registered , N Fee Current I r / p Address �.! le l WPM License .r ' , 1 - _Z : nklege •.evr.• !�+..,v.aw...�rxaa. — ...Sf#: a. •- -: .:..'u.r..a:, sH .. -.::r ,zmmn. �._.I ...... 1. .. i '..)irections: iii out application completer'. Owner Contractor sign cacti or application, notarized (Or. cony of signed contract with owner) if over - 2500, a iVatice of Commencement is requireci (Mecnan;oai work aver 5000) Supply 7WC, (2) sets or drawings ../rth applicable documentation , -flow 10 - days for review after submiitai date. I 1 1 -- -- , _ v i ZEPHYRdILLS BUILDING .... Jo. c..: i j _._. - -'' -'- NOTICE OF DEED RESTRICTIONS: The undersigned un.der.l tends that this permit may`be'subject to "deed' restrictions'::. -- - which- may be rnore restrictive than County- regulations. The t,'ndersigned assumes responsibility for compliance •with any . applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has. hired a contractor or -- "- . contractors to undertake work, they may be required to be licensed In accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation • under •state law. If the owner or intended contractor are uncertain as to .whet licensing requirements '.may apply for the intended work, 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, i that may be an indication ,that he Is not properly Itcensed .and is not entitled to permitting privileges in Pasco • County. i ' CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute, as amended): • If valuation of work is. $2,500.00 or more, i certify that' 1, the applicant, have been provided with a cpy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the 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 it to the "owner prior to commencement. I • CONTRACTOR'S /OWNER'S AFFIDAVIT: 1 certify that all the information Ih 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 that no work or installation'has commenced prior #,o issuance of a permit and that all work will be performed to meet standards of all taws regulating construction, County and City codes, zoning regulations, and and development regulations in the jurisdiction. I also certify that I understand that the regulations of other i, government agencies may apply to the Intended vlrork, and that it is my responsibility to identify what actions I must take to be in compliance. • if 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting condltiohs set forth in • this affidavit prior to commencing construction, I understand (that a separate permit may be required for electrical work, plumbing, 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. violati ns of any codes. Every permit issued shall become invalid unless the Wiork authorized by such permit is commenced wi hln 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 eriod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety ( 0) consecutive days, the job •is considered abandoned.. WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR _WITFI"YOUR,LE R;ORAN; TTORNEY.BEFORE RECI5RDINGOUR`Nb IC TO OBTAIN M ENCEMENT. FINANCING, CONSULT PAYING TWICE FOR'IMPROVEMENTS TO YOUR PROPE . Y.' IF YOU INTEND • � TICE'OF'C'OMM ,. :FLOF004JUJ AT``(Fi. 7:03 - ''' WNER OR AGENT ��lk... CON� ubsr d arid sworp to ( +r affipTt me is 5ubsc�lbad and sworn to by afltrrtied) before me this 4 �Lr y VVho is /are personalty known or has /have produced Who i§ /arc personally known to me or has /have produced - as Identfication. as Identification. l � —`< .. Ci Nota Publ Notary Public co39 a s Commission No. c omm ission No. - A I Of - k� Name of Notary typed, printed or stamped Nemeict typed, printed or stamped % ..lt.S.NIN n ! p�� •M11NMMNM .2RIL Q .1 . ,:::,...""M8/10/2010 . f`' Fto:. a S1. ...z:.. t z - iac:_.iml.RN 1111M1Ca m ➢]i11.210 6091..L'' ! • ' i ------ 813-780-0020 City oflephyrhilis Fire ( - 1 i l 'i ,t; Cifil Pax-a13-780-0021 • • . • , , Permit Application \_A ----'—i _.• ., ._ . Cate Received Fhone Contact for Permit ::: 12m j * it alL . ' Owner's Name U Y.., ii ii iM... tailfr . 4 Owner's. Phone Number .. - — .. Owner's, Address a le „ -A 1 • %3 . .-.P 'k' 0 \ — -‘1•1m. • — . Fee Simple Titleholder Name_ " - Titleholder F'•hone Number .. F simple Titleholder Address • ' . . ' - Job - cio. \ c_Y3q — : . . .. .L.t.# . ., - parcei# :. . .:11 --D .- . 40 ' 4 3 S -0 1 Sub Division . • • = 1 , r ,• ° 0 ii _,° .• or 11 No-Hazard Waste Storage - ANNUAL - • n Comm Exhaust Kitchen HoodlDuct . ' , 7-1 'Hazardous fvlaterial(Tierli or RQ Fa cill4) ANNUAL • El Controlled Burn i 1 ' Hood-Installation • Emergency Generator < 30-kw i , • - 1 LP/Natural GasAnstallatIon . • • • . •• Emergency Generator > 30 kw . - {" LP/Natural as-ANNUAL Sale. ' . . • . . . 1,.....t" Fire Protection - Maintenance - ANNUAL ; Li Places of Assembly-ANNUAL - • • • • • Sprinkler .i .. - • -/a : . . . 1 • .Recreational Bum • : . . . • . . - Fire Alarm . .i ' •• .• - 1 • • 1 Sparklers . - • . .: • • .• . . • Hood Clean/Suppresion s. E1 :. • . ' • . Sprinkler System Installations - • . , ' 1 • I Flre Alarm Installation • - • i • . 71 Standpipes (Sprinkler Sys) - • • 1 Fire Pumps • • • • • .• .. i .1. Torch Roofing • •. . • • Li Fire Works . -. ' i • - . Li Waste Tire Storage ANNUAL — Flammable Application- ANNUAL • - • i - ' -- E Fuel Tanks • . . " I ' • .. Valuation of Project • • • 1 Other: - • . Contractor • - - Company Signature Registered .... Y./ N I Fee Current I Y / N • Address • • 1 • •License # • . • ELECTRICIAN . . .. Company •. . 1 • •• . Signature • Registered . Y / N 1 Fee Currant I Y / N , • Address -1 License* • • PLUMBER • 1 . company. .. . . ...- • . . Slgnature • - 1 Registered t Y IN- I Fee Current I • Y 1 N . . Address _ _ ' . • License # . • MECHANICAL . . . 1 ... Company •, I signature • . i ' Registered . Y! N Fee Current Y / N Address • 1 License # . ..... i OTHER Q4L,j--t---.(.- 1 . Company Ais 1/11WMFMiliv . I 1=lonature ' , Registered Y / Fee Current ! Y/N ......_ • .Address I ,. _ rminwar.msair i License # - X *i_ ; 0 o we 0 i ..)irectionF.: 7ifl out Eppiication MpietelV. ■ ii.vner1i1 Contractor pign bacx pr application, riotarizsa 1.0r. popY of signed contract witn owner/ if over '''2,500, a Notice ct Commencement is required (Mecnenioal work over 35000) Supply .7,vc (2 seta et trawings with applicable documentation l ' . 10-14 days for review after submittal date. i . 1 I . . _ _ .. :Ii` ZEPHYRHILLS BUILDING Fi;.';: N0, 3 1 . 7 I i3`_, . ckg_ "_. � Fax-813-780-0021 813 - 180 -oo2a City of Z �phyrhilEs Fire . ' Permit 1(gppiication Date Received Phone Contact for Permit ww; rent :•�2a.;�:i::c+�y:,,.,.3eel�'�" ' ,' _.r.,, xn .' .:,�� ... ,... ff . .: ... -- r ,M�...,n Owner'.. Name i - L' el CA • I Owner's. Phone Number I 1 _ Owner's Address .1_6i, -. •' b r r, .. • . . • Fee Simple Titleholder Name Titleholder Phone Number • Fee Simple Titleholder Addre55 — .i:LR.r.T• ... ra v..!.:..4,.,4'v(." w, .',..Y'� �a"S..'. Y. ....,.. _ . .. , .�r.l . . ,. ..... .., , -..J _.. . .,-r - M. tie . 3 , � 13 ■• : 63 i .Lot# • Job Address tl t , _-� y 0�op -C1t� Sub Division Parcel # �5! °!�� (O I - RINtU F-HUM PR .. .- 1, ,,.,y.,.a.:... „_.n ... ':;..r...:.... ,, , +: „.. ]« w.. .. �;. s. .:' reai.eo:., {.,„ ..'.., .e ,. ,. ..a.r w. .,'A.,.,..,d.�r. ... •., .. , - UF'ttlY TAA NC31l(.} Bio- Hazard Waste Storage - ANNUAL • Fumigation Tent Comm Exhaust Kitchen Hood /Duct . • . C Hazardous Material (Tier 11 or RQ FaciIl ) ANNUAL n Controlled Buie Hood Installation • = • Emergency Generator < 30-kw . • . 1 LP /Natural Gas- lnstallatlon I I Emergency Generator > 30 kw 1. _ LP /NaturaIGas- ANNUAL Sale. . -- Fire Protection Maintenance - ANNUAL FT Places of Assembly- ANNUAL • . Sprinkler . ..slE- • . . . • - E ..Recreatlonal Sum ' • . . • . Fire Alarm a . - - • 1 1 Sparklers ' . Hood Clean /Suppression = Sprinkler System Installations , • r. n Fire Alarm Installation ( 1 Standpipes (Sprinkler Sys) .. • 1 1 Fire Pumps 1 1 • Torch Roofing • • Fire Works = Waste Tire Storage ANNUAL • Flammable Application- ANNUAL., . E Fuel Tanks . . - ! ' - I Valuation of Project . • Other: . - . . Contractor Company • Signature - Current 1 Y / N Registered , Y.f N Fee Curren Address _ . I •1 .. License # • . . ELECTRICIAN .. Company 1 Signature . Registered . Y / N Fee Currant Y1 N I. Address l • License # I I PLUMBER . Company. _ I , . Slgnature • I ( Registered . Y ! N. I Fee Current Y 1 N Address _ - 1 License # • 1 MECHANICAL . 1 Company 1 Slgnature i, Registered . Y/ N Fee Current I Y/ N i Address -7-1 License N i OTHER . 1 . Company � 1 a li Signature \I � . ! Registered la ' Fee Current 1 Y / N Address IILI411 ,TINUM1r I - I License :r - 'Milo . L r I ;.,;.zw.�r!.Mw.- .wr::.,•,zer: n•, `e:C - .,' .., sa. , .. - ... ...n .... ,... .^.v`7.eee n.�..: r. .r. .�, ec.r_c s,...<uaw:.r_ ,,,..... 1➢R�'iPr�R Directions: Fill out application completely. awner & Contractor an Pack or application, notarized (Or- cagy of signed contract with owner) if over $2t00, a Notice of Commencement ie required (Mecnen;cal work over 15000) Supply ^,vc (2) sets of drawings , .vrh zppiicable documentation i • Allow 10 -14 days forreview after submittal date. j . . i 1