HomeMy WebLinkAbout09-9330 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9330
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9330 Address: 38634 HWY 54 EAST
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:
Improv. Cost:
Date Issued: 7/10/2009 Name: FAITH BAPTIST CHURCH
Total Fees: 25.00 Address: 38634 HWY 54 EAST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2009 Phone:
Work Desc: FPM- SUPPRESSION SEMI- FAITH BAPTIST CHURCH-SCH JULY 15TH
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SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
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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."
sriPO
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
- 813 - 780-0020 Cry ofZephyrhillsTil Fax -813-780-0021
ParmitApplication -
Date Received - PtleneConlactiorPermit -
Owners Name �: • : • _ AMe a Phone *new 413 1 I7 P7 1 1 c??
owner's Address 138 4.3 / Nay S'l E Zc fah yr1 tlhf Fz
Fee Simpe1MlehoiderNome f I Tilleholda Phone Number I I1 1
Fee SimplellinhotderAddress
Job Address Lott
Sub Division Pseei#
[2:1 Bio- Hesard Wads Slone, -AN UAL El RiAgeMon Tint
a Dawn 6heuat Kitchen Hood/Duct o Hazardous Materiel (liar M or lO Fd1y)11IMNlAL
E l Controlled Bum o
p Emergency Hood Inebrnallon
Generator <30 k w LPINeltindElswinelainitan
Emergency Generator> 30 kw LAMekaal GenANORIAL Sale
Rre Pratedion kleinrnenoe- ANIMIAL Places ofAseandy NUAL
EMS MIS OM is ate 0 0 0 M Recreation'. Bum
Fie Hann 0 0 0
Hooaaasdrl9 0 0" 0 all SprialderSpilem rsilLI
Hood Suppression 0 b 0 Standpipes ( +iderSye)
Re Alain iateMei .n Torch lioaigffarKatie
Rae Rasps D Waits Tie Stamp. ANNUAL.
Fie Wain
Flemmaible Application- ANNUAL
Fuel Tanks
0 outer: I
Contractor
Signature ' 1 lieifalend I Y/ N I Fee Current ( Y/ N I
1 Neyhlered Y N_ Fee 8taierrt J Y t N 1
Addams I
1 License# `
PLUMBER I Company
- Registered I YI Fes Calmat
Address { (License*
�1A I
acre I I Company
Registered Y/ N Fes Current I Y/ N
Address I I Craw# I
OTHER I -
Signature ,,,lrC;tl,�l.-( 1 Company S.�..�R Fee ,,z E o
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RplpMed 1 _
_ Fee Ciebat N
Address ilf7 .* i .'AIIIIIIIIII License# 40 00
FM out appilcelion completely,
Omer a Contractor aim beak of application. rralarrsd (Or. copy of signed contract wlh owner)
If over S2500, • Noise dtommarrowrrwrt is required Ginchenicel work over 85000)
Supply law (2) sets of drawings war appMeable doormen dlon
A1loer 10-14 dugs tormenter alter submits! date. Parcel .1- obtained from
Properly Tag Notice (psafaar.Puecopovoom)
•
IoTIIcE OF RESTRICTIONS: The un demignea understands that s to •.
rhich may be more reabictl a than County regulators. Thewndersigned mammas responsibility forszompfiencowfth any
pplicable deed reskictors•
RAUCENSED CONTRACTORS AND - CONTRACTOR _ if owner has tired a- contactor or • -
arhkac.tors b underltaioe. work, they may be required lo be licensed in a cordence with at to and locsl if the
=tractor is not licensed as requked by law, both the owner and contractor may be cted a - misdemeanor violation
ender state leer . tithe owner or intended. contractor am uncertain .as - to what keening Tequireerients may apply for the
ntended work,.they are advisedlo contact the-Pasco County Building irwpecdon Sedionaa 727 -847-
3089. Futhermoe, If the miner has hired a contractor or contractors, he is advised to have the contractor(s) sign
maroons of the °contractor Block" of this application whichlhay will be responsible. t you, aslhe owner as the
xnt _actor, that may be an Indtcatk n that he is not properly Ucensed and is not eniited permitting privileges in Pasco
'.ONSTRUCTION.LEN -LAW (chapter713,
ftatutes,as.arnendodx If valuation of work is 92,500.00 or more 1
:edify that 1, the applicant, have been provided with a copy of the 'Florida Construction Len s
2 rotection Guide' pied births Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
rifler than the ''oewner" cerUly that 1 have obtained a copy of the above described document and promise it good'tafth to
ietiver into the `owner" prior to commencement.
AFFIDAVIT: 1 certify that all the irdormaUon'In this application is accurate and
a that a8 walk wit be done in canpiienoa with all apply able laws regulating con n, zoning and land
Appiiialion is hereby made to obtain a perm to do wok and lotion as indicated. 1 certify
that now* ar installation has commenced prior to issuance of a pennt andthat aft wok wilt be performed to
meet standards of all taws regulating construction. County and City codes, zoning mutations, and land
development regulations in the moth. 1 also certify that 1 understand that the regulations of other
. government agencies may apply to the Wended work, and that ft is my responsbINy to identify what actions 1
must tales to be in compliance. in
faith to testa_* the owner of the permitting condo et for
itins set If 1 am the AGM FOR THE OMMER. i promise in good electrical s cal yank,
this prior oommeendng : consbuction• 1 understand that a separate pens t may required for
plumbing, signs, wefts, pools, air co rditiOmksa gas, - ar caner installations not specifically included in the application. A
permit issued shall be conskued boa license to proceed with the workk and not as authority to violate, cancel, alter, or
set aside any prow eirhns of the tachsicet .+oo4as, nor shaft issuance of a pen per* the Building Official from thereafter
requiring a correction of emus in plans, construction or violations of any codes. Every penult issued shall become invalid
is co,nmenoed vain six months of permit issuance, or if work authorized by
the permit is suspended a eats the work author i r by abandoned for a Pam+.. i of six (6) Months after the Ilene the work is commenced. An extension
th
may be requested, k IIkig, frau the Betiding Omcai for a period not to exceed ninety (90) days and win demonstrate
justifiable cause for the extension. If work ceases for ninety (90) conned days, the lob s considered armed.
Cct ICEMEI T MArRESULT IWYOUR
P
WARNING IC F I MOVE fAL TO . F YOU BMW TO OBTAIN FINANCING; CONSULT
PAYING MICE FOR YOUR NOTICE O f .
W[Tt{ Y�R j�p�' tat AN ATT'itMrElf .
F DA JUtAT (FS. t17.03)
OWNER OR art AGENT COWIRACTOR
mo m. Subscribed sworn b (or affirmed) before me this
SrtbsctWad cad mom. b (o raairaed) bare this
Nino Warepeteora�r
Who Were persons* known b tea' t+ - trlrorrn b me or. produced as
Notary Public
Notary Public - Commission
Commission No, Na
Dame of Notary Qrpe& r or sine pad
Name of Nohytfped. P cr ei nnpad