HomeMy WebLinkAbout09-9331 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9331
ANNUAL FIRE PROTECTION MAINTENANCE
j Po .
Permit Number: 9331 Address: 5510 19TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E 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: 7/10/2009 Name: FIRST PREBRYTERIAN CHURCH OF ZEF
Total Fees: 25.00 Address: 5510 19TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2009 Phone: (813)782 -7412
Work Desc: FPM - SUPPRESSION SEMI- FIRST PREBRYTERIAN - SCH JULY 15TH
...,, , ... � �, F 4 �..� g'r _ a °:, "`_'S',h�h � ';. w: `., p ... x� � 1 h"�'kE.a �` . .rr. :, . �e ,•�I�a: `.< .. ,';. . : 4
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
/0(&.s- �1
-01
r O : o a�, �, d s t* ;.. ;. t �s a ' 3 k a x al
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." VIPP
ti
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 - 7800020 City ofZephyrhW fink Faoa813- 7804021
Permit Application .
Date Received - PhoneCordectfor Pens/ . I II
donee* Name , _ . et :.. Owners Phone Number 1 r!3 1 rffill 174V
owners Address 1 SS742 /9k' S" 1A6 790layrr i if
Fe. Sirapis7l•sirotlsr Name
1 TaMholder Phone Number 1 1 i 11
Fee Slmpie7NleboldsrAddress )
Job Addnees Lott
Sub Division Paasi #
socutasamat
0 Ha-tlicoad Waste itospe "ANNUAL [n _ _ i n Tent
0 Comm EiMust Kitchen Hood/Duct ED Han.rldorrs Metwid flier M erRt2 Fid ty) ANNUAL
0 CaMIdM Hun p Hood,
Emergency Genssdor LPiMiesaleseirtalissorr
Ernargencyammeator> 30 tat LP1Mhia+.1 Qa*#iMW ->3ele
Rue Protection 8isinime�.- AMMUAL F�Iaoss oFAseMeby,ALNNJ/t!
ISM EMI FM . Sprinkler N 0 El 0 NEN El Recxe4bnet Hum
Fire Mann 0 0 0 N Sprit=
Hood Cleaning 0 0 0 IIIIII 8rdaldsrSPiom beediala a
Hood Suppression 0 X 0 SlendAiprs ( N
Ro. Akan Yale -efon TorebReainpffarKates
The Pumps Waste The 9oape ANNUAL
Floe Works
Flamembie H, Application-ANNUAL of Project
Arel Tanks
0 Other Contractor I (aopipss+y ; - Y!N Few:west 1 Y / N
Address 1 1 _ iacen..e - 1 I
� wry
R east.�ad � Y/ N � Fey t7ui+siit J Y N1
Address I 1 Manse* 1 i
Puy I Company
Signature Registered N F r►Q IIt
Address ( ( tiarrrae I' '
Sir Company
Registered Y t Fie Conant
Addns's I f License* I I
OTHER ComMo7 S ! NZ 1 4 Q ts
Signattse '-- e
Addle= irMigir: _MIMPRIMIN. likrega11117),3111/07M1111111111 Manse* 11 dc:
Median= --
FS out application mmptabty.
Owner & Caaaotor beck d .ppioUYoa, noirte.d (Or. copy claigned.orbeet oft owner)
if over 32800.. *doe cf Commen ement it esquired.(kiscieriod work o er33000)
Siq pIyIwo (23 sob of dmwbgs reel app loable documentation
Alm 10. 14 days lorravfswalkar submittal deb. PanoJ # - obWnd tun Ptoparty Tax Notice ( prat urpascogovcom)
•
•
IOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may.be r ns'
Mich may be more rive than Couty regulations. The - .undersigned .assures responsibility forawmpliaocawith any
ale deed restrictions.
JNLJCENSED CONTRACTORS AND CONTRACTOR . 9 owner has tired-mroontrac or or • -
:ontracctors to undertake work they may be required be licensed in accordance with stab and local If the
ontractor is not licensed as required by law, both the owner and contractor may be cbed a misdemeanor violation
finder saute ON lithe owner or intended:oontractor are ascertain as b what Noensing-requbremets may xstply the
Mended work they are advlsedlb cortact. the -Pasco County R inspection Division—Licensing Sectionat 727 -847-
1009. Furthermore, Y the owner has hired a contractor or contractors, he -is adviesd b ha!a to caniracton {s) sign
=ions of the ` contractor Block" of this applicaiion which wIll be responsible. If you, as owner as the
=tractor, that may be an indication that he is not popery► licensed and is not entitled permitting privileges in Pasco
;aunty. If vaktation of work is x2 or more, 1
:ONSTRUCTION.LCN -tAW (ChapbsrTi3, �ttltss,- as•aanendidx
ify that 1, the applicant, have been provided with a copy of the 'Florida Construction Lien s
rotedion Guide prepared by Florida Department of Agricuiure and Consumer Affairs. If the_ applicant is someone
.ether thya, y nt�he`ouneh",1 cattily that I have obtained a copy of the above described document and promise. in goodfaith to
*giver It to the moaner prior to commencement. -
AFFIDAVIT: i car* that ail the infianmation -in thus application is accurate and
that all work wNl be done in compliant wish all applicable Malls regulating conskurt1otc zoning and land
development. Application is hereby made to obtain a permit to do woricandinstalletion as indeed. 1 certify
that no work ar lraiallation has commenced Prior to issuance of a pandit andlhat all work will be performed
land
meet standards of all laws regulating construction, Coduhiy and CRY dada% zoning rtglulatiOns. and
development regions in the jnuisdbction. I also. certify that 1 tad ndarxi that the regulations of other
government agencies may apply to the intended work and that it is my responsibility to kJ l what actions 1
must faire to be in compliance.
if 1 am the AGENT FORTHE OYlN1ER,1 promise in good Ot to inform the owner of the permitting conditions set forth In •
this - affidavft prior -b commencing construction. 1 understand that a separate perm ft may be required for eieckicai work,
plumbing, signs, welts, per, air cog, gas, - or other installations not included in the application. A
permit issued shall be construed to be a licsnse.to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the tack nicraI Cokes, nor shall issuance of a permit prevent the Bulling Ol icial from tamer
regtdrkhg a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such pemit is cammenced waiitn Six months of porn issuance, or If work authorized by
the permti is suspended or abandoned for a 0eriod of six (6) months Marta 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 axterwion. If work ceases for ninety (90) consecutive , the job is considered abandoned.
WARNING TO OtMNER: YOUR FAiL'URE TO RECORD A11101X2-0FIXIMINIENIMIWY MEt RESULT *YOUR
PAYING TWICE FORIMPROVEMENIS TO YOUR PROPERTY. F YOU INTEND TO OBTAIN FINANCING, t NSULT
WITH YOLKLENDEILOR AN ATTORNEY BMW RECORD YOUR NOTICE OF
FLAWDA JutAT (FS, 117.03)
OWNER id AGENT . - b (or before me this
5uSubscribed d and roam b Mn
(or honors me Ws Subscribed end swan
•
%ho tslare meson* known to r nerho AwMePoduced Who istaropersormily boron to me or boollums produced
as tdsriosiarr. - as
Notary Public Notary Public
Commission No. - Commission No.
Name of Notary %melt pdrMed or stamped Norms of Mabry typed. P IM or i
•