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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 •