HomeMy WebLinkAbout09-9333 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 9333
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9333 Address: 38300 11TH AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 06600 -0011
Improv. Cost:
Date Issued: 7/10/2009 Name: THOMAS, CATHY A
Total Fees: 25.00 Address: 3606 AUTUMN PALM DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2009 Phone: (813)782 -4894
Work Desc: FPM- HOOD QUARTERLY- LOS CHICOS -SCH JULY 13TH
UQ. 74 a W" v . ,:., ' : , :, ..°. ye t'• a '
SECURITiFIKE'EQuI 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."
Wr
Ai
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- City ofiZephyrh s - Fier- FaF813a80.0021
Pemiit Appiicadon
Date Received - PeronContect for Pernik
Name ►.. , ,. : Phone Number 1 1 l
3 ?moo /f i 0 //. 2v /4 , .
Fee Simple TNeinlderNeese 1 1 7iYdmlderPhons Nu mber I l I I I
F.. Skrrpt.TNlMrolderAddwess
Job Address ' Let*
0 BbdiiorardW N
astearage -ANMML RaniprrsnTent
Comm &host Kitchen Hood/Duct Q HaatdLW Maoist (Tier It arRQ Reilk) SS1AL
D Cordial/id an Q Hood iarkifeNon
Emergency Gensador < 30 law
Emergency Asrrsrslor> 30 kw LP tteAni tiee,MHML s
is
Fire Ptoledion ileinieneuoe- lr/N111111. Pieces of Assembly-A1NUA1.
1251 ME 1E1 ......k!---mi LiallikaaliSewinstalielitat
Spikier 0 0 0 Non Recamiiionel Huai
Fire Mum - ` 0 0 0 0 SPINWNIN
Mood Clesrri'g 0 13 111. Spdaiderlitysirie MsOelions
Hood Sryproeaon 0 0 0 Standpipes (Sprinkler Sys)
Fire Ak mr.ilefars ion TadsRoalingrTerKalre
Fie Pumps Waste Tie Storage ANNUAL
Fie Works
1 j Valuation of Project
Fuld Tanks -
IS Other:
Contractor
sigrseee t psalskad Y / N 1 Fee Current I Y N
Address I 1 License* 1
I Comm
� 0w " ie1 f 1 shad I Y /N I Fee (Anent ( YIN
Address 1 License*
PLUMBER Company
1 Fee Currant Waal
Address MECHANICAL' fin`
Registered 1 ¥ / N,f Fee Oswalt J Y/ N I
Address 1 I Limner* 1
OT}
Signature -- e iz_ Convoy S : .z E. _
Remind C.'r► Fee Cann* IIIIIara
Address �1f'
nr� License *
Directionsc
FR outippliceYon corepletaly. ors u a
Owner A
r.,�, Convertor
Moroi oF� oer o is (Ors copy of signed con and web owner)
Fly (2) ewe tap cumin sohowfarl work oaerN6000)
Arorw 1audays tarr ed/es�suprp a �
Forest *- aiieinsd from Rowdy Taos Notice (lrkriapp�,p,secogov.com)
tOTICE OFDEED
/�� RESTRICTIONS: . • he undamaged l�jdd } [11 may�
be - - 9 one
filch may be more reetrk \ *ive _ � regulations. . .0 assumes responsibRty forcomplancorwith any
eelcable deed .
MLICEtiBB CONTRACTORS AND - COIMtA+CJ O . If : has fiked-am• contractor or • -
*reactors to undertake licensed work,
s emend by law, both the owner and contactor may stale and local
mkid m r�v IF the
rewired be loaned in accordance
xirmtr'acior' is
be dted-for a Trniederrmesarmor violation
mnder state taW. tithe Owner or intended coneador are uncertain as >bo *tat ees* for the
'tended work, they are advissdio contact the-Pasco Courtly hdlg Sedton-at 727-047 -
OO9 Furthermore, S the cooler teas hired a c lledor or conkadoce, he is adviesd to have the oonkaciar(s) sign
ketone of the `Contractor Block" of this application which will be responsible. If you, as miner as the
xardractor, that may be an indication that he is not properly licensed and is not eted permitting privileges In Pasco
Y. 71 Rorfda $tatty as,.ae-aar ended) S valuation of work Is $2,500.00 or more, 1
:oNSTRUCr>,o>wi.uEN -uw (Chapter �,� S
edify that 1, the applicant, have been provided with a copy of the `Florida Cor>sirucion Lien
rTtecfion Guide' prepared by'the Ronda Depatrnerrt of Agriculbxe and Cons mer,AEairs. If the applicant is someone
lther than the `omrner", I ae ► that I have obtained a copy of the above described document and promise in good h to
*sliver it to the 'owner prior to aogrlienoemert..
_ AFFIDAVIT i certify that all the ktformation In this applicatbn
that all work will be done In compliance with as applicable laws reguialing construction, zoning and land Application is hereby made to chin a perms th do work and Mediation as indicated. l certify
that no work or kmtaision has commenced prior to issuance ate perrrrit andihat at work wit be performed to
meet standards of all laws regulating construction, County and Cly codes, zoning regulations, and land
development regukdlons kn the jurisdiction. tion. I also certify that I understand that the regulations of other
t
government agencies may apply to the intended work and that I is my responsibility identify what actions
must tale to be in compliance. se t forth
S t am the AGENT FORME E MI ER, I prom in good faith to lotion the owner of the permiing - w eiect i work
this pd r commencing construction. 1 understand t' w
piumbkg, signs, wets, pools, air conditionkhg, gas, insellatians not spedlicaly included in the application. A
porta issued shat be construed to be a license to proceed with the warts and not as authority to violate, cwrmcd, ems, or
set aside any provisions cif the tads *al codes, nor stray issuance of a permit prevent the from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every ppermit issued shall S oak eco a inv i try
unless the work authorized by such perch is commenced w**n six months Of permit issuance,
the perm is suspended or abandoned for a Period of atx (6) months ate time time them* is commenced. An extension
in from the Bedding Official for a period not to exceed ninety (90) days and will demonstrate
may cause for the mde nsion. Swart( ceases for ninety (90),consecutive days, the Job is considered abandoned.
WARNING TO OWIllat YOIXI FAR TO RECORD A
MAY 'RESULT if i'YOtRt
PAYING TWICE FOR asimovallas TO YOUR PROPERTY. IF YOU NO'11CtETO OBTAIN �G. -T
• WITH AMR OR AN A OF
FLORIDA J RAT (F.& 117.03)
mom MAME CONTRACTOR
Subs:Abed ends/nom to (or attuned) babe me 13is Soismdbsd and sworn la (arm) before me this
M mew Padres
Who blare peraorraMy knows 10 miler Who Islam Psao bloom a
. ntolary Public
Notary Public
Comm N o.
Commission No.
Name of Notary typed: tainted or damped Mans of Naar y typed. pdfted orslamaesN