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Home My WebLink About09-9354 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9354 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9354 Address: 7323 GREENSLOPE DR 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: 34-25-21-0000-00300-0081 Improv. Cost' ®t6z , ff, .: _. Date Issued: 7/16/2009 Name: RAMAPPA, DR. G.M. Total Fees: 25.00 Address: 7323 GREENSLOPE DR Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/16/2009 Phone: (813)818 -9696 Work Desc: FPM- FIRE ALARM ANNUAL- ZEPHYRHILLS DIAGNOTI A TOTAL SOLUTION, INC FIRE PERMIT FEES 25.00 - W b r s l Ee ... s s wore 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." e ,ir P T. 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 -002 City of.ZephyrhillsFire• 0354 Fax - 813 -780 -0021 l Permit Application Date Received I -- .-A S e. I my�m tar r aru Phone Contact for Permit Owner's Name 1 �. M v � ' t 1 S ' t e....1 1 4J t L Owner's Phone Number Q �{ " Owner's Address 1-3 -- z_.3 t / 1 r $ <,-. . 1 .. p.c. 'Of Titleholder Phone Number J Fee Simple Titleholder Name f Fee Simple 'Titleholder Address aE�: rt.„ w. _.,... Job Address �..w.,.t§m3rnaar. �.�, F.,..,. .,.. ,��x�°:tn;!. t #e . , a'w u c ,:. ... ..�.tr :.. ; .._ � „,. .. f Lot# '—.--- 2'3 v ( e-e sloes Parcel # Sub Division Fumigation Tent 1 Bto-Hazard Waste Storage - ANNUAL J Comm Exhaust Kitchen Hood /Duct 1 I Hazardous Material (Tier II or RQ Facility) ANNUAL I - Controlled Bum 1 1 Hood installation 1 LP /Natural Gas - installation Emergency Generator < 30 kw Emergency 30 kw LP /Natural Gas - ANNUAL Sale P Fire Protection Maintenance ancc e - ANNUAL 1 1 Places of Assembly- ANNUAL 71 j trly1 lsemt1 rai lUtner 1 ,/ i • _ Sprinkler ❑ ❑ ❑ 1 Recreational Bum 1 I Fire Alarm ❑ ❑ 5( Sparklers _ Hood Cleaning ❑ ❑ ❑ I 1 1 Sprinkler System installations Hood Suppression _ ❑ ❑ ❑ 1 1 1 1 Standpipes (Sprinkler Sys) 1 1 Fire Alarm installation 1 1 Torch Roofing/Tar Kettle _ 1 1 Fire Pumps 1 1 Waste Tire Storage ANNUAL 11 Fire Works I Flammable Application- ANNUAL Valuation of Project .1 1 Fuel Tanks 1 I Other: f -. w y s Contractor ' Company L./ 4 ( L !'.`e- . Signature � Registered Y/ N 1 Fee Current 1 Y / N Address _ I License # ELECTRICIAN Company • Signature , Registered ignature Registered _ Y / N Fee Current 1 Y / N Address 1 License # PLUMBER Company Signature Registered Y / N Fee Current Y / N Address License # MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address , •License # 1 OTHER Company Signature Registered Y / N Fee Current 1 Y / N Address _ v... .. eva ..:....: r , License Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required .(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) • which m ay be more restrictive than County ' RESTRICTIONS: The undersigned The .0 dersigned assumes responsibility fortcompliarrce w th any which may _applicable deed restrictions. or UNLICENSED 'CONTRACTORS AND . CONTRACTOR e licensed S IB IL I dance If the with ow te and local -hired-7a contr c con to undertake work, they may be required 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 what licensing - requirements may :apply for the 80 909. F they are ermore, if the ow owner has hired e County a contractor Building o he is dvsed to Division—Licensing have the contractor(s) sign portions Furth co ntrac of tha co ay betar n indication that he is properly licensed will and is not entitled permitting privileges g in Pasco contractor, that may be a County. f work CONSTRUCTION .LIEN LAW (Chapter713, Fiorida Statutes, m nde) If valuation o on Lien is $ ;500.00 or more, ' I certify that 1, - the applicant, have been provided with a copy of h is someone Protection Guide" prepared by Florida Department of Agriculture above described document and prom Pse faith th to other than the "owner ", I certify that I have obtained a copy of the deliver itto the "owner" prior to commencement. CONTRACTOR'SIOWNER'S -AFFIDAVIT: I certify that all the information in 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. I certify that no work or installation has commenced prior to issuance of a p rmit a des t allling work will l bepe performed d to meet standards of all laws regulating construction, County City development regulations in the jurisdiction. I also certify that I understand that the regulations of other . government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. t f am affidavit the AGENT F com me OWN ncing c o ER,� phi Wise iuderstand faith that a inform separat permit may required for conditions electri al work, t affidavit prior to commencing plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit a s a any sha i io be construed ch ical codes, nor shale issuance of a permitp not as event the Building violate, Official from thereafter requiring h i d e any correction of r the technical invlid unless the a correcti t h of errors in chnermit construction violations any cods. commenced within ssix monthseof permit ssuance, work auth rzed unless m e work it is suspended eended or a b ndc p d. An extension the permit r abandoned for a period of six (6) months after the time the work 0 da s and demonstrate may be ; requested, in writing, from the Building Official, for aperiod consecutive days, the job ( is considered abandoned. justifiable cause for the extension. If work ceases for ninety ( 9 ) WARNING OWNER: YOUR FAILS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN AIN FINANCING, NG CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER O' . ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0 .� > �� / . - OWNER OR AGENT / /S __ y 9b c� CONTRACT swum to (or afflrme• = - �� s 1 5 i u J cribed and to (or - -d) b ..: me th' • _ \ by . o- n i-c • •Y • ` uce Who is/are ersonaliy known to me or has /have produced Who is/ a personally known to me i has /have produced as identification. as identification. ♦ Notary Public - Notary Public 0.1.,:,...c.....- 9 / a Commission No. �> ' G ' �/ Commission No. '':\-> � „� S �r .Sv � t .. J S C (t - t s ..- �.�.Q,- _ (,- 1 , 29 Name of Notary typed, printed or stamped Naffie of Notary typed, printed or stamped ;Iv <►gir, Pa o 1 riA C?f Florida - � .. c a, t C.o(nrniss■oi 0D639910 Or t' E ;,; 02/13 /2011