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Home My WebLink About09-9357 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9357 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9357 Address: 38634 CR 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: 02- 26 -21- 0000 - 01400 -0000 Improv. Cost: Date Issued: 7/20/2009 Name: FAITH BAPTIST CHURCH Total Fees: 25.00 Address: 38634 CR 54 EAST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/20/2009 Phone: (813)782 -0880 Work Desc: FPM - ANNUAL SUPPRESSION- FAITH BAPTIST CHURCH-III 22nd it e a r. €( s . ......<... ..... s SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00 C / q 41 a . w . t `� t t n " r � _ a $ 3 R 5`. +-e e P �^ ik a P N ... n �� 1. � . .. .: ;a t. Ides .,.. d• a ice, . . . 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! -r 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 of Zephyrhils Fee- f-0202-0Y Fax-813-780-0021 Permit Appkation --11 Date Reserved - Phone Contact for Pam* 1 ----- owners Name ....1,,, 4. ;:i1:1 II Jr /WM Owner's Phone Number 413 I 1 7J 1 leiert , 07.--- ..-4 Owner's Address 4. . ,1 ,,o AIIII -, . • g Fee Simple Titleholder Name 1 I 'Titleholder Phone Ntanber I 1 1 11 Fee Simple TItishoider Address 1 ,--,- - --..1.g-Azio- --.: "7.7.-' - '', -,, , - 4—... - -- ' - ' • -" ---'.= 17.0.= - . - - -- ,.-......,,,,77€1‘,..,„,„._ --"-----.- Job Address 1 I Lotft Sub Division I I Parcel* ED Bio-Hazard Waste Storage -ANNUAL r Fumigation Tent ED Comm Exhaust Kitchen Hood/Duct E:1 Hazardous Material (Tier II or RQ Facility) ANNUAL D Controlled Bum F Hood Installation = Ernergency Generator <30 kw r-i LP/Natural Gas-Installation El Cs..9.....y Generator > 30 kw El LPINaturat Gas-ANNUAL Sale ri Fire Protection Maintenance - ANNUAL = Races of Assembly-ANNUAL . rani 1 5165 1 Ea 04 Sprinider Li o 0 0 17 Regional Bum Rre Alarm p 0 0 0 1 1 [J Spiders Hood Cleaning 0 0 X l 1 n SprinIder System Instlatio alns Hood Suppression [1 0 0 I 1 1 Standpipes (Sprinider Sys) Fire Alarm Installation El Tooth Roofingfrar Kettle Fire Pumps E Waste Tire Storage ANNUAL Are Works Flammable Appucation- ANNUAL 1 I Valuation of Project Fuel Tanks El Other: I Contractor Company • Signature Registeeed I Y / N I Fee current 1 Y / N 1 Address 1 . License* I I ELECTRICIAN! Company Signature Registered I Y/N 1 Fee Current 1 Y/N 1 Address I 1 License* 1 1 PLUMBER Company Signature 1 Registered I Y / N I FOB Currerd 1 Y / N I Address I License * 1. I MECHANICAL' Company Signature Registered I Y/N j Fee Currant 1 Y/N 1 Address 1 License* ) 1 OTHER Signaline -.1 ...'.f ,./ --Z-if:14(..A- .5 Company 1 t.., (2,,-,,,—r-- Registered MA 1 'Fee Ctsrent 1 Y 1 N j Address Megirigniff _MMEIRMINIWillWrolVEIIII license # c Z. — -- esc..c_.> 12_ Directions: Fill out application completely. Owner & Contractor sign back of appNcation, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is raquked (Mechanical v.virk over $5000) Supply two (2) sets of drawings with applicable documerdation Allow 10-14 days for review after submittal date. Parcel # - obtained from Properly Tax Notice (http://appraiser.pascogov.com) IOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may.be•subject'to °dee id'Restrictiun ? rhich may be more restrictive than County regulations. The. undersigned assumes responsibility forcompliancetwith any tpplicabie deed restrictions. JNLICENSED CONTRACTORS AND CONTRACTOR S: If owner has - hired - :a-contractor or ontractors to undertake work, they may be required to be Lensed in accordance with state and local If the Antrac for is not licensed as required by law, both the owner and contractor may be cited a misdemeanor violation ender state law. If the owner or intended. contractor are uncertain uncertaki as to what licensing - requirements may apply for the ntended work, they are advised to contact the - Pasco County Bung Inspection Division—Licensing Section_ at 727 -847- 1009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) sign )(whorls of the "contractor Block' of this application - for which they will be responsible. tf you, as owner sign as the =tractor, that may be an indication that he is not properly licensed and is not entitledlo permitting privileges in Pasco ;ounty. CONSTRUCTION .LIEN LAW (Chapter 713, Florida Statutes, as .amended): If vat cation of work is $2,500.00 or more, 1 :ertify that 1, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's D rotection Guide' crewed by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone )then than the `owner, 1 certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner prior to commencement. CONTRACTOR'S/OWNER'S -AFFIDAVIT: 1 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 watt or motion has commenced prior to issuer= of a permit and brat all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development reams in the jurisdiction. 1 also certify that 1 understmd that the regulations of other . goverment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. if 1 am the AGENT FORT HE OWNER, 1 promise in good faith to inform the owner of the permitting cocrdltions set forth in this affidavit prior - to commencing won. 1 understand that a separate permit may be required for electrical work, plumbing, signs, weds, pools, air conditioning, gas, or other installations not specifically inciuded uded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shad issuance of a permit prevent the Bung Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit ism, or if work authorized by the permit is suspend or abandoned for a period of six (6) months after the brae the work is commenced. An extension may be requested, in wrttting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE 0F MAY IN - YOUR PAYING TWICE FOR MiPROVEME TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF FLORIDA JURAT (FS. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and swam b (or affirmed) before me this by bY Who i s / a r e personally known to me or h a s / h a v e Produced Who Wale personally known to me or t he produced as ickintillcallon. as identilicadon. Notary Public Notary Public Commission No Coon No. Name of Notary typed; printed or stamped Name of Notary typed printed or stamped