HomeMy WebLinkAbout09-9408 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9408
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9408 Address: 5316 11TH ST
'Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0100 - 17100 -0100
Improv. Cost: ,Artiiej:i' Ps ism : 4 t w
Date Issued: 8/10/2009 Name: SAINT JOSEPH CATHOLIC CHURCH
Total Fees: 25.00 Address: 5316 11TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/10/2009 Phone: (813)782 -2813
Work Desc: FPM -HOOD SUPPRESSION SEMI ST JOSEPH CATHOLIC CHURCH
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HE I : A E1UIPM NT FIRE - ERMI 25.00
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT." W!
�
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
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// city t$ T2^ of ZephyrhillS F Fax -013. 780 -0021
813 - 780-0020 Permit Application - •
= J Phons Contact for Permit ���� ��j
Data Received ® O wn er' s P Number Fyiki i ���`l i
Owners Name � — '' 71 J
,,,. .. f ,
wners Address l . _ .
O I
I Titleholder Phone Number I I I I
Fee Simple Titleholder Name
Fee SMnpN'11reholderAddnae `
Job Addtisa .d9/9"4
1 Division 1 Farrel 0
Sub
ED Blond Waste Storage - AMU. AL a Fumigation Tent •
❑ Comm Exhade Kitchen MoodlDuct a Hazardous Material (1W 11 or RO Facility) ANNUAL
0 Con boN•d Bum Q Hood installation
Enwgency Generator < 30 kw R Lp/N t rat Gaa -kttr ►
Emergency Generator > 30 kw LPA4.tis i Gas�irjNNU J- Sa
Fife Prabctlon Mlahrlernsrnce •• ANNUAL Q Phone of Assembly-ANNUAL
1253 LEM EMI &cam Oil 0
Sprinkler U 0 0 0 M Rec eetional Bum
FkeAhem 0 0 0 Spenders c
Hood Clawing 0 0 0 Spri ides System L.Mai.dons
Mood Suppression 0 X 0 standpipes (SprimderSys)
Fire Alarm inebriation - Tonfi Roofing/Tar Kettle
Am Pumps , _ - . Waste Tie Storage ANNUAL
Fire Works
Fismnodite Application- ANNUAL
1 valuation of Project
Fuel Tanks
,.N.,iM........ Conpany gd�41:fit °�h�: !s" "'r1 :� -0i'�,
Ccatiliar Signet.' �� l ® �® ` ►T� �' [ `!'�'
se es
..� � ' .....� .� Ucsn.. � 0 ' .TO.Y,1• Jr, s; Company
Mails lir-Wlf:e sig Rapish'.d Y / N
Fee Current Signa4se • r License tlE 1
Address I - . 1
1
PLUMBER Registered Y N F« Cunrtnt 1, Y / N j
Signature � )
Lien..* I
Address I
MIE Registered I YIN ] F« arrant 1 .. Y / N 1
'
Address license S I I
I . Company
Signature OTHER Registered L Y / N. J Fee arrant 1 Y/14 1
lberw >x .
FM out apptb m t f s 4 '�"° M. =Wad ad wgh owner)
Owns i Coniaryor wor owtr (.'5000)
.
If awn $2800, a Notice meneslAe Ggsn r r
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SSup* boo (2) sets of f * - obtained from Property Tax Notice (httpY/ppraisK P• o'r com)
Allow 10-14 days for at tfawsubrfNif dets .
'NOTICE OF:DEED RESTRICTION y ed %raaMctions"
which may be more•restricWe�than�'Oo gnsd'undersbnds.thatthispermit ma .be:a ubjeat e
y tititpregulatlons. The:underslgned.assumes responsibility mppmpilaaceiwith any
APIA** deed restrictions.
• UNLICENSED iCONTRACTORS-,414D" ONT ACTOR :RESPONSIBILMES: • •if - the owner - haschired - ;a ontractor , or• . •
contractors to undertake work, they may be required to be licensed In accordance with state and .locai•regulations. if the
contractor is not licensed as required by law, both the owner and contractor may be cited fora . misdemeanor violation
under state Iaw. .if the owner or intended contractor are uncertain .as to what licensing •requirements may apply for the
Intended work, they are advised to contact the. Pasco County Building Inspection Dhrislon— Licensing $ecdon.at 727-847 -
8009. Furthermore, ft the owner has hired .a contractor or contractors, he is advised to have the .contractor(s) sign
portions of the ' actor Block" of this application . for which they will be responsible. If you, as •the owner •sign as the
contractor, that may be an indication that he is not properly licensed and Is not •entitied •to permitting :privileges in Pasco
County.
CONSTRUCTION .UEN LAW (Chapter713, Florida Statutes,.as amended): If valuation of work is $2,500.00 or more, l
certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law-- Homeowner's
Protection Guide• prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the 'owner, I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the *owner' prior to commencement.
CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application Is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior to Issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction, I also certify that I understand that the regulations of other
. government agencies may apply to the Intended work, and that It is my responsibility to identify what actions I
must taketo be in compliance.
If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth In
this affidavit prior to commencing construction. I understand that a separate permlt may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, otter, or
set aside any provisions of the technical oodes, nor shall is$uanoe of a permit prevent the Building °Moial 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 pernit Is commenced whhin six months of permit isaatance, or if work authorized by
the permit is suspended or abandoned for a period of sbi (6) months after the time the work is commenced. An extension
may be requested, in wring, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
cause for the **tension. 4f work ceases for ninety ) oenseoutive days, the job Is considered abandoned.
WARNING TO', YOUR 1 AlL,URE TO RECORD A'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR
P AVIN a ; TO YOUR PR f, IF = TO,_ 4 1 4, F , , CONSULT
it ki. K. �.� - SP 5....Y. ��. al "'i MG�If�' S7 ":° .. . �. _1. a "1 •9 y. .�'t :q
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as Ide.*ftselion. u identification.
Notary Public .�/ _ 0® ®1e4/417 s , Notary Public
CammtssionNo, Commission No.
Name of ° . i o aatsmpW Woo of Notiftnissi, +mime or stamped
Mlh COMMISSION # D0814782
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