HomeMy WebLinkAbout09-9484 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9484
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9484 Address: 6938 MEDICAL VIEW LN
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0290 - 00000 -0070
Improv. Cost: ._ roe. " 3 , , ^
Date Issued: 8/27/2009 Name: LENDALL, KNIGHT& CHRISTINA
Total Fees: 25.00 Address: 4901 SEMINARY RD
Amount Paid: 25.00 ALEXANDER VI 22311
Date Paid: 8/27/2009 Phone: (571)312 -1243
Work Desc: FPM- FIRE ALARM ANNUAL - NORTHWIND PROPERTY
A • AL • LUTI • N Fl - E P - M 25.00
Fl - A - AN 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."
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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
i iiiiT/02i"200? /TUE 11:27 AM ZEPHYPHILLS BUILDING FAX No, 813 - 780 — !l021 r, uui
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City ofZephyrhilisFire.• (( Fax -813 -780 -0021
Permit Application
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Date � ived • �i�ir.7�� Phone Gorr
tactfar• Permit
Dat lZece .. , ..::.
,,, �' 1 Owner's phone Number
/���' ► � , �� I__
owner's Name �l
Rd. ' + S� � � �•� ✓rte - � .
Owner's Address { 1 //0 ! S ill +t[:k r . �` I 1 J
Titleholder Phone Number 1
Fee Slmpie Titleholder Name
Fee Simple Titleholder Address
t / / I-01#
Job Address a/ NAP
Parcel #
��f'
Sub Division - ,
Fymigation Tent
Bfo- Hazard Waste Storage - ANNUAL 1---] - Hazardous Material (Tier II or RQ Facility) ANNUAL •
Comm Exhaust 14`tchen Hood/Duct • . .
ILI Co El ntrolled Bum Hood Installation
LP /Natural Gas - Installation •
7 Emergency Generator { 30 kw a •
LP/Natural Gas- ANNUAL Sale •
Emergency Generator > 30 kw r places of Assembly-ANNUAL
n Fire Protection Maintenance- ANNUAL y y =
.� 015741 a!n PE Utter El 1=1re Alarm Q 17 E2 . Recreational Bum
L_ J 0 fl I "` 1_ 1 n Sparklers
1 1 ru-(
I=1 ❑ fl C] Sprinkler System Installations.
.
Hood Cleaning
Hood Suppression L �
r1 ❑ p 0 Standpipes .(Sprinkler Sys) . • El Fire Alarm installation Torch Roofing/Tar Kettle
•
Waste Tire Storage ANNUAL
Fire Pumps E=1 c
Fire works Valuation of Project
Flammable Application- ANNUAL .
•
Fuel Tanks • • T- _ .
n Other . I ._ .
'r.r ComPa+Y /Z�`'����c���
Contractor ., , 1 Registered Mini Fee Current - rye
Signature
Address •— .License#
CornpanY
Signature
nature
EL IAi Registered Y /� . Fee Current l Y / N
Address
` j Ucense #
Company • I •
PLUMBER Registered ) N F .Fee Current , Y / N ' 71 Signature
License # .
Address I .----
MECHANICAL Company
. Registered Y / N 1, Fee Current ' Y / N J
Signature
- License #
Address
OTHI R
Signature Company
• Registered Y/ N ( Fee Current I Y/ N j
-
LIcenae #d
Address • .- s -. -... _.,__....�
Directions:
Fill out application completely. of signed contract with owner)
Owner & Contractor sign back of application, notartzed (Or, copy 9
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 (httpJ /appraiser.pascog0v.ccm)
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K7/02/207/TUE 11:27 AM ZEPHYPHILLS BUILDING YAX I'JJ. , 21 — itL — .J..dzi
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'NOTICE OF :DEEP 'RESTRIOTIONS: The.undersIgned understands .that this permit may beesubjechtedeacrirestrictione
which may be more restrictive than County regulations, Theundersigned.assumes responsibliity:foncompliancevith any
applicable deed restrictions.
:UNLICENSED 'CONTRACTORS ANDCONTRACTOR R RESPONSIBILITIES: If ;the owner has 'hiredacontractor or - •
contractors to undertake work, they may be required to be licensed in accordance with state and local If the •
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
intended work, they are advised contact the-Pasco County Building Inspection Division—Licenseg Sectionat 727-847-
8009. Furthermore, if the 'owner has hired -a contractor or contractors, he is advised •to. have he contractor(s) sign
portions of the "contractor Block' of this application for which 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 entitled permitting .prNile'ges in •Pasco •
County. . . . .
CONSTRUCTION LIEN _LAW (Chapter 713, Florida Statutesras .amended): If valuation of work is . $2;600.00 or more, I •
certify that I, the applicant, have .been • provided with • a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by Department of Agricultureand 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 priorto 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 perinit and 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 take to be in compliance. . ..• . • " • .
If I am the AGENTFORTHE 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 permit 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, alter, or
set aside any provisions of the technical codes, nor shall issuanoe of a permit prevent the Building Official froni . 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 issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the 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 extension. If work ceases for ninety (90) consecutive days, the job is considered .abandoned.
WARNING 1'0 OWNER: YOUR FAILURE TORECORD AVOTICE - OF COMMENCEMENT MAYRESULT IN YOUR : •
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOU - LEND R O A N A • RN , BEE • - E • ECO • DING YOU - NOTI - f: C . MM NCEMENT.
FLORIDA JURAT (F.S. 117.03400.1 . eX1011,'
.
L7 $ 4 r i
OR t AG 1 —11.401PAI_X_..W. ...it • ' . C - a - • Ill&s,--40.1MI■ . -- 1
Sub ' ed and sworn or . =. • • - ore me iLr had and • m ,• (or affirmed) • .,' • re me th :7
- by _41 1_, . , - . - - lir , 4.„ ,1••■•._ -0 by 1-w., (:3, • •<-- . AI /
is/are p rso = ly known to me ot 1 .r i r • od - ., • i are person- •• to me Pt' hadhaVe 74'1 .''''' •
as itiendtiostion. . '-• as identtfloation.
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'S ' 'Notary Public' .;:- ,- --<-- :-=L -----.--••-•--'1--) N01arY Public .
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o ry • lc e o o e Notary Pubtic Jesus
of Florida
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. . st • Elizabeth De Jesus p. Elizabeth D e su
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My Coinmission DD639910 . %or"' MY Ccm
iss' len DD639910
1 ?oF fo' E .ires 62/13/2011 . • . . . Expires 02/13/2011
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