HomeMy WebLinkAbout10-10046 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10046
ANNUAL FIRE PROTECTION MAINTENANCE
7177,
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Permit Number: 10046 Address: 38435 5TH AVE HISTORIC
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 15300 -0120
Improv. Cost: t : .°, , f_ : 7ts:7 " 4 :_.. _
Date Issued: 1/26/2010 Name: PRICE, MARCUS S & MJ
Total Fees: 25.00 Address: 38435 5TH AVE - HISTORIC
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/26/2010 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- HUT NO #8
•MME- AL 1- & •MM NI -ri. R P - MIT S 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."
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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
813 - 780 -0020 City of Zephyrhills Fire .// \ 1)D g1) Fax - 813 -780 -0021
Permit Application y r
Date Received
Phone Contact for Permit P r
Owners Name �CuS S � Owners Phone Number • l
19(4-419(4-4.- ' f� ►Y
Owner's Address ms 'Srd Poe. G.. tikp(ht 11 r% Js641
1
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
.. r -
Job Address . � fh Avc G llt rh) I Is FL !35'7 L Lot#
Sub Division
Parcel # 11 2.1' W 15300 - oIZD
n Bio-Hazard Waste Storage - ANNUAL I I Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct { ] Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlled Bum Hood Installation
I I Emergency Generator < 30 kw LP /Natural Gas - Installation
n Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL El Places of Assembly- ANNUAL
(Lttriy( (Semi( rrnTI Other
Sprinkler is ❑ ❑ • Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 Sparklers
Hood Cleaning n ❑ ❑ ❑ I I Sprinkler System Installations
Hood Suppression 71 ❑ ❑ ❑ I I Standpipes (Sprinkler Sys)
I Fire Alarm Installation Torch Roofing/Tar Kettle
17 Fire Pumps In Waste Tire Storage ANNUAL
I Fire Works
I Flammable Application- ANNUAL I Valuation of Project
I Fuel Tanks
fl Oth ; I
Contractor Company C • , In j Gat R r y� , Inc I
Signature dika hA / Registered e' N Fee Current / N
Address I 1 License # I f F 0000 ) gS'
ELECTRICIAN Company I
Signature Registered Y / N j Fee Current I Y/ N I
Address I I License # I I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License #
MECHANICAL Company I
Signature . Registered Y / N Fee Current I Y / N j
Address I License # I
OTHER Company I
Signature Registered Y / N _ Fee Current Y / N I
Address 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 (httpJ /appraiser.pascogov.com)
. E OF' !D RE 1RtCTIONS: The undersigned understands. that this permit maybe subject :to - "deed °:restrictions
which may be more restrictive than County•regulations. The.undersigned.assumes responsibility .for:compliari e any
applicable deed restrictions. / r ., �"
UNLICENSED CONTRACTORS AND -CO TRACTOR RESF.ONSIBILITIES :' the i l?�F'as contractor or
contractors to undertake work, they may brf 1 td Ile lititippy t tesbnck tions. If the
contractor is not licensed as required by law, both the owner and ;contractor may be cited - for a - misd eanor 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 to contact the Pasco County Building Inspection Division — Licensing Section -at 727 -847-
8009. Furthermore, if the owner s hired .a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block licatikii'tfor Ictl �e,y 741: tespo blIa. • 11- , a t ensign as the
con t , th b irpi' a in a e is rfot iro Ely iichrisb is - d i -g; ile,ges in Pasco
Coi.Mtyt
CONSTRUCTION .LIEN-LAW (Chapter713, Florida Statutes,aas :amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's
Protection Guide" prepared by 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 indicateicertify
that no work or installation has commenced prior to issuance of a permit - ' • - that all work will be perfbined to
meet standards of all laws regulating construction, Couftty and City . ,, - 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 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. 1 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 issuance of a permit prevent the Building 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 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
m Jq *44 if ,� 1} ,, tuilding Official for a period not to exceed ninety (90) days and will demonstrate
Justifiable cart .e for the extension. • rk ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNE yY A RE TO RECORD A'NOTICE *OF 'COMMENCEMENT 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 N • ICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) � � All III LttAILA4 I
OWNER OR AGENT CONTRALTO
Subscribed and swum to (or affirmed) before me this
Subscribed am .m to (or a -- • before me this
by e Who is/are pe •W ally known '� e or has/have produced
Who is/are personally known to me or has/have produced p as identification. vprodu ed
as identification.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
01/25/2010 15:03 7275310596 COMMERCIAL FIRE PAGE 01
CITY OF LARGO
CONTRACTOR CERTIFICATE # 16240
EXPIRATION DATE: 09/30/2010
COMMERCIAL FIRE & COMMUNICATIONS INC
PO BOX 1350
LARGO FL 33791350
QUALIFIER: LARRY MCDONALD
CLASS CODE /DESCRIPTION: 561622R / ALARM SYSTEM CONTRACTOR I REG.
STATE LICENSE #: EF0000785
PCCLB #:
The City of Largo requires a notarized letter of authorization for all individuals, other then
the qualifier to pick up building permits. This letter of authorization expires September 30
of each year.
NOTE: It is the qualifier's responsibility to keep all business, licensing and insurances
current.
City of Largo Contractor LS.Caneing
201 Highland Ave. • Large, FL 33770
727 sB6 - 74se
ALARM SYSTEM CONTRACTOR I REG.
Cert Nbr:16240 Exp:9 /30/2010 Status:ACTI'7E
State Nbr:EFOODD78S Exp :8/31/2010
COMMERCIAL FIRE s COMMUNICATIONS INC
LARRY MCDONALD
PD pox 150
LARGO PT 33791350
Signed:
THE ATTACHED CHECK IS IN PAYMENT OF !TENS DET g A B ELK µA I JOT CO STATE A PASE NOTIFY U5 PROMPTLY. NO RECEIPT DESIRED.
COMMERCIAL FIRE COMMUNICATIONS, INC.
DATE DESCRIPTION
AMOUNT
W/O 55920 PERMIT