HomeMy WebLinkAbout10-10077 CITY OF ZEPHYRHILLS
5335 - 8Th STREET
(813) 780 -0020 10077
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10077 Address: 5316 '1 ft1- 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: x.
Date Issued: 2/03/2010 Name: SAINT JOSEPH CATHOLIC CHURCH
Total Fees: 25.00 Address: 5316 11TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/03/2010 Phone: (813)782 -2813
Work Desc: FPM- SUPPRESSION SEMI- ST. JOSE C. CHURCH end 6
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H -NANi• & SA ■1 = FI'E - PERM T EE 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." `aPP
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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
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813-7800020 City of Zephyrhillsigifticey, Fax-813-780-0021
Permit Application -
Date Reesit. j ' • Phcrie Contact for Pernik L r.. _ ........ 11 ...... 14 ..............
Ownees Name • . LI i I ti W. fa 77 7 TOn 1 K.'•• Wel 1 111111 Ovmees Phone Number 1 1 I '1
Orme* drus 11111*B;11741WINVIII V._-AlltI7.9" ArKag
Ad
Fee Singile Titleholder Name 1 Phone Number I 1 I I
Fee Simplellishoklsr Address 1 I
Job Address MP ir ./i
Sub Chtlelon PAM* #
E 1 Bio-lfzeird Waste Storage - ANNUAL 0 Fumigation Tent •
ED Conn Exhaust latchen Hood/Duct El Hazardous Mitulul (Tier 11 or RO FaclityjANNUAL
ED Controlled Bum El Hood Installation
Emergency Gensndor < 30 kw LP/Hitural Ges-installadon
Emergency Generator > 30 kw LP/Natural Gas-4NNUAL Sale
Fire Protection Maintenance - ANNUAL ED Places of Assembly-ANNUAL
ENI Mg IMI M•LIAll
SprInIder i 0 0 0 Recreational Bum
Flee Mom 0 0 0 Sperlders
Hood Cleaning 0 0 0 lipid*, System liddaldions ••
Hood Suppression 0 ,t 0 Standpipes (Sprinkler Sys) •
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igr. Mimi Instadletion El - Torch Rcoolngriar Kettle ,
. - ...
Fire Pumps . — — - Waste Tie Storage ANNUAL
Fire Works , •
Fkimmabie Applicadon- ANNUAL ' 1 1 Valuation of Project
. Rai Tame
Iiil 6 .
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contaidor wv Conyforef rer/J:4 ./.2/..dif-fS lrigi...r - #TAL*21
stow". A, % 4_4 titni. efierrs Rimigirftd ' '
orte,L,„z■;m;
...........„._ ■ • asizsgammtsamsr ,.......emr ...- - , Ammo r. a.m....-4.a... am., dors,- — -....-, ' -
Addles* 111;1,Fe, :„-.--- MOM. rrtr
ELE -, 1 we Company
Signature IIIIIIIIIIIIIIIMIIIIIIIIIIMIIM Registered YIN Fee cues,* 1 Y / N I -
Addams License* I 1
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PLUMBER
I , Company L.........
Signed*, Registered Y / N Fee Current I Y / N I
Address 1 I License * 1 I
,
MECHANICAL' Company
RegleM
Signature re y i id d [ j Fes Current I Y / N 1 I
Acidness I 1 License # 1 I
OTHER , Company
Sputum Registered I Y / N • I Fee Curwilt 1 yiN 1
lgri tittiticifis: I License 0 I .--"=
Fired appitiMMII ' , • ,.. 4 ••• , . •- ,, .
Omar* ecralsoar i• 77 . aiNtitelig .., . a- :'' • .,,, . . aired COMIket %vIth owner)
if caw MA r • Nodes via* 0,4er $5000)
Sic Pirtad (2)sets of , . .: , . .
Aliow 10-14 days for Afte*subliiltisillets. ' 1 '' ) # - obtained from Property Tex Notice (hdpilappealser.pasamov.ccal)
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'NOTICE OF:DEED RESTRICTIONSIIIVASSfridersigned "understands that this permit maybesut js 9eideBd"arastrictions"
which may be more• resbictive'thanlOoiregulations. The:undersignsd.assumes responsibilityapopmpiiaece'with any
applicable-deed restrictions.
•' • , UNI:IOENSED C ON'r . cTORS" ►'N'D J *CTOR :RESMNSIBIUTIES: • •tf -the owner ha.hired°:a•ncontractor nr • •
contractors to undertake work, they may be required lo be licensed In accordance with state and .iocal•regulations. 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
intend ed work, they are advised to contact the •Pasco County Building inspection > Division — Licensing Section.at 727 -847-
8009 Furthermore, if the owner has 'hired':a contractor or contractors, he is advised to have the .cone actors) sign
portions- of.tl>r1 `contractor Bock" of this application' for which they wpt be responsible. If you, as 'the owner•sign as the
oontrebor, that May be an indication that be is not properly licensed and is not •entitled °to . pemsittirg ; privileges in Pasco
County.
CONSTRUCTION .LIEN LAW (Chapter713, Florida. Statutaa If valuation of work is $2,500.00 or more,
certify that 1, the applicant, have been provided with a copy of the 'Florida Construction Lien Law— Homeowner's
Protection Guide' prepared by •the Florida Department of Afire and Consumer Affairs.. If the applicant is someone
other than the "ovine', 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 lo the Intended work, and that It Is my responsibility to Identify what actions I
must take be in compliance.
If I am the AGENT FOR THE OWNER, $ 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 technic& codes, nor shall Is$uanoe of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any odes. Every permit Issued shall become Invalid
unless the work authorized by such permit is commenced irithin six months of permit issuance, or If work authorized by
the permlt:fs suspended or abandoned for a period of abi (6) months after the time the work Is commenced. An extension
f be mod, U writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
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der -'for the extension. if work ceases for ninety (90) consecutive days, the job Is considered abandoned.
.WARNING tO''OINNilti YOUR 14404LIRE TO RECORD A'NOTt OF : COMMENC. NT • MAY RESULT IN YOUR
PAY = TO YOUR PR* . 1#` ) 4 4 p r :, CONSULT
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