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HomeMy WebLinkAbout10-10077 CITY OF ZEPHYRHILLS 5335 - 8Th STREET (813) 780 -0020 10077 ANNUAL FIRE PROTECTION MAINTENANCE 117109:-: , a ::; s , k§ g:. . :: ,7 7 .' w, 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 i H -NANi• & SA ■1 = FI'E - PERM T EE 25.00 ( --Th ' k ( I � ,14 9.:. - A PAN inal B 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 ? 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 • _ . elooi' • • 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) • . . • 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 . .,... 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 ,.. •-, 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) • • '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 ., 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 ' : ; is ide0111e0pen. • as idtlon. N ' �' ✓ ® e�,� iY Notary Public 0ornrnlaton No, / tee of NOlift sitiMped Aaro offictaylisisiii np! or steeped • • 41SS exicer44 r+ao earmet m•t4e00o co'