HomeMy WebLinkAbout10-10101 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10101
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10101 Ad 5335 8TH ST
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 13400 -0010
Improv. Cost: ft•.E° .3r_ :.# . 1;
Date Issued: 2/08/2010 Name: CITY OF ZEPHYRHILLS
Total Fees: 25.001G/tit Address: 5335 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/08/2010 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- CITY OF ZEPHYRHILLS FEE WAIVED
a . <3` a :'.,:... a.
SIM=L X - INN LL L` I- E PERMI ES 25.00
Fl r A P 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."
Awirvy
P .4 "• 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
813780-0020 City of Zephyrhills'Fire. 4k/6/61 Fax- 813780 -0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name STMPT,F,XG1 TNNELL Owners Phone Number _ 813 626 5482
Owners Address 4701 Oak Fair Blvd TAMPA FL 33610
Fee Simple Titleholder Name - Titleholder Phone Number
Fee Simple Titleholder Address 1
Job Address 535 S• Le,e,..\- . 2.- 22hyrhi■■ 5 i t_ Sb5Li2_ Lot#
Sub Division Parcel #
i u" r ., F 47:: ..,:t,--.. v : ..: =t _.. -ate?.. - °= ea .. , s s. - . - a
I ' I Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier If or RQ Facility) ANNUAL
I . Controlled Bum I Hood Installation
I Emergency Generator < 30 kw I LP /Natural Gas - Installation
I . Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale
. I • Fire Protection Maintenance - ANNUAL . • I Places of Assembly - ANNUAL
r :tirAl Semi( rim
. Sprinkler Ell ❑ ❑ ■► . I I Recreational Bum
, Fire Alarm I I ❑ ❑ ❑- I I I I Sparklers
Hood Cleaning 0 ❑ ❑ 1 1 1 I Sprinkler System Installations
: Hood Suppression I I ❑ _ O , .0 l J . : 1 I Standpipes (Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
(• I Fire Pumps I • I Waste lire Storage ANNUAL
. 1 Fire Works
Flammable Application- ANNUAL f Valuation of Project
I ' . . Fuel Tanks
• . I Other: I T ,_ v lvw
Contractor Company -. (1 K,10-..--,_. Lt
Signature . . Registered Y / N Fee Current I. Y / N ,
Address I I _ ... License # L . .
ELECTRICIAN , . - Company
Signature Registered Y / N I Fee Current I Y/ N ;: 1, :
Address I I License # I
PLUMBER Company .
Signature Registered Y/ N ' I Fee Current I Y / N I:
Address I 1 License # . , I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y/ N _I
. Address I I License # I
OTHER • Company . .
Signature Registered Y / N I Fee Current I Y/11 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 (http: /fappraiser.pascogov.com)
NOTICE OF=DEED RESTRICTIONS: The undersigned understands that this permit may -be subject`to "deed ":restrictirns -
which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliance with any
_applicable deed restrictions.
UNLICENSED CONTRACTORS AND •CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a - contractor 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 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 to contact the Pasco County Building Inspection Division — Licensing Section_at 7.27-847 -
8009. Furthermore, if the owner has hired -a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Biock" 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 entitled permitting privileges in Pasco
County.
CONSTRUCTION. LIEN LAW (Chapter713, Florida Statutes,.as _amended): If valuation of work is $2;500.00 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 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. _1 certify
that no work or installation has commenced prior to issuance of a permit 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. 1 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 1 amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
– t his -affidavit prior to commencing -- construction_:.:_ i understand:: that l.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
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 TO. OWNER: YOUR FAILURE TO RECORD A NOTICE OF'COMMENCEMENT MAY: RESULT IN YOUR -
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING, CONSULT
WiTH YOUR LENDER OR AN ATTO - BEFORE RECORDING YOUR NOTICE r' C ENCEMENT.
FLORIDA JURAT (F.S.117.8-
OWNER OR AGENT / CONTRACTOR Afk, %/IL. •
Subscribed and sworn • (or . r • ed) before me this Subscribed and s om to or .' rrmed) before me this
s
by by
Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped
Print Date: 2/22/2010 1:56:29PM
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{ - 5\ Fire protection Maintenance - Sprinkler
E ; : ' / Activity Date: 2/22/2010 1:45:56PM
Zephyrhilts Fire Rescue Activity Number: 1- 113 -10 -0462
• \J Fire Prevention Bureau Activity Cause: Permit
.. FLOP.Io , 6907 Dairy Rd
ry Inspector Name: Kerry Barnett
Zephyrhills, FL 33542 Inspector Phone:
Phone: 813-780-0041
Fax: 813-780-0044
Party: Occupancy Type: Assembly
CITY HALL Property Use: Assembly, Other
(000148) Total Violation: 1
5335 8TH ST Corrected Violation: 0
ZEPHYRHILLS, FL 33542 Hours: 0.08
Total Fees: $ 0.00
F-
F
1 Ref. Number: NFPA101 (2006) Florida Fire Prevention (2007) 9.7.1.1* Automatic Sprinklers.
Each automatic sprinkler system required by another section of this Code shall be in accordance with one of the following: (1) NFPA 13, Standard
for the Installation of Sprinkler Systems (2) NFPA 13R, Standard for the Installation of Sprinkler Systems in Residential Occupancies up to and
Including Four Stories in Height (3) NFPA 13D, Standard for the Installation of Sprinkler Systems in One- and Two - Family Dwellings and
Manufactured Homes
Comment: REPAIR NOTED RED TAG VIOLATIONS ON SPRINKLER REPORT FROM CONTRACTOR BY NEXT SPRINKLER INSPECTION (QUARTERLY)
e rr Y S h t E � M a'�
1 � H t ; � £ � d $ 4 e d .
,.�, ., ns �. s: a, sea a.aas t .`. €. .T_,,, .. z . f d . 1.,.., ".m
No Pre - existing Outstanding Violation
Comments:
INSPECTED PERMIT # 10101 FOR FIRE SPRINKLER SYSTEM. PERMITTED JOB IS APPROVED, HOWEVER, CONTRACTOR RED
TAGGED THE SYSTEM. OCCUPANT SHALL CORRECT RED TAG VIOLATIONS BY NEXT SPRINKLER INSPECTION (QUARTERLY).
Re- Inspe• i■ n to be performed on or before: June 1, 2010 12:00 am
i/
+ A /fill
Ke rzit
Zephyrhi ire Rescue
Fire Prevention Bureau
6907 Dairy Rd
Zephyrhills, FL 33542
kbarnett@fire.zephyrhills.fl.us
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