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Home My WebLink About10-10114 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10114 ANNUAL FIRE PROTECTION MAINTENANCE � . , ° 077:777777 ",i : Permit Number: 10114 Address: 4803 20TH ST 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: 14- 26 -21- 0010 - 02500 -0020 Improv. Cost: a >.� Date Issued: 2/17/2010 Name: J : Total Fees: 25.00 Address: r 16/3 -- 7833 G (6"/v:t:::. Amount Paid: 25.00 ZEPHYRHILLS, FL 33542 Date Paid: 2/10/2010 Phone: (813)748 -5952 Work Desc: FPM - QUARTERLY FIRE SPRINKLER FOR KOB PROPERTIES RODAN R� P K L IN FIRE P - 25.00 IT FEES L ' 5.00 �... ej ?De-- (, D 1 FIRE AC PTANCE 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." 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 - rax -o i o-i 01J I . 1 Permit Application _ . _ Date Received 4 — 1U , / Phone Contact for Permit Owner's Name KO Cb PRO - Pti1L n L3 I Owner's Phone Number 1 1 I I Owners Address 3b 6 DAve.,1-1--T 1LY R ZU YR. }hLC—S , Pr-• ,a 3514 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address ( tO13 - r1833 GI -- ir3c,Yd, / ` /6 ER Lot# Sub Division Bio-Hazard Waste Storage - ANNU AL a Fumigation Tent Comm Exhaust Kitchen Hood /Duct F Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum ( 1 Hood Installation Emergency Generator < 30 kw ( LP /Natural Gas - Installation , Emergency Generator> 30 kw I LP /Natural Gas- ANNUAL,SaIe I—I Fire Protection Maintenance - ANNUAL I Places of Assembly - ANNUAL /1) / /4 / Utner Sprinkler El 7 ❑ ❑ I Recreational Bum Fire Alarm n ❑ ❑ ❑ I I I Sparklers Hood Cleaning JJ ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys) El Fire Alarm Installation a Torch Roofing/Tar Kettle Fire Pumps 1 Waste Tire Storage ANNUAL Fire Works Flammable Application - ANNUAL KAZ` -. oo I Valuation of Project Fuel Tanks Q Other: I I Contractor za T eAp. ZVs Company (Zpbpr P t 2.1Z ' e .S2) nx.u. S , /N.c • I Signature Registered Y/ N I Fee Current I Y/ N j Address 1 7-N ? I N . 'tom" - 1 A A-, p .. 33(.) 5 I License # (t.11 (34 E3Z000) ISgg I ELECTRICIAN Company Signature Registered Y/ N _ Fee Current I Y/ N I Address I I License # I PLUMBER Company Signature Registered Y/ N Fee Current I Y / N j Address I 1 License # I I MECHANICAL Company Signature Registered Y / N 1 Fee Current I Y / N I Address I I License # I OTHER Company Signature Registered Y/ N 1 Fee Current I 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) 'NOTICE OF'DEED RESTRICTIONS: The .undersigned ons. The undersigned a esp osibifi for:compl a any which may be more restrictive than County reg at _applicable deed restrictions. UNLICENSED CONTRACoTOR t be RESPONSIBILITIES: esedacodance with state and local egulation If contractors so undertake w they contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vifoatthe under state law. If the owner or inontact ded contractor are uncertain the Pasco County licensing Division—Licensing t Section at 27-847 - intended d work, they are advised d c to c 8009. Furthermore, if the owner has hired .a contractor or contractors, he is advised to have the contractors sign as the portions of the "contractor Block" of this application he is ot n will b and is e not deft le. If ed to v fegesg owner n Pa contractor, that may be an indication that properly licensed County. 500.00 or more, work CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,,a a the d e o ): If Construction of Lien is $ Law—Homeowner's certify that I, the applicant, have been provided with a copy of Protection Guide" prepared by the Florida Department of Agriculture th u and e d Consume bed r Affairs. and era is s m eo to fa other than the "owner", I certify that I have obtained a copy deliver it to the "owner" prior to commencement. and CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application n accurate v land that all work will be done in compliance with all applicable laws regulating construction, development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify met ee t st annd a rd s installation laws commced prior to at n 9 constructions of a City permit codes, zoning work egulation performed a d and m at adrd of all la developmen a geen c ies may ap in t y jurisdiction. he tended work, and that a t is understand that responsibility to actions I government gnies mp must take to be in compliance. If I am the AGENT FOR 'THE OWNER, I - promise n i udstan that a separate inform arat permit may be required conditions electrical I forth in work, this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued any prov is provisions construed he technical to be a l66es, nor shape so with the work and not as a permit p event thehBu ding violate, O€f+cial -from thereafter set aside any provio oc code , requiring a correction of errors in plans, construction or violations of any codes. Every p ermit issued shall become invalid unless m e work it is suspended oor authorid a b andoned f ndch pef is a p commenced of six (6) within onths after the time h it work is commenced. authorized by extension the permpended r bor may be requested, in writing, from the Building Official for a (90)riconsecutive exceed ninety days, the job (90) n syde s and ed ab l andoned demonstrate justifiable cause for the extension. If work c eases WARNING TO OWNER: YOUR FAILURE TO YOUR ROPERTY. 'NOTICE IF YOU INT TO OBTAIN F NANC NGTCONSU PAYING TWICE FOR IMPROVEMENTS TO YO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Subscribed an'Two to (or affirmed) befo a this 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