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Home My WebLink About10-10189 CITY OF ZEPHYRHILLS V 5335 - 8TH STREET (813) 780 -0020 10189 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10189 Address: 38240 DAUG RD 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: 02- 26 -21- 0010 - 00600 -0010 Improv. Cost: ate,,; Date Issued: 3/03/2010 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: c 25 .00 ce q ZEPHYRHILLS, FL. 33541 Date Paid: 3 Phone: (813)783 -6189 d., Work Desc: FPM - ANNUAL FIRE ALARM I X -I NELL - F - E • - F E <, ° i „. :..E . £tl as 25.00 ' ( r FI A - AN mal .... 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.” A w . i ovY 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 J 813780 -0020 /` City of Ze h rhills /y/(0 tY P Y FaX- 813780 -0021 I/ Permit Application Date Received I - it Contact for Permit on Owner's Name STMPT,FX(;RINNELL Owners Phone Number 813 626 15482 Owners Address 4701 Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name I - I Titleholder Phone Number Fee Simple Titleholder Address Job Address SISd 0 ` pallkt- -CCU 7—eh ((1+%�j ,TL ` — 1 3.f) 0 Lot# I Sub Division Parcel # I • I Bio- Hazard Waste Storage - ANNUAL Fumigation Tent I I Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier 11 or RQ Facility) ANNUAL I . • Controlled Burn Hood Installation 1 1 Emergency Generator < 30 kw LP /Natural Gas - Installation _ . I Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Safe I. I Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL y u . 0 Utrl (Semi' IAnl I Uther /± �!I 1 fl Sprinkler I I ❑ ' ❑ ❑, - I I Recreational Burn ' Fire Alarm I ---- ❑ ❑ Fel l Sparklers Hood Cleaning I 0 ❑ ❑ I I I I Sprinkler' System Install ns i q g • Hood Suppression 1 I 0 ❑ I I I I (P �Y " o s ire Alarm Installation n #� Standpipes S ri kler s V I F Torch Roofing/Tar Kettle tip . _ , Fire Pumps I Waste The Storage ANNUAL I Fire Works I Flammable Application- ANNUAL _ 1 �'�'d.. ua tior�..n€ -eject I : . Fuel Tanks • I Other: Contractor - • �� Signature 1 3 ' t K - ( f / Company Registered Y / N J Fee .Current I. Y / N Address I c� I . License # ELECTRICIAN . ... Signature . Registered Y / N I Fee Current I . Y / N : I . Address I I License # I PLUMBER Company Signature Registered Y/ N j Fee Current I Y/ N 1 Address I I License # . • MECHANICAL I Company Signature Registered Y/ N j Fee Current I Y/ N I Address . I License # I OTHER I Company Signature Registered Y/ N Fee Current I 'MI I Address License # `` 1 �kc . asp 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: / /appraiser.pascogov.com) • NOTICE OF =DEED RESTRICTIONS: The undersigned understands e undersigned this permit re be b Ibty for oomplia e e with which may be more restrictive than County regulations. - 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 a p ply 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' has hired -a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application heis not n o which-they licens ed i s not entitled - to permitting n P asco contractor, that may be an indication that properly ly 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 other than an the owner", , Ice by the hat I Florida hav obtained Department copy of Agriculture and Consumer document and promisein faith to other thh o, i certify t 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 fy development. Application is hereby made obtain to issuance of a perm and l alf t work will performed l to that no work or installation has commenced prior 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 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 -; -G understand that.aseparate. permit may - be_re q.. ulred for electrical work, plumbing, signs, wells, pools, air conditioning, { s` e witfi the a�d not a l s c au l t y oriry �o ed violate app or permit issued shall be to be a license p roceed set aside any provi of errors the in I co struct on rviolations of any codes. Every perm t iss ed shall become inva( d requiring a correcti t h ri ed b in plans, unless the work authorized o b such e permit is by foraperiod commenced of six (6) within months after the time the is commenced. An extension the permit requested,. is i suspended or abandoned may be 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 PR PE R Y IF YOUR NOTICE O OBT , - FII , CONSULT WiTH YOUR LENDER OR AN ATTO - - BEFORE FLORIDA JURAT (F.8. 117.1 - . CONTRACTOR OWNER OR AGENT Subscribed and s om to or firmed) before me this Subscribed and sworn • (or - r• ed) before me 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. prod as identification. — Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed; printed or stamped