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Home My WebLink About10-10193 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10193 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10193 �� Address: 37834 MEDICAL ARTS CT Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34- 25 -21- 0080 - 00000 -0030 Improv. Cost: > Y i Zy : ? Date Issued: 3/03/2010 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 2&00 - Address: 7050 GALL BLVD LJ� Amount Paid: ( 2 5 .0 0 _ - -- ZEPHYRHILLS, FL. 33542 Date Paid: 3/ Phone: (813)788 -0411 Work Desc: FPM - ANNUAL FIRE ALARM SIMPLEX GI# NNELL LP Fl - PERMIT FEES �� .,, 25.0 IRE A PTANC Final 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." 1i P ;T• 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 -780 City of Zephyrhills - Fire ` vOi Permit Application Fax- a137ao -0021 7 Date Received L11;?"/12 - , �w ,- Phone for Permit r.F _ _ 1 T,FXGR INNELL 1 Owners Phone Number 1813 ` 626 115 4 8 2 Owner's Name 1 S TMP Owner's Address 1 4701 Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name I - f Titleholder Phone Number I 1 1 1 1 Fee Simple Titleholder Address I ra- --,1 ,1 .p_ : -,- ' - -- — - A: , -=--- t' moo. fr.- _.. x.4* -X' :'+��'e�' ---^' �^ ` 1 ' '_ __ }3`.3e u '' e nd�F�• `'�S�:— `..vr�i'��,� ate-° �v"�. Job Address 13 i8� filed Lc .1V So CI-- - ZeeMr h•,ti s 1' 53,54 1 1 Lot# I Sub Division I Parcel # -,-.,�,= . - , , z -2a :– - �> zb, - . , - -- .. - - -,,,-,- -4. --, 40- , ---- , 0- . - ,- .K- 0 . 5 " , :;.��.--. --,_ Wiz; I I Bio- Hazard Waste Storage - ANNUAL Fumigation Tent I I Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier !for RQ Facility) ANNUAL I Controlled Bum Hood Installation 1 1 Emergency Generator < 30 kw LP /Natural Gas - Installation ' _ - I- I Emergency Generator > 30 kw LP /Natural Gas- ANNUAL Salk' /0 / 6/1 3 I . I Fire Protection Maintenance - ANNUAL Places of Assembly- ANNU5ti. / IQtny''Semi) IAnl Sprinkler. ❑ ❑ ❑. 1Other 1 - I I Recreational Burn Fire Alarm ❑ ❑ 1 I I Sparklers Hood Cleaning I 1 ❑ ❑ ❑ I I I I Sprinkler System Installations • Hood Suppression I I ❑ ... 0 _ . ❑ 1 1 . I ! Standpipes s (Sprinkler Fire Alarm Installation Torch Roofing/Tar Kettle I I. Fire Pumps • Waste The Storage ANNUAL I 1 Fire Works 1 Flammable Application- ANNUAL 1 1 Valuation of Project I • I , Fuel Tanks L- I Other I "..:'"°kA. 4.-3 ,z ..m skate "r%` Y, bt 5 -F2 d: ..— o [2 A3 --i... ',1. : .otea ,,:' s'i5..,- 1- .1,..; ', . MaLtF `-- °':.° %C :- RR:§{.;tom... ;°K'4`it —s4`%.t.'t +... "s:3 t_'°P. ":'at4.#5ti Contractor i Company Signature 3 !Y� 3 L ered Y / N Fee .Current Y / N Address License # ELECTRICIAN Company Signature - �_ Registered < Y / N _I Fee Current I Y / N . Address I 1 .. 1, License # I PLUMBER I 1 Signature Re ` Company Registered I Y/ N ] Fee Current I ¥ / N I .- Address I I I License # . I MECHANICALI i • Signature Company Registered I Y/ N 1 Fee Current I Y/ N, Address I, I License # OTHER i Signature Company Registered Y/ N I Fee Current I Y/ N I Address License # Directions: - -� -L � 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 htf //a ( p: ppraiser.pascogov.com) NOTICE OF-DEED "RESTRICTIONS: The undersigned understands t hiss permit responsibility ay be ufo:roode a etw ti any which may be more restrictive than County re The undersigned .applicable deed restrictions. UNLICENSED CONTRACTORS AND - bON� t ae RESPONSIBILITIES: Bac with owner tate and local egulations. if contractors to not licensed undertake waskr e required may required contractor is not lies as rquired by law, both the owner and contractor may be cited 'a "misdem�an violation under state law. If the owner or intended contractor are uncertain Div s on C c at 7.27-847 - intended work, they are advised to contact the Pa sco County Building 8009. Furthermore, if the owner has hired -a contractor or contractors, he is advised to have the contractor(s) sign as the portions of the "contractor Bock" of this application -for erly licensed bd is not en permitting privilegesgn P asco contractor, that may be an indication that he is properly County. CONSTRUCTION "LIEN LAW (Chapter713, Florida Statutes,.asamended): e "Florida Construction of on Lien is $2500.00 or mo re, I certify that f, the applicant, have been provided with a copy of other than an the " owner", pre , I c c i fy that I have Fl hav ve obtained a copy of Agriculture and described docum and promise in faith to other thho , I ertia deliver it to the "owner" prior to commencement. • CONTRACTOR'S /OWNER'S - AFFIDAVIT: 1 certify that Meath the Laws information regulating t is a pp i cono is accurate u l that -all work will be done in compliance with all app permit to do work and installation as indicated. - I certify development. Application is hereby made to obtain a p that no work or installation has commenced prior to issuance of apCmit and-that - tazonling work will ie performed o d t o and meet standards of all laws regulating construction, County tY o development regulations in tpl y e jurisdiction. o itended work, and that that t is my responsibility understand toeide regulations t what actions I - government agencies may apply to t must take to be in compliance. If 1 am the AGENT FOR"THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in coiisttuctlon [understand. separate permit may "be required for electrical or p sis a ng signs, " w cells, onommes, air g, as, .or other installations not specifically included in the app t ati n plumbing, esh w a to be ai a lo ic g permit issued shall be iOn of the the t to be technical codes, nor shall issuance of of a permit prevent the Building Official set aside a any al from t requiring provisions re a wiring a the n n o o f f errors in plans, construction or sixamonthseof permit permit issuance, wo { rk authorized by 9 such permit is commenced the pe � wor wended or od by p eridd o f six (6) months after the time the work is commenced. An extension may pbe is s e in d g, from the for a peridd be requeested,d; in writing; from the Building O l a 90) r o days the job is odnsydered will demonstrate justifiable cause for the extension. If work ceases f or ninety WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE`OECOMMENCEMENT MAY`RESULT IN 'YOUR - " .: W PAYING TWICE FOR. IMPROVEMENTS TO YOUR PROPERTY. ORD[NG YOUR NOTIC ►O' OB s ENCEMENT. FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO' BEFORE R / , FLORIDAJURAT (F.S. 117.1- / / CONTRACTOR s om to or -, rmed) before • me the OWNER OR AGENT Subscribed n Subscribed and sworn . or - t� ed) before me this by by . Who is/are personally known to me o� has/have produced Who is personally known t4 dia i enfG ve 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 •