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HomeMy WebLinkAbout10-10229 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10229 ANNUAL FIRE PROTECTION MAINTENANCE 4 c 6r, r g ' t i 2 f e d :..�, ®. '. - # 7 X 17 :. tx . ;N ' .... �.+ i.�x.. . ' r3.., ,a . � E x� 3 ,a, Permit Number: 10229 Address: 6701 DAIRY RD 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: 02- 26 -21- 0010 - 03900 -0060 Improv. Cost: Date Issued: 3/10/2010 Name: ALLEGIANCE SENIOR CARE Total Fees: 25.00 Address: 6701 DAIRY RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/10/2010 Phone: Work Desc: FPM- SUPPRESSION ANNUAL- ALLEGIANCE SENIOR CARE- BY END OF MONTH ERNA •• I A •UI`M NT `E P M1 F E 25.00 ( \1‘ 1‘i • z IRE A EPTA 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." -11PP /r 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 , - ' • liVi 7) / . . • • • , . . • 813-780-0020 CRY ofZePhYltillsfiteitlr, Fsx-e13-780-0021 ... - •• • Permit Application • . - oat. Ripealind . • r. • Phone Contact for Permit _ Ail • 1.1-, . - Owes N a M e • • ' - • Kt r'ildrrOirdr: A 1 21 ( 4 r- 11 0 11 V I I reArAffit:1 r I C I 4 Omer's Phone Number 1 1 1 '1 • Ovals? a Addrsu MitrolliTATiff,"4: )21ripirtillt... VAIrWIFWIFTVIIIICI6V Fee Simple Titleholder Name ' Titleholder Phone Number • 1 Fee Simpleillisholder Address I . I Job Address _ 8 Z/ F 411 0( Arx.._ • Sub Division Parcel if ' . x 1=1 No-Hasid Waste Storage - ANNUAL • El Fumigation Tent • EI Comm Exhaust Kitchen Hood/Duct El Hazardous Miterlal (Tier 11 or Re Eadity) ANNUAL 1:=1 Controlled Bum E=I Hood Installation Enwrgency Generator < 30 kw LP/Nitural Gas-InstaMtion. Emergency Generator > 30 kw LPiNatural Gas-OINUAL Sale • • • Fire Protection Mantenence - ANNUAL. Places of Assembly-ANNUAL BE DEB PEI i 1 c.- dm Spdnider 0 0 0 M Recreational Bum Fire Marm 0 0 0 Sparklers . . Hood Cleaning 0 0 0 • Spdrider System Instillations - • Hood Suppression 0 0 ' Standpipes (SprinIder Sys) • ' . . Rre Alma kedellelion R Torch Roolingffer Kettle ' ... . Fin Pumps - — ". - Waste Tire Storage ANNUAL Fire Works 4 • Resemble Application- ANNUAL , .1 .1 Valuation of Project • - Fuel Tanks 11111 4 ' - - • __, . ... . . . .......................... • . cantlid°r WM ill ithk r Mg . . .. Catromy P7Yzi:-#7.4.„,liAlciAlr 1/1.01., 4-- -Arigrj Spites • - 111,671116.1111obirsTi.. . .. ... ... . . . , .. %emoted . relL,1111111 . ... .. . Addrms 11;15,0".i;,..•!-Zij.2zirifirfor.or. -41fir17- . . Poem I . 104714if 4.ro.r.i.re;;;;;A° ELE - Compsny ,- - Signature Registered Y i M FIN COIMIlt 1 IftN . . ... ,..,.....„‘ .. . . .--,. ■ . . .1... .- . , . . , ' . Address I , - . • - , - - . License ft i - r't , . PLUMBER . Company .. I , . . Signature I Registered I Y t14 , I Fee Oared I Y/./4 1 - Address 1 1 License * I I • . mEciwaomi. . • Comny pa I - Registered i Y/N J Fes•Cunme I, r/N 1 . . Address ! . License I • I . . • . .., , . , . • .: . . . OTHER , . Company I Signidure I Registered . Y i N • I Fee Gwent t YJN I , - . • - . 1 License* .1 • — - - .........1 • .04mM -&-Contra00f 1 • '4 ". '..- '-' - • .. . --. . : „:7 L ! . :IiiMilii.i , ,•`.• i''' ,• 4 ,.;: ', • •1 tewl*Mt %frith owluf') Ham $2e*. Miaow . •,. •-"- - :' ' .4 '''' „: ',-. ,, . , . , , . ,. ., ; • ,• ; . , : ;--- work e‘vir $5000) SIIMAY#40 MN* Of • . : , — . ::: ' :' ,040 , • • s ,-. ., • • APIs, 10-14 - days Mr • ritterriirbotitel ' '''..-,-7 v - hroll #- obtained from Property Tax Notice- (IIIIPIMPittalser.pessogov.com) • ''' • .•- ' . • •- ., • ". - :'-''.:: ' . . . . - 'NOTICE OFDEED RES1RICTIONSiffilliMidersigned understands that thispermit maybe:suldgc.eaod': friction" which may be more. restrictive han untregulations. Thewnderslgned.assumes responsibility, apmpiiance.with any applkdmbie dead restrictions. 'UNLICONIASO eoN't aCTORBvarIb" 1CTOR :R SRONSIBILITIES: •If - the owner - he.chtraciarzontractor for • • contractors to undet lake work, they may be required lo be licensed In accordance with state and .local •regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a •misdemeanor violation understate paw. • ff the owner or intended con are uncertain as •to what licensing •requirerrrents may apply for the Intended work, they are advised to contact the•Pssoo County Building inspection >Divisbn -y- Licensing Sectlon.at 727 -847- 8009. Furthernome, if the owner has hired a contractor or contractors, he is advised to have the .contras tors) sign portbps of the /con ctvr Block" of this application for which they will be responsible. If you, :as the owner sign as the contra , that may be an indication that he is not properly licensed and Is not .entitled ao permitting :privileges in , Pasco County. CONSTRUCTION .LIEN LAW (ChapterT13, Florida Statutss,as amended): If valuation of work is 82,800.00 or more, I certify I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's Protection Guide' prepared by the 'Florida Department of Agriculture and Consumer Affairs. if the applicant it someone other than the owner I certify that I have obtained a copy of the above described document and promise U goodlalth 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. Appiication is hereby made to obtain a permit to do work and installation as Indicated. l certify that no work or installation has oomnienced 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 regulatbp of other . government agencies may apply to the intended work and that It is my responsibility to identify what actions I must taketo be in compliance. If I am the AGENT FOR THE OWNER, 1 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, yes, 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 oodes, nor shah 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 obi (6) months after the time the work is commenced. An redension nicet ben rte, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate eau_ forthe extension. 'If work ceases for ninety (OE) conseeutiva days, the job is considered abandoned. WARNING T0 '001111t YOUR FALLRE 'I"O RECORD A NOTICE. OF' NT MAY RESULT IN YOUR PAVIN � ;< TO YOUR P 4* 1 1 4 II ` :, I; TQ. r F �, CONSULT _ �� .r�� _ �w p1�� a �. 1n , Nir 6 4401kr 4#S 0316.0w � • S "di .m or Y u • a i y -fir :. / < se Ids. • as identification, 9 NowyPtiblic ��' — w : ® . d d Notary Public lar Comanmon'Ne!. . No, or shin Name at or atom femme of NI�i, � , 1»d 'b� t� pild e 9 ! tita0a4 f �,, *4 2012