HomeMy WebLinkAbout10-10378 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10378
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10378 Address: 39345 6TH AVE
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12 -26 -21 -002B- 00500 -0000
mprov. Cost: ` 1,
Date Issued: 4/19/2010 Name: SIXTH AVENUE LLC
Total Fees: 25.00 Address: 39345 6TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/19/2010 Phone:
Work Desc: FPM - SEMI HOOD SUPPRSSION FOR SIXTH AVE LLC- SCHEDULED FOR 4/19/10
NA■.■ A •I -M IR - 25.00
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
ar
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
•
813- 780.0020 City of ZephyThills Fiudelt►?t% Fax -613 - 780-0021
Permit Application •
Date Received • .1115:1111% - 0 - - Phone Contact for Permit — ---
Owner's Name .. _ PL .�,� /fir. FA : Phone pmt., I '1 I
Ovmees Andes f�i'�W. �' /W- ' ��iG " a AIT� �. I I FA ..
Fee Simple TldsMder Nam. Titleholder Phone Number I l I
Fe. S1mpleTltleholdM'AddmS$ I
Job Addr 111149;' Lot #
Sub Division Parch #
Bio•Hmrd Waste Storage - ANNUAL a Fumigation T.nt •
El Comm EndnnastKitc1en Hood/Duct a Hazardous Material (Tier II or RO Fealty) ANNUAL
Q ControNsd Bum a ret Hood Iron
,
Emergency G.n.or < 30 kw LPMa4sal (ia.- kfsbNeUon
Emrp.ncy Generator > 30 kw t Pn�awrai Gas,i�NNUAL sal. , Jr.___,._..,,/) ,/)
Fir. Prol.enon Makeenernoe - ANNUAL Places of As.smnbly,ANNU '
MI Mg En i ! a X -AM R Sprinkler O ❑ ❑ _ Recreational Bum _
Fire Alarm 0 ❑ 0 Spenders -- ..
Hood Mucky ❑ ❑ ❑ 8pirdderSyMMm btM -YNo 8 .
Hood Scetpreesion 0 i pS ❑ _ Standpipes (Sprinkler Sys) ,
fin Akan knsWatlon _ Torch Roofing/Tar Kettle '
Fire Pna*nps - . Waste Tk. Storage ANNUAL •
Fin Works
F1en.m.bl*, Application- ANNUAL. 1 I Value don of Project
Fires Tanis
Other .�.._
Catteafrx M buy Eel ::1� �.21 '� J ='.� 4
Sigraban 1111%/farila
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Address W JJ'd ` wirfA,F.®d' ,'_ a �i •" tridrAll .. um.** . ` o.L for .! ' ,,L. s i;
ELE any
Signature Registered Y/ N NO Current J Y/ N I •
Address I • - \ < License 5 I I
s� I R.gi.ter.d Y/ N j Fie Culvert I Y/ N I I
Address I I License # I I cHANicA
ME Company I
S Registered [ Y 1 N J Fes Current I Y/ N J
Address 1 License # I I
OTHER Signature Y / N • F ie MINN 1 Y7 N I I
Si gnfaa. [ ,...
Arrois I
Uc.nee ax . I "1
Limns:
Fi a 3 or combed with owner)
tiwri.rli Corikeobr
It ow $2000. a Notice l�Ci tt' • t ( .► )
A 1 0.1 4 (2) for des . 4' ` # - obtained from Property Tax Notla (hllpl/appraWr psecogov.00m)
Now 10.1sye trrwi�w:eeM` wkal+>Ibl eats. .
'NOTICE OF:DEED RESTRICTIONS Gd ihdersignsd understands that this permit may.bemubd +dseidl':xreaVictions"
which may be more• restricWe •thanYOoitntpregulations. The :undersigned .assumes responsibtiitynt4pmpitarace , WIth any
appi deed restrictions.
• 'UNLICENSED •;COI ►CTORSAN'D'£ ACTOR :RESPONSIBILITIES: - • f - the owner -ha.ht[ad":avontractor nr •
contractors to undertake work, they may be required lo 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 fora 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 727 -847-
8009. Furtherrtoe, If the owner has hired •e contractor or contractors, he is advised to have the .contractor(s) sign
Portions of the "contractor Block' of this application •for which they will be responsible. If you, .es t owner sign as the
contactor, that maybe an indication that he is not properly licensed and Is not'entitied permitting :privileges in Pasco
County.
CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes + .asap); if valuation of work is $2,500.00 or more, I
certify tify that 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 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. I certify
that no work or installation has commenced 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 regulations; of other
. goverment agencies may appiy'to the intended work, and that It Is my responsibility to identify what actions I
must takelo 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. I understand that e separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speclfloaly 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, after, or
set aside any provisions of the technkeel codes, nor shall Istuanos of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issue shall become invalid
unless the work authorized by such permit is commenced Vilthtn six months of permit issuance► or if work authorized by
the permit is suspended or abandoned for a period of stz (6) months after the time the work is commended. An extension
. be requested, In wrtting, from the Building Official' for a period not to exceed ninety (90) days and will demonstrate
the oftension. 'If work ceases for ninety (90) ooh days, the Job is considered abandoned.
WARNING TO OM . YOUR PALURE TO RECORD A NOTICE OF COMMEPICEMENT MAY RESULT IN YOUR
PAYINGTIOOE
TO YOUR P IPs % . TO F r CONSULT
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Identification.
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• �.SO® a��i'A 1 Notary Public
Notary Public
Commission 'No Commission No
Name of i t► or stamped
Name of Notify , or etarnped
MY COMMISSION =N Dffi8447S2
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