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Home My WebLink About10-10555 CITY OF ZEPHYRHILLS ✓ y 5335 - 8TH STREET (813) 780 -0020 10555 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10555 Address: 37301 CHAPEL HILL LP 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: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03 26 - 0010 - 10200 - 0010 Improv. Cost: A 3 �� Date Issued: 6/07/2010 Name: j JPd EAST PASCO YMCA Total Fees: 25.00 Address: 37301 CHAPEL HILL LP Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/07/2010 Phone: Work Desc: FPM- SPRIN KLER ANNUAL- CITY OF ZEPHYRHILLS YMCA UN - ALF I� FI= P `MI E 5.00 g (C) it I - E A - AN l'61 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- 7b0 -Q020 City of Zephyrhills Fire Fax- 813 - 780 -0021 Permit Application Date Received l Phone Contact / for Permit I ,3 I ( p,„3. 1 l ,2p p Owner's Name C J l T1 6 Cc " z e p hy r 1'(, lIs I Owner's Phone Number 1 I l 1 Owner's Address 5 3 36 Sr H 3 1l P b y r A . lb r j' ??,s,V 2 Fee Simple Titleholder Name Titleholder Phone Number I I Fee Simple Titleholder Address I _...::...; .. ,, :f :;n4 s,�` ,ixLiMqVk . Rash." , M.Za.. ' `. Kt-F.Z ER:Aiti t ,Y..�:i ',,e' „ atn li .. =:: r: nt.Y. •K ;' §MV�"^ _ .. lck. .a.0;g' d r� .,:, Job Address 3730 1 Chcipe 1 di" 1 Loop , L I Lot # Sub Division Parcel # 0 3– .26 GO /Q- /DGa -(2210 n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent El Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale [ I Fire Protection Maintenance - ANNUAL I 1 Places of Assembly- ANNUAL ., IMITTyl Semi ( (a Other Sprinkler 71 ❑ ❑ n Recreational Bum Fire Alarm E ❑ ❑ ❑ I I n Sparklers Hood Cleaning 0 ❑ ❑ ❑ I ! n Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle H Fire Pumps 1 Waste Tire Storage ANNUAL Fire Works 7 Flammable Application- ANNUAL I I Valuation of Project I Fuel Tanks IIII Other: MI 14�ii.a � :, -k�.�. n .. .�. a�� - ....,ter , ,y Contractor ■ � ■� ri L � ` ` �y, Tens' I Signature Registered Q N Fee Current I Y / N Address .1e/rill tlira er" Th License # I fj z f 7 OOU 11 q' 2 ELECTRICIAN Company Signature Registered Y / N j Fee Current I Y/ N J Address I I License # PLUMBER Company Signature Registered Y/ N I Fee Current I Y/ N Address I . I License # MECHANICAL Company Signature Registered Y / N I Fee Current 1 Y/ N Address I 1 License # I I OTHER Company Signature . Registered Y/ N J Fee Current I Y/ N I Address License # I Directions: ,et �«„- :. ea,�cm_x., — ,w..a a .:ra::.,a.,.e«.wa i.s r: .a�.r .=c..,w > a - .x•.. .a�.:; s w .. s..'.: a a aa=.° s,:- ..:a ate'. :. �s,,. .a -: i,.; m.iw;..m�»,,....aa..,, - s:.. 1 ion 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) which NOTICE may DEED RESTRICTION County regulations. The undersigned this ssumes responsibility for Swith any which my be more restrictive than Y applicable deed restrictions. UNLICENSED CONTRACTORS CONTRACTOR bON g RA ed to be RESPONSIBILITIES: esed accodance with state and local regulations. If contractors to undertake work, they may u nder t a is not lic the owner n required or intended both uncertain as to what licensing requirements may apply violaion under s law. If the advised o intended work, they are advised to contact the Pasco County Building Inspection O�v std to i have the contractors }sign 8 Furthermore, if the owner has hired a contractor or contractors, portions n oc of tha " tor, that may b b Block" an indication that he is not properly licensed el and is not entitled to permitting privileges in Pasco contracay e ion County. 500.00 or more work CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, -as f m e d or Const oon valuation e Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of At above described document and prom faith to ure and Consumer Affairs. If the other than the "owner ", I certify that I have obtained a copy of the deliver it to the "owner" prior to commencement. application is accurate and CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this app „ l a n that all work will be done. in compliance with all applicable laws regulating construction zoning and 4 1an d that development. wo i insta - nstallat on ihasrcomymenced prior to issuance of a permit and that l all t work will be performed to meet an meet t std all laws he construction, d understand stand that the regulations ons other development ment rd re s tal n regulations the jurisdiction. Ilso certify that l nde ations in t government agencies may apply to the intended work, and that it is my responsibility to identify what actions must take to be in compliance. If I am the AGENT FOR THE OWNER, �u tionl I iunderstan faith d that inform separat permit may be eq 9 ed for conditions electr cal work, this affidavit prior to commencing coast application. A plumbing, d shall wells, pools, air conditioning, be a to proceed with the a work and not as authority hority included violate, cancel, alter, or permit a s issued an provisions be construed c is r e q ic any rect of r the in plans, on truct on of any codes. Every t perm t issued shall become invalid unless t n correcti authorized of error in c lans, c unless m e work it is suspended or abandoned such d fforais period of six (6) m after the time the t wo k is commenced. An h extension the permit r bd or iod not to exceed ninety may be requested, in writing, from the Building r (90) ecutive days, the job is e d ab donedstra e justifiable cause for the extension. If work IN YOUR WARNING TO OWNER: YOUR FAILURE TO UR PROPERTY. YOU INTOE ME O O TAIN FINANCING TCONSULT PAYING TWICE FOR IMPROVEMENTS TOY :�_�;_ =, i F v OMMENCEMENT. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING O. 1 FLORIDA JURAT (F.S. 117.03) Il/ CONTRACTOR � � Subscribed d AGENT Subscribed and sswo t (opaf rrnedd) beef this Subscribed and sworn to (or affirmed) before me this L -3 ' lCI— Y p� N by Who is/are personally known to me or has /ha produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public ■ 4.A Commission No. �► J� �� 01::. Commission No. _____ Q/60`- ' r: _ _ II 2 I. DA Name of Notary typed. Printed or stamped Deena Dunham Name of Notary typed, printed or stamped �a m ai(ssion * DD656806 unpir:;o. MAY u9, 2011 ¶ UNDk;U 1 a i,1, A FLAN r1c 13C,NDiN -co IN('