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HomeMy WebLinkAbout10-10574 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10574 ANNUAL FIRE PROTECTION MAINTENANCE $ 4 Permit Number: 10574 s . a ,> tuber: Address: 7350 DAIRY RD w : 'x.•• 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: 3 5 - 25 -21- 0010 - 06900 -0020 Improv. Cost:,7 . Date Issued: 6/11/2010 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/11/2010 s Phone: (407)975 -3000 Work Desc: FP SPRINKLER QUARTEREY- ZEPHYRHILLS HEALTH REHAB M' X - I AN L L' R - SIT 25.00 (C)`5f- IR A E� A final . T.: 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 813780 -0020 City of Zephyrhills Fire. ( 0 y Fax - 813 - 780 -0021 Permit Application Date Received �s °° �_ - Phone Contact Permit P tact for P Owner's Name U • • : N ' , 4 . e u • . . Owner's Phone Number - 813 i I 626 115 4 8 2 Owner's Address 1 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name 1 • E Titleholder Phone Number I 11 11 Fee Simple Titleho !der Address i � .... �`?� -: - -4,...t, ` gi°. _ : °�.. .1` �"° " '•-�"r'� "?�,: = -..o- �°..: ri.��° . ,, ^,.•^ Job Address 7,r'5Q -°''�, �.'t +11 - - �r " hiy�1��is VI— 3 i )3Ltc Lot # Sub Division I 1 Parcel # t, -r.._ '- r ,s,. 1,;,, h ,._.ro .• I I Bio- Hazard Waste Storage - ANNUAL Fumigation Tent I 1 Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier If or RQ Facility) ANNUAL I . f - Controlled Bum Hood installation I ' Emergency Generator < 30 kw . LP /Natural Gas-Installation I. I Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Sale • I" " I Fire Protection Maintenance - ANNUA ... _ - Places of Assembly- ANNUAL •I Mr 'Smri jAnl ( Other � J f Sprinkler. ❑ ❑. • Recreational Bum ,' Fire Alarm f 1 ❑ ❑ ❑• 1 I 1 ' Sparklers I 1=1 El I Hood Cleaning p Sprinkler System lnstaflationJ Hood Suppression o O ❑ Standpipes _I ( Sprinkl dprp r Sys) F e Fire Alarm Installation f " Torrfi Roofing/T ar Kettle i l Fire Pumps __ . _ . I • j • Waste Tire Storage ANNUAL - I I " Fire Works I Fue Tankls Application- ANNUAL / . f f Valuation of P roject • : ` .... ... _ I • 1 " . Other: • Contractor / Company • (Hti Signature A.:41...; r'^"`t C / �i Registered Y / N Fee Current • Y / N • Address i Li # • ELECTRICIAN Company _ s. Signature Registered Y/ N I ,Fee Current I Y/ N I Y Address ' 1 License # i 1 PLUMBER , Company Signature ) - I Registered Y N ' g / Fee Current Y / N . '• ': • Address I i License # , I • i MECHANICAL l - i Company Signature Registered 1 Y/ N j Fee Current I Y/ N Address - I- ' 1 License # I OTHER I I Company Signature Registered Y/ N j Fee Current I Y/ N . J Address License # Directions: • - - Filf 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 (httpf /appraisecpascogov.com) 'NOTICE OF:DEED RESTRICTIONS: T he.undersigned underst at a perm s y-be su b} foro ' d e d T ti any which may be more restrictive than County regulations. The un g applicable deed restrictions. UNLICENSED 'CONTRACTORS e AmD � b ON eg R A ed"to be � ce n s O ed s i lg ac i co dance with state and [ocal�egu[ations. contractors-to n of li c en undertake work, they Y contractor is not licensed as required by law, both the owner and contractor may be cited :a - misdemeanor violation what licensing Tequirements upen s tate w r aw. I the advised d t intended o contact contractor he Pasco County Building Inspection Division—Licensing S ction at 727 -847- 8 009; ed work, they are advised t 8009: Furthermore, if the owner has ishaedli anon { for which- they be responsible. If you�as"the own as the sign portions of the 'contractor Block of th pp contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco County. CONSTRUCTION N -LIEN LAW (Chapter71 Florida Statutes,.as.amended): If valuation of work is $2, =500.00 or more, I certify that [, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection ti by-the (ve Agriculture above described document and promise in good other than good fa th to other than the e "owner", I certify t hat I have obtained a copy of the deliver it to the "owner" prior to commencement. C all work will b b e d on e in 'S compliance l:w l aws information egu[ this nstructi zoning accurate and land that a!( wk will be done 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 and pCmit and-that .z on work wil la e ns, a land t o permed meet standards of all laws regulating construction, County City codes, • govet over nment a geg en cies ons in may ap pl Y to intended work, and thatat is my esponsibili y toeidentfy regulations _ what actions 1 gnment gcies p 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 m - to :co C Ut der."sta that a perm parate . it, r ay_be required_for electrical work, plumbing, signs, wells, pools, air conditioning,. gas, or other installations not specifically included in the application. A permit as i issued shah s ion be technical s codes, nor shall issuance of of a permit prevent the Building Official from thereafter set aside any Previsions the � codes. Every.pe..rmit.'issued.shatl becorCie invalid. requiring a correction of errors in plans, construction or violations of any unle by ss the work authorized b y such permit is commenced within six months of issu in commenced. a uth or ized by the permit is suspended or abandoned for a period of six (6) months . (90) days and will demonstrate may be re cause in extension. If work ceases period ninety (90) consecutive day the job is considered abandoned. justifiable cause for the ext - ..:WARNG T is F R IM P R O VE MEN LURE STO YOUR PROPERTY. r IF YOU INTEND TO OBTN N FINANCING, PAYIN ONSU T - G TWICE FO IMRVET T WITH �YbUft LENDER OMAN ATTO' - 'BEFORE RECORDING YOUR NOTICE !' C!111. ENCE FLORIDA JURAT (F S. 117.' / CONTRACTOR CONTRA O � 70. OWNER R AGENT Subscribed and om to or - 'armed) before me this Sub §cribed and Swum . ar _ i • ed) before me this by by Who is /are personally known to me or has /have produced as identification. Who is/are ersonally known to me or has /have produced as identification Notary Pubic Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed; printed or stamped -