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Home My WebLink About10-10640 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10640 ANNUALFIRE PROTECTION MAINTENANCE r. € `,.£ ? d`x : :F € .. ya:.., .k 271477721:2777:75,71717 . r.w Permit Number: 10640 � Address: 5340 8TH ST HI STORIC Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN.E Township: Range: Book: Proposed Use: OFFICE PROFESSIONAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 13500 -0150 Improv. Cost: - ` G r,ce ' { � a Date Issued: 6/24/2010 Name: AMERICAN LEGION HOLDING CORP Total Fees: 25.00 - - -e Address: 5340 8TH ST - HISTORIC Amount Paid: f ZEPHYRHILLS, FL. 33542 Date Paid: � 0 . Phone: Work Desc: FPM -SEMI HOOD CLEANING FOR AMERICAN LEGION U Y IR �U 'M N LL F - E - E - MI E S``"' � 25.00 C (C) r !r' I • F -E AC P AN o f . ; ` 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." AA ■0 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 Zephyrhills Fire Permit Application Fax-813-780-0021 Date Received Mg/012271A h 1 1 -. - .�,..� . �.b,,.�,,�„:,.,. �,- :K;�.•�s Phone Contact for Perm Owner's Name 1 4)11 iM✓ .4. A 7' 7/ Owner's Phone Number I or-73 . I I ?44 1 -r77.2 Owner's Address I'.-C ' cy.-- 57,,ee -7 /'/ /..--Z.- /..--Z.- Fee Simple Titleholder Name ( I Titleholder Phone Number I I I I I Fee Simple Titleholder Address i Job Address 1 Lot # I I I Sub Division J Parcel # 1 .sue I Bio- Hazard Waste Storage - ANNUAL 7 Fumigation Tent Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier II or RQ Facility) ANNUAL J Controlled Bum Hood Installation n Emergency Generator < 30 kw ri LP /Natural Gas - Installation Emergency Generator> 30 kw = LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL I -1 I 1 Places of Assembly - ANNUAL (otrlyI �Semi� 'Other I Sprinkler ❑ ❑ ❑ n Recreational Bum Fire Alarm ❑ ❑ ❑ I I Sparklers Hood Cleaning 5 ❑ 1o�f /'� ❑ I 1 Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I I El Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle I - 1 Fire Pumps n Waste Tire Storage ANNUAL n Fire Works n Flammable Application- on- ANNUAL I ( Valuation of Project Fuel Tanks n Other: I Contractor �r Signature i I Company I Registered I Y/ N J Fee Current I Y / N j Address I ( I License # ELECTRICIAN Signature I I Company I Registered I Y/ N j Fee Current I Y/ N Address I I License # I PLUMBER Signature I Company I Registered I Y/ N _1 Fee Current I Y/ N I Address I I I License # MECHANICAL' I Signature Company I Registered Y/ N I Fee Current I Y/ N I Address I OTHER License # I I Company r "4 Signature �1 C:04-3,'"1- - /e - �11 •L• � Registered iratign Fee Current I/ Address License # I' i 00U - , Directions. 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 htt //a ( P: pPraiser.pascogov.com) which NOTICE may DEEDRESTRICT County regulations. The undersigned assumes for st with any which my be more restrictive applicable deed restrictions. UNLICENSED CONTRAC AND y CONTRACTOR R E e with state and hired a egulations contractor or Ifthe contractors to undertake w they contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor l violation the under s tate w law. t Ihey the ae advised to contact the Pasc contractor o County Building Division—Licensing on—L censing S ction at 7.27-847 - intended wk, - they 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised - to have the contractor(s) sign portions of tha " may b Block" of that he application snot prroperly I will be d is not entitled to you, permitting privileges gn Pasco contractor, that may be an indication County. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.a S ame d d): : I aluatio c Lien $ aw— Hom certify that I, the applicant, have been provided with a copy is someone Protection Guide" prepared by the Florida Department of Agricure and Consumer above described Affairs. and promIf the faith th to other than the "owner ", I certify that I have obtained a copy of th 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 li done is in hereby to obtain a permit to do worgkuand construction, zoning indicated. I that development. no wo work or installation Y that wok 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 government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWN o R, truction! s t in de�stan faith d that a inform separat permit may be eq 9 l ed for electr cset I forth in work, this affidavit prior to commencing c plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside an y p i s io construed ns of the technical o be a license to codes, nor shall proceed issuance a permit prevent the Building Official from thereafter set asde any proviio unless t a correcti t h of error s in clan ermit isrcommen violations of six a months of permit issuance, ordif shall become invalid work authorized by unless nce, o abandoned t is es ted, in d or g, from period the Build ngOffic al forr a period not to xceed ty days and will demonstrate may ab re u see for i the w from the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YOUR FAILURE TO RECORDS TIO YOU INT TO OBTAIN FINANCING CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has/have produced Who is/are personally known to me or has/have produced identification. as identification. as Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped