HomeMy WebLinkAbout10-10724 CITY OFZEPHYRHILLS
5335 - 8TH STREET
• (813) 780 -0020 10724
ANNUAL:FIRE PROTECTION MAINTENANCE
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Permit Number: 10724 Address: 6040 8TH ST
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: 02- 26 -21- 0080 -OOA00 -0010
Improv. Cost:
Date Issued: 7/14/2010 Name: FIRST CHRISTIAN CHURCH
Total Fees: 25.00 Address: 6040 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/14/2010 Phone: (813)782 -1071
Work Desc: FPM- SUPPRESSION SEMI- FIRST BAPTIST CHURCH
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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."
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P 817 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
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813780-0020 City of ZephyfhgIs fie m,, Fax -813- 780-0021
Permit Application - •
Date Received =Y1 j Permit 1 11 11
Owners Name .. . I : ,/,:l . iIIw i i ,% o Phan Number I 1 1 • I I.
Owners Address O 0 I �I ��/
Fee Simple Titleholder Name Phan Number I 1 I
Fe. SkmpN?pshdder Address 1 I
Job Address / Lot*
Sub Division Parch d
0 Rio-Hazard Waste Storage - AMU
NNUAL a Fumigation Tent •
0 Comm Exhaust Kltehen Hood/Duct El Himardour Material (Tier 11 or RD Fatty) ANNUAL
o Controlled Bum CI Hood Installation
Emergency Generals < 30 kw El LP1t4 x.l Gas-Installation
Emergency gency Generator> 30 kw LPnr.n al G..,/)taNUAL Sale /,
Fire Protection Maintenance - ANNUAL
MI MI IEEI a Places of Assembly-ANNUAL -T
Sprinter i 0 0 0 _ Promotional Bum
Pk. Alarm 0 0 0 Spadd.rs
Hood Clawing 0 0 0 Spelt der instillers -
Hood Suppression 0 0 Standpipes (Sprinter Sys) •
FM. Alan installation _ Rooting/Tar Kettle ,
Fire Pumps ps • - - - _ Waste lire Storage ANNUAL
Firs Watt
Ptem,mebt. Application- ANNUAL 1 .1 Valuation of Project
Fuel Tanis
® e
,.20,,9..®
Contiteibr ® d Pad is Afa'raiii'A <M''F141:r "* J
Address It;dZ1f: :, . , .,/rArdr • ' .. r r .. _ Uoknss # r3 '.a o ro.r#.1. .s ii ;
ELE - Company
Signature 11111111111111111.111111 Registered Y/ N Fee Current J Y / N I
Address I 1 t.icenes is I 1
PLUMBER I Company I I
Signature Registered Y/ N 1 Fee Gault I Y/ N
Address I I License * I I
MECHANICAL' . _
.
Regitered I Y l N J Fee Currant J Y/ N I I
Address 't I License# I I
OTHER Company E_____ I
Septets L Registered Y / . Fie Current ! Y / N I
License #�
FI outapp atlsF
Owrnr&'Ceinkllgte . r '; - 04 alerted contract with owner)
*over >1 NO. a Nate �. - wakover*5000)
Mow 10-14 days for is .sa !lktsl date. +` !Parch * - obtained from Property Tax Notice (MIP .//apprais.r pesoogov.com)
•
'NOTICE OF DEED RE8TRICTION dersigned`understends.that this permit may beauldgrf eaediasetriotions"
whit .may be more•restrictIvelhantOotintftregulations. The ainderslgned .assumes responslbIlitylemopmpliancewIth any
.appik la deed reatrlcttions.
• • 'UNUCENSEO ICOOMkACTO Ib' CTOR :RESP.ONSIBB:ITIES: • if =the owner - hat hked nr •
contractors lo undertake work, they may be 'required to be licensed in accordance wtth 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
under state law. .If the owner or intended .contractor are uncertain .as to what licensing •requirements may apply for the
intend ed work, they are advised to contact the •Pasco County Building inspection Division— Licensing Sectlon.at 727-847 -
8009. Fumes, if the owner has hired :a contractor or contractors, he is advised to have the .contractor(s) sign
Portions of the *oentrector Block' of lhis application for which - they will be responsible. If you as -the owner sign as the
contrasts r, that may be an indication that be is not properly licensed and Is not . entitled •to . permitting : privileges in -Pasco
an y' 500.00 or more,
CONSTRUCTION .LIEN LAW (ChapterT13, Florida Statutes,.asamended): if valuation of work is $2,
certify- that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law— Homeowner's
Protection Guide' prepared by•the Florida Department of Agriculture and Consumer Affairs. If the applicant is ssomeone
other than the 'owner', I certify that 1 have obtained a copy of the above described document and promise in goodlaith to
deliver ft to the °owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicasble laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify
that no work or installation has commenced prior to issuance of a permit and -that all work will be performed to
meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land
development regulations in the Jurisdiction.. I also certify that I understand that the regulations of other
. government agencies may appty the intended work, and that It Is my responsibility to identify what actions I
must take be in compliance.
If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth In
this affidavit prior commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the - application. A
permlt issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel; alter, or
set aside any provisions of the technical codes, nor shall Is$uance 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 vicithin six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of sik (8) months after the time the work is commenced. An extension
may be requested, in wilting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
eanti1Or the es nsion. If work ceases for ninety (SO) consecutive days, the Job is considered abandoned.
WARNING 1Q . YOUR *NNE TO RECORD A 'NOTIC,E 'OF 'COMMENCEMENT MAY RESULT IN YOUR
:�� TO YOUR P . iF G s 1 y Tp F ,,4 11401, CONSULT
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EXPItti:110416642, 2012
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