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Home My WebLink About10-10814 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10814 ANNUAL FIRE PROTECTION MAINTENANCE �'. ,, � 0 e '° ii` a- ::a Permit Number: 10814 Address: 7838 GALL BLVD 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: 35- 25 -21- 0010 - 00700 -0000 Improv. Cost: r �. €, E i,.��. A be. ¢ i i 3i 11'; NS: Date Issued: 8/10/2010 »k Name: PRIMERICA GROUP ONE Total Fees: 50.00'7 - d Address: 3629 MADACA LN Amount Paid: 50.00 2'5 c TAMPA FL 33618 Date Paid: 8/10/2010 - 411 Phone: (813)933 -0629 Work Desc: FPM SUPPRESSION /SPRINKLER- PUBLIX W INTs� - -- NKL 25.00 - , N . FI - - E 2 5.00 I P - MI F ( fO l 1 A AN 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." la =iv 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 MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 1 V IP .001 813 -780 -0020 City ofZephyrhlllsFitrer Fax 813 :I; Permit Application . -. Data Received •Phone Go Pm11t Miler �-C.J I rr�arse�trarant�rnr • ir�InarsrFSa�u aeaarl • Owner's Name • Owner's Phone Number •[ UM "MU Owners Address ( S3 �.. Ld [ l �1 v • o A t( ` ►1 Ms .R 3c s4 i - ' • Fee Simple Titleholder Name • J ' I Titleholder Phone Number , • Fee mpleTlUeholderAddress [ Sl . • Job Address s. ' 1 • .• • 4 * Rl A Lot# • I Sub Division I Parcel # J • n Blo- Hazard Waste Storage - ANNUAL • EI Fumigation Tent • . ED Comm exhaust Kitchen Hood /Duct : ni • Hazardous Material (Tier 1I or RQ Facility) ANNUAL • f] Controlled Bum r Hood Installation L Emergency Generator < 30 kw I�--7 - LP %Naturel Gas- Inetallatlon ' . ' • ••1 '•Em El Generator 30 kw •• • I LP/Natural Gas - ANNUAL Sale • I 1 Fire Protection Matntartence = ANNUAL . • 0 Places of Assernbly- ANNUAL � r y • - �, Sprinkler IN p .0 ' I El ReoreaUonal Bum • • . Fire Alarm ICI . ❑ IT ❑ • I I E Sparklers . • . . ,� � _ °` eta fbr Hood Cleaning I ❑ • ❑ p •I 1 1] Sprinlder'System Installations - . •l � • Hood Suppression J ID FL ❑ I. • I Li Standpipes (Sprinkler Sys) • I Q 1.1 1 ' ,' O I Fire Alarm Iristallation • . ICI Torah Roofingffa . • v r Kettle Fire Pumps • - • ' I I Wester Tire Storage ANNUAL - Fire Worke • • Flammable Appicatlon- ANNUAL • ) , • Valuation of Project • Fuel Tanks • . ILl - Other. i . . . . . • • • I Contractor . /144444.4: �i I • ��f s�� • Signature tllitO to s-s —� Registered Company 1 Mimi Mimi Fee Currant MU Address V ilLial '.. rira•��'/�ili I1�� l nse. #.. �1��]riL,211011•i$'P !! ELECTRICIA Compan ' Signature . • Registered • Y / N • I Fee current: I Y / N 1 Address L 1 License # I . ' I • PLUMBER C Si Registered Y/ N I Fee Cunnt I Y/ N I Address Llcenee # • • • ! - . MECHANICAL' Company I • Signature Registered Y/ N I Fee Current I Y/ N I Address ( • - License # . j • I OTHER ' • • Company • I Signature • 0 Registered -- Y/ N I Fee Current I Y/ N I Addreaa I I tsatia a�d carers sa�4r�ranster Directions; Fill out application completely. • Owner & Contractor aign baok of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement fe required.(Machanical work over $6000) Supply two (2) Bets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http /fappmiser.pagcogov.com) • • MAR /28/2007/WEP•07:20 AM ZEPHYRHILLS BUILDING FAX No,813 780 - 0021 P. 002 . 'NOTICE OF:DEED•RESTRICTIONS: The undersigned understands•thatthis permit may.be•subJectrto "deed °trestrletions which may be more restrictive than Countyreguiations. The•.undersigned.assumes responsibility:forrcompltarai etwith any . . applicable deed restrtotlons. . •UNLICENSED tCONTRACTORS -AND •CONTRACTOR,RESP.QNSIB1LlTIES: If - the owner has *hired•ra-contractor or - - contractors to undertake work, they may be required lo be licensed in accordance with state and local•regulations. If the contractor is not licensed as required by law, both the owner and - contractor may be cited a misdemeanor violation .under sate 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•Pasao County Building inspection Division -- Licensing Section.at 727 -847- 8009. Furthermore, If the owner has hired .a contractor or 'contractors, he Is advised - to -have the contractor(s) sign • portions of the "contractor Block" of this appllcation•for Which will be responsible. If you, as owner•sign'as the contractor, that may be an indication 'that he is not properly licensed and Is not entitled - to -permitting .privileges in Pasco County. . CONSTRUCTION.LIEN.LAW (Chapter713,•Florida Statutes,,as.amended): If valuation of work Is •$2,500.00 or more, I 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 - someone other than the "owner ", I certify that 1 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 toobtain a permit to do work and installation as indicated. 1 certify that ho work or installation has commenced prior to issuance of a permit and all work will be performed to meet standards of all laws regulating oonstruction, 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 be in compliance.. If 1 am the AGENTfORTHE OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 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 permit 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 shalt issuance 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 within six months of permit Issuance, or if work authorized by the permit Is suspended or abandoned for a period of six (6) months after the time the work is commenced, An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate • justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job is considered abandoned. WARNING TO OWNER: 'YOUR FAILURE TO •RECORD A'NOTICE OF COMMENCEMENT MAY' RESULT IN - YOUR ' • • PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM FLORIDA JURAT (F.S. 117.03) • OWNER OR AGENT / CONTRACTOR `�� .o-+ � '' 0d i and swo L _affi -, �I. _ this and s t�or aaffinn forpJtle this �JJ 11 b rag • I(P4xf • Who is/are perdu t\lytown to me or as/have produced Is/are personally tat rite or has/have produced 1� �}� as Identification, ki I M • as identification. . t (i • - Notary Public y n 2 /gyp Notary Public D Commission o. . I c �-� ) Commission No. iJ1 4 13 DO0 4 r Name of Notary typed; printed or stamped . • Nama•of Notary typed, printed or stamped • s � MI '�t1 MITZI VANCE 42: COAA MON • a 009119080 : ■ ,, ON s oo918oeo : -- • CMS OCT 09 2013 ; rroas OF EXPIRES OCT N•30 2 13 • 11Y NelrwwCe COA�IIe'K IIII I e a , 4 • s.•••• . r N 0 in O 0 D gr, co Y { w 0 LC) : a re ill L1 . 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