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HomeMy WebLinkAbout10-10820 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10820 ANNUAL FIRE PROTECTION MAINTENANCE 1T .2, `178CONZEIVMSATZ-rin Permit Number: 10820 Address: 5316 11TH ST Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0100 - 17100 -0100 Improv. Cost: �. ,. Date Issued: 8/11/2010 Name: SAINT JOSEPH CATHOLIC CHURCH Total Fees: 25.00 Address: 5316 11TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2010 Phone: (813)782 -2813 Work Desc: FPM- SUPPRESSION SEMI- ST. JOES CATHOLIC -NA1.• i' . A s'' -� - • - M 25.00 C (10 Y r) t► g • 1 A - AN oral 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." -147PP A� 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 • r (O 2 . S13-7804020 CV City ofzephyrhals. Fax -813. 780-0021 .. Permit Application • - • Date I Contact for Pam* 1 11 I i I Owners Kam P __��'L�!1iir�e; °wises Phone Number I 1 Owners Address 11Pwi iAl frA i �'�!...0.1. �' _ - � �a Fee Simple TMeholder Nava Titleholder Phone Number MI Fee Si mpIs718ehoidsrAddress 1 , Job Address Lot S Sub Division Parcel 0 0 Bk>Hweard Waste Storage - AMU AL a Fsunigatlon Tent • EJ Comm Exhaust Kitchen Hood/Duct El Hemndorsa Maeda (Tier 1I or RO Faddy) ANNUAL p Cenbotled Bum ED Hood Installation Emergency Gwarebr < 30 kw LP/Natural Gas- Iratatlatlon Emergency Generator> 30 kw LPINa4ua1 Sale Fie Protection I�takM lance - ANNUAL Places of Assembly-ANNUAL Spadder i 0 0 0 M Recreational Burn Rre Alarm 0 0 0 Spwlders flood Clewing 0 0 0 S !beam .-'- ore Hood $rtppreaelon O 0 Ar 0 Standpipes (Spri ice) • • RreAlenn MfaMrtlon _ Torch Roofing/Tar Kolar ' Fim Pumps . — - - . - El J Was Tire Storage ANNUAL Rwranabl. Application- ANNUAL j I valuation of Project • . Frei Tanks . Signal. �� mi' c « mpara V ' ,rriff a �,f :I 4 �°�'�J ���`r1►fa . - ReffIli led riEeilillitiiill . Address w ;lid ' ..: .1 /F11,14: - "7. A1/ .. Uofrn.s * V fo A.0.F5 ‘9 ELE - Company Signatu a Registered Y / N Fee Current - Address I s p 1 license d I 1 PLUMBER I Signature L Fee Curnwt 1 Y/ N I J Address I 1 License * I 1 S IEGUUe N • Registered 1 Y/ N 1 F« Carstens i . Y/ N Address 1 I Liana. d I I OTHER I . Sigrature Registered I Y / N• j Fee Current 1 Y 1 N( • Andress 1 1 Licence #1 .1 '� : . Owner we ra ] ofo' (rt r. - mama signed h owner) if aver 52500. a Notc. Qlrlgreett4lll ant, ! milt or Ste) SupOhFlwo Masts et Aka 10-14 days'kr alwaublifiiktd tee , } Parcel 5- obtained from Property Tax Notice OdiFdisPpraMer peeoopov.00rn) 'NOTICE OFDEEDREBTRiCTIONSMIRthdenlpnsd 'understands.that this permit may:be;sutj ecikappdesjissetrictions" which may be more •restricdve'lhanVoit regulations. Thewndersigned .assumes responsibility, papmplirmaeiwfth any . .applicable deed restrictions. • , UNLICENSED C iCTOiRIp h;'N1:1' 4>rTOit .RESAONSIBIl:ITIES: - the ownerfia:£ht. d a nr • contractors to undertake work, • they •may be required lo be licensed In accordance with state and .Iocal•regulations. If • Contractor is not licensed as required • by law, both the owner and contactor may be cited for . misdemeanor violation understate law. ,If the owner or Intended =rotator are uncertain as lo what licensing •requirements may apply for the intended work, they 'are advised to contact the .Pasco County Belding Inspection Divislon— Licensing Sec ion.at 727 -847 - 8009. Furthermore, if the owner has 'hired :a contractor or • contractors, he is advised 'to have the .contractor(s) sign pardons oaf thhe Oar. Block" of lhls application for which they will be responsible. If you, .as - the owner sign as the Contractor, that may be an indication that- he is not property licensed and Is not entttled'to 'pe rmlwng prtvllea es in Pasco County. CONSTRUCTION -LIEN LAW (Chapter7t3, Florida Statutespas:.amended): if valuation of work is 812 or more, l 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 ire and Consumer Ate. tip .plicert. ; is other than the "owner, I certify that I have obtained a copy of the above described document and promise in good 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-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 permft 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 jur1sdicfion.. I also certify that 1 understand that the regulations of other • government agencies may apptylo the intended work and that it is my responsibility to kdentlfywhat actions I must taketo be in compliance. 111 am the AGENT FORTHE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be req ``fet'eleotri el work; plumbing, signs, wells, pools, air conditioning, gas, or other Installations not spec included Inte-applkation. A permit issued shall be construed to be a lloense to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buliding Offlsi from thereafter requiring a con don of errors In plans, Construction or violations of any codes. Every penult issues! than bacon* invalid unless the work authorized by such permit Is oommmencaed ■4thin six months of pemnit manse, or if work authorized by the permit :is suspended or abandoned for a period of sbi (6) months after the time the work is commenced. An estensien bet requested, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate 1(1 catlike extension. If work ceases for ninety (SO) consecutive days, the job. is considered abandoned. WARNING TO OOINER. ' YOUR FAILURE TO RECORD A Nanet OF.::COMMINANT MAY RESULT IN YOUR RAVIN OUR. d" - ' TO Y �. c � - �' '� ��.,�.� � CONS ` k1H � PLC .. `. S. 11 .03) i f ig 4 4///ir 1 ,11. OMiiMBR OR AUNT er befers m. this Who' liters pert filly Mourn to the or ha&hi '' produced f .. ,` I . t°` ;" as Identification. as idena tion. • ice, Public :_ s _ ..tr d hoary P CcmmisslonNo. Communaon Na, IP • Name of Naia,y'vOiri. Pruett or sampsd Nano of NP,' l or stamped ^ 1§ ES [fir oot seromtbitina.. • o, ;. �t 2, 2c1 2 ,:,o�440TA,y Pl. Nova s c