HomeMy WebLinkAbout10-10952 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10952
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10952 Address: 5335 8TH ST
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11 -26- 0010 - 13400 -0010
Improv. Cost:. g.
Date Issued: /" Name: CITY OF ZEPHYRHILLS
Total Fees: 25.00.1` Address: 5335 8TH ST
Amount Paid: 25.00 / 6c ZEPHYRHILLS
Date Paid: 9/22/2010 Phone:
Work Desc: FPM— FIRE ALARM ANNUAL— CITY OF ZEPHYRHILLS i.0c6v€4
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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." 1r
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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;76G City of.Zephyrhills -Fire O 1 ' Fax- 813 - 780 -0021
'Permit Application
Date Received Phone Contact for Permit
Owner's Name . - _-ArAraUr t9 /��fizai'<UM, Owner's Phone Number I I I
Owner's Address / P A i, is I- Cil.: A • ■ I -.1 — , ,'
Fee Simple Titleholder Name Titleholder Phone Number
Fee SimpleTitleholder Address I
Job Address •5 3 r - I Lot #
Sub Division Parcel #
El Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier I1 or RQ Facility) ANNUAL
El Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
n� Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale
I ✓I Fire Protection Maintenance - ANNUAL = Places of Assembly- ANNUAL
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Iotriy) !Semi' ®h'ilrl�
Sprinkler n ❑ ❑ 1' n Recreational Bum
1 Alarm ❑ ❑ ❑ I 1 n Sparklers
Hood Cleaning ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression JJ ❑ ❑ ❑ 1 I n Standpipes (Sprinkler Sys)
I - 1 Fire Alarm Installation = Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
n Flammable Application- ANNUAL l I Valuation of Project
n Fuel Tanks
n Other: I
Contractor Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I 1 License #
ELECTRICIAN Company
Signature I Registered Y / N I Fee Current I Y / N j
Address I I License #. I
PLUMBER Company
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Signature Registered Y / N I Fee Current I Y/ N I
Address I I ' License # I I
MECHANICAL Company
Signature Registered Y / N 1 Fee Current I Y / N J
Address I I License #
OTHER Company
Signature Registered Y/ N . 1 Fee Current I Y/ N I
Address License #
Directions:
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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 (http: / /appraiser.pascogov.com)
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NOTICE OF DEED:RESTRICTIONS: The undersigned understands that this permit maybe :subject to "deed "
which may be County The undersigned assumes compliance with any
applicable deed restrictions.
UNLICENSED -CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner - has hired :a contractor or
contractors undertake work, they may be to 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 cited - for a misdemeanor violation
under state law. If owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco 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 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 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", l certify that I have obtained a copy of the above described document and promise in good faith to
deliver it the "owner" prior to commencement.
CON'TRACTOR'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 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
govemment 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 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 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 shall 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
by b y
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
09- 22 —'10 10:48 FPOM —ESSI 813 - 931 -4048 T -923 P0001/0001 F -759
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l) EXPIRES 9 -30 -2011 P
2010 -2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT.
r . -.x. 1 RENEWAL 234808.0000 i
OCC. M. WASTE TAX CODE BUSINESS TYPE suRCH�RGE
090.000 CONTRACTOR /ALARM CONTRACTOR I 4.00 18.00
`'`.:- III .
BUSWEss 8910 N DALE MABRY HWY STE 11, •
LOCATION TAMPA 33614 .
NAMe ESTRADA ROGER
'AILING ELECTRONIC SECURITY SYSTEMS INC • ',
ADDRESS 8910 N DALE MABRY HWY 11
TAMPA FL 99614
BUSINESS TAX RECEIPT DOUG BELDEN. TAX COLLECTOR ,
PAID •17475 -85
HAG 11011WWPAroA MtlVAECE YAM ENCACe 813 -835 -5200 08/03/2010 "' 22.00
IN worms. PAperw alconoceJ�Av,a ue
, •,aao Knew. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. M
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