HomeMy WebLinkAbout10-10995 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10995
- ANNUAL FIRE PROTECTION MAINTENANCE
4.2tra7VEZ "K;'74 Permit Number: 10995 Address: 37411 EIL BLVD
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: 03- 26 -21- 0010 - 05300 -0000
Improv. Cost:
Date Issued: 9/29/2010 Name: GOLDEN HEALTH SERVICES INC
Total Fees: 25.00 Address: 2424 CURLEW RD
Amount Paid: 25.00 PALM HARBOUR, FL 34683
Date Paid: 9/29/2010 Phone: (727)781 -5885 /
Work Desc: FPM- HOOD CLEAN QUARTERLY- WESTWINDS ASSISTED LIVING �� " /' (r 30,
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VI � IN `M 25.00
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- A A 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."
*
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
VIGIL, INC.
10481
City of Zephyrhills 9/28/2010
7270 • Licenses rind Permits WESTWINDS ASSISTED LIVING 25.00
0903 Checking Bank WESTWINDS ASSISTED LIVING 25.00
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Conl-fatAof sign tritok at opplicatIon, notarized (Or, copy of si9rt•tgl contract whh Mxnar)
l: :ivar :1"2500, a Notico of Commencement is requirerd.(Mechtmlal work over 1:500C)
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VIGIL INC .
pat lul ----"? Hood St EAMON Cleonlisi Svc.
P.O. INic 273717 Tarops„ Fl 330111 • •
P: 1134324100 F: 1113433480
gatorsAdrewayead.com
l.' ZI FHYRHILLS BUILDING FAY, No. El - 7$0-00'%
h o OF:DEED •RESTRICTIONS: The undersigned understands that this permit may .bersubjectito' "deed ":restrictions
which niay be mere restrictive than County'regulations. - 1'her.undersigned.assumes responsibility:for tompliantelwith any . .
applicable deed restrictions,
UNLICENSED :CONTRACTORS .AND "CONTRACTOR RESP -ONS IBILITIES: If the owner has - hIred - :a contractor or •
contractors to undertake work, they may be required . 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 be cited for a :misdemeanor• vioiatien
under stag; law. If the owner or intended contractor. are uncertaln :as'to what licensing 'requirements may :apply for the
intended work, they are advised contact the Pasco County Building inspection Division -- Licensing Sectlon.at 7.27
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 .privileges in •Pascc
County.
CONSTRUCTION LIEN LAW (Chapter713,•Florida Statutes,-as :amended): If valuation of work is $2;500.00 or more, 1
certify that 1, the applicant, have been provided with. a copy of the "Florida Construction lien Law—Homeowner's
l ca t is 'someone
otection Guide prepared by•the Florida.Departrnent of Agriculture and.Consumer Affairs. If the app
other than the "owner ", I certify that I 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 arid
that all work will be done in compliance with all applicable laws regulating construction, zoning and and
development. Application is hereby made to obtain a perrnit 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 refit, Iations in the Jurisdiction. 1 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
must take to be in compliance.
lc I am the AGENTFORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set . forth
this affidavit priorto 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
per'rnii issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
sot aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requirinct 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
th permit is suspended or abandoned for a period ofi six (6) months after the time the work Is commenced. .An extension
rn iy be requested, in writing, from the Building Official for a'period not to exceed ninety (90) days and will demonstrate
ju stifiabk 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 r AY" RESULT IN YOUR •
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAt FINANCING, CONSULT
Wi YOU LEND , R OR AN ATTO • N Y B FOR ' ECO " DING 0 R NOTICE OF CO :, EMENT,
FLORIDA JURAT (F.S. 117.03)
()INNER OR AGENT CONTRACTO •� •��'
;uhscribod and sworn to.(or affirmed) before me this Subscribed and swom to or rmed before rt • this ��^^
by by
;tirr;u ±siaro personally known to me or has/have produced � Who Is/are personally known to me or ha asade tl� a
as Identification. •
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Notary Public . Notary Public
Commission No,,,_. - --
Gutr min; :ion No.._ - �••® ---
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Name of Notary typed; pr1ntad or stamped •
Narne Of Notary typed, printed or stamped _ _
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