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HomeMy WebLinkAbout10-11189 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 ANNUAL FIRE PROTECTION MAINTENANCE 11189 1 ' Permit Number: 11189 Permit Type: FIRE PROTECTION MAINTENANC Address: 5316 11TH ST Class of Work: FIRE - PROTECTION MAINTENAN eE Township: EPHYRHRan L e: Proposed Use: CHURCH 9 Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 11- 26 -21- 0100 - 17100 -0100 Date Issued: 11/22/2010 Total Fees: 25.00 Name: SAINT JOSEPH CATHOLIC CHURCH Amount Paid: 25.00 Address: 5316 11TH ST Date Paid: 11/22/2010 ZEPHYRHILLS, FL. 33542 Work Desc: FPM- FIRE ALARM ANNUAL- ST JOSEPH CATHOLIC CHURCH- .10 ( ; (C S--C— L - l D 1 Im ilmii Mil Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to prevention and protection related activities such as ins pay tr ative fees, and o for the costs of other fire p inspections, plan review, administrative costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany App lication. Commencement of work without written the Fire Department's Fire Marshal or required � y inspection sha be cha double permits or opening up for commercial activity without an approved approval of final permit with and per day of a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and d Ord Ordinancc es. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOCE COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS R TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCI MPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR UR NOTICE OF COMMENCEMENT." G YOUR NOTICE At W1431j P IT PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 -780 -0041 813-780-0020 City of Zephyrhills Fire 4 ((f 6 C� Pe rmit Application f J Fax- 813 780.0021 Date Received . `" "�` r L . ,: .....M._,. Phone Contact for Permit J Owner's Name ■ St Joseph's Catholic Church 1 Owner's Phone Number I 813 I 7 8 2 'z Owner's Address i 5316 1 1th St Zephyrhills Fl 32540 Fee Simple Titleholder Name I same ( Titleholder Phone Number I 1 Fee Simple Titleholder Address I Job Address I Church 5th Ave & 11th st Church Hall 5th ave tk� I I Lot # Sub Division I Parcel # n Bio- Hazard Waste Storage - ANNUAL r — ' I Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL Controlled Bum ED Hood Installation Emergency Generator < 30 kw LP /Natural Gas - Installation • R Emergency Generator > 30 kw Fire Protection Maintenance - ANNUAL ED LP /Natural Gas - ANNUAL Sale Places of Assembly- ANNUAL Sprinkler ❑ ❑ ❑ "ice [rte raj lotner I El Recreational Bum Fire Alarm © ❑ ❑ X0 1 I ❑ I Sparklers Hood Cleaning ❑ ❑ ❑ J Sprinkler System Installations Hood Suppression 1=3 ❑ ❑ ❑ 1 I f ED Standpipes (Sprinkler Sys) Fire Alarm Installation = Torch Roofing/Tar Kettle Fire Pumps a Waste Tire Storage ANNUAL. Fire Works Flammable Application- ANNUAL I Fuel Tanks $ 4 4 0. 0 0 I Valuation of Project [=3 Other: ! Contractor Signature Company Registered Y/ N 1 Fee Current ! Y/ N I Address 1 1 ELECTRICIAN --� 1 License # Signature -fC �� Company • Address I Thomas Boat Landing Rd Umatilla Ft License Fee Current `/ icense # ( EC EC 0002542 PLUMBER i Signature Company Registered Y/ N I Fee Current L Y / N Address ! I License # MECHANICAL! Signature I I Company Address I Registered Y / N 1 Fee Current 1 Y / N License # ! OTHER Signature I Company Address Registered Y/ N j Fee Current ! Y/ N Directions: License # Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) r1 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 h : //a ( ttP' ppreiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understandsit at assumes permit responsibility be uby ct tO " e " e t ri c h o which any w may be more restrictive than County regulations. The undersigned applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: C If with o and has hi :a- c ontr sc tor the or If c to undertake work, they may be required I for the contractor is s as required not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state l If the owner or intended act the Pasco County Buil Inspection D vis ing on—L ce s ng on at 8009. 727-847 - intended w ork, they are advised to con 8009. Furthermore, if the owner has. hired a contractor which they wilt be responsibleeaftyouaas the contrctor(s) portions of the "contractor Block of this application rivile es in Pasco contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p g County. 500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amee d e o v Co a tion of work $2,500 Homeowner's certify that 1, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the described document and prompsean faith to that I have obtained a copy other than the "owner", I certify - 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 - d land that all work will be done in compliance to obtain a plermit to laws do work and 9 constructionas indicated a c development. Application is hereby made to that no work or installation has commenced prior uctions Countyoa f a permit deshazon all ing regulations, rt and ethedr meet standards of all laws regulating that I understand that the regulations of o development regulations in the jurisdiction. I also certify government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. ons forth in If I am the AGENT FOR THE OWNER, I promise in faith d that to permit may be eq 9red for l electr cal work, this affidavit prior to commencing construction. I understand Ilcatlon plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app permit issued shall be construed to be a license for shall the work a permit prevent authority to violate, cancel, ding Official from thereafter requiring p provisions of the technical codes, no set aside any p permit issued shall become invalid unless the e correction authorized of errors in such plans, isrcommencedl within six months of perm issuance, or if work authorized by the unless m it work suspended or abandoned ndch p six ma permit is es ed, in d or g, from t e for a period f c Official for a period not to exceed 'ninety r (90) days and will demonstrate may be requested, in writing, from the Building ninety 90 consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for nine (90) WARNING TO OWNER: YOUR FAILURE TO RECORD A ,MOTIF YOU C OOMMEN COMMENCEMENT M Y RES GT IN YOU ULR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) `' ` CONTRACTOR • e re •-- this OWNER OR AGENT Subscribed and sworn o (o affix ed),p f Subscribed and sworn to (or affirmed) before me this s � ,,,1 �.� �__.� by �,� �. t'4:>"15 by Who isla�re personally known to me or has/have produced Who is/are personally known to me or has/have pro— duced e r s al ! as identification. as identification. ��',�j./ - Notary Public Notary Public -� / '. � Commission No. I) � G .9 � ? 3 Commission No. Name of Notary typed, printed or stamped # 0 0 ...!!tel, SHARON M. RADDER Name of Notary typed, printed or stamped * < < ^} * MY COMMISSION t DD 638273 EXPIRES: April 26, 2011 �''9TE off ,,,,, Bonded Thru Budget Notary Services