HomeMy WebLinkAbout10-11254 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11254
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 11254 Address: 37411 EILAND 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: 12/03/2010 Name: GOLDEN HEALTH SERVICES INC
Total Fees: 25.00 Address: 2424 CURLEW RD
Amount Paid: 25.00 PALM HARBOUR, FL 34683
Date Paid: 12/03/2010 Phone: (727)781 -5885
Work Desc: FPM- SUPPRESSION SEMI- WEST WIND
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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." eaPIPP
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P T 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
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813-780-0020 City of Zephyrhilis Plaeottr, Fax
Permit Application - -
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Date Recelval . • • 1 , ' Phone Coact for Permit 1 U —1 -1
Ovmer's Name - i Owner's Phone Number 1 1 1 '1 1--,—J
comers Address 1 37// 4/X,RA/D /.., vv., . 1
Fee Simple Titleholder Name 1 I Tidehoider Phone Number I 11 11 I
Fee SknpieTilleholdsr Address ,. ..
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Job Address Lot 1
Sub Division Parcel 0
E:3 Biohazard Waste Storage - ANNU AL 1:::3 Fumigation Tent •
Conwn Exhaust lOtchen Hood/Duct El Hazardous Melerlal (Tier II or RO Facility) ANNUAL.
ED Controlled BUM 1:=1 Hood Installation
Emergency Generator < 30 kw
Emwgency Generator > 30 kw
Protection Maintenance - ANNUAL
IMI HE Eff. 1 LP/Netural Gowlnstallation
LP/Natural Gas4NNUAL Sale
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Places of AseembirANNUAL
Spinider 0 0 0 Ftecreational Burn
Fire Alarm 0 0 0 Speeders
Hood Cleaning 0 0 0 SprInklerSylem Inebibions •
Hood Suppression o o Standpipes (Sprkeder Sys) •
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RreAlarrn Installation _ _ Ei Torch RoolIng/Tar Kate. •
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Fire Amps •_ __. .. - West. 'The Storage ANNUAL '
Rai Woks ■
Flarmtabla Application- ANNUAL .
) I Valuation of Project
• Foal Tank,
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Address W:;Lite.,' - ;&,`51,17APPAr - 41W 741Pilikr ... U
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Signet11=1111111111.1111111 Company
's. Reglalwed Fee Current 111011.1 -
Address Uglily** i
PLUMBER Company I
Signature Reekterel Y / N , I Fee Current I Y f N I
Address I 1 Ucerwe #I
mEcHAtael Company
Registered I Y! N j Foe Current J Y / N
Addams 1 1 License # 1 1
OTHER I • Company
Signature Registered Fee Current Y !N y I N i
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Directions: '
FIN Cut application — . ot o , -. ,
Om er.. Cielracier );'. . - : aptad ad :‘ ; A . Waled soniMat with owner)
irevar$2800, a Notice , — . , „ , , . ,, - voork ovar13000)
Supptytroxi (Blasts of , • ' _,' „ >
Alm io days for aillaoaullailININNli. ; 14e !!arcel * • obtakied from Property Tax fleece eittpdleppraber.pasoogov.com)
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'NOTICE OF DEED RE$ RICT1ONSi Eftidersigned `understands that this permit may.besui gol olldasid'7:aeatrictions'
may be more •restrict ve'thannOOL1t1 reguiations. The wnderssigned .assumes responsibility ppopmpifaabe'with any .
apply . deed rottlotions.
• , UNLICENiiirib ietitiMACTOIIS 1 OW CTCR : NSiBUJTIES: • if - the 'owner hauhft ;avontractor • or • •
contractors to undertake work, they may be required to be licensed In aticordance with state and iocal•regulations. If the
contractor Is not licensed as required ° by law, boar the owner and contactor may be cited for a •misdemeanor violation
under state law. .If the owner or Intended •coreractor are uncertain .as 10 what licensing •requirements may apply for the
intended work, they are advised to contact the Pasco County guiding Impaction Division-- Licensing Section.at 727-847 -
8009. Furthorehore, if the owner has 'hired a contractor or contractor*, he is advised to have the .contractor(s) sign
portbes Of tt*'Cerilractor 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 be Is not property lleenaed and is not entitied•to 'permitting ;privileges In Pasco
County,
CONSTRUCTION LIEN LAW (ChapterT18, •Florida Statutes amenided): if valuation of work is $2,500.00 or more, l
certify that i the applicant, have been provided with a copy of • the 'Florida Construction Lien Law— Homeowner's
Protection Guide' prepared by •the Florida Department of Agfioulture and Consumer Affairs.. If the applicant Is someone
other than the l ower', I certify that I have obtained a copy of the above described document and promise in good`faith to
deliver it to the 'owner'prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this appiktotion Is accurate and
that all work will be done In compliance with all applicably laws regulating construction, zoning and land
development. Application Is hereby made to obtain a permit to do work and installation as Indicated. I certify
that no work or installation has commenced prior to issuances of a permit and-that all work will be performed to
meet standards of all laws regulating construction, CountY and City codes, .zoning regulations, and land
development regulations In the Jurisdiction. 1 also certify that I understand that the regulations of other
. government agencies may apply•to the Intended work, and that it Is my responsibility to Identify what actions I
must take•to be In compliance.
111 am the AGENT FOR THE OWNER, I' promise in good faith to inform a owner of the permitting conditions set forth In
this affidavit priori() commencing construction. I understand that a se a permit . be required "fdr electrical work;
pools, conditioning, illy Included In the application. A
plumbing, signs, wells, s, air condtiloN gas, or other instadMitb not specifically
permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, after, or
set aside any provisions of the technical codes, nor shall Is$uanos 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 vidthIn sic months of pent issuance, 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 extension
be re>q ted, In wilting, from the Building for a period not to exceed ninety (90) days and will demonstrate
,, :•, , Fier thFe-e rlsion. " work for suety -( ) as ► days, the job is considered abandoned.
WARNING '1`0 OWNS YOUR ' - • LIRE TO RECORD A 'NOTICE • ::COM1�NT • MAY RESULT IN YOUR
PA 4 TO YOl t P ' '. IP , 41.' TO 4, , tit F y_., CONSULT
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as Ideedikaten. • as identification.
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