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Home My WebLink About10-11261 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11261 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11261 Address: 7350 DAIRY RD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN SE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0010 - 06900 -0020 Improv. Cost: - x Date Issued: 12/06/2010 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/06/2010 Phone: (407)975 -3000 Work Desc: FPM- SPRINKLER QUARTERLY- ZEPHYR HEALTH & REHAB -v 5.•s /0 ( 2( 3 � 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." �! /1 P f4 " 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 . . / i 813-780-0020 City of Zephyrhills FirE_<„, 1 ( Fa-x-813-780-0021 Permit Application Date Received :•- Phone Contact for Permit j. l Owner's Name S 1-MPT,F,XGRTNNFLTiri Owner's Phone Number 813 1 626 115482 Owner's Mdress 4701. Oak Fair Blvd TAMPA FL 33610 • , Fee Simple:Titleholder Name - ' Titleholder Phone Number - . Fee SimpleTitteholder Address 1 r -' ',•: Job Address / 54.) -- Do.‘r\I 2 --1 2--P,P■ ct- S.73 146t4-4, ba6 Lb t# Sub Division Parcel # m.,.....,:m..-- •:..1r.E. , ,e-_i_., - -::::::-....,--,;, , ,..:*:-Eis:S7 - =' , -_..5..." - •:,..-ir-r-TAINK-S-M-," 1 -& - - , : ---5--- ..- - ;:i. ,- Efz-L-.;..;...- - z - -.1g Bio-Hazard Waste Storage - ANNUAL I Fumigation Tent Comm Exhaust Kitchen Hood/Duct 1 Hazardous al flier If or RQ Faciiity) ANNUAL • . • Controlled Bum I Hood Installation • : Emergency Generator < 30 kw 1 i LP/Natural Gas ,-Installation . ..., . ••„. . Ernergency Generator > 30 kw LP/Natural Gas-ANNUAL Sale .:'-•:: - . ' ' Fire Protection Maintenance - ANNUAL . . 1 Places of Assembly-ANNUAL . Ruin MEI lAn1 I Other rig f , • .., ; ,„. • . , 1 . , , Sprinkler , I: 0 0 ' 1 I Recreational Bum : i. ; :i.: - . - - -,..- •-.., • .. Fire Alarm , • , 1 0 0 la • • I , 1 1 Sparklers HoOd Cleaning - Li 0 01'1 I I Sprinkler System InstallatiohJ I : . :, - • • . HOod.Suppression - 1 1 0 0 p 1 Standpipes (Sprinkler Sys) . - . • --- " ' - ' ":• -.--: 4 -i. •::::' -. -, :i , .• .. - - - ...• - •... ••••'`..i 1 i r---1 . , - - Fire Alarm Installation - ' : ' - • 1 ---- i Torch Roafihg7Tar Kgt - 7 : -- . - - , - .. - - • . ,.... _ • ..,......, ' Fire Pumps . '-. • I _ Waste Tire Storage ANNUAL - Fire Works • , , . ,. . • • . . I. ::., Minn Application- ANNUAL 1 : . 1 Valuation of Project ' A.:. I •••• ' • Fuel Tanks ' . - • ' ' : 1"-• I Other: .1 . . • _ ____ -,'''''.... ,.. - ' .....- .. LW---,..,-.1..."1.T..44474-4MSFMM.Sar.V. ,,..'.- ---- . v• nr.Wira Contradtor - ,' / ....7 . - ' Company - (1-7 i-ex Signature . Registered _ Y / N Fee Current ' Y / N I • Address t .:,..,,,:::,...;2: i ..,.„ . . .-, - .: I License # . .. • . . - . 1 , . ELECTRICIAN ••;l:l::::?. ;"••••'".':•; •-? ; - • - '.::_: . y..! y.... ... ' ' , • ..i ". :•• 1 ' i . - ' :.- ' ., Company . . •- ..-. ." ..:,•-i..,'• -'• -,;,- ,.•.. • .: l...,. ..... -; • . , . , ', , • Signature - ' '• L.:.." 4'.., • . ,1 . ' ' ,, ... . ; ' .', . . ', -, .. . . : - RegiStered -. -- Y / N. 1 :: ep-currqilt,. 1...-...:Y / N.. 1 ...,.. . ,. Address 1 . • . - 1 License # .PLUMBER , Company Signature . Registered Y / N '1 Fee Ciirrent 1 Y / N t: ' • Address -. - . 1 License # . - . . I MECHANICAL • Company - Signature . . - Registered Y 1N Fee Current 1 Y / N 1 Address I.,., :, .. . - - 1 License # . . - OTHER • Company • . . Signature . - Registered Y / N J Fee Current YiN_ Address License 4 Dfrections: • _ . Fitt out application completely. . • Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) s ... - . -.....: ...- . .. If over $2500, a Notice of Commencement is required .(Mechanical work over $5000) . 7, -.. . - Supply two (2) sets of drawings with applicable documentation -. - . . „:?...--,.:••.:- - Allow 10-14 days for review after submittal date. Parcel :le- obtaided ft Property Tax Notice (Fitp://appraiser.pascogov.com) . . - • --=".,..--:-. ......,.... . .. . .. - ..-;,. . s - .. . . • 'NOTICE OF :DEED RESTRICTIONS: The-undersigned understands .that this permit may_be subject:to `deed': estrictions which may be more restrictive than County re The_undersigned assumes responsibility fcr:compliance1/2with any . - _app[icabfe deed restrictions. UNLICENSED 'CONTRACTORS AND - CONTRACTOR RESPONSIBILITIES: if the owner has - hired as -contractor or - contractors_ •to undertake work, they may be required be licensed in accordance with state and local It the contractor is not licensed as required by law, both the owner and contractor may be cited :a misdemeanor violation under state law. If the 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 which will be responsible. If you, as owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco County. CONSTRUCTION -LIEN LAW (Chapter 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 Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", f certify thy- -'. - `:_"° obtained a copy of the above described document and promise in good faith to deliver it to the "owner° prior to commencement. .. - CONTRACTOR'SiOWNERS- AFFIDAVIT:- I certify that all the information in this application - is accurate and that.all work will be done in corrip[iance 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 all work will be performed to meet standards of all laws regulating construction, County and City codes, .zoning regulations, and [and development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other government agencies may appl•to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If (0, am the AGENT FOR THE OWNER; I prornise -in good faith to inform the owner of the permitting., conditions set forth in 7-this-affidavit-prior-to commencing- -coristrucflon_L U understand_ thai;..a;separate. porno 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 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 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 became , 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. WARtN1iNG TO, OWNER: YOUR - FAILURE TO RECORD A ` NOTICE `OF:COMMENCEMENT MAY: RESULT 1N .YOUR PAYINGTWICE FOR EMPROVEMENTSTO YOUR PROPERTY. IF YOU INTEND TO OBT• N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO• BEFORE RECORDING YOUR NOTICE e' Co ENCEMENT. FLOR!DAJURAT 117.14 • OWNER OR AGENT CONTRACTOR Subscribed and sworn . (or . • ed) before me this Subscribed and s om to or - irmed) before me this by by Who isfare personally known to me or has /have produced Who isfare 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 • • •