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Home My WebLink About11-11390 CITY OF ZEPHYRHILLS 5335 - 8Th STREET (813) 780 -0020 11390 • ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11390 Address: 6040 8TH ST Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0080 -00A00 -0010 Improv. Cost: Date Issued: 1/11/2011 Name: FIRST CHRISTIAN CHURCH Total Fees: 25.00 Address: 6040 8TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/11/2011 Phone: (813)782 -1071 Work Desc: FPM- SEMI HOOD CLEAN- FIRST CHRISTIAN CHURCH -(t C ina 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." 1.162/ AKA 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 -780-0020 City of Zephyrhills Fire Permit Application Fax - 813 780 -0021 ate Received I Phone Contact for Permit caner s Name I I /� �� G Ow ner ' s P hone Number I 1 1 1 1 I wner's Address I (.L 0y l > Q (l, S ' , , se Simple Titleholder Name I I I I Titleholder Phone Number 1 1 1 I 3e Simple Titleholder Address )13 Address " 4 Jb Division 1 Lot # II Parcel # 1 Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent r - n Hazardous Material (Tier II or RQ Facility) ANNUAL I 1 Controlled Bum a Hood Installation Emergency Generator < 30 kw a LP /Natural Gas - Installation Emergency Generator> 30 kw g LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL El Y emi jr Othe I Places of Assembly- ANNUAL Sprinkler ❑ ❑ ❑ El Recreational Bum Fire Alarm ❑ ❑ ❑ I I 0 Sparklers Hood Cleaning . n? ❑ I I Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I I ❑ Standpipes (Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle ri I Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL R I I Fuel Tanks Valuation of Project Q Other: , ntractor j (nature , ..7/% Company Ot.+l.1: jat �_... ;.. Addres Registered MIMI Fee . rrent Y / N ECTRICIAN License # nature I Company Registered Y / N Fee Current Y / N Address I JMBER License # �— nature Company Address Registered Y / N Fee Current Y / N :HANICAL License # iature Company Address Registered Y / N Fee Current Y / N IER License # ature Company Registered Y / N Fee Current Y / N Address ;tons License # 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 ttP� PP h //a raiser.pascogov.com) ( which NOTICE may DEED RESTRICTIONS: be more restrictive than County regulations. The undersigned this ssumes responsibility for compliance restrictions" any which my 9 applicable deed restrictions. UNLICENSED CONTRACTORS p► ma b eN eg R u red to be licensed RESPONSIBILITIES: O S iB ac i co E dance with state and locaeegulationsctlff or contractors to undertake work, the Y contractor is not licensed as required by law, both the owner and contractor may be cited for misdemeanorvif violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply y they 8 009. k, m o r are e, if t he oow ne r h s n red contractor County or Building ractors, he s ad sed to Division—Licensing have the contractor(s) sign 8009. emrhe wr h portions nrac tor, that of tha "may b b Block" an indication that he properly licensed will not entitled to you, as the owner permitting privileges g n Pasco contractor, may e County. $2,500.00 or more, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as e I onstruction Lien 2, 00 Homeowner's certify that I, the applicant, have been provided with a cop Protection tha the o n wne r", I ccerti y fy the hat I obtained Department copy of Agriculture and Consumer Affairs. If the described document and promise in faith to other tha te "id or", I e deliver it to the "owner" prior to commencement. CONTRACTOR'SIOWNER'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 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. forth in If I a the AGENT FOR THE OWNER, lu derrstan that inform the owner of the peitting permit may be equiired for l electr c I work, this affidavit prior to commencing construction. I plumbing, e d s wells, onstrUeadrto be a license to proceed e with the work and not as specifically authority to violate, ca ncel, alter, or permit aside issued shall be cons set as any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter shall become invalid unless t a correcti he work au t h of errorhorized by s u such permii isr commenced l within six a months of permit issuance, u or d if work authorized by unless tty sch p m a pb thrmit is es ted, spend in d or writing, from the Buildin g Of of al for a period not the time ninety days and will demonstrate may be requested, in g, from 9 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 TIE F YOU COMMENCEMENT MAY RESULT IN YOUR TO OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR and sworn to (or affirmed) before me this Subscribed and swum to (or affirmed) before me this by Who is/are personally known to me by Who is/are personally known to me or has/have produced i has/have dentifi identification. produced as identification. as icati Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped