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Home My WebLink About11-11397 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11397 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11397 Address: 38250 A AVE 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: 14- 26 -21- 0010 - 01300 -0010 Improv. Cost: Date Issued: 1/12/2011 Name: ZEPHYR HAVEN NURSING HOME Total Fees: 50.00 Address: 38250 A AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/12/2011 Phone: (407)975 -3000 Work Desc: FPM- SPRINKLER ANNUAL/ FIRE ALARM SEMI- ZEPHYR HAVEN NURSING - - -. 1.11 (CS-e- rt.( at 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." P 1 " 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 *1/39 813 =780 -0020 City ofZephyrhilis Fire: . I l Fax -813 -780 -0021 Permit Application Dare Received Phore Contact for Permit w - rte: _ , �--� . ._ ,.. Owner`s Name S IMPT,FXCRTNNELL Owner's Phone Number 1 3 1 626 I f 5 48 2 Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple .Titleholder Name - - ; T itleholder Phone Number Fee Simple - Titleholder Address . 7 -e:��M'...ti _. _... pp�� _ .�..� :t -tS:� �... r_ .,�. �a ,. �.`.`� �u�'M: � i '.�... r:.. - U. �.s. _� ,r..... r'Fa_ #" .z:..�..t�' 1'._..s - ,0 e:. 2 .�� s��;as "4 w.� � Job Address t3 2-5z (\ e. Zi iri, l�iS C` 335�Z 2- ePhIY, tis veil 1dy5 "Lot# Y u_4. 7 Sub Division Parcel # k �;y:.. - ...; ..-..,..-. �::-., �,: y: ?? �- �...-_ �� :.n.�„wur°�'`°A.- :.�:.,.xem"a' _, M. .:�..�.,...__�,_w... .._ .w.. :,N,.�_..,.s,h.�- w - >�,.�% .....s -- ...<,�,.�.. _.t >•�._ :.......� I. , Bio- Hazard Waste Storage - ANNUAL [ J Fumigation Ten v Comm Exhaust Kitchen Hood /Duct r Hazardous Material (Tier If or RQ Facility) ANNUAL • • Controlled Bum 1 Hood Installation I . ` Emergency Generator < 30 kw I I LP /Natural Gas - Installation Emergency Generator > 30-kw I LP /Natural Gas- ANNUALSale I Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL .. man f Semi ( !Ant Other Sprinkler, M CI ❑ V I I Recreational Bum - Fire Alarm , ❑ v / ❑- I I : r7 Sparklers Hood Cleaning L ❑ , ❑ 1 " 1 Sprinkler' System Instaifatiohs _ _. ,. . , _I .. I I � - HaodSuppression. - .I 1 17 O O Standpipes (Sprinkler Sys). • - 1,:•:, I Fire Alarm lnstallabon - Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL - I( Fire Works • . I I• • FlaminabfeApplication- ANNUAL Valuaf n of o a Project . c;. Fuel Tanks , ... . I I Other .I ack. Viot4) Prosyv l-sr -1 \I6k 51SI - e,tin • • Contractor _ Company 3 Ck7' - 44 icFr i-' e_ (-t Signature l Registered Y/ N • Fee .Current Y/ N I Addre I r. License # ELECTRICfAN Company Signature _ , . . , Registered ? Y 1 N I Fee Current V.,..-::Y / N ,. k-.. • Address I. ,, ' .. I License # I I PLUMBER . . • Company ,..; Signature ' ' Registered Y / N • g Fee Current I Y [. Nj' ' Address I . . . I License MECHANICAL Company - Signature Registered Y / N I Fee Current Y / N Address I, ; I License # I I OTHER • Company • - . Signature Registered Y/ N I Fee Current I Y/ N Address License Directions: - . 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 - - - AIloY: 10 -1? days for review aver submittal date. Parcel #- obtained from Propery Tax Notice (http: / /appraiser.pascogov.com) • • 'NOTICE OF-DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to "dedd":restrictions" which may be more restrictive than County regulations. The_ undersigned assumes responsibility for" :compliance with any I .applicable deed restrictions. UNLICENSED CONTRACTORS AND •CONTRACTOR RESPONSIBILITIES: If the owner has - hired - _a =contractor OE contractors to undertake work, they may be required be licensed in accordance with state and local If the contractor is not licensed as required by law, both the owner and contractor may be cited - for :a "misdemeanor violation under state law. If the owner or intended contractor are uncertain.as - to what licensing 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 (Chapter713, Florida Statutes,_as.amended): if valuation of work is $2;500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by"the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the 'owner ", I certify that I have obtained a copy of the above described document and premise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S "AFFIDAVIT :• [ certify that all the information in this application' is accurate and that•all work will be done in corripliance with all applicable taws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. .. 1 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 land development regulations in the jurisdictioh. 1 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 1 must take to be in compliance. - If 1 the AGENT FOR THE OWNER I promise -in good faith to inform t owner of the permitting conditions set forth in -- _ _ - -tEiis- affidavit- "prior- to�commeng. c[n corstruction::"_["understand that _ ihaeparate permit r ma y . f�e_re q.. wired 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, alter, 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 shall become 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 df 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. :..:WARNING TO. OWNER; YOUR FAILURE TO RECORD A 'NOTICE 'O1= .COMMENCEMENT MAY` RESULT IN ;¥OUR - PAYING TWIG FOR IMPROVEMENTS TO YOUR PROPERTY. [F YOU INTEND TO OBT• N FINANCING, CONSULT ALL:: E NCEMENT. Nt[TH LENDER OR'AN ATTO' BEFORE RECORDING YOUR NOTICE !' C� .. FLQRIDA JURAT (F.8' I I7. $ CONTRACTOR � -_ K g,. ■ • . : AGENT �/ before me this • OWNER OR Su bscribed and s om to or timed) bef 5ubscnbed and sworn • (or - • ed) before me this by . by Who is /are personally known to me or has /have produced Who is/are personalty known to ma i has/have nroduced P y as identification. • as identification. . • Notary Public " Notary Pubic Commission No. Commission No. . Name of Notary typed; printed at stamped Maine of Notary typed; printed or stamped =