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HomeMy WebLinkAbout11-11398 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11398 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11398 Address: 37820 13TH AVE 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: 10- 26 -21- 0010 - 03400 -0000 Improv. Cost: Date Issued: 1/12/2011 Name: PASCO COUNTY SCHOOL BOARD Total Fees: 25.00 Address: 7227 LAND 0 LAKES BLVD Amount Paid: 25.00 LAND 0 LAKES FL 34638 Date Paid: 1/12/2011 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- PASCO CSB TRANSPORTATION -NO CHARGE 5.6 (0 3/C— / ( 1 anal 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." O! A P 117" 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 81 3 78 0 -0020 City of Zephyrhills Fite; ( . 3 % e ' Fax - 813- 78J0021 Permit Application r Date Received Phone Contact tor Permit Owner's Name S TYPT,F;X(7RTNNFT,L Owne-s Phone Number 813 1 626 1 15482 • Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 . Fee Simple Titleholder Name • ' Titleholder Phone Number Fee SimpleTitleholderAddress . " -•-1 1 r - ,. _.: ' a _ E .c,:.:.� & '- - :M 17 - . �F_ iv—.� -- „,, _ .eF__. sM�-= c::=-_,. . Al C Job Address ' - 7. ,, v - 0 1 h • •S 5() , a rGn PIM I n # Sub Division Parcel # Bio- Hazard Waste Storage - ANNUAL Fumigation Tent I Comm Exhaust Kitchen Hood /Duct I r Controlled Bum I v Gam^ ( - C o ( I ? ' Emergency Generator < 30 kw I j Emergency I•- > 30 -k I I I Fire Protection Maintenance - ANNUAL I I J 1 Otrly1 1Semi 1 iAnl 1 Other ” 1 Sprinkler. l ❑ ' O D. Fire Alarm , I ❑ ❑ • , t : I 1 I _ U�/ Q_ (14,U I V� Hood Cleaning I 1 i7 ❑ ❑ 1 SJ. Hood Suppression f o ❑ . . _P = I.. I .' \ @,i f Fire Alarm Installation ' • I 1 t I Fire Pumps • • . II Fire Works • J:-: : I Flammable Application- ANNUAL [ I I.. Fuel Tanks .. I f Otf:ier I • _ Contractor / Company (�ti KR.w.-e. t.( Signature ` - Registered Y / N j Fee Current I' Y / N I • Address I :, I. . License # I ELECTRICIAN Company ., Signature -` " _ . t . ' Registered Y / Ni Fe & urrent Y / NI:. f • . C I, : I - Address I I License # I l PLUMBER _ Company , Signature - Registered Y/ N ' I Fee Current- 1 Y114.,' I : ' - Address I I License # • ' I MECHANICAL Company • Signature , Registered Y/ N . 1 Fee Current Y / N j . Address I, ; I License # I OTHER - Company - . Signature Registered Y / N I Fee Current Y / N,] Address License # I 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 • Allow 10 -14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /appraiser.pescogov.com) • `NOTICE OFIDEED RESTRICTIONS: The undersigned understands.that this permit may_be subject to "dee'd':res?rictions' which may be more restrictive than County regulations. i he:undersigned assumes responsibility for:compliance with any _applicab[e deed restrictions. UNLICENSED - CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If •the owner has - hired - :a-contractor or - - contr 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 -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 - they 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 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 promise in good faith to deliver it to the "owner" prior to commencement. CONTR /OWNER'S AFFIDAVIT: [ certify that all the information in this application is accurate and that all work will be done in compliance with all applicable haws 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 perinit 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 applyto the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If l'am the AGENT FOR THE OWNER; 1 promise in good faith to inform the owner of the permitting.conditions set forth in _. ..,.: f---this-affidavit--prior- to commenclrng construction ::.f uriderstabd_that..arseparate. perrri ,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 construed 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 issued. 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 peridd 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. WARNING TO, OWNER:- YOUR 'FAILURE TO RECORD A'NOTICE'OF :COMMENCEMENT MAY RESULT IN YOUR PAYING TWIG FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING, CONSULT _. WITH YOUR LENDER OR'AN ATTO BEFORE RECORDING YOUR N OTICE V C ENCEMENT. • FLORIDA A RAT (F S 117. OWNER OR AGENT CONTRACTOR /_ Subscribed arid sw orn . (or . • : • ed) before me this Subscribed and s om to or . firmed) before me this by - by Who isfare personally known to the or has /have produced Who istare personally known to me or has /have produced as identification. • as identification: Notary Public Notary Public Commission No. • Commission No. - Name of Notary typed; panted or stamped Name of Notary typed; printed of stamped • •