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HomeMy WebLinkAbout11-11449 CITY OF ZEPHYRHILLS ,,/ 5335 - 8TH . STREET .' (813) 780 -0020 11449 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11449 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: 1/26/2011 Name: GOLDEN HEALTH SERVICES INC Total Fees: 25.00 Address: 2424 CURLEW RD Amount Paid: 25.00 PALM HARBOUR, FL 34683 Date Paid: 1/26/2011 Phone: (727)781 -5885 Work Desc: FPM- FIRE ALARM ANNUAL- WEST WINDS e ( 0 511.- t— -7 t I t/ v I 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." i ce! -i 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 . 41 1 1 (d i ( t r i 813- 780 -0020 City of Zephyrhills Fire Fax -813- 780 -0021 Permit Application Date Received Phone Contact for Permit - Owner's Name M V W iwi ZG�JI - 1 r ti1 IS I 1 $1 I I 58.8c �� tl (1 5 ` QQ ` t_C Owner's Phone Number 1 Z Owner's Address 2 ( f 2 1 (uil ew cr / M NA-04 O e_ - I 3 Fee Simple Titleholder Name F � ' Titleholder Phone Number I Fee Simple Titleholder Address I ...:_ yes „,. 39. . ',.' :- - '131.... r . .... „, a Job Address ,-- L! /P/l/ ,g 1,e- Ze r4, /Is ft 3 t i Z Lot# I I Sub Division / P Parcel # (p" 4 Co) Jo -cam 30o vow n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RC) Facility) ANNUAL F - 7 Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation 1 Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL n Places of Assembly - ANNUAL El ISemi1 J Other Sprinkler ❑ ❑ ❑ n Recreational Burn Fire Alarm n ❑ . ,6-1 I Ti Sparklers Hood Cleaning n ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ I I I I Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle n F ire Pumps n Waste Tire Storage ANNUAL n Fire Works n F lammable Application - ANNUAL I I Valuation of Project n F - uel Tanks n Other: �, ="="e'7' _ Contractor �� � % ��w Company - MS • or 1 Signature Registered r.� Fee Current laTIMI Address Q W, �, / v , � t G / , - L 32�p License # ( t f c'oc i, ") I ELECTRICIAN Company 1 Signature Registered Y/ N 1 Fee Current I Y / N I Address ( License # I PLUMBER Company Signature Registered Y/ N I Fee Current I Y/ N 1 Address I 1 License # MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # OTHER Company Signature Registered Y/ N I Fee Current I Y/ N I 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 Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. 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 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 for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, 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 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 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 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. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit 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 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 N F COMM CEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed }' /� bed pn worn to (pr,affi -. bef�{e me this, by P I • t� Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public N ary Public Commission No. nztx:P UELIr. "rerr Commission No. , i A ..: OP Pr OWDA Elaine Dietz ; 4 , 2 Commission #DD704107 Name of Notary typed, printed or stamped Name of Notary typed, ID '- ..driit d SEP ED'MR J All ANTIC nOND /NGC I L NC , • x -. STATE OF FLORIDA 'r;x.,rq DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION .= 'V' ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 a1. � wr : TALLAHASSEEMONROE STRFLT32399 -0783 LUTES, PHILLIP ALAN ALERT SECURITY INC DBA SIGNATURE SYSTEMS OF FLORIDA 796 WAYNE AVE ALTAMONTE SPRINGS FL 32701 , �f ,' „ r � 1 � . • < .t lt f pj�c = � +. i tts., nr 4` t ' Congratulations! With this license you become one of the nearly one million ` . dr ` " S 'T 4 `bF x „ 'r 1! IIf” ., , Floridians licensed by the Department of Business and Professional Regulation. :` , "r ,:li go RTME.1'4, OR, $U SS' 7D Our professionals and businesses range from architects to yacht brokers, from , ' n ;r ; :L!. Eta 2{IQjl3 ' d SiAr boxers to barbeque restaurants, and they keep Florida's economy strong. ti ix 0'�J tt)t ;may , EptoO . .& -f.,-,.,-... r s - Every day we work to improve the way we do business in order to serve you better. ilg4! n' 1 .,+; f, .r ^ ' ' ,,,. - j•._ ( T -g f For information about our services, please log onto www.myflorldalicense.com. - ' -CERTf r .. I. :1 1.1-4 r a ' > ): ` There you can find more information about our divisions and the regulations that I;UT r r ., r - y 1- + �� b `I impact you, subscribe to department newsletters and learn more about the ti t� Department's initiatives. $8s °a " � r P , �tr">��tA ,�F " ? Our mission at the Department is: License Efficiently, Regulate Fairly. 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Business name: SIGNATURE SYSTEMS OF FLORIDA Location address: 150 WILSHIRE BLVD City /State: CASSELBERRY FL 32707 SIGNATURE SYSTEMS OF FLORIDA 150 WILSHIRE BLVD CASSELBERRY FL 32707 ISSUE DATE: September 14, 2010 EXPIRATION DATE: September 30, 2011 TAX RECEIPT# CI,ASSIFICATION QIJANTITY FFF 11 00008551 CONSTRUCTION SEM1NOLE COUNTY LICENSE/B 110.25 45.Q0000 X 1.00 = 45.00 TOTAL: 155.25 Comments: LOW VOLTAGE CONTRACTOR/OFFICE ONLY/NO OUTSIDE Restrictions: STORAGE/DISPLAY OF GOOD/MATS /SVC/EQUIP/VEI ICLES IMPORTANT: THIS TAX RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS. PENALTY FOR FAILURE TO DO SO.