HomeMy WebLinkAbout11-11459 - - CITY OF ZEPHYRHILLS
5335 - 8TH STREET 11459
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11459 Address: 39825 ALSTON AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13- 26 -21- 0040 -00D00 -0030
Improv. Cost:
Date Issued: 1/28/2011 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 39825 ALSTON AVE
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: FPM - ANNUAL FOR FIRE SPRINKLER FOR CITY WASTE WATER TREATMENT PLANT
TY • V . 1
1
- • - ' ' 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." .1111.P
/.'
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
•
31378o -oozo City of Zephyrhilis`Mi7e
Fax-813-730 -0071
Permit Application
Phone Contact for Permit J I
Date Received � _ -�-- __- _.�.� �� .� - . - �._. --
��'= = -� —�- -- 626 5482
Owner's Phone Number I 813 H
Owner's Name I STMPT,FXC7RTNNFT - -
owners Address 1 4701. Oak Fair Blvd TAMPA FL 33610 .
Titleholder Phone Number I I •
Fee Simple .Titleholder Name
Fee Simple - Titleholder Address I .,.�.,_
-"_ - te a r..,,w :. = ' .- yg. =
Job Address
U?i5 fVISLAP Nye. n y e , tgSk. \ QT e( Iregtim'e -4- Let#
I Parcel „ _,.
Sub Division ._ . - ss ..,•:--, � .�...k. -- _...... .c. , s..
I • I Bia- Hazard Waste Storage - ANNUAL I Fumigation Tent
I I
Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
• Controlled Bum Hood Installation
Emergency Generator < 30 kw I LP /Natural Gas - Installation
n Emergency Generator > 30 kw
LP /Natural Gas - ANNUAL Sale
I Places of Assembly- ANNUAL . / ,.
I I Fire • Protection Maintenance _ANNUAL
F. 4 I(ttrlyI 'Semi( IAnI
Sprinkler , 0 Other !� 1 ' ❑ ,
Recreational Bum LJ
Fire Alarm • , ❑ ❑ ❑ [ 1 ( Sparklers
Hood Cleaning
0 ❑ ❑ I 1 1 Sprinkler' System Installations
Hood Suppression. I I 0 0 - O . I .. Standpipes (Sprinkler Sys)
_.. orah R
Fi e Afarm InstaUafion
f 'r oofing/Tai Kettle • - •. Waste Tire Storage ANNUAL •
I Fire Pumps • • •
I ( Fire Works ' • ,
Flammable Application- ANNUAL ` ton o
1 Valuation of Project
i I F uel Tanks
I - I Other: Cr i . i „J .i V2 _ �� mo .
Contractor Company /pin\
• I Registered _ Y / N Fee Current I' Y /N I
-
Signature I f
Address I .
(, License # I
ELECTRICIAN Company
Signature Registered Y 1 N Fee Current I Y/ N .: I • Address I ... License # - '' I
-
.PLUMBER Company
Signature Registered Y / N ' I Fee Current- I Y / N'
• Address 1 - I License # • ' I
MECHANICAL - Company •
Registered Y/ N 1 Fee Current I Y / N I
Signature -
. Address I,-:., - I License# I 1
-
OTHER Company -
Signature • - Registered L Y / N 1 Fee Current I Y / N
9 Address I ... _ R �- License
teen
Directions- - - -
_ Fill out application completely-
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with ovaner)
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 fr-m Property Tax Notice (blip: /lappraiser.oascogcv_com)
•
`NOTICE OF: DEED "RESTRECTIONS: € he.undersigned understands that this permit may_be subject to "ded" as?riction„'
which may be more restrictive than County regulations. The:undersigned assumes responsibility forr:complianue =with any
_applicable deed restrictions.
UNLICENSED 'CONTRACTORS AND - CONTRACTOR RESPONS[BILIT[ES: If the owner has - hired:a °contractor or -
contractors undertake work, they may be required to be licensed in accordance with state and focal If the
contractor is not licensed as required by law, both the owner and contractor may be cited as misdemeanor violation
under state law. [f the owner or intended contractor are uncertain.as 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 property licensed and is not entitfed permitting privileges in Pasco
County.
CONSTRUCTION _LIEN LAW (Chapter713, Florida Statufes,_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 ", 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- AFF[DAVCT:• I certify that all the information in this application' is accurate and
that-ail work will be done in corfipliance 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 pei andthat 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. 1 also certify that I understand that the regulations of other
_ government agencies may applyto the intended work, and that it is my responsibility to identify what actions 1
must take to be in compliance.
f I am the AGENT FOR THE OWNER I promise -in good faith to inform the owner of the permitting. conditions set forth in .
-thrs - affidavit prior to commet~ icing - con ..:.[- understand_ that asepara(e_ 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 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. shalt 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. ff work ceases for ninety (90) consecutive days, the job is considered abandoned.
:WARNING TO. OWNER: YOUR FAILURE TO RECORD A'NOT[CE 'OF -COMMENCEMENT MAY': RESULT IN YOUR -
PAYING<TW[CE FOR [MPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO OBT• N FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTO' BEFORE RECORDING YOUR NOTICE C ENCEMENT.
FLORIDA JURAT (F S 117.1.
• OWNER ORA G EHT CONTRACTOR
Subscribed and sw orn + (or . • • ed) before me this Subscribed and s om to or .''firmed) before me this
6y , by
Who is /are personally known to me dr has /have produced Who is /are 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
•
•