HomeMy WebLinkAbout11-11461 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11461
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11461 Address: 5335 8TH ST
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: 11 -26- 0010 - 13400 -0010
lmprov. Cost:
Date Issued: 1/28/2011 Name: CITY OF ZEPHYRHILLS
Total Fees: 0 Address: 5335 8TH ST
Amount Paid: / ,) ZEPHYRHILLS
Date Paid: cx(/ Phone:
Work Desc: FPM - ANNUAL FIRE SPRINKLER FOR CITY HALL ZEPHYRHILLS
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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."
Ai
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 ZepihyrhillsFire, Fax -313- 730 -0021
Permit Application
Date Received
Phones Contact for Permit
Owners name S TMPLF,XGR TNNET,L Owners Phone Number 813 626 5 4 8 2
Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610
Fee Simple "Titleholder Name I - i Titleholder Phone Number
Fee Simple Titleholder Address i .
Fc -..-ry ."°Tq ,1_ .._-1- ._r�r -= -; x -q. f- .� :__:STAIM.:4 M _.,- aLTEAS�, 5�' � :,4�"�"•i..,_.yVM. WIt.�z <_..s_,,;.M ._a_4fe.M - �^_'"�
Job Address 5335 `35 % 34 -re- 335-(2. Z-ePr% (II I S b t Lot i
Sub Division Parcel #
,ar m
Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier If or RQ Facility) ANNUAL
I . • Controlled Bum I Hood Installation
I Emergency Generator < 30 kw n LP /Natural Gas - installation f r
. i -;.: . Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale
I. Fire Protection Maintenance - ANNUAL • • T1 Places of Assembly- ANNUAL .. 1
i 4 Qtrlyf !Semi' lAnl Other
• Sprinkler. ❑ CI Recreational Bum ( L i .
Fire Alarm n ❑ ❑ ❑" I • , l f Sparklers f
Hood Cleaning 1 D 1=1 0 1 1 Sprinkler System Installations
: Hood Suppression n ❑ ❑ ❑ j I i I Standpipes (Sprinkler Sys);..
I Fire Alarrn Installation Torch Roofin /Tar Kettle - • • i
f •: I Fire Pumps . • I • • I _ Waste The Storage ANNUAL
`I Fire Works
m . , I I. Flamable Application- ANNUAL ! I Valuation of Project
I Fuel T
.:. I' I ..Other: I .
j - . , � ' � -s, 'S .:w:'? ;:g�'.'Ax— �^sr,; .. , IT .+:'"5_: =`, ._,nL._...< "�€=— �:ss�:ign
Contractor / Company 3 ei-714 K t
Signature ds Registered Y / N S f Fee Current l Y /"N _I •
Address i .' ' se #
-• . Lice - i
ELECTRICIAN :,
Company .
Signature Registered . Y / N 1 Fee Current 1..:-. Y/ N J
Address I I License # I ,
.PLUMBER Company
Signature Registered Y1 Ni I Fee Current I Y / N I -
1
Address I - I
i License # . •
MECHANICAL •
Company
Signature Registered Y/ N I Fee Current Y / N j
Address I • .;_, i License # I i
OTHER Company • - .
Signature Registered Y / N I Fee Current i Y/ N J
Address i Licensees
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': estrictions'
which may be more restrictive than County re The e- undersigned assumes responsibility for:compliance with any
_applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a or -
contractors to 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 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 for 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 (Chapter7l3, Florjda 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: l 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 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. 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 i
must take to be in compliance.
If 1 am the AGENT FOR THE OWNER 1 promise in good faith to inform the owner of the permitting_ conditions set forth in
- arate ermit may be_ required for elctrical work
-- - this-�affidavit -prior to commencing - corisirucfion .:_ undecsfand_ tha�..a sep p e
_.. _ _.. __ -, _
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 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. 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 114 YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING, CONSULT
WiTH YOUR LENDER OR AN ATTO BEFORE RECORDING YOUR NOTICE r CO s• ENCEMENT.
FLORIDA JURAT (F S: 117_ � _
OR AGENT �/ �/
CONTRACTOR �� •
OWNER O Subscribed and om to or 'firmed) before me this
Subscribed and sworn • (or - r ed) before me this by
• by Who is /are personally known to me or has /have produced
Who is /are personally known to ma or has/have produced p 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
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