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HomeMy WebLinkAbout11-11462 CITY OF ZEPHYRHILLS '/ 5335 - 8TH STREET 11462 (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11462 Address: 6907 DAIRY RD 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: 02 26 - 0010 - 01000 - 0000 Improv. Cost: Date Issued: 1/28/2011 Name: CITY OF ZEPHYRHILLS Total Fees: i - Address: 6907 DAIRY RD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: FPM - ANNUAL FIRE SPRINKLER FOR ZEPHYRHILLS FIRE STATION #1 ti r - , inal 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." "VP 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 =r 80-0020 City of Zephyrhiffs'Fire: Fix- 313 -7a0 -0021 Permit Application Date Received Phone Contact Permit t Owner's Name S TMPT,FXGR TNNFT,T, 1 Owner's Phone Number 1 81 3 1 1 626 1 5482 ` Owner's Address 1 4701. Oak Fair Blvd TAMPA FL 33610 • Fee Simple Titleholder Name I • - I Titleholder Phone Number 1 J Fee SimpleTitleholderAddress I - Job Address Ili IP, le .` g•('€. I .; ME Let I Sub Division Parcel . I ,I Bio- Hazard Waste Storage- ANNUAL Ii Fumigation Tent Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier If or RQ Facility) ANNUAL • I . • Controlled Burn I I Hood Installation ' I ` ` I' Emergency Generator < 30 kw I I LP /Natural Gas- lnsfallation Emergency Generator> 30 kw ' I I LP /Natural Gas - ANNUAL Sale • Fire Protection Maintenance - ANNUAL - I I Places of Assembly- ANNUAL .. . lCftriyl isemi( g Sprinkler, ❑ ❑ ►,. I I Recreational Bum Fire Atarrii • ' . I 1 ❑ ❑ ❑- I , 1 : 1 1 Sparklers 1 ' - Hood Cleaning I 1 ❑ ❑ ' ❑ I I 1 "1 Sprinkler System Installations • ' � Hood Suppression O � - - H ❑ - I I .. .1 . es (Sprinkler Sys) f • Fire Alarm Installation - T rch Roofin g(i`ar Ketfle` ` �, Fire Pumps • • I 1 - Waste The Storage ANNUAL j , ...1: 'I' Fire Works • I . I. Flammable Application- ANNUAL I ( Valuation o ject f Pro F uel Tanks I Other .. . .. Contractor Company -<, - -, .,,� >,.., . R;P` 4�,.�` �:.:>x -, a€ Signature I 3 cell- i �, 'S c. C I Registered Y / N • Fee .Current • Y / N Address I License # ELECTRICIAN • . „ ` Company Signature ( Registered ' Y / N Fee C un-ent Y / N I Address I I : . r . License # I I PLUMBER Company • Signature - Registered Y / N : F I F e Current Y / N;' I: • Address I I License # . I ' I MECHANICAL - Company Signature Registered I Y / N j Fee Current • i . Address .. . License #. I I Y / N f, f OTHER I Company Signature ! Registered Y / N J Fee Current 1 Y / N Address I Di " � «: _ License rections: . -.. -� ,,,,-. - =, -•� ,.: = s x, Fill out application completely. ' _ __ _ Owner & Contractor 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 - AI[oJ 10 -14 days for review after submittal date. Parcel 4- obtaind from Proper y Tax Nofica h f /(a ( p: ppraiser.pascogov.com) • 'NOTICE OFIDEED RESTRICTIONS : i he -t re (a(igons -Chunderstands and signed ssumes r , spans�.b responsibility for�:comp! which may be more restrictive than Coun nc� with any - County g .applicable deed restrictions. UNLICENSED `CONTRA�ooR��AmDyC a be licensed in If accordance with state ate and (ocaliegu{ationact�tr�oQ - contractors is undertake Y contractor (s licensed as required ded or are uncertain as to whatrlcenbsi cited-for - requirements s may apply for under state law. If the owner or _ intended work, they are advised to contact has hired _a the-Pasco B contractor orco torsF ne Ps Ddvised 'to i havenrghe c o actar(s} g�gn portions Furthermore, if the owner n portions of the "contractor Block" of this that Pe is not pr licensed d be is not entitled-to Pasco contractor, that may be an tndtcatt County. CONSTRUCTION - LIEN LAW (Chapter71 Florida Statutes, - a amen me d e o i f C anon of on Lien Law is or o, certify that 1, • the applicant, have been provided with a copy of is someone Protection Guide" prepared by Florida Department of Agriculture tneabove d s�r(bed docum and prOmrs. If the faith to other than the owner , 1 certify that I have obtained a copy of deliver it to the "oNmer" prior to commencement. .. • CONTRACTOR'SIOWNER'S- AFFIDAVIT :• ( certify that all the information in this application' is accurate and that all work w((1 li done in co cation is hereby plmade with all a permit to laws do Work and 9 Construction, n dicat d..1 certify development. Appli that no work or installation has commenced prior to issuance of a and p mit and d zo work will be performed rfo d land • meet standards of all laws regulating construction, County City development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other • . government agencies may apply the intended work, arid that it is my responsibility to identify what actions 1 must take to be in compliance. ons set (fl ;am the AGENT FOR THE OWNER I promise- in good faith that past permlti r ma p be__re t g ed for l e(ectr cai work ;, _,_ _ -_ - .. -tE �ls °affidavit -- prior -to commencln coristrucf(on_,...[.un e.rs. n plumbing, signs, wells, pools, air conditioning,• gas, or other installations not specifically included in the application. A pe, cancel, alter, or rmit issued shall 6e to be a license to proceed with a permi�p prevent the Official from thereafter set aside any provisions of the technical codes, nor shall requiring a correction errors s plans; m i t violations any codes. Every months of permit permit issuance, u or d if w autho by unless y m work authorized t nded r by such d fm May pbe e is esspenn writing; or aba om the Buildi peridd cif t (6) months pfter the time Offic al fora period not to the nety days and will demonstrate niay ab re le c au s o; i h e _ from justifiabause 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 IF YOU INTEND TO ME N F IN = WAR ..... P A Y t.. . . C= FOI2 [MPROVEMENTSTO YOUR PROPERTY. • BEFORE RECORDING YOUR NOTIGE !' C!1 11: ENGEMENT, . 1iV[TH YOUR (:ENDER. OR' AN ATtO' ' FLORIDAJURAT(FS.117. ' ar- a . CONTRACTOR te . bW Subscribed and om to or timed) before me the g rid sy ern (or - r . ed) before me this — _ - by Who is /are personally known to me or hasthave produced Who is/are P personally known to nia i enfic has/have produced - as identification. as identifica5on. _ Notary Public Notary Public Commission No. Commission No. Name of Notary typed; Printed or stamped Name of Notary typed; printed or stamped .