HomeMy WebLinkAbout11-11463 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11463
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11463 ` . .'
Address: 6118 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: 02- 26- 0080 -00A00 -0123
Improv. Cost:
Date Issued: 1/28/2011 Name: CITY OF ZEPHYRHILLS(POLICE DEPT)
Total Fees: 25.00 Address: 6118 8TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: FPM - ANNUAL FIRE SPRINKLER FOR ZEPHYRHILLS POLICE STATION
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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 shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater f 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."
11 -
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P a " 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
813-78o-002o City of ZephyrhUs 'Fir; Fax- 813 -780 -0021
Permit Application
Date Received - P Contact for P rnit
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Owner's Name S TMPL,FXCRTNNELL Owners Phone Number 813 6 2 6 5482
Owners Address 4701. Oak Fair Blvd TAMPA FL 33610
•
Fee Simple Titleholder Name ) • - } Titleholder Phone Number
Fee SimpleTitleholderAddress I .
Job Address (L./(J D C 6 tp, Z Pj�� It To1I J \CIf (' ll Lot#
Sub Division Parcel #
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. I - Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
I Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
I • Controlled Bum 1 I Hood Installation
I . Emergenc < 30 kw I 1 LP /Natural Gas - Installation �p
Li Emergency Generator > 30 kw ( I LP /Natural Gas - ANNUAL Sale . t )(
•
. I I • Fire Protection Maintenance - ANNUAL ' I 1 Places of /
rv iltarly1 'Semi! Other
• Sprinkler, ❑ ❑ 1 1 Recreational Bum 1
Fire Alarm I 1 ❑ ❑ ❑- 1 • . 1 1 1 Sparklers .
• - Hood Cleaning 1 1 ❑ ❑ ❑ 1 1 I 1 Sprinkler' System Installations
Hood Su ression 1 ❑ ❑ _❑ 1 I I 1 Standpipes (Sprinkler Sys)
1::".-: I ` Fire Alarm Installation I f ` Torch Roofing/Tar Kettle
I ; I Fire Pumps • • Waste Tire Storage ANNUAL " - - , -_ - • _. _
_ -
I `I' - Fire Works • 1' ' '
VII' Flamrnable Application- ANNUAL
/ f . : 1 Valuation of Project . •
Fuel Tanks
I I Other - 1 `' • ■. ! ✓
Contractor . 4111F Or Company ( 1' r'� .�
Signature Registered Y / N Fee Current Y /N j
• Address 1
• . , 1 . . License # I
-
ELECTRICIAN
• Company , : = • - •.-. . . ... . " ,
Signature -'..-.0,", ( Registered Y / N I ...Fee. Current I . :' Y / N. (.
Address I 2. • . . ` I
1 License # , ,
PLUMBER f Company a
Signature L.. I I Registered Y11\11 Fee Current I Y / N- I:
Address I I License* • I • _ I
MECHANICAL • I Company
Signature 1 1 Registered Y/ N J Fee Current I Y/ NI j
. Address I -
I,_ ( License # I I
OTHER Company
Signature Registered Y/ N j Fee Current I Y / N j
Address License #
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. 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 (httpi /appraiser.pascogov.corn)
'NOTICE OF :DEED "RESTRICTIONS: The .undersigned understands that this permit may_be•subject to `deed':res
which may be more restrictive than County regulations. - Che:undersigned assumes responsibility for, elwith any I
_applicable deed restrictions.
UNLICENSED 'CONTRACTORS AND-CONTRACTOR RESPONSIBILITIES: If the owner has -hired :a - contractor "or
con to undertake work, they may be required "to 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 - 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 which 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 permitting privileges in Pasco
Cou nty.
CONSTRUCTION"LIEN LAW (Chapter71 Florida Statutes,"as "amended): If valuation of work is $2;500 "00 or more, 1
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 l have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'SiOWNER'S "AFFIDAVIT :. • i certify that all the information in this application accurate and
that all work will be done in compliance with all applicable taws 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. 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 1
. must take to be in compliance
If l',am the AGENT FOR THE OWNER; I promise" in good faith to inform the owner of the permitting conditions set forth in
- -- -thris--afifidavit- prior -to commenerng- consiruction:.:.. understand_ that.aseparate..permif;Srnay re uired for e ec nca 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 shalt become invalid. by
unless the work authorized by such permit is commenced tonths within after the t m the commenced. An
the permit is suspended or abandoned for a period of six ( )
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.
. -
z. WARNING TWICE FOR R 'YOUR O VE M FALURE TO RECORD A
EN TO YOUR PROPERTY. YOU INT TO OBI N FINANCING, PAYING. NANCING CONSULT
ICIE IMPRVE
WITH YOUR LENDER OtfiAN ATTO' - 'BEFORE RECORDING YOUR NE ►' C :• ENCEMEN . •
i LORIDAJURAT( FS 117� _. / /� •
. CONTRACTOR � OTIC �
OWNER OR AGENT Subscribed and s om to or armed) before me this
Subscribed and swam (or - i • ed) before me this by
by Who is /are personally known to me or has /have produced
Who is/are personally known to ma i denhas/ cat ori. produced as identification: •
as iSficati "
Notary Pubiic
Notary Public
Commission No. ,
Commission No.
Name of Notary typed; printed or stamped
Name of Notary typed; printed or stamped -
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