HomeMy WebLinkAbout11-11644 CITY OF ZEPHYRHILLS
' - � 5335 - 8TH STREET �
(813) 780-0020 11644
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11644 Address: 7350 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-06900-0020
Improv. Cost:
Date Issued: 3/15/2011 Name: ADVENTIST HEALTH SYSTEM
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2011 Phone: (407)975-3000
Work Desc: FPM-SPRINKLER ANNUAL- ADVENTIST HEALTH SYSTEM
5.
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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."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECiION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
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Pzrmii App(icaiion
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Directions: - • . �
_ Fi[f out aPpiicafion compfetely_ ,
___: _ Owner & Contracforsign 6ack of applicaiion, nofarized (Qr, copy of signed contracf wifh owrter)
ff over $Z500, a Nofice of Commencement is required_(Mechanicat work over $5000� _
.- - Supp[y two (2) sefs of drawings wifh app(icabfe doc�tmenfafion '
_ _. - _ Aifodw 10-'(4 days for review at�er submifta[ dafe. Parcef �- obfaiRed fmm Properfy Tax hiofice (hifpJ/appraiser.pascogov.com)
`�iC3T[CE aF-DEED RESTRECT[OI�S: I he.undersigned understands-that this permit may_be subject:�o
wF�ich may be mare restricuve than Couny regulations. - Che=unc4ersigned assumes responsibiliy for:�amPlian�ce=vvi�f� any .
_appf�cabfe deed resfrictions.
U(�LICENSE�'CO�lTRACTgRS A[�D �COi�lTRACTOR RESPO�lSGBILfT[ES: [f�the ov�rner has - [�ired -, a �c�n�racfor or -
confracfors �to undertake work, they may be required �fo be [icensed in accordance with sfate and locaf�regulations ff fhe
contracfor is naf [icensed as required by [aw, both the awner .and contractor may be cited�for :a �misd�meanor�vio�[a�ih�
under stafe faw. [f the owner or intended contracfor are uncerEain.as fo what licensing may:appy
intended �vork, tliey are advised�fo confact the�Pasco County Building Inspection D'[vision—Licensing Section.at 727-847-
8Q09. Fur�hermbre� if fhe owner has hired _a contractor ar confractars, (�e is advised �fo have the confractor(s) sign
por�ions of fhe "corttractor Bfock" af fhis appfica�ion�for wh�ch'they wi[[ be responsib(e. [f you, as�the owner sign as the
contractor, fhaf may be an indicatian'thaf he is nof properfy [icensed and is not enfiffed permit�ing pr[vileges in Pasco
Counfy.
GOt�STFZUCT[ON-L[EN Ll�W (Ghapfer71 Flaricia Sfafufes,_as.amended): !f valuafion of v�rork is $2;500.00 or more,
cer�ify thaf (, �the appticant, have been provided w[th a copy of �the °Florida Canstruction Lien Law—Homeowner's
Protecfion Guide prepared by�the Fforida Department of Agricuiture and Consumer Affairs. (f the app[ieanf is �someone
ofher than fhe "ownar", f cerEify that I have obtained a copy of the above described document and promise in good faith to
deEiver [t to fhe "owne�' prior to commencemenf.
COhlTRACTOR'S/OWNER'S-AFFlDAV[T: 1 cerEify fhat a[i fhe informafion in fhis appficatian is accurate and
J fhat a[( u�ork wil( be done in complianc.e wifh afi applicab[e I,aws regu[ating construction, zoning and (and
devefopment. App(icafian is hereb� made to obfain a permit to do work and installation as indicated. �f certify
fhat no work or instalfatiQn has commenced prior to issuance of a per�n�t and�thaf al( work will be performed fo
meet standards of ali (aws' regufating construction, County and Cify codes, .zoning regulafions, and fand
devefopment regulafions in the jurisdiction. [ als.o cerEify fhat I understand thaf fhe regulations of ofher
_ government agencies may appiy�fo fhe intended work, and �hat it is my responsibi[ify to identify whaf acfions i
must take to be �n compfiance.
'_(f l;am �he AGENT FQRTNE OWNER; proCnise--in good faith Eo inform the owner. of the perrrtiEEing._conditions sef for�h,in_ i'_- Y
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---tF�is-aff'rdavit-Prior-to comme�ci�g--con5�rucfion_-.Cunderstand_�h�t..�:;.se arate___�rm�t may__be re uired_for_electrica_wor ,
pfumbing, signs, wells, pools, air conditioning, gas, .or other instal(afions not specifically mcluded in fhe app[icafion. A
permit issued shafl be�construed to be a license to proceed wiffi �fhe work and not as authority fo violafe, cancel, a[ter, or
set aside any provisions of fhe technical codes, nor shall issuance of a permit prevent �he Building OfFicia[ from fihereafEer
. re�u�ring a correction� of errors� in p(ans, construcfion or violation� of any codes. Every. .pe.rmif issue.d. sha[t..beco.r�e inva[id
unfess flie work authorized by such permit is commenced w�thin six monfhs of permif issuance, or if work aufhor�zed by
fhe permit is suspended or abandonad for a period of six (6) montf�s af�er the time the work is cQmmenced. An ex�ension
may be requested, [n writing, fram fhe Building Official far a period not fo exceed ninety (90) days and wi([ demons�rate
justrfiab(e cause for the extension. ff wo�k ceases for ninefy (90) consecutive days, fhe job is considered abandoned_
WARH[�iG:'TO. OWNER: 'YOUFt �FA[LURE TO RECORD A'N�'TICE'O�-�CON(MEHCEtVIEN�': t�[AY RES[1LT [H YOUR "
PAYfNG,TW[C� FOF�. [MPROVEMEf�I7STQ YOUR PROPEEZTY. EF YOU INTEhID T0 OBT N FINANG[HG, CONSULT� i-,=�: "-,
1IVITHYOUR LENDER Ot�AN ATTO � �BEFORE RECORD[NG YDUR�NOTfCE C ENCEMEH7. _.-
FL�R(DA .JLJRAT�(F.S: 117� ,
.� _'.'-- -� .' - COhITRACTOR . `
OWNEFt OR AGEN7 Subscribed and s om to or raned) before me this -:,
SubscribedTarid swom (o� � ed) before me fhis bY
bY Vl�ho is/are psrsonally Ecnown to me or hasfhave produced
Who is/are personally knawn to me or has/have produced as idenfificafion•:
. as idanfificafiori. -
Natary Public
' Notary Public
� Commission No. ,
Commission I�o_ .
ed; rinted or sYamped t�tame of t�tofary typed, printed or sfamPed
t�taine of NoEary fyp R -