HomeMy WebLinkAbout11-11646 CITY OF ZEPHYRHILLS ,�/"
, 5335 - 8TH STREET
(si3) �so-oo20 11646
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11646 Address: 3751 LAUREL VALLEY BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-OOCO
Improv. Cost:
Date Issued: 3/15/2011 Name: MAJESTIC OAKS LLC
Total Fees: 25.00 Address: 3751 LAUREL VALLEY BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2011 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY- MAJESTIC OAKS
5.
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 doubfe 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."
�..
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
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. Ci'ry ofZephyrhilfs�Fir.�� Fax-a13-7ao-ao21
Pzrmii App(ica�ion
Date FZeceived . _ '
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Owners Name
owners Phone Number g� 3 6 2 6 5 4 8 2
Owne�sAddress 4701 Oak Fair Blvd T�MPA FL 33610
Fe� Simple ,Tiffeholder I�ame • - Tfleholdar Phone M1lumber �� �� C
Fee SirrtpfeTitlehofderFiddress
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Sub Divisia� Parcel �#
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Bio-Hazard Waste Storage -ANt�tUAL � Fumigation Tent
� Comm Exhaust'Kitchen Ffood/Duct � Hazardous Maferfal (Tier If or RQ Facifify) AhlM1(UAL
� Controlled Bum � Hood (nsfalfa4ion
,� Emergency Generator <30 kw � LP/t�latural Gas-Insfaflation
. . �,_ �EmergencyGenerator> 30�kw � LP/t�fafural Gas-ANf�lUALSa[e
, •- � Fire Protecfian Maintenance - ANhlUAL ' � Places of Assembiy AHt�lUAL
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. , .r' ` Sprinkter, . _ � p ❑ - � Recreafional 8um
� � � -, Fire Alarm � Q ❑ ❑' � � Sparkfers . �
� � �� � Hood Cleaning � p p � � � L I j � ��
Sprinkfer Sysfem Insta(ta6ons � � �/
- -- - �- - ' • . _ Hood $uppression - - � q ❑ ❑ � � •� �
, _ _ "; _;; .�i . -: °-� � . _ Standpipes (Sprinkler Sys)
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." '' � Fire Pumps � •-.. _ ,... _ ._ , _._.--..- -- - -
` `N.` �� -. Waste Tire 5torage A[�[KUAL - �
Fre Works �
. r;i, �• ,- Ffamrimab[eApp[ica6on-ANt�lUAL , . � Valuation of Project
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Confractor •
Compahy f �y�'�- ��,� ��
Signature ' Registered I Y� N I Fee Current Y/ N
Add�es§
' �•.7: ' - -' License # .
ELECTRICfAN ".: ` ._ _ _ ' - • -
. . , , . _ . . . ., - - . - , Company . : - ; , . .
Signafure . , _.. - � " . • � Re istered < Y /�N �' � ' . -
9� ., Fea,Gurrent> Y / N �
Address - • -
License # ' • , ,
-PLUMBER . _ • , � , Company • `��
Signafure ' . " - . '; -� .
Reg;stered Y( Iv � Fee CurrenP �' /. �('� ,I
Address .
License # '
MECH�4NfCAL
Company
Signaferre Registered Y/(� Fee Current Y/ I�j
Address . .,, -
License #
OTHER �
• Company
Signature Registered �' /(�( Fae Current Y/[�f
Address
License #
Direc6ons: ' -
� . FF[f out appiication comp(efely_ �
_____ _ Owner 8� Corttracforsigrt 6ack of appticatiort, nofadzed (Or, copy of sign=d contrac( with owtter)
If over $Z500, a rlofice of Commencement is required_(fvF_chanieal work over $5000j .
,_ _ .- Suppty two (2) sefs of dr�wings wifh applicabfe documenfa8on • -
_ _. - _ Alfo�nr 10-14 days for review ar�er submifta[ dafe_ Parcet t# - obtair�ed fmm prnperf�r Tax (�ofice (hifpJ/appraiser.pascogov.com}
`�taT(GE OF=DEEQRESTRICTIOf�S: � he_unde The undersigned as P rrtes sponsib lby for�:�ompl� nce`wfh any
�rhich may be more restric"tive than Couny reg
_appl�cab[e deed resfrictions. -
Ut�LtCEE�lSED'CO�lTR:4CT(�F�S A�lD�COt�lTRACTOR RESP.Of�SGBIL(T[ES: [f�the owner hasfiired or -
con�racfors �fo undertaEce work, � d b b lawe�bo l th�the owner and contractoamay be� eited f r a m sdemeanor vio[a �on
confracfor is not [icensed as r q Y y: p
under sfate la�v. [f the owner or infended contracfor are uncertain .as �to what licensing - �equiremen�s ma a ply for t e
intended wor[c, ttiey are advised contact fhe-Pasco County Building [nsp �e��s D dvi ed �to ge coinfraaf r� � 84g
gQ�Qg_ Fur�hermbre� if the owrter� has hired _a contrac�or or contractors,
porEions of the "contractor Bfock" afn {haf he� is n p�operiy Iicensed d is not en�ffed permit�ing legesgn Pasco
confractor, fhat may be an md�cat[
Counfy.
CONSTRUCT(ON-L[EN LAW (GF�apfer7'[ Florrda S�afufes,-as�� f he �Fo C Len �LawO owner's
cerEify tha� !, �the appiicant, ha�re been provided w�th a copy
Protecfion Guide" prepared by�fhe F(orida Department of A of the above d s�r bed document and promPaean fa th to
afher fhan the�'bwner", f certify that I have obtained a copy
defiver it to tf�e "awner� prior to commencement.
COhITRACTOR'SIOWI�IER'S-AFFtDAV[T: f ce�Eify fhat a[f the information in fhis app[icafion is accurafe and
� fhat a(I vvork wi(I be done in compfianc.e with a(f applicabfe f,aws regu[ating construcfion, zoning and Iand
deve(oprnent. Applicafion is hereb� made to obfain a permit to do work and insfallation as indicafed. -f cer�ify
fhat no work or �nstalfation has commenced prior to issuance oa d Gi g regula io Ps, and fand
meet standards of alf laws� regulating construction, County fY _
development regulations in the jurisdicfion. [ a(s.o cer�ify t�at l understand thaf fhe regulations of other
. governmenf agencies may appl yto f[�e intended war[c, and �hat it is my respons�bility to iden�ify what acfions f
must take to be in compfia�ce. . __..
_ff l„am the AGENT FOFZTHE OWNER,�f�p� n!S �.�u� �;r�a�cLfhata..se a�rat W�rmit ma p be re a( work, �-- -�
_---tf �is--afF'�davit - Prior - to�comme�ici�ig. - con � .� - - P --�------y--:---_q._...�____._. __.._.. _. ._..,..._..- ..._.,--__..---
[umbing, signs, wells, poo(s, air condifioning,� gas, .or other instalfafions not specifically mcfuded in ff�e app[icatiori. A
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permit issued sha[I be�construed fion cal codes�nor shall ssua�nce of a pe mi�prevent the ding Off►ceaf from fihereafEer
set aside any pi'ovGSions of the fech ,
_re�uiring a correctiorr of eROrs in plans,rmi{ sfNO Wfthin s X nths of permit p sua�nce, wark aufhor ed by
unfess t(ie work authorized by such pe
fhe perm�t is suspended or abandonhe BuildP al perod not to exc�eed�n nety days and wil( demon �rafe
may be requested, in writing; from f g gp consecutive days, fhe job is considered abandoned.
justifiab(e cause for fhe extension. ff wo�k ceases for ninefy ()
WAR[�CNG'TO. QWNER: YOUF2 FAILURE TO RECORD A.'NOTEF YOU WoE DTO OBT t�[ FfhIANC[HG CONS R_ �. ` �_-
PAYING,TW[C� FOR� [I41lPROVEMENTSTQ YOUR PROPERTY _
VIfITHYOUR LENbER ot�AC1 AT�� BEFORE RECORDWG YOUR�NOTtCE C � ENCEME�IT.
FLORlDAJURAT (F.S: 117_ � _ -
' •__ _. - � - l ' CO�[l'RACTOR - : .
OWNER OR AGEH7 Subscribed and s m to or rmed) before me this
Subscribed arid swom .(or �, ed) before me fhis by
bY Who is/are personally known to me or has(have produced
WE�o is �are personafEy known to me or haslhave produced _ as idenfifcafion.
. as idenfificafiori.
Nqtary Pub(ic
� Nofary Pubfic _ � _
' Commission No. ,
Commission �to- .
- t�iame af [�iotary typed, printed or sfamPed
I�tame of Notary typed; Rnnted or stamped -
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