HomeMy WebLinkAbout11-11654 CITY OF ZEPHYRHILLS
5335 - 8TH S1TtEET
(si3) �so-oo20 11654
, �,
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11654 Address: 6701 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0060
Improv. Cost:
Date Issued: 3/17/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/17/2011 Phone:
Work Desc: FPM-SUPPRESSION SEMI- FLORIDA SENIOR
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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 pertormed 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
� a��-�eo�o�zo c,�yorzePnyrt,nis�n�, F.�-�,�-�eo-ooz,
• - Permft Applica�on - .
Date R�odwd ` . .Ptai � or P�rtnn
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N ovrr i1d0E1: a Notic� ��itwr�!!@�!li±� wa�k ov� SS000)
� 0-14�d�ys br n N+� i��t�hr wblliltW dib. `; , s" �arwl �k - obtakwd irom PropsAy Tax No11C� (ht��hPP��•�) .
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'NOTICE OF:OELD'RESTRlCTIONf��idenlpned unde'atands.that thispermit may.beaub��eaid";:xcao�trictlAne"
which •may bs mors •rostrictive �ihansOoi�t�repu�ationa. Tha:undsrsipned .assumes responsibllfty,�tR�pmpliar�ocs�a+vith �ny
.a�liq�b�s c�d r�trictions.
'�UNUCLN� ��Mk��XCTORB;A'NU�� o be Ik�ensed In��aocandance wfth taa ts and.locai•r�ulatb ..
contractas to unde�taks work, �they may be eq
contractor la not Iic�nsed as requir�d bY Isw� bo� the owner and oontr� may be cited for a•misdemeanor vlatado�
under st� Iaw• ,tf'!he v�n'�e� m intendad �co�or aro uncertain.at'to what lioensinp•requirements may�ppy for the
I�e�ed w�k� they ero advismd to con#act ths �RascA Co�nty Bu�dinp (nt�pectlon Division--Licansinp Sedion.at 727-847-
gOpg. �u�s� If tt�s owner ha�s �hirod :a coMractar ar oontrac�xs� hs is advised �to .have �he ,cor�t�+ctor(s) si�n
p���s c�f t�p *c�scbor Block" af this application •for which they w81 bs rosponsible. M yo�� .ss �the owner •sl�n as the
contr��tor� that maY be an indiaatlon that �he (s not praper�y Uoet�sed �d k not •en��ed�to �pe�r►I�irm:privile�es in �Pas�o
C�tY•
CONSTRUCTION .LIEN LAW (Chapt �rT13� Flo�ida St�trata,.as:am��d�d�: If valuation of work is �2,�500.04 or ma�ret� I
�{y �t �, the �appl�c�nt, haYe been providod with a coPY of 'the 'Flo�ida Construction Lien Law�-Homeowne�'s
Protectbn Guide' txepsred by•the �lodda �eparEment of A�ri�u�tura and Cor�wrner Affairs. If tMe s�t�icant is som�tu+e
othe'r than the'o�rn�', I oerttty that I tiave obtained a capy of the abov� dascxibed document and promtse in paod�faith to
deliver tt to the "owner" Ixior to commenoem�n�
CONTRACTOR'SIOWNLR' •/kR�IDAVR: i ce�tty that ail the ir�formation in this application is accurete and
that all work will be do�e in c•onnpliance w�th ail applicable laws re�ulatlnp construcUon� zonin� and land
developmeM. APqlicatlon Is hsroby r�lsde to obtain a permk to do work and ir�stsllado� a� indlceted. I certifY
that no wo�lC or installstion has co!�menc�d Pria' to Isauanoe ot a permit and�that �II work will be Re,rfarmed to
mset stsMdards of alt lawa re�lulstln0 c�nstructton� Cc�unty �nd Clty cod�s� �zon�ng re�Wations� �nd land
development rspula�ons in the Jurisdi�tion. ��Iso cettl�Y that � understand that the requlatbt� of cther
. govemmant aflencias maY aPP�Y'� � Inte�ded � and that ft is my re�p�ansibility to tdentlfy°what actlons I
must take�t+�or bs in comp(isnce.
If I am the AGENT RORTHE 01fYNLR� ( pro�ls� fn �d falEh to Inform ths t�vmer of the penntttlnfl c�nnd�ions set forth in
this affidavk prior to commencin� cc�nstFUdton. I und�F��nd �t 1� �eP�m P��It � d�� ��� ��� A
plumbing, si�na, welis, pools, air conditi�onlr��, �s� ar oths1r�i�ns�il�tbns and not� a to vl+pt�t,a, oancsl� �Iter, or
permit issuad ahali be construed to be a qoen�re to procsed
set aside any prov�sions af the tschnk� �s� �Or ahatl isluanos of a pennit prevent the Bulldinp C�ff4dal from tMsresRe�
roqui�ing e ocrrecdon of errocs in pla�, construdion or vlolsUons ot any codes Every p�rmit lssued �hatl beo0t�e invalid
unless the work autMc>rtzbd by wcM permlt i� commencaed v�ithM sbc months of permtt ist��uance� or if wo�c ar�tha�zod bY
ths Pecmit is �sta�t�ded or abs�ndoned for s pNiod of abi (8) monttu after the tlme the work is commenced. An eudension
be _roqusst�d► In vvrtdnp� from the Buildinp C�' for a perbd n4t to a�c�sd ninety (90) dsiys �nd will de�n�nstrate
��� �N �Or' t�+a e�ite�eian. 'ff w�k � for ni�slY E�Q) vo�ae��tive days t�e job- is considersd �ndonsd.
r 1�4�tIR �4W1�'� R��Q►R�D A'NCTI�.'QF'�Q��NT IrAAY R�ULT IN 1FC1U�t
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET t , �
, (ais) �80-0020 11654
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11654 Address: 6701 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0060
Improv. Cost:
Date Issued: 3/17/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 37.50 Address: 6701 DAIRY RD
Amount Paid: 37.50 ZEPHYRHILLS, FL. 33542
Date Paid: 12/02/2011 Phone:
Work Desc: FPM-SUPPRESSION SEMI- FLORIDA SENIOR(REINSTATE 1 TIME)
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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."
�..
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
� 81�78a0020 CltyofZephyrhilis�ia��+?� Fax-e7�7eo-ooz�
- Permft Applicatlon - .
Dat� R�aiwd =`. —� :. - Pf aii� C d or P�mtlt ���
j ° - -
Own�rs Wrm . �� . Owr�s Phorr t�lt�nb�r �-
Ownsrs Addtist � �� ,F/l
Fee Simp�7NW�oId�rN�nr Tttl�holdK PFan� I��Msr ���
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a conn, ba,.we a0�h.n f+oodlD�,a �►+mNou. �M�W �n.r �� a aA F.aUq,,,wNUU.
Q �� � Q ��ood k�lalion
EtrNr�ncy G�nrbr < 30 kw n LPR�4ral (ip-ku�Otllon
��Y �' � � � � LP/N�4ra1 Cits�,l�lMiUAL Sal�
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M owr'�b�0, a IioUe� -� _.', wak ovw f�3000)
S�ply tw�a f�ka� aF , . �
A1ow 10-14 d�Y+ �Or °it�Ir.slu�al.,+diM• '' ��4"� ,Paial A� • aMaYrd from P�op�rly Tax Notic� (FR�hpp�alqr.Wseo�ov.00m)
,.;,:
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'NOTICE OF:GEEDRESTRICTIOW9�R�ide�slpned'uncJ�t�nds.thatthiapermk maybe:sut��seid":�trictions"
whiah •may be moro •resbictive'than''Ooi�'r�r'e9ulations. The:unmersb�hmd .sasumas responsibili��opmplia�e�anrtth any
�le c�e�d re+�t�idfons.
... �UNLIEENl�1 ��CO�XCTOit'�'�cND'��CTOR :R43Pr0!�131BILR1E8: - �If - tha �owner fia�d :a�donbactor br . .
contractors to under�aks wcric, �tl�►eY maY ba cequ�c! to be Ilcensed in ac�dan�e with staEe snd .local•ro�uistbna. If the
oo1'�tracfior is not Ik�nsed as requMmd by law� bo�h �s �eK and eontr�cbar may be cited for a•mfsdemesrwr violatior�
un�er s�ts law. . If �the owner �or irnsndad •cor�traator are u�►oe�tafn .aa 'to �vhat licsnsir�g •�ulromenb maY �PP�Y for the
fMended work thsY aro advtsed to oon#adths•P�soo eout�ty 0�dir� Ins�sctlon Dlvislon—Llcensinp �dion.at 727-847-
8009. Fu�� 1f ths ovmsr has hiled :s o�tra�'x or oat�trac�s� he is �dvisod �to .have �he .contr�+cto�(a) sign
��. �� t�r gbock• of this applk�tlon �for v�rhich �hey wql be rosponstble. If yo�� .as -the owner �sign as tfie
coMrach�r� thet maY !as an indic�tion �that �he is not prope�y Ik�d #md Is not �entitted�to �pe�i�irt9:f��eyea In �Pssco
Cc�nty.
CCNS7'RUCTION.UEN LAW�(Chapt�rTl3��flo�ida 8tatut�s�asam��l�d): If v�luaUon of work is �2;500.00 or mare� I
c�dfy tF�at I, �tk�e ap{��ar+t, have been providod v�ith a copy of 'the 'Flo�ida Consbuctlon Lien l,.aw—Homeown+er's
Protedbn Guide' Prepared by•the �Ibdda Dep'�trr�eM of A�aw�wte �d Cortsut� Af�a�irs. If tl�e �plk�nt i� s4mei�ne
other than the'ow�r� I certifY that i have ob�ainsd a c�'py °f the above described document and prom(se ir� good to
deliver � to ths'd�wner' Prior to commantwn�en�
CONTRACTOR'S/OWN�R'8 •ARFI�AYIT: ( certify that all the i�ortnation in this applk�tion Is accurate and
that all work wili be done in complisnce w�th all appik;abls laws rogulating construcdort� zoninQ a�d land
developmeM. Ap�lkk�tlesrt� is heFe4y made to obtain a permit to do work and Instadlatbn as i�dl�ted. I certify
thst no wo�lc or installation hsieF aommencod P�' to Issuance ofi a pe�tnit and�th�►t all work wUl be pertortned to
meet standanis of alt laws �ul�tln0 cx�nstruc�n� County and Cily codes� .zoning repulations� �.nd land
development regulattons in the juriscli�on. I also ce�ity that i understand that the requlatio►�s of other
. government apandes may apply'to the lnts�ded work. and that It Is my re�p�c�nsibility to Identi�cwhat adions I
must take�� be in compliance.
If I am the AGENT FORTHE OWN�R� I promise in qood falth tc �ntc�m the ovmer of the pennttttnp oondidons set forth in
this afifidavit prtor �to commendng cx�nstrudton. 1 und�r'=t�nd th�t e separats psr�►it msy be requirod f�'r slecMcai worlc,
plumbing� si�ns, welis, pools� air cond�lonir�, �ss� vr other instsil�dons nvt speci�lly induded in the applkxtion. A
permit issued sha11 be construed tc► be s �bsnss to Rro�d ��e wotk and not es authorily to vkal�e� canosi, �Iter, or
set aside any prov�sions af the te�chnk�) oods=� �' a� ie�ue'nos °fi a petmit p�event the BuUdin� Qt�ial trom t�+sreafter
requiring a oorrealon of eROrs in p�aAS� conatrucdon or vlolaUons of amr codes. Every permtt issued ahali beco�+e invalid
unless the work aud�wriz�d by such i�ermlt is vommet�►ced w�thin sbc manths of permlt is�suance� or If woek authorized bY
ths pecmit is swp�d a' absndoned fiar � ps'bd of sbi (8� moMfis aRer ths time the waic is commenced. An axtensfon
#� _nq�d� in wr#in�� from the BWldir� C�lal' for a perbd r� to exc�ed ninety (90) days �nd wiU damonstr�te
�. �.�, �'�' ��°r�alc�n. '� w�rk � for t�inst�+ f�4) c��ea�►s daya� the 1cb is considered abandoned. .
,,�WA�tRNt�l!Q�TQ�`�� YQ Fy�4�E Tf� R�COi� A'NGTt�'QF'�'r�MNi�A1��NT MAY R�SULT !N YOUR
P/11fIN . _,� :.. � TO YQUR PR� , :� �.. I�' ., , ' .10 . . : � R , . � CC1�tSIJLT
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