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Home My WebLink About11-11672 CITY OF ZEPHYRHILLS � 5335 - 8TH STREET (sis) �so-oozo 11672 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11672 Address: 38410 6TH AVE 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: Improv. Cost: ( Date Issued: 3/22/ 1�� .��V�" � Name: ZEPHYRHILLS FIRE DEPT. Total Fees: ,; 25.00 ,� � Address: 38410 6TH AVE Amount Paid: 25.0 ��' ZEPHYRHILLS, FL. 33542 Date Paid: 3/ /201 ` � Phone: Work Desc: FPM- S KLER ANNUAL- ZEPHYRHILLS FIRE STATION #2- NO CHARGE 5. �� i ( 1 � � � ina Chapter 633, Florida Statutes, authorizes the City to charge and coliect 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 OfFce - 813-780-0041 =��s^�o2o City of.Zephyrhiils Fire Fax-813-780-0021 �Permit Application Phone Contact for Pertnit �� Date Received � '� ��.�.. '� 4i,^ Owners Name "2-, � V � t �n� — 1 R-�. �� ers Phone Number � � ,� Owners Address Fee Simple Titleholder Name TiUeholder Phone Number �� Fee Simple�Tideholder Address �� Job Address � C� � t � �� -g �' �' Lot # � Sub Division Parcel # y � Bio-Hazard Waste Storage - ANNUAL � FumigaUon?ent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � Emergency Generator < 3D kw � LPlNaturel Gas-Installation � Emergency Generetor> 30 kw � LPlNatural Gas-ANNUAL 5ale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � emi � er �J � Sprinkler ❑ ❑ � � � Recreationai Bum � � � � Fire Alartn ❑ ❑ ❑ � � Sparklers � Hood Cleaning � ❑ ❑ ❑� a Sprinkler System Installations Hood Suppression � ❑ D ❑� � Standpipes (Sprinkler 5ys) � Fire Alartn Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project Fuel Tanks Q Other: Contrector Company Pl 1�Y�E RCST�C`� O Signature Registered / N Fee Current Y/ N Address s..l� 1�1�. 1�'�l l-- 3 3 �icense # 5 � � 20� `7 ELECTRICIAN Company Signature � Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Curtent Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Current Y! N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: Fill out application completely Ow�er & 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 d2wings with applicable documerrtation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) NOTICE OF DEED-RESTRICTIONS: ?he undersigned understands that this permit maybe:subject to "deed" which may be�more•restrictive County�regulations. 'fhe undersigned assumes compliance with any applicable deed restrictions. UNLICENSED •CONTRACTORS :AND 'CONTRACTOR "RESPONSIBILITIES: If the owner has hired a contractor or contractors�to undertake work, they may be�required to be licensed in accordance with state and local regulations. 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 7.27-847- 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 appiication for which �they 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 �to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.as.amended): If valuation of work is $2,�00.00 or more, I certify that I, the applicant, have been provided. with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver ifito the °owner" prior to commencement. - CONTRACTOR'S/OWNER'.S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws 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 that all work will be pertormed 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 I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If 1 am the AGENT FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical 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 ficense 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 Buitding Official from thereafter requiring a correction of eROrs in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit. issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate just�able cause 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 OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICE FOR MAPROVEMENTS TO YOUR�PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by bY Who isfare personally known to me or hasJhave produced Who is/are personally knovm to me or has/have produced as identification. as ident(fication. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, prirrted or stamped Name of Notary typed, printed or stamped