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Home My WebLink About11-11863 CITY OF ZEPHYRHILLS �,.- 5335 - 8TH Sl72EET -• A (ais� �so-oo20 11863 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11863 Address: 7333 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: 35-25-21-0010-07400-0000 Improv. Cost: Date Issued: 5/11/2011 Name: FLORIDA CAO SEVENTH DAY Total Fees: 25.00 Address: PO BOX 2626 Amount Paid: 25.00 WINTER PARK FL 32790 Date Paid: 5/11/2011 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- 7TH DAY ADVENTIST CHURCH 5. ii ''`' ` i� V i ( ( �� / � 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 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 A7TORNEY 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 si3aso-oo2o City ofZephyrhills"Fir.e• FaX-s�sasaoo2i Permit Appiicafion - y - Phone Contact for Pertnit � Date Received� Owner's Name � \ � +h � Owners Phone Number � �- � Owner's Address � ► � � � � � L �"" Fee Simple Tit{eholder Name TiUeholder Phone Number �� Fee Simple Titleholder Address Job Address � � � � Lot# � Sub Division Paroel # Z � � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL � Controlled Bum � Hood tnstallatlon � Emergency Ge�erator < 30 kw � LP/Natural Gas-Installation � Emergency Generator > 3D kw � LP/Naturel Gas-ANNUAL Safe � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi � er � 5prinkler ❑ ❑ � Recreational Bum Fire Alartn o o �� Sparklers �� " Hood Cleaning � ❑ O �� SprinWer System Installations '� � I Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Toroh Roofing/'far Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL Valuation of Project Fuel Tanks Q Othe � ConUactor Company � f - ; �� d ' ' m ' � ' �i Signature Registered N Fee Current Y N Add�ess License # £ ELECTRICIAN Company 5ignature ` Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fse Current Y/ N Address License # MECHANICAL Company Signature Registered Y/�l Fee Curtent Y/ N . Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: FII out application completely. Owner & Contrector sign back of application, notarized (Or, copy of signed conVact wfth owner) If over $2500, a Notice of Commencemerrt is required (Mechanical work over $5000) Supply two (2) sets of drawings with appiicable documentation Allow 10-14 days for review after submittal date. Paroel #- obtained from Properry Tax Notice (httpJ/apprefser.pascogov.com) �NOTICE OF'DEEDRESTRICTIONS: 'fhe.undersigned understands.that this permit may_be subject:to�"deed°�estri�tion�;° which may be more restrictive than County�regulations. ?he.undersigned.assumes responsibility for:�ompliar.�e�with any" _applicable deed restrictions. UNLICENSED CONTRACTORS AND �CONTRACTOR RESPONSIBILITIES: if the owner has �hired or - contractors to undertake work, they may be required to be ficensed 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 taw. 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�for which�they will be resportsible. 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 County. CONSTRUCTION .LtEN.LAW (Chapter713, Florida Statutes,-as:amended): If valuation of work is $2;500.00 or more, I certify that l, the applicant, have been provided with a copy of the "Fiorida Construction Lien l.aw—Homeowner's Protection Guide" prepared by�the Florida•Department of Agriculture and Consumer Affairs. If the appiicant 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 it to the °owne�' prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work wil! 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 wifl be performed to meet standards of all laws reguEating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other government 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 I 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 eiectrical 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 shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or ff 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�abie cause for the extension. If w�rk ceases for ninety (90} consecutive c3ays, the job is considered abandoned. WARNING 70 OWNER: YOUR FA{LURE TO RECORD A'NOTICE OF COMMENCEMENT 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 N ICE OF COMMENCEMENT. FLORIDA JURAT (F.S.117.03) OWNER OR AGENT CONTRACTO Subscribed and swom ro(cr affi:r.i�) h°fore ms this Subscribed an s m to (or a ) before me this by Who islare personally known to me or has/have produced Who is/are pe nalfy known e or has/ha�ventffication. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed: printed or stamped Name of Notary typed. printed or stamped