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Home My WebLink About11-11917 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �ao-oo20 11917 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11917 Address: 4330 20TH ST 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: N/A Est. Value: Parcel Number: 13-26-21-0070-07400-0000 Improv. Cost: Date Issued: 5/31/2011 Name: ZEPHYRHILLS CORP. Total Fees: 25.00 Address: 777 W. PUTNAM AVE Amount Paid: 25.00 GREENWICH, CT 068305091 Date Paid: 5/31/2011 Phone: Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR ZEPHYRHILLS BOTTLED WATER � 5. C � �.�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 wsts 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 Marsha) Office - 813-780-0041 s�aaso-oozo Ciry of Zephyrhills Fire Fax-a��-�so-oo2� Permit Application Date Received S 3/.- / Phone Contact for Permit �� Owners Name � ��'J��jt � � � 'Z� Owners Phone Number � �� Owner's Address Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address �-�-� � Job Address � �(� � � � ,S � Lot # C� Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � Emergency Generator < 30 kw a LP/Natural Gas-Installation � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � IfTr emi �n er ❑ Sprinkler ❑ ❑ Recreational Bum /!7 � r Fire Alartn � ❑ ❑ ❑ � � Sparklers '� / Hood Cleaning �❑ ❑ p� � Sprinkler System Installatio ��' Hood Suppression � ❑ ❑ ❑ �� Standpipes (Sprinkler Sys) �('/� � Fire Alarm Installation � Torch RoofinglTar Kettle �� Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Appfication-ANNUAL Valua6on of Project � Fuel Tanks Q Other. � � < . . . �:�;. . Contractor Company Signature _ Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Company Signature � Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICA 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 Owner 8 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 drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) wh�'�ch may bemoe RestTc�tive t aN C unry r gu el ons. The undersigned a esp ns bflty for c mpl ance t with any applicable deed restrictfons. 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 wfth state and local regulations. If the contractor is not licensed as required by law, both the ovmer and contrector may be cited for a misdem�a PP yiolation under state law If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the intended work, ihey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthertnore, if the owner has hired a contractor or conhactors, he is advised to have the contractor(s) sign portions of the "contractor Block° of ihis application 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 nat entitled to permitting privileges in Pasco County. TRANSPORTATiON IMPACT/UTILiTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of new bufldings, change of use in existing buildings, or expansion af existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of accupancy" or flnal power release. If the project does not invoive a certificete of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to pemtit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida 3tatutes, � f he a F orida Construcf on L en $ aw�—Homeowner's certify ihat I, the applicant, have been provided with a copy Protection Guide' prepared by the Florida Department of A9 f�ttie f above described docum and promPse n faith to other than the "owner", I certify that 1 have obtained a copy deliver it to the `owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I cerUfY that all the Information in this application fs accurete and thet all work will be done in compliance with all applicable laws re9ulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certffy that no work or installation has commenced prior to issuance of a permit and th ulati�ons� nd devel p ent reg IaU'onsen the 1 construction, County and City codes, zoning reg certffy that I understand that the regulaiions of other govemment agencies may apply io the iMended work, and that it is my responsibility to identHy what actions I must take to be in complfance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive Lands, WaterlWastewater Treatmenk _ Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawells, Docks, Navigable Waterways. _ Department of Health 8 Rehabflftative Services/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. _ US Environmental Protection Agency-Asbestos abatement. Federal Aviatfon Authority-Runways. I understand that the foilowing restrictions apply to the use of fill: Use offlll is not allowed in Flood Zone'V' unless express�Y Pertn�ned• If the flll material is to be used in Flood Zone "A", it is understood that a dreinage pian addressing a "compensating volume" will be submitted at Hme of permitting which is prepared by a professional engineer licensed by the State of Florida. If the ftll malerial is to be used in Flood Zone 'A" in connection with a permitted building using stem wall construc8on, I certffy that flll wlll be used onty to fill the area wRhfn the stem wall. If flll material is to be used in any area, I certiry that use of such fill will not adversely affect adjacent properlies. If use of flil is found to adversely affect adjacent properties, the owner may be cited for vbletfng the conditions of the building permil �ssued unde� the a an is required, epplication, for lots less than one (1) ecre whfch are elevated by flll, an engineered drah►age p K I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the pertnittin9 cond�ions set forth in t �umbin gns, pools�ai conditio gasn oe other Ins nsn ot s p�ecificeilY duded the a P g permit issued sh � a v�ions�of the technica�l I cc�ddege�o shall Ggsuance aF�a Perm�tP e ent the BuNdirig irom thereaRer set aside any pr requiring a correction of errors in plans, construction or violetions of any codes. Every Pe en u or�if work�authoezed by unless the work authorfzed by such permN Is commenced within six months of Perm (he �rmieisJeB{ d fn writi g from the Buiidi g��aliforga perfod not to ex nine� 0) days and wiil demo strate may Q 90 consecutive days, the job is considered abandoned. justiFiable cause for the extension. If work ceases for ninety () �, WARNING TO OWNER: YO VE R �EN ' TS TO YOUR PROPERT1f.TIF YOU INTE D OBTA N FI ANCSNG, CONSULT PAYING 7WICE FOR IMrR� �,,,,,� DcrnentuG YOUR NOTIGE �F �MM •�"+ i n YOUR LFNDER OR AN�_ FLORIDA JURAT (F.S. 117.03) CpNTRACTO pWMER OR AGENT Subsaibed end $w� 1� (or a(flrmed) before me thls Subscrlbed and swom to (or alflrtned) before me this - yY bY Who Islare personally know^ t° me or hasThave produced yyho islere personaly known to me or hesTheve produced es identlflceUon. as ideMlficatlon. Notary Public Notary Pubilc Commissfon No. Commisslon No. Name oi Notary lyped� D�nted or stamped Name of Notary tYPed• P�nted or stamped