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HomeMy WebLinkAbout11-11995 CITY OF ZEPHYRHILLS " 5335 - 8TH STREET (si3) �so-oo20 11995 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11995 Address: 7813 7833 GALL BLVD 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: 34-25-21-0150-0000-0010 Improv. Cost: Date Issued: 7/18/2011 Name: KOB PROPERTIES LLC Total Fees: 25.00 Address: 38068 DAUGHTERY RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 7/18/2011 Phone: (813)782-5600 Work Desc: FPM- SPRINKLER QUARTERLY- 1 RISER - CONCIRE 5. � ^��� � `� '���� i -- ! i ina Chapter 633, Florida Statutes, authorizes the City to charge and wllect 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�s-�8o-002o City of Zephyrhills Fire Permit Application Fax-813-780-0021 Date Received � ��s . ,, _ , W _ ^ , , Phone Contact for Permit Owner's Name � �� - � � ,t.,. -. ;�- ,�.._�..K. �.,... - . , ...,.. . _ $ - � - . .. ` � �� � � �n T'�'n- Owner's Phone Number Owner's Address � p l / � V ���_j c '/ L��� ��• � c., �( S L ��� Fee Simple Titleholder Name � � �� Fee Simple Titleholder Address Titleholder Phone Number �,: . w � a�n.,�. +�"R. a �tE' 3 Job Address �' . . ��'�rq. z. Sub Division Lot # C� � F..� , .,:..:�,-� ,�_, ,�,�, _ , Parcel # _ ` . , � . - �'� :.—, � �� .'�'i;.e�f6g�_a a . - _ Bio-Hazard Waste Storage - ANNUAL � �����:*x�t � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Matenal (Tier II or RQ Facility) ANNUAL � Controlled Bum � � Hood Installation Emergency Generator < 30 kw � � Emergency Generator > 30 kw �P/Natural Gas-Installation � Fire Protection Maintenance - ANNUAL � �P�Natural Gas-ANNUAL Sale _ � Places of Assembly-ANNUAL �� � `� ►ry emi � er Sprinkler � �/ � � � ❑ � i ❑ Recreational Bum 1r �� �! J 9G� Fire Alarm � � � �� ❑ - ��� � � � ❑ Sparklers Hood Cleaning � � � � ❑ ❑ � Sprinkler System Installation � Hood Suppression p � � ❑ � Standpipes (Sprinkler Sys) Fire Alarm Installation � � Torch Roofing/Tar Kettle Fire Pumps � '� Waste Tire Storage ANNUAL Fire Works � Flammable Application- ANNUAL � ��Iy � � Fuel Tanks Valuation of Project Q Other. . .. ._ _. .. .�.. ' -�'Sx`wah'.. ,.: v3?nx.;s': y .rFa» d�,�%. � .vG�.'�-;":ti:fi+�'d.sg't4t`�: M , -.^- -... °� -, R 7�Ti'.�d'S•.0 , .y�A�.a�s.:+wS^ n «: •`l+ir#'.,.Y,.yzY.:a<_:.• .x,`a � ontractor � �.-�-:�:.�� *�.��,��c:�a�.,,�,.-.,�. i � �^�.���. �,<-�--,:� - � ignature � , �`�, '7 � Co pany /�4 � gistered / N Y / N Address Fee,iC�f`rent _ECTRICIAN icense # gnature �� Address Registered Y/ N Fee Current Y/ N .UMBER License # � �nature Company Address Registered Y/ N Fee Current Y/ N :CHANICAL License # �nature Company Address Registered Y/ N Fee Current Y/ N HER License # nature Company Address Registered Y/ N Fee Current Y/ N �ctions: License # Fill out application completely Owner & 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 htt //a � P� ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS. The undersigned The undersigned a spons bilty for compl a e t w th any which may be more restrictive than County regulations applicable deed restrictions. UNLICENSED CONTRACTORS AND CONe�►ed t be Ecen iBac th s ate a d locaeregulati If contractors to undertake work, they may b q I for the contractor is not licensed as required by law, bot�h�ohare uncerta n as what licenseng qu� emen may app y�olation under state law. If the owner or intended contra intended work, they are advised to contact the Pas n�ractor t org ontrac to s�he ad sed to ave he contractor(s) $�he 8009. Furthermore, if the owner has hired a co portions of the "contractor Block" of t�na� he p�operly licensed is not entbtled t y permitting pr v egesgn Pasco contractor, that may be an indication County. If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of a F o Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of A � g f�the t above descr bed document nd prompsean fa th to other than the "owner", I certify that I have obtained a copy deliver it to the "owner" prior to commencement. lication is accurate and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app ' that all work will be done in compliance w � it obtain a per to do wo k g stallation indicateda I certfy development. Application is hereby made that no work or installation has commen constructionS County a d City odesh g regula ons, and meet standards of all laws regulating development regulations in the jurisdiction. I also certify that I underessao s bilit to fy act ons I government agencies may apply to the intended work, and that it is my p Y must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise �understan thatna�separat permit may be�r q u d for I work�, this affidavit prior to commencing construction lication plumbing, signs, wells, pools, air co�ne a nse to p oceed the work and not as au or ty to violatee ancel, alter, or permit issued shall be construed to set aside any provisions of the technical codes, t on oa of any codesp ery t iss ed shall be ome �ed b requiring a correction of errors in plans, construc unless the work authorized by such per�m� a�S e od of six (6) m after the t meethetworkas ommenced An the permit is suspended or abandoned f p may be requested, in writing, from the Building �o��ninety (90)rconsecutive days, the job is de ed bandonedstra e justifiable cause for the extension. If work cease WARNING TO OWNER: YOUR FAILURE TO RE PROPERTY TIF YOU NT TO OBTAIN F NANCING CONSULT PAYING T W I C E F O R I M P R O V E M E N T S T O Y O U R WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N O T I C E O F C O M M E N C E M E N T. FLORIDA JURAT (F.S. 117 03) CONTRACTOR OWNER OR AGENT Subscribed and swom to (or affirtned) before me this Subscribed and sworn to (or affirtned) before me this bY bY Who is nally known to me or has/have produced Who i s/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. Pnnted or stamped . �._..,�.,...�,� ; . ' � r ��'C��a� � � i � � � � i � . ' , � � ~� �;��-- �,;., . � � . " ��.., �' a � � � � � `� ��`��� �° � � � � � �Q� K n � �;� � � �- �ci�;. �.���, � ,. � , ' :`:'',� - �',� � � '.' �� � �'' . '�'"u i ��" � Q'��,;�'•�� �F,; ;:� i � q ���. : r � �� Q` �•' ,. I •;`+�1 � i ��. 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