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Home My WebLink About11-12042 CITY OF ZEPHYRHILLS f " 5335 - 8TH STREET (sis) �so-oozo 12042 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12042 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: 6/22/2011 Name: ZEPHYRHILLS FIRE DEPT. Total Fees: 25.00 Address: 38410 6TH AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/22/2011 Phone: Work Desc: FPM- SPRINKLER ANNUAL- FIRE DEPT STATION- FEE WAIVED I 5. � �� i / I (// /� Vt , 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 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 ,e�,r-�so-oo2o City of.Zephyrhilis Fire Fax-813780-0021 Perrnit Application Date Received 2�, Phone Contact for Pertnit �� Owner's Name �1.1..5 1 Owners Phone Number �� •� Owners Address ��'� I Q Cp 1 N�(.' � Z� �1— Fee Simple Titleholder Name TiUeholder Phone Number �� C Fee SimpleTitleholder Address .� Job Address Lot # C Sub Division Parcel # � Bio-Hazard Waste Storage -ANNUAL a Fumigation?ent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � Emergency Generator < 30 kw � LP/Natural Gas-fnstallation � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL 5ale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi � er � �� Z Sprinkler � ❑ ❑ �, � Recreational Bum 1 Fire Alartn � ❑ ❑ � � � Sparklers Hood Cleaning � ❑ ❑ ❑� a Sprinkler System tnstallations Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Toroh RoofinglTar Kettle � Fire Pumps a Waste Tire Storege ANNUAL � Fire Works Flammable Application- ANNUAL � Valuation of Project � Fuel Tanks Q Other. Contractor Company Signature Registered / N Fee Current Y/ N Address � �y � License # ELECTRICIAN Company Signature � Registered Y/ N Fee Curtent Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current 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. Owner & ConVactor 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 1wo (2) sets of drawings with applicable documentation Allow 'I D-14 days for review after submittal date. Parcel #- obtained irom Property Tax Notice (httpJlappraiser.pascogov.com) NOTICE OF DEED�RESTRICTIONS: ?he undersigned understands that this permit maybe:subject to "deed" which may be�more•restrictive�than County�regulations. The undersigned assumes•responsibility�for compliance witt� any applicable deed restrictions. UNLICENSED •CONTRACTORS AND 'C�NTRACTOR 'RESPONSIBILITIES: If the owner has hired a contractor or contractors�to undertake work, they may be�required to be (icensed 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 Z27-847- 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 appfication for which 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 $2,500.00 or more, I certify that I, the appiicant, 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 appiicant is someone other than the "owner", I certrfy that I have obtained a copy of the above described document and promise in good faith to deliver it�to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ali the information in this appiication 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 performed 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 I am the AGENT FOR"THE 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 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 Buitding 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 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 justifiable 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 PAYING?WICE FOR IMPROVEMENTS TO YOUR �PR�PERTY. 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 Subscxibed and swom to (or affirtned) before me this by bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identificatlon. Notary Public Notary Public Commission No. Commission No. Name of Notary lyped, printed or stamped Name of Notary typed, printed or stamped