HomeMy WebLinkAbout11-12263 " CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(ai3) �so-oo20 12263
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12263 Address: 5316 11TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0100-17100-0100
Improv. Cost:
Date Issued: 8/17/2011 Name: SAINT JOSEPH CATHOLIC CHURCH
Total Fees: 25.00 Address: 5316 11 TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/17/2011 Phone: (813)782-2813
Work Desc: FPM-SEMI ANNUAL HOOD SUPPRESSION FOR ST JOSEPH CATHOLIC CHURCH
, �`
(� ( J � /
C �� -
�
�
�
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 INSPECiION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
. .'
' 81 �78Q0020 C�/ Of ZBp11�RfiiliS �If�x+'�° Fax-813-780-0021
- Permlt Applicatlon . .
_ � ., _ ..
Dat� R�odwd ` • � Prrtnit
-�
.z-� . _
OwMrs NiItN - Q o ONRNri Pf10fM NNrtIbK
OW�lri /I�fM1 � '� /
FEe $kl� 1M�IO�K �RI! �IObK �IOfM N{fll�f �
Fe� $i11�pb17NltoldM'AddlMi
Job Addras � ' LaR �k
Sub Oivl�ion ParCN �k
a Bio�dWasl�S�ap�-ANNWLL a F�nApallonT�eit ' ------ _ _
o �, � �.�, � o � � � �����,���. � � �,.
,,
o �� o �� �
� H,,,e�n,c�, c.�.�.eor < 3o In�► � LP,rdaral ���� r1
� ErtNrpen�y Gen�abr> 30 kw � LP/N�Wral Sab �
fb Piobeflon I�akM�mnc� -/�tiNtJ/�L. Q Pl�o�s d AL
��,..�� � � �
Sprir�id�r O O O WaMlbnr Bum r
F1n /liren O D ❑ SpMldws
HoodQwir�p O 0 O 8qir�ldrr8�en /�? .
��...�, o �r o �� � 1� �`° .
Fi� Aynn Y»blNbn _ _ Ta�fi Roolk�p/iu �
a. �. . — - - ' � � wa�. n. s�oe.�. �- " .
Rn wo�b �
wmm�a. �v�nuon- �a�nu►t. . � valuatlon ot Proj�ecc;t
� Fiwl Tar�ks
tylli�r:
c«,aae��r , . !C��►
sk�r,.e+„ - _.. �d N hs
A�ddi..s , L�o.rw #�
ELE , ��P�Y
g�. " R.Disar.d Y/ N ry. Cune�c Y/ N -
Addras � �, �. �bs� #�
PUJMBER �PNY
g� Rpbfend / N Fw f�newit Y/ N
Addras lfo�ns� #�
�Y
g�p,�,� Rpi�.d Y/ N r� Gn��k Y/ N
/lddwp Lio�nN �
OTHER . . �Y
� Rpis�d Y FN Gr�nt Y/ N
,.
IAe�Qras LJoMw N
W oul appAc�tlon oomplNNy� • "� d Nprwd oaMr�et wMh owt� .
Ow�Mr �'CoeN�clor aiq+�idcbt�ppRl�pa��, �intael�d (Qr'.'oo�k
M av�r tZeo�. a Nouo� 61w�nn�n�t 4+!,rqr�k!d . ", �woAc ov� t3000)
3upply two (�.aMs d wM�F '
Abw 1a14 d�y� fex I�vtiw:l�r sub1�lW d�M. , r ,, g" �*• abtairrd irom Prop�Ay Tax Notle� (ht��IhPP�-P��-�)
,�:,
� _� •,,. ,. ,
'NOTiCE OF:DEEDRESTRICTIONS�"�ride�sipned unde�stands�that thtspertnit maybe:sut���eeod':�e�trictions"
which �may be more •restrictive �2han�0oi�rit�regulations. The:undersl�ned .assumas responsibility��pmpifaace any
.applicable daed re�trlctbns. •
' �UNUCEN8ED ��CON7RACTORS��►'ND3:DIQ�'J2AC1'OR :R�SP.QNSIBIL•tT1E8: • •tf - the owner br . .
contractors to undertake work, �they may be required to be Itoensed In aocondance with state and .local•ro9ulatlons. If the
contractor (s not lloensed as requlrod by law� baEF� the ownsr �nd conb'x�c:tor may be cited ior ��misdameanor vialstio�
under state Iaw. .If �the owne� a' tntended •QOntn�ctor are uncettain .as'ta what lioensing •requiromarrts may apply for the
intended work, they �u°e advised to contact the •P�sco County Buadlnp Irnpsctlon Division--Lioensing Section.at 727-84T-
8009. Furthertnore� if tha oNmer has hirod •a oontrecta or • vonbac�ws� ha is advisad �to .hsve #he .coMractoKs) sign
po�iOns of ths •c�oMrac� Block" o� this appiMatlon �for which �they vvill bs rosponsible. If you� .as - the owner �sign as the
coMraator� that msy be an indicatlon that �he is not properly ilc;qnssd and is not •entitled �to �penrdttit� : p�ivilages in �Pasc:o
County.
CONSTRUCTiON .LIEN LAW (Chapter713� Florida 8tstutas�.asam�nd�d): tf valuation of woric is �2,�500.00 or more� I
ceFtify #hat I, the appllcan� have been provided with a copy of �the 'Fiorlda Construction Uen Law—Homeowner's
Protection Guide' prepared bY'the �Fiodda Department of A�riculture snd Con�sumer Affairs. if the appUcant is someone
other than the'owner� I certlfy that I tiave obtained a copy of the abova described dxument and promise in good faith to
deliver it to the'oMmer' prior to commencsment
- CONTRACTOR`S/OWNER'8 •A�IDAVIT: I certify that al) the infonnatlon in this application is accurate and
that all wo�lc wql be done in compiianc�e wlth ail applk�able laws regulating constructlon� zoninD and land
devdopment. Appifca�on is hereby made to obtain s permk to do wo�ic and installaUon as indicated. I certify
that no wo�ic or installatfon has cammenced pria' to Issusnce of a permit and that all work wUl be pe�formed to
meet standards of all laws n�ulatlnp construction� County and City codes� .zonin� regulaUons� �nd land
development regulations in the jurisdk�bn. � also oertlfY that I undecstand that the re�ulatbns of other
. govemmeM apencies may apply'to the intended work� and that It is my reaponsibility to idently what actions I
must take�to be in comptiance.
If I am the AGENT FORTHE OWNER, I promise in pood faith to i�rm the owner of the peRnittinfl conditlons set forth in
this affidavk prtor to commencing constructlon. i understand that e separate permit mey be requlred for siectrical work,
plumbing, signs, wells, poois� air condiNonin�� �as, or other in�tallstlo�s not speciilc�ly included in the appUc�Uon. A
p�� i$$�ed $ha�� be construed to be a Ik�nas to proceed wlth the wwk and not as authority to viclate, cancel, alter, or
set aside a�ry provisbns of the Mch�k�l oodes� nor shall istuancs of a peRnit prevent the Buqdinp Otficial from thereafte�
requiring a co�n af erro�s in plans� construc�dan or violsUons of arry codes. Every permit issued sh�l) become invalid
unless the work au�w�ized by such permit is commenced v�ithin six months of permtt issuance� or if woric auttwrized by
t� permit is �uspendod or abandoned for a perlod oR sbi (6) moMhs aftsr the �me the work is commenced. An extenslon
rr�ay be naqussted� in wrlMdng� from the Bulidinq Offl�laf for a period not ta exceed ninety (90) days ,u'�d wiU de�monstrate
ju "�tttCatile cause for tha exter►sion. 'tf work ceass= for ni�aety �90) oomea�tivs days the job ts c�ns[dered abandoned
WARNING TO��OWNE�2: YO�IlR FAIL'URE TO RECORQ A'NGTI�E.'OF'EC3MM�NC�MENT UAA►Y RESULT IN YOUR
PAYING'f'IAl1�3E �l�t. R.QVEIlAEN'1'S TO YOUR PF�QP�R�. I�`YQt�_. MQ TO 0 N Ftt�±l�iNG� CONSULT
FLO�'tIDR �URA'1"(F.S.117.0 -
GWNER OR AtiF�NT
S�c�d srd�sworri` (o� alMmed) bo/ors me q�ie �� � �D �
� kno�Mn b me or haeA�av� Prod� 1iVFa . b/sr� n'►� .
a
ss Identllfc�tbn. ' as IdentMcatbn.
. � P � Notary PuWic
Cortimb�lvn No Ccrtunlaion No. .
Nams of NciWY b�D�� P� ot tlamPsd Nemw of Not�Y bDed. P� or sbmP�cl
��PBRLAllA
� MY COA�IISSiON � DD814782
' � �IItE4: DecOUtbar 12, 2l11�
idowdiDT,Vtv �.�apYDbooratAwoo.Ca