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Home My WebLink About11-12329 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oo20 12329 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12329 Address: 6036 GREEN DR 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: ZEPHYRHILLS COLONY Est. Value: Parcel Number: 01-2 6-21-0010-12000-0011 Improv. Cost: Date Issued: 9/07/2011 Name: ZEPHYRHILLS RRH LTD Total Fees: 25.00 Address: 7865 SOUTHSIDE BLVD Amount Paid: 25.00 JACKSONVILLE FL 32256 Date Paid: 9/07/2011 Phone: (904)642-1759 Work Desc: FPM-HOOD SUPPRESSION SEMI ANNUAL FOR CYPRESS GREEN APTS � � 5. �� I 1 � �� ( � � l 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 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." 4 PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 s�saso-oo2o City of Zephyrhills Fire ° Permit Application Fax-813-780-0021 Date Received 0 � � Phone Contact for Permit g t3 �'�6 /�� s � �. �-�.� Owner's Name l rl /�f�-/� $r '�n� Owner's Phone Number �83 ZZ7 Owner's Address �� 3� �s"/'��.� ��"� ,/� z i 33 3ry Z Fee Simple Titleholder Name � �� Titleholder Phone Number Fee Simple Titleholder Address _ ,. ,, �_ . Job Address ('j 3. �r�� f- , %l .33�� Z .: �o� # �� Sub Division , . . , Parcel # � Bio-Hazard Waste Storage - ANNUAL � � � a Fumigation Tent Comm Euhaust Kitchen Hood/Duct � � Hazardous Material (Tier II or RQ Facility) ANNUAL Controlled Bum Hood Installation � Emergency Generator < 30 kw � � LP/Natural Gas-Installation Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUA ❑ CLI r�y emi nT er � Sprinkler ❑ ❑ ❑ � Recreational Bum f�� Q` Fire Alartn � � � � �� ❑ Sparklers Hood Cleaning �❑ ❑ ❑� � Sprinkier System Installation Hood Suppression � p �j � r � — � / , v �_._� Standpipes (Sprinkler Sys) Fire Alarm Installation � Toroh Roofing/Tar Kettle � Fire Pumps a Waste Tire Storege ANNUAL � Fire Works Flammable Application- ANNUAL � Fuel Tanks Valuation of Project Q Other: Contractor � . , Signature Company � • �� ^ � Registered Y/ N ee Current Y/ N Address o p � � � License # ELECTRICIAN Signature Company Registered Y/ N Fee Current Y/ N Address License # �— 'LUMBER iignature Company Address Registered Y/ N Fee Current Y/ N AECHANICA License # iignature Company Address Registered Y/ N Fee Current Y/ N ITHER License # ignature Company Address Registered Y/ N Fee Current Y/ N irections: License # Fill out application completely Owner & Contrector sign back of application, notarized (Or, copy of signed contrect 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://appreiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The �ed ulations. The undersigned a umes espons bilbty for compl ance t w'th any which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTORS A ma beN q�ed o be EcenOedSiBaLc'IT�IE�S nce th st te a d locaeregulations. If contractors to undertake work, they y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif at{he under state law. If the owner a t n con act the Pasco C unty Bu Iding D vss on—L c ng Section at727-847- intended work, they are advise 8009. Furthermore, if the owner has h a ed l'�tion t for which they will be respons bleelf the ownea sign as portions of the "contractor Block" of this pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, of the "Florida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy licant is someone Protection Guide" prepared by that I obta ned a copy of I the t above descr bed document and prompse in good faith to other than the "owner", I certify deliver it to the "owner" prior to commencement. _ CONTRACTOR'SIOWNERIS Q► om��ance�with al applicalbleeawsrregu' atingtconstuofon� zon ng land that all work will be done P development. Application is herebymm �ced �or to ssuanc of a permit and I that I all t work will�be to that no work or installation has com P meet standards of all laws r he u �uri dict ons i cerfify that u de stand that he egulat ons other development regulations in t � government agencies may apply to the intended work, and that it is my responsibility to idenfiiy what actions must take to be in compliance. If I am the AGENT FOR THE OWNER, �� i u n 9 �erstan ' d that a�separat permit may be u ed for l electr c I work, this affidavit prior to commencing constr 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 codes e nor shall i sua a pe mitprevent the ding I Officeal from ther set aside any provisions of the techrnca , requiring a correction of errors in plans, co� ss�c t � ° menced l within s z perm t pssua oaif wo authorized by unless the work authorized by such permi the permit is suspended or abandoned for a period of six (6) months after the time the wor 90 da s and will demonstrate may be requested, the e onm f work Ice'asesOfor'ninety (90) days, the cons dered abandoned. justdiable cause for WARNING TO OWNER: YOUR FAILURE T OUR PROPERTY TIF YOU INT�END TO OBTAIN F NANC NG CONSULT PAYING TWICE FOR IMPROVEMENTS TO Y WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 03) CpNTRACTOR OVYNER OR AGENT Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this bY by Who is/are personally known to me or has/have produced Who isjare personally known to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary lyped, Printed or stamped