The URL can be used to link to this page

Home My WebLink About11-12331 CITY OF ZEPHYRHILLS � , 5335 - 8TH STREET ' • �ai3� �so-oo20 12331 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12331 Address: 7910 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 35-25-21-0010-00700-0000 Date Issued: 9/08/2011 Name: PRIMERICA GROUP ONE Total Fees: 25.00 Address: 3629 MADACA LANE Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 9/08/2011 Phone: (813)933-0629 Work Desc: FPM- SPRINKLER QUARTERLY - STAPLES 5. ��_ � �� r 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 a the Fire Department's Fire Marshal or required permits or o rnn u for commercial activi without an a Pproval of inspection shall be charged double permit fee � 9 p h' pproved final 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." �., PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTIpN OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal OfFce - 813-780-0041 a��-�ao-oo2o City of Zephyrhiils Fire Fax-813-780-0021 r Permit Application � Received i_?�-�� -' �—� Phone Contact for Permit �� I �ers Name S� /�L� S� ��/� � � J Owners Phone Number ?l /.� ��3 G d� b iers Address 5/(} G�9 e� /� [✓� Z��H �� -/L'Z L f `( 3 3s��z Simple Titleholder Name Titleholder Phone Number �� SimpleTitleholderAddress L� �.J Address ��f � G A t L c�� 2 E�°f/Y rtlz �I �� 3 r L � Lot # Division Pareel # � Bio-Hazard Waste Storage - ANNUAL � � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) qNNUAL � Controlled Bum Hood InstallaUon � Emergency Generator < 30 kw � a LP/Natural Gas-Installation Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sa1e � Fire Protection Maintenance -ANNUAL � Places of Assembly-ANNUAL L1_1 � em � � er � Sprinkler ❑ ❑ Recreational Bum Fire Alarm � � � � ❑ � � Sparklers Hood Cleaning p � � � ❑ Sprinkier System Installations Hood Suppression ❑ � � � ❑ � Standpipes (Sprinkler Sys) Fire Alarm Installation � Toroh RoofinglTar Kettle � � Fire Pumps � Waste Tire Storage ANNUAL Fire Works a Flammable Application- ANNUAL � Fuel Tanks Valuation of Project Q Other. tractor ature Company Address Registered Y/ N Fee Current Y/ N �TRICIAN License # ature Company Address Registered Y/ N Fee Cument Y/ N �ABER License # �-- �ture Company Address Registered Y/ N Fee Current Y/ N iANICAL License # ture Company Address Registered Y/ N Fee Current Y/ N :R License # �— �ure Company \ddress Registered Y/ N Fee Current Y/ N ons: Lice�se # Fill out application completely. Ovmer & Contractor sig� back of application, notarized (Or, copy of signed contrect with ownerj 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 h //a raiser.pascogov.com) � ttP� PP NOTICE OF DEED RESTRICTIONS: Th� �e ulations. The undersig ed a respons bilty for compl ance� th any which may be more restrictive than Coun y g applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or contractors to undertake work, they m b b l aw botht he ow a d contractoa may be c ted for a misdeme violation contractor is not licensed as required y , t for the under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to has h �ed contractor t or B co l nt acto s,�he advi ed to 1 have he contractor(s) s�gn 8009. Furthermore, if the owner portions of the "contractor Block" ofn {�a pooperlY fcensed s not entt ed t perm tting pr v legesgn Pasco contractor, that may be an indicatio County. If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter T13, Florida Statutes, as�fmhe d� �ida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify 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 all the information in this application 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 government 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 inctuded 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 Building 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) d'ays and will demonstrate the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO R AN EFORE RECORDING YOUR NOTICE O COMMENCEMENT.' CONSULT WITH Y�UR LEN�E FIORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirtned) before me this Subscribed and sworn to (or affirmed) before me this by b y Who islare personally known to me or haslhave produced Who islare 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 ryped. printed or stamped