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HomeMy WebLinkAbout11-12339 CITY OF ZEPHYRHILLS ��,./ 5335 - 8TH SIREET (si3) �so-oo20 12339 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12339 Address: 5500 6TH ST 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: 11-26-21-0010-09000-0180 Improv. Cost: Date Issued: 9/09/2011 Name: DAVIS, JAMES & SUE Total Fees: 25.00 Address: 2605 ROBIN DR Amount Paid: 25.00 PLANT CITY FL 33563 Date Paid: 9/09/2011 Phone: (813)754-3647 Work Desc: FPM- FIRE ALARM ANNUAL- BADCOCK FURNITURE � � � 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 INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813780-0020 City ofZephyrF►iIls�Fire• Fax-813-�80-0021 Permit Application Date Received - Phone Contact for Permit �„ 53Q L �Sa Owner's Name Owners Phone Number _� C�, � Owner's Address s5 Fee Simple Titleholder Name TiUeholdec Phone Number ��� �� Fee Simple Titleholder Address , �� Job Address � � � Lot# Sub Division Paroel # � Bio-Hazarcl Waste Storage -ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facilfty) ANNUAL � ConVolled Bum � Hood Instaltatlon � Emergency Generator < 30 kw � LPMatural Gas-Installation � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL r y emi �n er 5prinkler � O ❑ ❑ � Recreationai Bum Fire Alartn �❑ p `� � � Sparklers � t,/ 7 �� Hood Cleanin ❑ ❑ ❑ S rinkler S i� 9 � � � p ystem Installations Hood Suppression � ❑ ❑ p� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Toroh Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Applicatlon- ANNUAL Valuation of Project Fuel Tanks Q Othe - ConVactor Company � • y r Signature Registerad Y/ N Fee Current / N Add�ess License # ELECTRICIAN Company Signature ° Registered Y/ N Fee Current Y/ N Address license # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Curtent Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: FII out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed conVact with ovmer) If over $2500, a Notice of Commencement is required.(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentatian Alfow 10-14 days for review after subm(ttal date. Par�el #- obtained from Property Tax Notice (httpJlappraiser.pascogov.com) •NOTICE OF:DEEDRESTR�CTIONS: The.undersigned understands-that this permit ma,y-be•subject:to which may be more restrictive than County�regulations. The.undersigned.assumes responsibility_for:compliar�e=with any _applicable deed restrictions. - UNLICENSED CONTRACTORS AND �CONTRACTOR RESPONSIBILITIES: tf the owner has 'hired�:a�contractor or - contractors to undertake work, they may be required to be ficensed in accordance with state and local 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 727-847- 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 application which�they will be responsible. If you, as�the owner°sign as the contractor, that may be an indication that he is not properly (icensed and is not entitled�ta�permitting privileges in Pasco County. CONSTRUCTION.LIEN•LAW (Chapter713, Florida Statutes,-as:amended): If valuation of work is $2;500.00 or more, certify that t, �the applicant, 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 applicant 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 °owne�' prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I cerfify that all the information in this application is accurate and that all work will be done in compliance with al{ applicable taws regu{ating construction, zoning and land development. Application is hereby made to obtain a permit to do work and instal{ation as indicated. I certify that no work or instaliation has commenced prior to issuance of a permit and�that all work will b� perfarmed t� meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdiction. I also certrfy that I understand that the regulations of other government agencies may applyto the intended work, and th�t it is my responsibility to identify what actions I must take to be in compliance. lf I am the AGENT FORTHE 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 inc{uded 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 Buiiding Official for a period not to exceed ninety (90) days and wili 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 CONSULT PAYING TWtCE FOR �OR AN ATTORNEY BEFORE RECORDING YOUR N� CE O COMMENCEMENT. � W1TH YOUR LENDER FLORIDA JURAT (F.S. 117.03) CONTRACTO before me this OWNER OR AGENT Subscribed an m to (or a rm ) Subscritred and swom to (or affirmed) before me this _ bY _ Who is/are pe naily known e o� has/have produced Who is/are personally known to me or haslhave produced as identifiption. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary tYPed. Printed or stamped '