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Home My WebLink About11-12384 ' �' � � CITY OF ZEPHYRHILLS ` 5335 - 8TH STREET (si3) �so-oozo 12384 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12384 Address: 38333 COTTONWOOD PL 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: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-0216-OOR00-0000 Improv. Cost: Date Issued: 9/23/2011 Name: DRIFTWOOD CONDO ASSOC Total Fees: 25.00 Address: 38333 COTTONWOOD PL Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/23/2011 Phone: Work Desc: FPM-SEMI HOOD SUPPRESSION FOR DRIFTWOOD CLUBHOUSE 5. � � K � _ 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 '"-- ---- vi�y vi �cNiiy��nuo � �ra raX-tSl5-780-0021 Permit Application DaC� Receivad ��3i?V �� - - � ^ Phone Contact for Pertnit ! 3 �l ?� �� . a.=�s�a� OEvners Name Owners Phone Number �� Owners Address Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple TiUeholder Add�ess L� �J �F� - -..�cs�ew�c, .e.�a+�,,. �'at_ � a.�,.... --"�-� _s �- 5.�c'. . �- . Job Address � �' 1�wpc�� r►lYl� .�`f �� G P � Lot # Sub Division Parcel # � - �..,��.Q.. - - - � -- �. ��.c�= - .as a Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent Q Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier II or RQ Faciliry) ANNUAL a Controlled Bum � Hood Installation � Emergency Generator < 30 kw � LP/Natural Gas-Instaltation a Emergency Generator > 30 kw a LP/Natural Gas-ANNU a e f a Fire Protection Maintenance - ANNUAL a Places of Asse y-ANNUAL ❑ r y emi � er Y Sprinkler p ❑ ❑ a Recreati I Bum �� Fire Alarm � ❑ ❑ ❑ � � Sparkle �� / iiood Cleaning � ❑ ❑ p� a Spri�kle System Inst lations Hood Suppression � t p � p� a Standpipes ler S � Fire Alartn Installation � Torch RoofingfTar Kettle Q Fire Pumps � Waste Tire Storage ANNUAL a Fire Works � Flammable Application- ANNUAL Valuation of Project Q Fuel Tanks Q Other: Contractor �' Company � � - /.J- - F, �� ,� Signature Registered Y/ N Fee CuRent Y/ N Address y7�( .�iG �r (�- T ( License # � � y� 3� 1�d�, r�.� � ELECTRICIAN � Company Signature Registered Y/ N Fee CuRent Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Cument Y/ N Address License # MECHANICAL � Company 5ignature Registered Y/ N Fee Current Y/ 1�I Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: - Fil out application completely Owner & Contractor 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 two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (hitp:/lappcaiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned The undersigned a um s esponsibilbry for:compl a�e t w th any. which may be more restrictive than County regulations. applicable deed restrictions UNLICENSED CONTRACTORS AND bONeRAed o be E ensOedsiBac'coEdance th s ate and local If con trac tor s t o u n d e rt a ke work, the y may q contractor is not �icensed as required by law, both the owner and contrac tor may be c i t e d f o r a m i s d e mYanPPyiolation under state law. If the owner or intenda d{�e Pasco County Bu Iding Divi I o.nr cens ng ction at 727 847- intended work, they are advised to con 8009. Furthermore, if the owner has hired lication t for which�thetrwill�be es the own as portions of the "contractor Block" of this app � Y P 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 (Chapter 713, Florida Statutes, _as�f m�endF orid C L en $ awO ow� e's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Depa�tment of A of the des�r bed docum and prompsean fa th to other than the °owner", I certify that I have obtained a copy deliver it to the "owner" prior to comme�cement. _ CONTRACTOR'SIOWNER IS A om��ance . with al applicable laws r egu ati on� z n ng u and land t h a t a l l w o r k w i l l b e d o n e P development. Application is hereby made to obtain a permi t to do w o r k a n d i n s t a l l a t i o n a s i n d i c a t e d. I c e rt i y that no work or installation Sa e �g constructions County�and y g regull b o Perfor � eand m e e t s t a n d a r d s o f a l l l a w 9 development regulations in the jurisdiction. I also ce r ti f y t ha t I u n d e r s t a n d t h a t t h e r e g u l a t i o n s o f o t er g o v e r n m e n t a g e n c i e s ma y a p pl y 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 tructioni I I understand that a�separat permit may be req g ed fo� cal work, this affidavit prior to commencing con plumbing, signs, wells, pools, air o be a I cen�se to p oceed the work and not s oriry ao aiolateecanP or permit issued shall be construed t set aside any provisions of the technical codes, nor shall issuance of a permit prevent th erm t iss ed shall become inval d requiring a correction of errors in plans, construction or violations of any codes. Every p unless the work author'¢ed by such Pe for ' a ls e� d of six (6) �m after�the time commenced. An nsion the permit is suspended or abandoned p may be requested, in writing, from th ` e � e k ' ce l a es (90) nsecutive days the job is de ed ba d nedstra e jus ti fia b le c a u s e f o r t h e e x t e n s i o n. I f ni WARNING TO OWNER: YOUR FAILURO YOUR PROPERTY. r IF YOU INT OBTA N ANCSNG, PAYING TW�CE FOR IMPROVEMENTS T WITH YOUR LENDER OR AN Tf RNEY BEFORE RECOROING YOUR NOTICE OF MENCEMENT. FLORIDA JURAT (F.S. 117.0 CONTRACTOR OWNER OR AGENT Subscribed and swom to ( affirmed) before me this Subscribed and swom to (or a ed) before me his —_bY by Who islare personally known to me or has/have produced Who is � p onally known to me or hasfiave produced as ident�cation. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped