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Home My WebLink About11-12450 CITY OF ZEPHYRHILLS ,_,✓ J � 5335 - 8TH STREET (si3) �so-oo20 12450 " ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12450 Address: 37411 EILAND BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-05300-0000 Improv. Cost: Date Issued: 10/13/2011 Name: KOENIG WEST WINDS LLC Total Fees: 25.00 Address: 37411 EILAND BLVD Amount Paid: 25.00 ZEPHYRHILLS FL 33542 Date Paid: 10/13/2011 Phone: (813)783-8100 Work Desc: FPM- HOOD CLEAN QUARTERLY- WESTWINDS ASSISTED LIVING �� C (� ,� ,� ��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. Compiete 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 acrnrdance 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 OfFce - 813-780-0041 v1crL, axc. 12 4 8 8 City of Zephyrhills 10/10/2011 7270 • Licenses and Permits WESTWINDS ASSISTID LIVING 25.00 T � VIGIL INC HOOD AND EXHAUST C PO BOX 273787, TAMPA, FI.A 33688 PHYSICAL: 9538 LAZY LANE UI�I'I C-13, TAMPA, 0903 Checking Bank WESTWINDS ASSISTID LIVING 25.00 _s�saao-oo2o City of Zephyrt�ills Fire Fax Pennit Application �te Received, � Phone CoMact for Pertnit � � 3 L q I O� wner's Name W� ST u� f N �"j a� ScS'�'� � c �!(,1 Owners Phone Number �Jl 3 8 3 �( D � wners Address J�� [� ( l.. Qt�l� C �VL[ Z � �l� �� t �(,� 3 3'J� y Z se Simple Titieholder Name Titleholder Phone Number C� �� :e Simpie Titleholder Address �b Address w e ST �� a S S f 5'f'�C 1 U 1�.1 Ze �1 r4. �� S �� 3� Z Lot # � �b Division Parcel # � Bio-Hazarcl Waste Storage - ANNUAL � Hazardous Material (Tier 11 or RQ Facility) ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Bum a LPMatural Gas-Installation a Emergency Generator < 30 kw � LPMatural Gas-ANNUAL Sale � Emergency Generator > 30 kw � Places of Assemby-ANNUAL n Fire Protection Maintenance - ANNUAL � Recxeational Bum b�C � m� � r �� 5�,��' Sprinkler � ❑ ❑ ❑ � � Sparklers ,;iL�' ��v �� Fire Alartn � ❑ ❑ ❑ � � Sprinkler System Installations OGT ?A� 11 Hood Cleaning � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) Q Hood Suppression �❑ ❑ ❑ 4M;'�► � Torch Roofing/Tar Kettle 7 : �� Fire Alarm Installation � Waste Tire Storage ANNUAL � Fire Pumps Fire Works � Flammable Application- ANNUAL Valuation of Project � Fuel Tanks Q Other: anVactor ,,� a �,, � �� 1 �-- Company gnature Registered Y/ N Fee Current Y/ N Address (�1 �l l� � 13 � License # _ECTRICIAN Company gnature Registered Y/ N Fee Current Y/ N Address License # _UMBER Company gnature Registered Y/ N Fee Current Y/ N Address License # ECHANICAL Company gnature Registered Y/ N Fee Current Y/ N Address License # THER Company gnature Registered Y/ N Fee Current Y/ N Address License # iredions: Fill out application completely. Owner 8 Contrador sign back of appliption, notarized (Or, copy of signed corrtrad with owner) If over 52500, a Notice of Commencement is required (Mechaniqf work over $5000) Suppy two (2) sets of drawings with appliqble documentation Albw 10-14 days tor review atber subnwtlal dab. Pa�el �- obtained irom Property Tax Nodce (http:/lappraiser.pascogov.com) � ii.1t�. �C HOAd � F+�t C� SYC. P.O. �ac 27'3T#7 +''I�, FI � p: ai�-�� F: si�-s�-�s ga[ora�ehew�J►�.can :.�_..__._ : _ _.. NOTICE OF DEED RESTRICTIONS: The unclers'igned understands that this permit may be subject to "deed"-r.estrictions" which may be more restrictive than County regulations. The indersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESIPONSIBILITIES: If the owner has hired a contractors to undertake work, they may be required to be Ilc�nsed in accot�ance witli state and (ocal regulations. If the contractor is not licensed as required by law, both the owne and contra�tor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are unc�e�tain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County uilding 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 for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly li,Censed and is not entitled to permitting privileges in Pasco County. � CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute , as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a c�py of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agr culture and Consumer Affairs. If the applicant is someone other than the "owner", 1 certify that I have obtained a copy of he above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR'SIOWNER'S AFFIDAVIT: I certi y that all the information in this application is accurate and that all work will be done in compliance with al� applicable laws regulating construction, zoning and land development. Application is hereby made to obta n a permit to do work and instaflation as indicated. I certify that no work or installation has commenced prior issuance of a permit and that all work will be performed to �" meet standards of ali laws regulating constructi n, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I so certify that I understand that the regulations of other � government agencies may apply to the intended ork, 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 fait 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 included in the application. A permit issued shall be construed to be a license to proceed ith the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violatiQ� ns of any codes. Every permit issued shall become invalid unless the inrork authorized by such permit is commenced wifhin six months of permit issuance, or if work authorized by the permit i's suspended or abandoned for a period of six (6) r�onths after the time the work is cbmmenced. An extension may be requested, in writing, from the Building Official for a Qeriod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety ( O) consecutive days, the job is considered abandoned. WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FIORIDA JURAT (F.S. 117.03) ,, // , i (/ / OWNER OR AGENT �CON�RACTOR — Subscribed a�d sworn to (or affirmed) before me this Subsc 'bed and sworn to (or ifined) befofe m is by b y Who islare personally known to me or has/have produced Who iilare personally known to me or haslhave produced as identification. as ldentification. � Notary Public Notary Public Commission No. Com l lssion No. � Name of Notary ryped, printed or stamped Name of Notary typed, printed or stamped I I I ►