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Home My WebLink About11-12505 CITY OF ZEPHYRHILLS � ' S335 - 8TH STREET � �sis� �so-oo20 12505 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12505 Address: 37815 15TH AVE 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: 10- 26-21-0600-00000-0010 Improv. Cost: Date Issued: 11/04/2011 Name: JOSEPH, JOSEPH Total Fees: 25.00 Address: 37815 15TH AVE WEST Amount Paid: 25.00 ZEPHYRHILLS FL Date Paid: 11/04/2011 Phone: Work Desc: FPM- SEMI HOOD CLEAN- WELLSPRING ALF 5. 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." � 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 s13-780-002o City of Zephyrhills Fire Fax-813-780-0021 Permit Application ate Rec�ived • �( y � Phone Contact for Pertnit � C � 7 _1' Q � wner's Name �— T' /�f � F Owner's Phone Number �] �� 0�, ��- wner's Address ?�( S (S�1 �� 2� r h � �S FL �j ?j�, Z.. �e Simple Titleholder Name Titleholder Phone Number C� � I I �e Simple Titleholder Address u �b Address W� l� �( f� 3 7 tJ l� �� F iv !� h rh � I S� Lot # Z�� J �b Division ParCei # � Bio-Hazard Waste Storage - ANNUAL a Hazardous Material (Tier II or RQ Facility) ANNUAL � Comm F�chaust Kitchen Hood/Duct � Hood Instal�ation � Controlled Bum a LPMatural Gas-Installation � Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale � � � Emergency Generator > 30 kw Places of Assembly-ANNUAL !� c� � Fire Protection Maintenance - ANNUAI � Recreationai Bum �� `"� ❑ � emi � er � _ 1 ,,` `L (,� Sprinkler ❑ ❑ ❑ � � Sparklers C.1'1CGµ' Fire Alartn � ❑ ❑ ❑� � Sprinkler System Instatlations 1 �` � ��! np �F�lood Cleaning ❑ ❑ ❑ � Standpipes (Sprinkler Sys) � � �� Hood Suppression ❑ � ❑ � � Torch Roofing/Tar Kettle � Fire Alarm Installation a Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Flammable Appiication- ANNUAL � Vaivation of Project Fuel Tanks � Other �ntractor �/�) � 1 , / gnature " — � � �� l/ � � � L� / / Company ��N R istered Y/ N Fee Current Y/ N �In��S,(d�ss �3 � �� # _ECTRICIAN gnature Company Registered Y/ N Fee Current Y/ N Address License # _UMBER gnature Company Registered Y/ N Fee Current Y/ N Address License # ECHANICAL gnature Company Registered Y/ N Fee CuRent Y/ N Address License # THER gnature Company Registered Y/ N Fee CuRent Y/ N Address License # �2ctions: Fill out application completely Owner & Contractor sign back of appliption, 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. Parcei #- obta(ned from Property Tax Notice (hrip://appraiser.pascogov.com) n1�i,�,tr�, VIGIL INC � He�rd !� Ex� t�aia� Svc. P.O. smt 27'37�?' "'i�, �t � P: 613-932 91M F: i19-� gatorallC6rwa�►�a�l.cem - � -•� - .;-- - + - -- � 1�lOTIC� OF DEED RESTRICTIONS: The unclersigned underl tands that this permit ma be sub' Y �ect 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 Ilcensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the own� and conlraetor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are unc�ertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County uiiding 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 14censed and is not entitled to permitting privileges in Pasco County. i CONSTRUCTION LIEN �,AW (Chapter 713, Florida Statute I , 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", I certify that 1 have obtained a copy of �he above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFiDAVIT: I certifiy that all the information in this application is accurate and that all work will be dbne 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 installation 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 all 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 inctuded 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, nvr shall issuance 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 Work authorized by such permit is commenced within six months of permit issuance, or if work au t h o r i z e d b y t he permi t i's suspended or abandoned for a period of six (6) r�onths after the time t he wor k is cbmmenced. An extension may be requested, in writing, from the Building Official for a�eriod 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 FAtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y ORE RECORDING YOUR NOTIGE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) . � OWNER OR AGENT RACTOR Subscribed and sworn to (or affi� ) before me is Sub ibed and sworn to (or a�rmed) before me this by bY Who is/are personally know� to me or has/have produced Who i i/are personally known to me or has/have produced as identification. as identification. I Notary Public Notary Public Commission No. Com I lssion No. � Name of Notary typed, printed or stamped Name of Nota � ry typed, printed or stamped I I I I ►