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Home My WebLink About11-12564 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oo20 12564 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12564 Address: 5316 11 TH ST Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0100-17100-0100 Improv. Cost: Date Issued: 11/28/2011 Name: SAINT JOSEPH CATHOLIC CHURCH Total Fees: 25.00 Address: 5316 11 TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/28/2011 Phone: (813)782-2813 Work Desc: FPM-ANNUAL FIRE ALARM FOR ST JOSEPHS CATHOLIC CHURCH 5. r � C (', -�...- _ 2 c _ � ( ,� I � ina Chapter 633, Florida Statutes, authorizes the City to charge and wllect 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 shail 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 OfFce - 813-780-0041 613 City ofZephyrhilts'Fi�- Fex-813-780-0021 Permit Application Date Fteceived ph� C p� Ownet's Name �' (7 !�' ✓' Owr�'s Phone Nimiber ' C i� l�� ] i�-=:L_ Owners Address 1 1 � / �) /'I � � Q /' h �� Fee Simpfe Trtleholder Name �Trtletnlder Phaie Nurt�ber �� C� C Fee Simple TiGeholder Add Job Address V Q � Q h/�hI �� Lot # L �� — Sub Division par�c� # � Bio-Hazard Waste Storage -ANNUAL � �� _ -- � Comm Exhaust Kitchen Hood/Duct � Hazandais Materiaf (Tier II or Faciiity) ANNUAL � � Coritralled Bum � � � �� ) � � EmergencY Generator < 3D kw � LP/N�ah�ral �� Emergency Cxnetator > 3D kw � LPiPtahnal Gas AN UAL Sele Fre Protection Maintenence - ANNUAL � Places of UqL _ � �.� � �// ' 5prinkler � ❑ ❑ ❑ � � Reaeatio�l Bum � ❑ � 0 0 ( y�� , �� o o S�� liood Cleenin9 � ❑ D ❑ C� � SprinkierSysiem k�stallatiwis liood SuPPression � � O ❑� a SYdndpipes (SPrinider SYs) � Fre Alartn Insfallatipn � To�h RoofinglTar KeUle Fire Pumps Q Waste Tire 5tarage ANNUAL Fre Works Flammabie Application. ANNUAL � Valuation of Ptoject Fuel Tanks � Oiher' - Contractor �� s;9nature ' t�egisroered Y/ N Pee cunent Y/ N Aaaesss ' ucense # �' � ��+y u sell Electrical Eonst 5ignature � -��- �� Registered Y/ N Fee Curtent Y 1 N� Address � # PLUMBER �� Signature Registerad Y/ N Fee Curterrt Y/ N Address • �� # MECHANICAL �� Signatute ' Registered Y/ N Fee Current Y/ N Address License # OTHER Comparry Signa4�re Registered Y/ N Fee Gurrant Y/ N Address ucer�se # Directions: , . - Fill out apptication cort�pletely Owner 8 Contraetor sign back of aPP�etion. rataraed (Or, copy of signed conhract with owner) � � FE over S25D�. a Notice of Camm�cement is required.{Med�enical work arer $5Q00) Supply two {2) ssts of drawings wNfi appticab{e docurnert�orr „.... Allow 1 D-14 day,s for review atter submittal date. Partxl #-�ohfalned'ftom PropeAy Tax Notice (htlpJ/aPP��r_pascogov.com) �N�TICE DF:DEEDRESTRICTIONS: The.undersigned understands that this permit may.be which may be more resirictive than Courrty regufations. ?he:undersigned assumes responsibitiiy:for:compliara�:eiwith any applicabie deed �estrictions. UNL{CENSID �CON7RACT�RS AND -CONTRACTOR RESP,ONSIBIt177ES: If owner has fiired �or - cantractors to undertaice work, they may be required �fio be licensed in acxacd�nc� with s�te °and l�ocat•re�ulations. If the c:ontractor is not licensed as required by law, both the owner and cor�tr�ctor may b� cited - �or- a misdemeanor vioiafion under state law. FF �the owner or intencied cor�tractor are unc�rtain .as �to +nrfiat ('icensing •requiremer�s may �pply for the intended work, they are advisedto corrtact the•Pasco Courrty Buflding Inspecticm Div[sion---Licensing Section.at 727-847- 80D9. Furthermore, if the owner has hired :a contractor or coritractors, he is advised to have the corrtractor(s) sign portions of the °contractor Btocl�' of this appEicafiion - for which - they wili be responsible. tf you, as - the owner •sign as the corrtractor, that may be an indic�tion that he is not pmperly [ic�nsed and is not entttled�fio �petmittir� -Privilege.s in Pasco County. , CONSTRUCTION .UEN.LAW (Chapter713, Florida S�,-as �ameridadj: If valuation of workuis �2;50QA0 or more, i certify that i, �the appiicant, have baen provided with a copy of �the `Fforida Construcfion Lien Law—Homeowner's Protecciion Guide' prepared by Florida Departrnerrt of Agricutture and Gor�sum� Afiairs. tF the applicant is �someone athsr than the °owner, I certify that 1 have obtained a copy of the above described document and promise in good faith to detiver it ta the "ovmer prior to commencement. - CONTRACTDR'S/OWNER'S AFFlDAVn': I certiiy that ail the information in this apptication is accurate and that all work will be done in compGance witF► all applir.�ble laws regulating construc�tion, zoning a�d iand developmer�t. Appticafion is hereby made to obtain a permit tn do wark and insfiailation as indicated. I certify that no work or fnstalla�ion has commerx�ed prior to issuance of a p�mit and�that atl work witl be pertormed to meet standards c�f all laws regulating construction, CouMy atud City c�des, .zoning tegutations, and land development regulations in the jurisdic�ion. E als� certify that 1 understand that the regufations of other . govemment agencies may apply io the irrtended work, and that it is my responsibility to iderrtlfy what actions i must take�to be in c:ompliance. tF i am the AGENT F�RTHE OINNER, 1 promtse in good "raith to irrfonn the oHmer ofi the permitting condfions set forth in this affidavit prior to commencing construc#ion. I understand that a separate permit may be required for eiec�rical work, plumbing, sigris, wells, pools, air condfioning, gas, or ather instaliations not specificaliy induded in the application. A permit issued shall -be construed to be a license to proceed with the work and not as authority to violate, cancei, alter, or set aside any provisions of the technical c:odes, nor shatl issuance of a permit preverrt the Buiiding Offidal from thereafter requiring a corre�fion of errors in pians, construc�ion or violations of arry codes. Every perrnit issued shail bscome invaiid unless the wock authorized by such permit is c�mmenced within sa months of petmit issuance, or if work authorized by the permit is suspended or abandoned fiar a period af sa (8) months a�er the fime the worlc is c�mmenced. An extension may be requested, in writing, from the Buikljng Official for a period not to exc�ed ninety (90) days and wil! demonstrate justffiable cause for the extension. tF work ceases i� ninety {90) a�ve days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO REC�RD A'NOl7CE'OF'COMII�NCEMENT IW4Y RESULT IN �YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: IF YOU INTEND TO OBTAIN PINANCING, CONSULT W iTH YOUR LENDE[� OR AN AT TORNEY BEFURE REC�RDiNG YOlA2 NOTICE OF COMMENCEMENT FLORIDA JURAT (F.S_ 117.03) OWNER OR AG�M' 5ubscribed and swom fo (or aRirmed) before me fh's Subscribed �d swom b ar ) me this Wtw is/are p�� mly fviawn Uo me or i�s/have produc�d (�� b me or haslhave pmduc�d as ici�ttH'icaiion. � 1. �D . t� , as i�tion. N�ry p�� No1ary Pt�61ic Commission No. �• � .---� Name of Noiary typed; prir�Eed or stamped fJame of Notary typed. pri►rted or s�mped �;K IAY ��3 20/5 •�•,., �p�:�� .p: �;rcRAADDER Af� �� : . � � �:E 145629 .. , i 3, 2015 ...i.y , -auac Undaav�iters