HomeMy WebLinkAbout11-12659 ' CITY OF ZEPHYRHILLS ''� y
5335 - 8TH STREET
(s13) �so-oo20 12659
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12659 Address: 36841 CLUBHOUSE DR
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: SILVER OAKS
Est. Value: Parcel Number: 04-26-21-0000-00100-0020
Improv. Cost:
Date Issued: 12/28/2011 Name: S& R DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/28/2011 Phone:
Work Desc: FPM-SEMI HOOD SUPPRESSION FOR SILVERADO CLUBHOUSE
5.
� � i7
�.�
�'� �
l� _
,�
inal
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 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
• $�aaso-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Qate Received ,� — �� Phone Contact for Pertnit 352 � 7340
Owner's Name Silverado Ownefs Phone Number �� ��
Owners Address
Fee Simple Titleholder Name Titleholder Phone Number 813 788 1225
�ee Simple Titleholder Address
Job Address Lot # �
Sub Division Par�ei #
� 8io-Hazard Waste Storage - ANNUAL a Fumigation Tent
a Comm 6chaust Kitchen Hood/Duct Q Hazarcious Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum a Hood Installation
� Emergency Generetor < 30 kw � LPRVaturai Gas-Installation /
� Emergency Generetor > 30 kw � LP/Natural Gas-ANNUAL Sale /
� Fire Protection Maintenance - ANNUAL � Piaces of Assembly-ANNU ��
� �� e � f��
Sprinkier � 0 ❑ O� � Recreational Bum �
Fire Alarm � ❑ ❑ ❑ � � Sparklers �
Hood Cleaning �❑ ❑ ❑� � Sprinkler System Installatio
Hood Suppression � ❑ � ❑ � � Standpipes (Sprinkler Sys)
� Fire Alarm Instaltation � Torch RoofinglTar KetNe
n Fire Pumps a Waste Tire Storage ANNUAL
� F�� wa�s
� FlammableApplicatlon-ANNUAL Valuation of Projeet
Fuel Tanks
Q Other.
Contractor Corr�pany
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company �_
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registe►ed Y! N Fee Current Y 1 N
Address Licerue #
MECHANICA Company
Signature Registered Y/ N Fee Curtent Y/ N
Address License #
OTHER Comparry Securitv Fire Ecruipment LL
Signature Z% Registered _ Y/ N Fee Curre�t Y/ N ��
Address 18330 Lawrence Rd License#
Directions�
Fill out application completefy
Owner & Contracior sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical wo►k over 35000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcsl #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONB: The undersigned understands that this permit may be subject to "deed" restrictions°
. which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictbns.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: !f the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regutations. If the
contraGtor is not li�nsed as r�qtdred by law, both the o�rtler and contractor may be ctted for a misdemeanor vi�lation
under stste taw. ff the owner or i�tended contracto� are unoe►iain as to what licensing requirements may appfy for the
intended woric, they are advised to c�ntact the Pasco County Bu�ding Inspection Divislon—licensing SecUon at 727-847-
8009. Furthertnore, if the omier has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the °corrtractor Slock" of this applicaHon for which they will be responsiWe. H you, as the owner sign as the
contractor, that may be an indiqtion that he is not properly licensed and is not entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTMILITIES tNPACT AND RE50URCE RECOVERY FEEB: The undersigned understands
lhat Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction of new buildings, diange of
use in existing bulidings, or expansion of existing bu�dings, as specified in Pasco County Ordinance �umber 89-07 and
90-07, as amended. The undersigned aiso understands, that such fees, as may be due, urill be fdentified at the time of
permitting. It is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prfor to
receiving a'certificate of occupancy" or final power release. H the project dces not invdve a certificate of occupancy w
final power release, the fees must be paid prior to permit issuanoe. Furthermore, (f Pasco Counly Water/Sewer Impact
fees are due, they musi be paid prfar to permit issuance in accwdanoe with applicable Pasco CouMy ordinances.
CONSTRUCTtON LIEN LAW (Chapter 7l3, Florida Statutes, as amendedZ: if valuallon of work is $2,500.00 or more, I
certify ihat 1, the applicant, have bean provided with a copy of the "Florida Construcdon Lien Law—Homeowner's
Protection Guide' prepared by the Florida Department of Aeriwlhne and Consumer Affairs. If the applicant is someone
other fhan the'owner", i certify that I have obtained a copy of the above desaibed document and promfse in good faith to
deliver it to the `owner" prfor to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVfT: 1 certffy that al) the iniortnation in thfs application is accurate and thaf ail work
wiN be done in compliance with all applicable laws regulatlng construction, zoning and land development. Application ts
hereby made to obtain a permit to do woric and instaliatlon as indicated. 1 certity that no work or installatfon has
commenced prbr to issuance of a pertnit and that sli work uvGl be performed to meet standards of all laws repulating
co�struction, County and City codes, mning regulations, and land deveiopment �egulaUons in the jurisdiction. I also
certHy that I understand that the regulatians of other govemmeM agerx:iees may appty to the itrtended worlc, and that it is
my responsibility to ideMify wFmt acttons 1 must take to be in compl�. Such agencies hidude but are rwt limfted to:
- Department of Ernironmental Profecfion-Cypress Bayheads, Wetland Arees and Emri�onmentaly Sens�ive
Lands, Wet�lWastewater Tre�atrnent
- 5outhwest FloNda Water Management DisVict-Weris, Cypress Bayheads, Wetta� Areas, Aftering
Wate�courses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Departme►it of Health 8� Rehabilkative Services/Environmentat I-fealth Unit-WeNs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federa! Aviffiion Authaity-Rurmays.
I understand that the foilowing restrictions appiy to the use af fill:
- Use of fit is not allowed in Floaf Zone'V' unless expressly permitted.
- If tfie flll materlai is to be used in Flood Zone 'A°, it is understood that a drainage plan addressing e
'compensating vdume' will be submftted at time oT permitting wF�ich is prepared by a professional engineer
licensed by the State af Florida.
- If the fili material is to be used in Flood Zone 'A" in connec.iion wkh a pemiitted buflding using stem wall
construction, I certify that flA wiH be used only to fdl the area within the stem wall.
- If flli matarial is to be used in any area, I certity that use of such fill will not adversely affect adjacent
propertfes. If u9e of fli ( is found to adversey aftect adjacer�t properties, the owner may be dted tor vidating
the conditbns of the 6uilding pertnit Issued under the attached permfl applk;ation, for lots less than one (1)
acre whk:h are elevatad by fNl, an engineered drainage plan is requked.
K I am the AGENT FOR THE OMYNER, 1 promise in good faith to inform the rnmer of the permitting conditions set forth in
this efiidavit prior to commeridng construction. I unde►stand that a separate permit may be requirec3 for electrical work,
piumbing, signs, wells, poots, afr c�ndiUoning, gas, or other histallations not specfficaily induded in the applicetion. A
permit isaued shab be constn�ed to be a license to proceed wfth the work and nof as authordy to vidate, cancel, alter, or
set aside arry provfsions oi the technical codes, nor shall issuance of a permft prever�t the BuNdirig Officiai from thereaPoer
requiring a cortection of errors in plans, construction or violations of eny codea. Every permit Issued shall become irnalid
uniess the v�rork euthorized by such permft is c�mmenced wflhin six moMhs of permft issuance, o� if work authori2ed by
the permit is suspended or abandoned tor a period of six (8) montns after the time H�e work is commer�ced. An extenslon
may be requested, in writing, from the Build'mg Officiai for a perbd nvt to exc�ed ninety (90) days and wfll demonstrate
justifiable cause for the extension. If work ceases for ninety (90) cor�secutive days, the �b Is cor�sidered abandoned.
WARNtNG TO OWNER: YOUR FAILURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYlNG ?WICE FOR iMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAMI FINANCING, CONSULT
W(TH YOUR L ENDER OR AN ATTORNEY BEFORE RECORDMIG YOUR NOTICE OF COMMM�CEAI�NT
FLORIDA JURAT (F:S. 117.03)
OWNER OR A(iENT C�A
Subsa�ad and aworn to (or alnm�ed) betore me tlds Subaabad and svwm to (w affirmad) before me th�
YNro islae D�sonatlY krrown to me or hselheve qoduoed Whn is/are PersaaNY Imown to me or haaAmve produced
ay �py�, es idantlRcaUon.
Idotsry PubRc N°t�' P�Ic
Commleslon No. C°�^�ejO^ �'�O•
Name of Notary typed. PNMed ar alamped kame of Nofary tYPed. PAnted or sfampad