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Home My WebLink About12-12738 - CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 12738 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12738 Address: 7050 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 Improv. Cost: Date Issued: 1/27/2012 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/27/2012 Phone: (813)783-6189 Work Desc: FPM-SEMI HOOD SUPPRESSION FOR FLORIDA HOSPITAL a� �- � � � � �na 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 v�ar v��cN�iy�iuuo i i�c rax-�l,5-780-0021 Permit Appfication Date Received �-a� -aor� [ � 3 C�� .�C� +�r�nnit ,s.,, �„ _-- Phone Coniact for Permit � [ -�..�...,� �� ..�. �-__�,a,a,� _�— � � r.� � ers Name Owners Phone Number �—J �� Owners Address Fee Simple Titleholder Name Titleholder Phone Number [� � �� Fee Simple TiUeholder Address �--�J 'e_a"cq'aaw'mjnsx'.a�'E — �p.�- � � ��'r'`-�.�'��'r`,.`^u'�'"�� "'�,�.�%��,4'��'k�'��,.�,*.53�a�t.� 7d�� 1 / - �� Job Address �. �K��1�� ,��p�Y� Lot# Sub Division � � �� Parcei# ��z�xg s��-��.,.�_�._...��,��__ a --�.�.�.r�a=�".�a�,::� '�'a` zt�.�-.--��5.t;.`� , Bio-Hazard Waste Storage-ANNUAL a � � Fumigation Tent Comm Exhaust Kitchen Hood/Duct a Hazardous Mate�al(Tier II or RQ Facility)ANNUAL aControlled Bum Hood i�stallation aEmergency Generator<30 kw � LP/Natural Gas-Installation a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL » ❑ r y emi �n � � � Sprinkler �,�� Recreational8um � �J� Fire Alartn ❑ � � � (�—� � � / "/ ❑ Sparklers Hood Cleaning p ❑ p � � Sp�nkler System Inst Ilatio�s (' Hood Suppression �t � X � (��I � aLJ Standpipes(Sprinkler Sy y Fire Alarm Installation a Torch Roofing/Tar Ketlle a Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL aValuation of Project Fuel Tanks Q Other. ��, d � � sf r. Co�tractor Signature / Company Y1'� � _ � � ,.�� Address Registered Y/N Fee Current Y/N �J?o/ �G ��r C,.•- ELECTRICIAN T' � License# � �Y�3�z 1�oc�f�.�� Signature Company Registered Y/N Fee Current Y/N Address License# � PLUMBER Signature Company Registered Y/N Fee Current Y/N Address License# MECHANICAL Signature Company Registered Y/N Fee C;urrent Y/N Address License# OTHER � Signature Company Registered Y/N Fee Current Y/(� Address Oirections: License# Fill out applica6on completely Owner&Contractor sign back of application,notarized(O�,copy of sig�ed contract with owner) ff over$2500,a Notice of Commencement is required(Mechanical work over$5p00) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained frvm Property Tax Notice h J/a raiser.pascogov.com) � � ttP' PP E OF DEED RESTRICTIONS: The undersigned unde undersigned a's umes esponsibilbry fortc mpl a ce tw th any �NOTIC re ulations. Th which may be more restrictive than County g applicable deed restrictions UNLICENSED CONTRACTORS AND CONTRAed o be E en�sedSiBac'coEdance wth s ate and locale egulaDOnrsC Iff the contractors to undertake work, they may be req be cited for a misdemeanor violation contractor is not licensed as required by law, both the owner and contractor may I for the Pasco County Building Inspection Division—Licensing Section at 727-847- under state law. If the owner or intended c e tractor are uncertain.as to what licensing requirements may:app intended wor k, t hey ar e a d v i s e d t o c o n t a c t t h 8009. Furthermore, if the owner has hired a contfor which�theyrwill be espons able e�lf tyou aas the ownteasign Pasgo portions of the "contractor Block" of this application nv�le es contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p 9 County. ' d with a copy of the "Florida Construction Lien �aw—Homeowner's CONSTRUCTION LIEN LAW (Chapter713, Floe da Statutes,as amended): If vatuation of work is $2;500.0 or more, certrfy that I, the app�icant, have been provid Protection Guide" prepared by the Florida Departm�a t�of Aof the above des�r bed documlent and promPseantgood a th to t h a t I h a v e o b t a i n e P Y other than the"owner", I ce r t i f y I�cation is accurate and deliver it to the"owner" prior to commencement. � CONTRA C T O R'S I O W N E R'S A F F I D A V IT: I certify thalc�blelawsr e9tu�ti gtco n stprp c t i o n, z o n i n g and land that all work will be done in compliance with all app� development. Application is hereby made to ob��ao is�anc'e of a pe t andlthat Ialltwork wil abeaperformed�to that no work or installation has commenced p and Cit codes, zoning regulations, and land meet sfandards of all laws regulating construction, Cou�tYthat 1 understand that the regulations of other development regulations in the jurisdiction. I also certify 9 overnment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. ood faith to inform the ownsr of the permitting conditions set fort in If I am the AGENT FOR THE OWNER, I promise in g ermit ma be required for electrical work, construction. ! understand that a separate p y 1�cation. A this affidavit prior to commencing as, or other installations not specificall included in the app� plumbing, signs, wells, pools, ai� conditioning, g hall issuance of a permit prevent the Building Official froc�e invalid ermit issued shall be construed to be a license tor sroceed with the work and not as authoriry to violate, c�ae ce, a er, or P rovisions of the technical codes, n ermit issued shall set aside any p requiring a correction of errors in plans, construction or violations of any codes. very p work authorized by such permit is commenced W��onths a er�the�mPe the'tworkas commenced. Anhext nsion unless the eriod of six(6) the permit is suspended or abandoned for a P Official for a period not to exceed ninety (90) days and will demonstrate may be requested, in writing, from the Building 90 �nsecutive days,the job is considered abandoned. justifiable cause for the extension. If work ceases for ninery� �O�'CE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A N MENCEMENT. PAYING T�N ICE FOR IMPROVEMENTS TO YOUR PROP O D NG YOUR NO C p�BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN T T R N E Y B E F O R E R E C FLORIDA JURAT(F.S. 117•0 � _ CONTRACTOR OWNER OR AGENT affirmed before me this Subscribed and swom to( ) Subscribed and swom to(or a ed)before me his by by Who is personally known to me or hasasaaen ificatio� Who is personaily known to ma o ae�m�t onroduced Notary Public Notary Public Commission No. Commission No. Name of Notary tyPed,printed or stamped Name of Notary tyPed,printed or stamped