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Home My WebLink About12-12766 CITY OF ZEPHYRHILLS 5335-8TH STREET —��'° � �sis)�so-oozo 12766 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12766 Address: 38435 5TH AVE HISTORIC Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15300-0120 Improv. Cost: Date Issued: 2/03/2012 Name: PRICE, MARCUS S & MJ Total Fees: 50.00 Address: 38435 5TH AVE -HISTORIC Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/10/2012 Phone: Work Desc: FPM- SPRINKLER/ FIRE ALARM ANNUAL- GOING POSTAL �y � � . � ' � ��1 , ina Chapter 633, Plorida 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 OfFce- 813-780-0041 sia-7ao-oo2o City of.Zephyrhills�Fir•.e• FaX-a�aaaaoo2i �, , Permit Application Date Received �Q l - Phone Contact for Pertnit a� " Owners Name � Ovmers Phone Number -� �,� Owners Address < < L� Fee Simple Titieholder Name TiUeholder Phone Number � �� Fee SimpleTitleholderAddress Job Address y \ F 3� a Lot# �� Sub Division Parcel# � Bio-Hazarcl Waste Storage-•ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generetor<30 kw � LPMatural Gas-Installation � ,�Emergency Generetor>30 kw � LP/Naturel Gas-ANNUAL 5ale � Fire Protection Maintenance-A UAL � Places of Assembly-ANNUAL � emi � er Sprinkier ❑ p �. � Recrea5�na!9um Fire Alartn p O '�I � � Sparfclers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Toroh RoofinglTar Kettle � Fire Pumps � Waste Tira Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Othe � ConVactor Company y �� - Signature Registered Y/N Fee Current Y/ �5ya Add�ess license# ELECTRICIAN Company Signature ' Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: FII out application completely. Owner&Contractor sign back of appiication,notarized(Or,copy of signed conVact with owner) If over$2500,a Notice of Commencemerrt is required.(Mechanical work over$5000) Supply two(2)sets of drewings with applicable documentation Allow 10.14 days for review afier submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) �NOTICE OF=DEEDRESTRICTIONS: The undersigned understands-that this permit ma,y.be�subject:to-�de�d°:restrictici�7s° which may be more restrictive than County•regulations. The.undersigned.assumes responsibility.for:�ompiiarnce�with any _applicable deed restrictions. UNLICENSED CONTRACTORS AND�CONTRACTOR RESPONSIBILITIES: If the owner has 'hired-:a�contractor or - contractors to undertake work, they may be required to be ficensed in accordance with state and local�regulations. If the contractor is not licensed as required by law, both the owner:and contractor may be cfted�for a�misdemeanor violation under state law. If the owner or intended contractor are uncertain.as�to what licensing�requirements may:apply for the intended work, they are advised to contact the�Pasco County Building Inspection Division—Licensing Section:at 727-847- 80Q9. 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. tf you, as�the owner°sign as the contractor, that may be an indication that he is not properly iicensed and is not entitled�ta permitting.privileges in Pasco County. CONSTRUCTION.LIEN.LAW(Chapter713, Fiorida Statutes,.as:amended): tf valuation of work is$2;500.00 or more, I certify that !, �the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide" prepared by�the Florida•Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner� prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and � that all work wilt be done in compliance with all appficable laws regulating construction, zoning and {and development. Application is hereby made to obtain a permit to do work and installation as indicated. I cer�ify that no work or installation has commenced prior to issuance of a permit and�that all work will be performed to meet standards of all laws regulating construction, County and City codes, .zoning regulations, and iand development regufations in the jurisdiction. 1 also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this aff'idavit 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 with the work and not as authority to violate, cancel, alter, or sef aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations 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 authorized by the permit is suspended or abandoned for a period of six(fi) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate jusfifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A`NOTICE�OF COMMENCEMENT MAY RESULT IN YOUR CONSULT PAYING R'LEN ER OR ANVATTORNEY EOORE RECORDING Y UR NTE E O COMMENCEMENT.� W[TH YO FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO Subscribed and swom to(or affirmed)before me this Subscribed an m to(or a )before me thts bY Who is/are pe nalry known e or haslhave produced Who is/are personally known to me or has/have produced as ide�tlfication. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed;printed or stamped Name of Notary typed,printed or stamped