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Home My WebLink About12-12960 _ CITY OF ZEPHYRHILLS � �, 5335-8TH STREET (sis)�so-oo20 12960 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12960 Address: 38333 COTTONWOOD PL Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-021B-OOR00-0000 Improv. Cost: Date Issued: 4/10/2012 Name: DRIFTWOOD CONDO ASSOC Total Fees: 25.00 Address: 38333 COTTONWOOD PL Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/10/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI- DRIFTWOOD COMMUNITY CENTER " 5. , ' � � 2 . �� ( vl 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 Aaompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commerciai activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 - s��-�ao-oazo City ofZephyrhillsFir:e� Fax-e�s-�so-ooz� Permit Appiication Date Received �� '.?OI i� _...�..�.. ...s=.r�..�.f..,:_�. .._ . ...�_.._., ..,..�.w....... ..... ._�._.�... .._... w.,..,<..� ...„,,.,,:.,��,^.��z�r��tu:«��:�K.�a��r+:� Phone Contact for Permit - . ..�. „�..«».��.� •�.tz._.<« . _.9..., -� . , Owner's Name♦ Owner's1Phone Number � � � Owner's Address Fee Simple 7itleholder Name Titleholder Phone Number � � � . older A ress r=ee Simple7'itleh a�x , - - .. ... _. ....,,.�_..�.,:...... ..,� ;,,,�� w>� ��:rx,� .• �«�m�m .. -.,t . ... �, :�s�. �',�.'�'.w°:a:-a;,':`•:�+�:"`�:�.�.:�:`%'":;ae"- .�....,...,... ...._.. . ,. .....� ,-._,,. . ..�.»,-u�.� �;.ts.� a.d'?�,��'�..�..�,.. .�"S�� .��. �° , m.. ,..�. ,.... .:. / . :. ,n< ..,. .,..� .. , . ... .. ..,t�.un;:;..::k'2�:::: p �..1.�.:j.... :4..k:.... , . .°.�,.: :� � � ...: ... : ,...-.x.. .:... ....,.� .^ : . .��: ......:,.::�... ....c. _.. .:e..� ..."...w......:..e�.w....,....... . . . " "� �� JobAddress l��wcz�d C�nOQ �S /�� d��'aJAOC" �/�` Lot# SubDivision r �.-�.,,�.. .��«.��.��.��._�,.�...._.,..�...�.r...�..,..w :,:.o.� .....r.,_.:... . �..�:,�,_r.,...: . . . „ �,..s.� ,�, „,�. ... .. .. :,.. ri.. . a m'^,�„ "" . - .„,,,�.$...��...,:�--�'��: ....::.:......... �:.._ :d...-_+„�...�.:�«;e...;.a�f�i.��?�'�t»�, , � .� . . . , « •<x•:'.::"� x�Rt:H._?'..n:......'.`it;:.,..:._ ,Ea:" .:=,'.:`nrv.. ....�..,�h;;+�� ...�..:S.r.. 'E:..W..i.-n:.*.ai:» � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent � Comm�chaust Kitchen Hood/Duct , � Hazardous Material(Tier II or RQ Facility)ANNUAL QControlled Bum � Hood fnstaliation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>3D kw � LP/Natural Gas-ANNUAL SaYe � Fire Protection Maintenance-ANNUAL � Ptaces of Assembly-ANNUAL r y emi �n er Sprinkler � ❑ ❑ ❑ � Recreational Bum �� / 6 Fire Alarm � � ❑ ❑ � � Sparklers `P Hood Cleaning � ❑ ❑ ❑ Sprinkler System Ynstallations � Stand i es S nnkler 5 s Hood Suppression � ❑ � ❑ � � P P � P Y � � Fire Alarm Installation � Toroh Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL � Valuation of Project � �uel Tanks � Other: � rc:.r....:- .�...t..,».., ,....x..,:.„.:d.ri.�`:i°p;.??.��'�.`: ��x�. . ...... .. . ...� . .. .. .�.,..�.�.�.�......�"..x::md£�'��t5��&�:.r>"''.a��'..w"`a*'��:'S<�:::�:::d...v".r-'�I:x1�z:�:,i�;:r,':.�,:x.°i.�'?"=•�.:µ.. . . y.. .......�,. .......�._...'.�::dx..:.:.&:x;'�.tr.t.r-..�e, Contractor Company _ Signature Registered Y/N �ee Current Y/N Address � 7v 04 [=v.r' J L r�r "5'3d License# ELcCTRICIAN 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# .,..-..„,�:-��.,,w,.,�x,...�,�:,. ....�..,.._«..,>r__�.....w.�...,�.>�_.� -.j.a.._...___._.�r,a�>�.� .... __-...w,..u..,�:...w,�<..�.��.�:��,..�..�....::. ..... .....�:��.-1�:.�.�,;.,�,«»,�,... .. _.�,_ _ , . ,..._. . Directions: Fill out application completely. Owner&Cont2ctor sign back of appiication,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 appiicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) �N�TICE OF:DEED RESTRICTIONS: The undersigned understands that this permit may_be�subject:to-°de�d°:�estrictions" which may be more restrictive than County regulations. The.undersigned.assumes resportsibility.for:�ompiiance�with any .applicable deed restrictions. UNLICENSED �CONTRACTORS AND`CONTRACTOR RESP.ONSIBILITIES: tf the owner has -hired-:a-�contractor �or contractors�to undertake work, they may be required�to be licensed in accordance with state and local-regulations. If the contractor is not licensed as required by law, both the owner.and contractor may be cited-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- 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 applicafiion�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 ficensed and is not entitled�to permitting.privileges in Pasco County. CONSTRUCTION.LIEN LAW(Chapter713, Florida Statutes,.as:amended): If valuation of work is�$2;500.00 or more, I certify that !, the applicant, have .been provided with a copy of�the °Fforida Construction Lien Lav�Homeowner's Protection Guide" prepared by�the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to defiver it to the"owner� prior to commencement. - CONTRACTOR'SlOWNER'S-AFFIDAVIT: I certi"ry that all the information in this application is accurate and that all work will be done in compfiance with all appficable laws regulating construction, zoning and land deveiopment. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and�that all work will be pertormed to meet standards of all taws regulating construction, County and City codes, .zoning regulations, and fand development regulations in the jurisdiction. I aiso certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify wf�at 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 affidavit prior to commencing construction. I understand that a separate permit may be required for eiectrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the app(ication. A permit issued shall be construed to be a license to proceed with the work and not as authoriiy to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OfFcial from thsreafter requiring a correction of e►rors in plans, construction or violations of any codes. Every permit issued shall become invafid 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(6) 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 justifiiable 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 M�►Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. lF YOU INTEND TO OBTAIN FINANCING, CONSU�.T WlTH YOUR LENDER OR AN ATT EY BEFORE RECORDING YOUR NOTICE O MMENCEMENT. FLORIDA JURAT(F.S.117.03) __ OWNHR OR AGE r CONTRACTOR Subscribed and swom to(or affi ed) re me this Subscribed and swom to(or ffirmed)befure me this by by Who is/are personalfy known to me or has/have produced Who islare personally known to me or has/have pmduc�d as idenUfication. as identfficafion. Notary Public Noffiry Public Commission No. Commission No. Name of Notary lyped,Prirrted or stamped Name of Notary typed,Prirrted or stamped