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Home My WebLink About12-13004 CITY OF ZEPHYRHILLS 5335-8TH STREET � (s13)�so-oo20 13004 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13004 Address: 5028 AIRPORT RD 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0000-04900-0010 Improv. Cost: Date Issued: 4/24/2012 Name: CIT1'OF ZEPHYRHILLS Total Fees: 25.00 Address: 5335 8TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL 33542 Date Paid: 4/24/2012 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- GOING POSTAL � �/ � � � —�j� � Chapter 633, Fiorida 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 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 81378D-0020 City of.Zephyrhills�Fir•.e� FaX-a�s-�ao-oozi . Permit Application Date Received y �'� � Phone Contact for Pertnit 7 Owners Name �' Owners Phone Number -�� -� Owner's Address �► � Fee Simple Titleholder Name TiUeholder Phone Number C� � � Fee SimpleTitleholderAddress Job Address �J�.b�� l� r'," ��i s F ► 3��a Lot# � 5ub Division Paroel# � Bio-HazarcJ Waste 5torege-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood tnstallatlon � Emergency Generetor<30 kw � LPMatural Gas-Installation � Emergency Generator>30 kw � LP/Naturel Gas-ANNUAL Sale � Fire Protection Mairrtenance-ANNUAL � Places of Assembly-ANNUAL ❑� emi � er 5prinkler O 0 � Recreational Bum � / �� / Fire Alarm ❑ p � Sparklers 1 Hood Cieaning p ❑ ❑ Sprinkler System Installations � Stand i s S rinkler S Hood Suppression � O ❑ ❑ �� P� � P �� Fire Alartn Installation � Toroh RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL �—_—� Valuation of Project Fuel Tanks � Othe � Contractor Company I Signature Registered Y/N Fee Current /N ��a, AddFess License# ELECTRICIAN Company 5ignature " 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: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with owner) tf over 52500,a Notice of Commencement is required.(Mechanical work over$5000} Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for reviaw afier submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appreiser.pascogov.com) NOTICE OF=DEEDRESTRICTIONS: The undersigned understands-that this permit may_be�subject:to�"deed":r�strictions" which may be more restrictive than County�regulations. The.undersigned.assumes responsibility for:�ompliaruce�with any _applicable deed resfictions. UNLICENSED CONTRACTORS AND�CONTRACT�R 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 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 application-for which-they will be responsible. If you, as�the owner•sign as the contractor, that may be an indication that he is not properly (icensed 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 l, �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 defiver it to the"owner� prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certrfy that all the information in this application is accurate and that all work will be done in compliance with all applicable faws regulating construction, zoning and land development. 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 permif and-that all work will be performed to meet standards of all laws regutating construction, County and Ciry codes, .zoning regulafions, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may applyto 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 affidavit 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 specificaliy 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 set 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(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 justifiable cause for the extension. (f 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO Subscribed and swom to(or affirmed)before me this Subscribed an s m to(or a rm )before me thfs by Who is/are personally known to me or hasJhave produced Who is/are pe nally knuwn e or has/have produced as identificatlon. as identifiqtion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped