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Home My WebLink About12-13021 CITY OF ZEPHYRHILLS _� 5335-8111 STREET (si3)�so-oo20 13021 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13021 Address: 7333 DAIRY 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: 35-25-21-0010-07400-0000 Improv. Cost: Date Issued: 5/02/2012 Name: FLORIDA CAO SEVENTH DAY Total Fees: 25.00 Address: PO BOX 2626 Amount Paid: 25.00 WINTER PARK FL 32790 Date Paid: 5/02/2012 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- SEVENTH DAY ADVENTIST , ��r � � � � I ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect user fees to pay for the oosts 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 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 acrnrdance 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 8�3�saoo2o City of.Zephyrhilis'Fire• FaX-a1��so-oo2i , Permit Application Date Received 1 c�a - Phone ContacYfor Pertnit �: Owners Name Owners Phone Number ��j gpZ. ,� Owner's Address 3 J � Fee Simple Titteholder Name Titleholder Phone Number �� Fee Simple Titleholder Address JabAddress �3�3 0.�'r h ►1� S r � 33�� Lot# � Sub Division Paroel# � Bio-Hazard Waste Storage-�ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facilfty)ANNUAL � Controlled Bum � Hood instalta8on � Emergency Generator<30 kw � LPMatura!Gas-Installation O�1 � Emergency Generator>30 kw � LP/Naturel Gas-ANNUAL Sale I� � Fire Protection Mairrtenance-ANNUAL � Places ofAssembly-ANNlJAL � �y emi �n er � 5prinkler � ❑ ❑ � � � Recreational Bum Fire Alarm ❑ ❑ � � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � � O ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammabie Application-ANNUAL Valuation of Project Fuel Tanks Q Othe � ConVactor Company Signature Registered Y/N Fee c nc Y N 3�yd 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# ._.__._.__.______ � . wer�w.�.reeueo� Directions: FII out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with ovmer) If over$2500,a Notice of Commencemerrt is requirad.(Mechanical woric over$5000) Supply two(2)sets of drewings with appiicable documentation Alfow 1�-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser_pascogov.com) �NOTICE OF=DEEDRESTRICTIONS: The undersigned understands,that this permit maybe•subject:to�"de�d°��strictions" which may be more restrictive than County�regulations. -fhe.undersigned.assumes responsibility for:�ompiian�e�with any _applicable deed restrictions. UNLICENSED CONTRACTORS AND�CONTRACTOR RESPONSlBILITIES: If 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 Buitding 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 licensed and is not entitled�ta permitting privileges in Pasco County. CONSTRUCTION.LIEN•LAW(Chapter713, Florida Statutes,-as:amended): If valuation of work is$2;b00.00 or more, I certify that l, �the applicant, have been provided with a copy of the °Florida 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"owner°, I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�' prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and ' that all work will be done in compiiance with all applicable laws 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 af a permit and�that all work will be performed to meet standards of all laws regulating construction, County and City codes,.zoning regulations, and fand development regulations in the jurisdiction. I 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 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 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 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 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 wili dem�nstrate justifiable 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 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 rtn )before me this by Who is/are e nall known e or has/have produced Who is/are personally known to me or haslhave produced P y as identification. as identificatlon. Notary Public Notary Public Commission No. Commission No. Name of Notary lyped:printed or stamped Name of Notary typed.printed or shamped