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Home My WebLink About12-13045 CITY OF ZEPHYRHILLS , 5335-8TH STREET (sis)�so-oozo 13045 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13045 Address: 37815 15TH AVE Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0600-00000-0010 Improv. Cost: Date Issued: 5/07/2012 Name: JOSEPH, JOSEPH Total Fees: 25.00 Address: 37815 15TH AVE WEST Amount Paid: 25.00 ZEPHYRHILLS FL Date Paid: 5/07/2012 Phone: Work Desc: FPM-6 MONTH HOOD S FOR WELLSPRING ALF � .�,�v �� . 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 Pians, 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 mmmercial 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 � 813-780-002Q City of Zephyrhilis f-ire rax-�,i,s-�nu-uun � Permit Application y�te Receivr,�� ° ?jF ��-1 Phone Contact for Permit �� '� '�I � ;wner's Name w S Q � � Owner's Phone Number �3 � �3� ��ner'sAddress ✓�� —� ` �v� 2� ��r I��S � � 335yz S � � � �e Simple Titleholder Name Titleholder Phone Number 1�e Simple Titleholder Address �'. �' 3�i � 15 t�`'` f�� Z�e h rh� Ils � Z �� ib Address 3,3,5� Lot# � �b Division Parcel# � � Bio-Hazard Waste Storage-ANNUAL a Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Bum � LP/Natural Gas-Installation j��, ��f � � Emergency Generator<30 kw � LPlNatural Gas-ANNUAL Sale r r� aEmergency Generator>30 kw � Places of Assembly-ANNUAL � � � Fire Protection Maintenance-ANNUAL � Recreational Bum �_._. �y emi � er �� Sprinkler � ❑ ❑ ❑ � � Sparklers Fire Aiarm � ❑ ❑ ❑ � � Sprinkler System Installations s�q 1 rL Hood Clea�ing ❑ ❑ ❑ � Standpipes(Sprinkler Sys) 7:Q�Am Hood Suppression ❑ ❑ ❑ � Torch Roofing/Tar Kettle j Q Fire Aiarm Installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Fiammable Application-ANNUAL r— � Valuation of Project � Fuel Tanks Q Other� �ntractor �/�,�N� v (�� ^, � Company �—� Vl gnature Registered Y/N Fee Current Y/N Address ,j�� s�t�-(-: ''7�f�•�-�12'° '� ' .��`:� �� license# �- - _ECTRICIAN �p/ Company gnature Registered Y/N Fee Current Y/N Address License# _UMBER Company gnature Registered Y!M Fee Current Y/N Address License# ECHANICAL Company gnature Registered Y/N Fee Current Y/N Address License# THER Company gnature Registered Y/N Fee Current Y/N Address � � License# �rections: ' Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed�ontract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) 5upply two(2)sets of drawings with appiicable dxumentation Allow 10-14 days for review aRer submittal date. Parcel#-obtained from Property Tax Notice(http://appr8iser.pascogov.com) �� I�er�id�.�lt�t �� ' ��.1 C 1!� P.#�►.�� i� � P: �': g I - .:.-�--..:�" • ------• - I • - NGi ICE C3F DEED RESTRICTIONS: The uniiersigned under�tands that this permit may be sub�ect to"deed° restrictions" which may be more restrictive than C,�unty regulations. The indersigned assumes responsibilit�y for compliance with any applicable deed restrictions. , UNLICENSED CONTRACTORS AND CONTRACTOR RESIPONSIBILITIES: If the owner has hired a-contractoror - contractors to undertake work, they may be required to be IlFensed in acco�dance witfi state and local regulations. If the contractor is not licensed as required by law, both the ow�� and contra�tor may be�-cited for a misdemeanor violation under state law. If the owner or intended contractor are unc�ertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County uilding 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 14censed and is not entitled to permitting privileges in Pasco County. i CONSTRUCTION LIEN L.AW(Chapter 713, Florida Statute I, as amended): If valuation of work is $2,500.00 or more, I certify that. 1, the applicant, have been provided with a c�py of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agr,culture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of�he above described document and promise in good faith to deliver it to the"owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certifiy that all the information in this application is accurate and that all work will be done in compliance with al applicable taws regulating construction, zoning and land development. Application is hereby made to obta n a permit to do work and installation as indicated. I certify that no work or installation has commenced prior t issuance of a permit and that all work will be performed to meet standards of all laws regulatir►g ccnstructibn, C�ur,ty and City codes, zaning regulations, and I�nd development regulations in the jurisdiction. I ahso certify that I understand that the regulations of other �government agencies may apply to the intended v�ork, and that it is my responsibility to identify what actions I ,must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good fait 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 ith the work and not as authority to violate, cancei, 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 violati Q� ns of any codes. Every permit issued shall become invalid unless the inrork authorized by such permit is commenced wifhin six months of permit issuance, o� if work authorized by the permit is suspended or abandoned for a period of six{6) onths after the time the work is cbmmenced. An extension may be requested, in writing, from the Building Official for a�eriod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety( 0)consecutive days, the job is considered abandoned. WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY R�SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 1(OUR PROPE . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI7H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. FLORIDA JURAT(F.S.117.03) , i I . OWNER OR AGENT �ON RACTOR�GL Subscribed and sworn to(or a�rmed)before me this 5ubsc bed and swofn to(o Itmed)befor Ulis by � by Who is/are personally known to me or has/have produced Who i are personally known to me or has/have produced as identificaticn. _ as IdentiFcation. � Notary Public Notary Public Commission No. Com Iission No. � Name of Notary ryped,printed or stamped Name of Notary typed,printed or stamped I ( I �