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Home My WebLink About12-13119 - - CITY OF ZEPHYRHILLS 5335-8TN STREET � (si3)�so-oo20 13119 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13119 Address: 6900 AQUA VISTA DR Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Ciass of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: FORT KING COLONY Est. Value: Parcel Number: 03-26-21-0010-01400-0000 Improv. Cost: Date Issued: 5/30/2012 Name: FORT KING COLONY LTD Total Fees: 50.00 Address: 580 VILLAGE BLVD STE 360 Amount Paid: 50.00 WEST PALM BEACH, FL 33409 Date Paid: 5/30/2012 Phone: (305)665-1146 Work Desc: FPM- SPRINKLER/FIRE ALARM ANNUAL- FORT KING COLONY 5 . PIPER FIRE PROTECTION INC �� , ��/ � n� �,� ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts 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 pertormed 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 NOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 _ ��-78o-oozo City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Receiv�d Phone Contact for Pertnit r a [5� 3�g Owner's Name � . LCUJ"�. C a�IL�rn��oc�P U�F�- OwnePs Phone Number � � �� Owner's Address �,�� 5 . ��S L rY`� �v �l((-: � � Q � � i ��L % 'C l�1 � r3 c�i t/� r=ee 5imple Titleholder Name Titleholder Pho�e Number C-� � �� Fee Simple Titleholder Address •-� -.. ' �'y<vGYVap�:f"E:w . � r':��Nx3:��(,4�'�:4"' .�i'""'P';��7 i�il,+' �"%'�' #,'�6.�.: �:' ..�`;�.;�s-�,'e�'° °xG�r':�Sia�'1��W'-:.t`"'3�'t:?;k:;y:�. ;;3:i.rrv.��a.�,.,..h-:;i;.t.:�::'�+a>l�:S"so-a�rx:,.k;�:� "'a�' Job Address Q� UA � � � �, 2}�ILLS Lot� W C� Sub Division Parcel� �o�Z I -OO I(� -�I L -�-? ' .. � ... ,..o;X�, .._.., ....�::«.�'a"..:��a:.,.._;CS�"-.jW'z;.'�.:.ASaw�P,:'�:�P'r.a:�.3'..'.a`."'da.�xi:A�r.&i:�..,:C�::.�`�......_:d:z<:'�';�.'k,�:r:'r:F..:g.:::...-��'� .-, .,. .�... »..,.a < ., �...,,.. . . , . .. , .a.r .;. � . :� �,v-.,� :. ,r,.. .... .. .,. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation oEmergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL r y emi � ner Sprink(er � ❑ ❑ �, � � Recreational Bum / (�, Fire Alarm � p ❑ �. � � Sparklers � r �` // Hood Cleaning � _, " ❑ � � Sprinkler 5ystem tnstaltatio�s Hood Suppression � ❑ C ❑ � � Sfandpipes(Sprinkler Sys) � Fire Alarm instailation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL V�luation of Project � Fuel Tanks a Other: � . .. .. ,,. ;;�� .,.... � �. _ ._�.;�.�_.,.. ._._�..u._. ..... ......... .::3�::�u�a�� w-=°� .,s, ,...%e<, .,,.v. :.� .w ..:._.�:;�,b _ . a��..,...�«��.� .::_.-:,:;�:-N:,r;:��..�:,�•..�,.,::�°M,:�. �:�;�<�... Contrector Company Signature Registered Y/N Fee Current Y/N Address 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 �L/� --=/�L �'�%C'�7'TV Signature �'�, ` Registered /N Fee Current Y/N Address License# �g 0O r � ,, .., ., -. . ... ., ,,:.,��,. . .,... -. ., _ . ,. � --...,:_ ._ _...,.. , Directions: r �- o � � � � .. _. .. . . . Fill out application compfetely L,�I_ [� Owner&Contrector sign back of application,notarized(Or,copy of signed contrect with owner) If over$2500 a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentafion Allow 1G-14 days for review after submittal date Parcel#-obta�ned from Property Tax Notice(http://appiaiser.pascogov.com) NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "dead"Testrictions" which may be more restrictive than County regulations The undersigned assumes responsibility for complian�e with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTi OR RESPONSIBILITIES: 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 Counry 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 appfication 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 to permitting privileges in Pasco County CONSTRUCTIOiV LI�N LAW (Chapter7�3, Flarida Statutes, as amended}: If valuation of work is $2,500.00 or more, certify that I, the applicant, have been provided with a copy of the "rlorida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. ff 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance 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 csrtify 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 regu{ating construction, County and Ciry codes, zoning regulations, and land 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 AGEN7 FOR THE 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, °ceedewith the work and not as authorty t�o�violateecanpelaa'Iter, or permit issued shall be construed to be a license to pro 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 Ofticial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension If work ceases for ninety (90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YO�MENTSTO YOUR PROPERTY.TIF YOU INTOE D TO BTA N FI,NANC NG CONSULT PAYING TW�CE FOR IMPRO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this bY bY Who is/are personally known to me or has/have produced V�Jho is/are personally known to me or has/have produced as identification. as identification. Notary Public Noiar�Public _�_�_.. �-- Commission No __ -- Commissior.Ne - Name of Notary typed.Printed or stamped Name of Notary rypea,printed or starnped