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HomeMy WebLinkAbout12-13195 CITY OF ZEPHYRHILLS �' , 5335-8TH SIItEET (si3)�so-oo20 13195 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13195 Address: 37411 EILAND BLVD 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: 03-26-21-0010-05300-0000 Improv. Cost: Date Issued: 6/21/2012 Name: KOENIG WEST WINDS LLC Total Fees: 25.00 Address: 37411 EILAND BLVD Amount Paid: 25.00 ZEPHYRHILLS FL 33542 Date Paid: 6/21/2012 Phone: (813)783-8100 Work Desc: FPM- HOOD CLEAN QUARTERLY-WEST WINDS A.L. ��`-. � Z, � -� � 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 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 ` 813-780-002o City of Zephyrhilis Fire Fax-813-780-OU21 Permit Application ate Received Phone Contact for Pertnit ' ( ' �� �C�U wner's Name J (.1�� �j 1 i �Ch1� �� [ '—.�J � Owners Phone Number wner's Address �' f , .� (� � •� � 2� � J �e Simple TRleholder Name � �� �� Titleholder Phone Number �e Simple Titleholder Address ib Address ��\ � � � ( �j ` i� � V � L J Lot# �b Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Bum � LP/Naturai Gas-Installation � Emergency Generator<30 kw � �P/Natural Gas-ANNUAL Sale � Emergency Generator>30 kw � Piaces of Assembiy-ANNUAL /J�� Fire Protection Maintenance-ANNUAL � ���IN Recreational Bum � ( � �y emi � er ❑ �+��Il,o,l�\ Sprinkler � p ❑ ❑ Sparklers '-'�-(?'v �j a7/I Z Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Instaliations Hood Cieaning ❑ ❑ � � Standpipes(Sprinkler Sys) ��'3�a - • Hood Suppression p � ❑ � � ❑ Torch Roofing/Tar Kettle ' Fire Alartn Installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Flammable Application-ANNUAL � Valuation of Project Fuei Tanks ' ❑ Other: �ntractor L . \ 1 gnature ���L� V � l. Company egistered Y/N Fee Current Y 1 N Address �, ' � License# _ECTRICIAN� gnature �� ��S Company Registered Y/N Fee CuReot Y/N Address License# �— _UMBER gnature Company Registered Y/N Fee Cutrent Y/N Address License# � � ECHANICAL gnature Company Registered Y/N Fee Current Y/N Address License# --� THER gnature Company Registered Y/N Fee Current Y/N�— Address irections: License# Fill out appiicatio� pletely. Owner&Contrac r sig�back of application,notarized(Or,copy of signed contract with owner) If over$2500,a otice of Commencement is required(Mechanical work over$5000) Suppiy twp(2) ts of drawings witli applicable documentation Allow 10-14 ys for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) ����� �i�r, _ 4' C1 U �� �¢: � m c�� I�;�� a���-�s S � w � P��� � �� � ,.,-�-- � NOTICE OF DEED RESTRICTIONS: The unclersigned under tands that this permit may be subject to"deed°cestrictions" which�may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a-contractor-or contractors to undertake work, they may be required to be Ilc nsed in accotdance witti state anci focal regulations. If the contractor is not licensed as required by law, both the own� and contra�tor may be.-cited for a misdemeanor violation under state law. If the owner or intended contractor are unc rtain 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 I ensed and is not entitled to permitting privileges in Pasco County. i CONSTRUCTION LIEN L.AW(Chapter 713, Florida Statute , 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: ( certi�y that all the information in this application is accurate and that all work will be done in compliance with al applicable laws regulating construction, zoning and land development. Application is hereb made to obta n a ermit to do work and installation as indicated. I certify Y p that no work or installation has commenced prior issuance of a permit and that all work will be performed to meet standards of all laws regulating constructi n, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I so certify that I understand that the regulations of other �government agencies may apply to the intended 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, cancel, alter, or set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter �equiring a,correction of errors in plans, construction or violati Q�ns of any codes. Every permit issued shall become invalid unless the irvork authorized by such permit is commenced wifhin six months of permit issuance, or if work authorized by the permit i's suspended or abandoned for a period of six(6) onths after the time the work is cbmmenced. An extension may be requested, in writing, f�om 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�SU�T IN YOUR PAYING TINIGE FOR IMPROVEMENTS TO YOUR PROPE . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) � . i OWNER OR AGENT �,/`FON RACTOR� Subscribed and sworn to(or affirmed)before me this Sutis 'bed and sworn to(or �fined)before U1is by by 4Vho is/are personally known to me or has/have produced Who i are personally known to me or haslhave produced as identificafion. as Idendfication. � � Notary Public Notary Public Commission No. Com Ilssion No. � 1Jame of Notary ryped,printed or stamped Name of Nota � ry typed,printed or stamped I I I I �