HomeMy WebLinkAbout12-13431 ' CITY OF ZEPHYRHILLS
5335-8TH SIREET '�
(813)780-0020 3431
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13431 Address: 39248 B 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: 13-26-21-00600-0011
Improv. Cost:
Date Issued: 9/10/2012 Name: ZEPHYRHILLS CITY GOLF COURSE
Total Fees: 50.00 Address: 39248 B AVE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/10/2012 Phone:
Work Desc: FPM- HOOD CLEAN ANNUAUSUPPRESSION SEMI- CADDY SHACK
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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 rnmmercial 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 A7TORNEY 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
813-780-0020 C:i[}/Ot L@ptlyrh111S Flf@ Fax-813-780-0021
- Pennit Appllca�on
Date Received Phone Contact for Permit �� �7 7340
owr,erg n�� Ze h rhills Golf Course Restaurant Owners Phons Number 813 26 9551
Owners Addreas 39248 B Ave
Fee Simple liUeholder Name TiUeholder Phone Number � � �
Fee Simple Titleholder Address
Job Address 33542 �ot# �
Sub Divisfon Pa►cel#
� 81aHazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct Q Hazardous Materiai(11er 11 a RQ Facility)ANNUAL
aControlied Bum � Hood Instaliatlon
aEmerger�y Generator<30 kw a LPlNafival Gas-Installadon
� Emargency Generator>30 kw � lPMahual Gas-ANNUAL Sale `
X� Flre Protxtlon Maintenance-ANNUAL a Placas of Asssmbly-ANNUAL �3
� � � i�
Sprinkler � ❑ ❑ O � � Recreatlonal Butn '�
Fire Alartn � ❑ ❑ ❑ � � Sparklers
Hood Cleaning a ❑ ❑ �1 � � Sprinkler System Installatlons
Hood Suppressfon a ❑ � ❑ � � Standpipes(Sprinkier Sys)
� Fire Alarm Installation a Torch RooflnglTar Ketlle
Fire Pixnps Q Waate Tire Storaga ANNUAL
Fira Works
Flammable AppBcation-ANNUAL r Valuation of Project
Fuei Tanks
Q Other.
Contractor ���Y
signe,ture Registerod Y/N Fee C�rerrt Y/N
Address License�
ELECTRICIAN ��^Y
Signatwe � Registered Y/N Fee CurteM Y/N
qddress Licanse#
PLUMBER �mPa�►Y
signature Registered Y/N Fee CuRent Y/N
Address Ucense#
MECHANIC �Pe�Y
g�9�t�� Reqtsterod Y/N Fee Current Y/N
Address Li�nse#
OTHER �mp8f1Y Securit Fire E i ment LLC
Signature Reglstered Y/N Fee Cucrent Y/N
Address 18330 Lawrence Rd ��#
Directlons: . .. . , .
Fill out appik:ation completely.
Owner&CoMratxor sfgn back of application,notaraed(Or.copy of siyned coMract with owner)
It over 52500.a Nodce of Commencement is required(Mechanical work over 55000)
Supply two(2)sats of drawings with applicable documerrtatlon
Allow 10-14 days for rovlew after submktel date. Parcel#-obtafned from Property Tax NoUce(httpJlappraiser.paseogov.com)
KOTiCE t.`F DEED itESTRICT10N8: The ur�dersigned understands that this permit may be subject to"deed'restrictions"
which may be moTe restrfative th�County►egulations. The undersigned asaumes tesponatblifty for compliance with em
aPPlicabie deed reahictlons.
UNLICEN8ED COIiTRACTORS AND CONTRACT'OR RESPONSIB1U71ES: If the owner bas hired a contracta or
coMractors to unde►take work,they mey be required to be Ifcensed in accwdance with state and local repulations. if the
cmritractor is not Ikensed ss required by Isw, boftt the ow►�er and contrac:tor may be clted for e misdemeanor vlolatlon
under slate faw. if the owner or irdended oontractor xe uncerfaln es to whet licansing requkeme►rta may apply�or the
intended work,they are sdvised to contad the Pasco CouMy BuNding Inspectlon DNEsfon—Licensing Sedion at T27-847-
8009. Fwthemrore, ff the owner hae hhed e contractor w c�nh�acto►a, he is advfsed to have the coMrecEor(sj sign
porNons of the'co�rtractor Blodc'of this appik�tion for whbh they wNl ba responaibie. If you,as the owner si8n as the
c�ntrador�fhat mey be an IndiceNon that he is not properiy licensed and is rrot enNtled to permitting privilepes in Paaco
CouMY•
TRANSPORTATION IMPACTNTtLIT1ES iMPACT AND RESOURCE RECOVERY FEE8: The undersipned undetstends
that TranapartaHon Impact Fees�d�e Reoovery Fees maY ePP�Y to the constructlon of new buYdhps,chanpe of
uae in existlng buildinge,or sxpansion of exlsUng buMdings,as specified in Pasco County Ordinance number 89-07 and
BO-07,as amended. The underslgned also underst�ds,thet such fees�as may be due,wBl be fdenUfled et ti►e time of
permilli�. It is fuNher untbrstood that Trar�sportaUon impad fees and Resourc�e Rec�very Fees must be paid prior to
receM1ring e•ceRificate af ocxvpency'or fi�el power rekase. If the project doea not involve e oert�Cate d oocxrparwy ar
final power rolease.the faes r�st be paid prbr to permR bst�anoe. Furtl�emwre,M Pasco CouMy Waber/Sewer Im�ct
tees are due.theY must be paid pHor to permft lasuanoe�axadanoe wifh applicable Paeoo CouMy ordh►ances.
CONSTRUC'TION LIEN LAW(t�ap�r 713�Florida St�tbe,as amanded): H valuatlon of wvrk is 52,500.00 ot more,I
certify thet I, the applk;ant, have be� provided wkh a copy of the 'Fioride Conskucdon Uen Lsw--Homeovmer's
Protectlon Guide'�xepared by the Flotida Dep�trnent d A�kukure and Consumer AfFaks. fl tlte applicant Is someone
other tl�en the'o�wner",i cxrtify fhat 1 ha+re obtalnad a cflpy of the above des�ed documant and promise M good falth to
delivsr It to the`owner'p�ior to oommenoament.
CON7RACl'OR'810WNEFt'S AFFIDAVfT: 1 oertlfy thet all ihe frdortnalion in tMs application is axurate a�d thst aN worlc
wiN'be done in oompiiance with ail applk:abie lews reyWadnp conslruction,zoning�d lend developmerrt. AppiMstion is
hereby made to obtain a permtt to do wo�ic and i�on as indk�ted. I oertify that no work or Ma�affon F�
commenc�d pHor to issuanoe of a permR and tl�et eli work wNl be performed to meef etandards of all lanvs�uleting
c�nshucHon, County and Cky oodes, mning rogulatlons, and land devebpment regulaUons in the juriadictbn. I also
oertKy that I understand that the regulsUons of other 9��$�Y&�Y to the intended work,and that it b
my responsibplty to idendfy what a�c:tbns I must take to be in compllence. Such agenc�es Indude but are not Nmited to:
- Department of Ernirvnmentd Proledion-Cyprosa Bayf�eads, Wetland Areas and Env�onrtror�tally SensiUve
Lands�WeterNVastewater Tre�bnent
- SoutFwNest Florida Wster NfanepemeM DisUict Welis. Cypress BeYheeds� Wetland Areas, Altering
Watercouraes.
- Armr Corps ot engineera-seawans,Docks,Nevigeae watervvays.
- Dep�tment of Health 8 RehebiNtetive ServtceelEnvkonme�af He�th Un(t-WeNs, Wastewater Treatment,
Septic Terdcs.
- US Envirorxnet�tel Protecffon Apency-�lsbestos abatemerd.
- Fedaral AviaHon Authority-Runways.
!understand tl�et fhe ioRowinp restrictions epply to the use of 181:
- Use oFfll Is not dlowed�Flood Zone'V'uNees exp�ab Pe►mtaed.
- tf the flll material IB to be used In Rood Zone 'A'� ft k utxlerstood U�et e �ge ptsn addresaing e
•compansadng vokxne'wpl be submilled et Wne of P���9���P�Pered bY a professbnal engineer
Noenaed by the State of Florida.
- K thd flq rt�aterlel is M be u�d in Flood Zone'A' �oonne�tion wRh a permitted buil�ng using stem well
constructlon.I oertlfy lhat t�l wIH be uaed only to fip the�ea vviHdn ihe stem wall.
- If flfl material ls to be used ia any er�, 1 aeitlfy lt�at use of euch flll wNl no! adversely sBect adjeoent
P�P�ea. N use of f�l ia found to advereeb aRect edlec�t P►'oPertles�the owner mey be ci6ed tor vlolaUng
the conditlone af the buNdinp permtt iesued under 1he atfeched permit aPpikratfon.for lots I�s ihen one(1)
acre which are etevated by flll�sn srgineer'sd drakwge Plan is requked•
N i am the AGENT FOR THE�YYNER,I promlea in�ood faNh to hdam the oMrt�ar of the permlltinp ca�ditfons set forth in
thts af8dav�pda�b comme�construcdon. 1 ur�dersta�xi U�at a�parate psm�ft may be requked for elechical work,
P����B� si�s�we11s� Pools.air oondifiordnp� 9as. or od�er hrotaleHons not apedflc�py h�dudsd in the appik:ation. A
permn issued sha�i be coneVued to be a Nosrree ro proceed wMh the work and not sa autl�ority to.vidate,canoel.el�r,or
sei aside arry provialons d the bchnk:al codes,rror shall ieauanoe of a p�mit prevent 1he BuAdirip Olficist fiom thereaf�x
requMng a cortectlon d ertors in plane,constructlon or violetlorre of any codea. Every permit Issued shall becortie k�valid
unleas fhe w�ork authorized by suah psrmk is oommenosd w�hin six monfhs of permit iesuanoe,or If waric auH�orized by
1he Permtt is susperMed or abandoned for a period d sbc(8)moMhs s�the Nme the work Is commer+oed. M extensbn
may be requested, In wrkin8,f►om the 8t�ding Oflic�d tar a period not to sxoesd nk�elY(90)days md will dert�onstrate
juaHflable cause ior the eMenston if worle oeeees for ninety(90)coneeixitive dsys,!he Job is eeor�sidered abendoned.
WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE8ULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOtJ1t PROPERTY. IF YOU NTEND TO OBTAIN FlNANCIN(i,CON8ULT
iMTH YO�R L�DEB OR AN ATTORNEY BEFOR�ILF��G YOIn?N0710E OF COMMEMCE..�!ENT.
fLOR10sA JURAT(F:S.117.09)
8ubralt�d md wYOm 10(or tlNrm�d)betae ms tlis Subsabd and sworn tio(or MMmsd)bafae ms YIIB
bY �Y
YMho Wars penoraNY k►wvm to m�or FM�Auve pioduad YYho hhre peraapp�r Wnwn to Ine or MtRrve Produc�d
a�fdaiQlfatlon. �s�tlon.
. �,p� Notary PubBc
Commialon Na. Cammksbn No.
Nsms of Notuy typed.D�ntsd or stempad N�me M Nofary q�psd.pAnbd or smmped
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