HomeMy WebLinkAbout12-13486 r—= -
CITY OF ZEPHYRHILLS � �,
5335-8TH STREET � ��---�
(8i3)�so-oozo �--� 13486
ANNUAL FIRE PROTECTION MAINTENA�
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Permit Number: 13486 � Address: 38422 VALLEY OAKS CR
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: GRAND RESERVE
Est. Value: Parcel Number: 35-25-21-0010-09200-0000
improv. Cost: ��
Date Issued: 9/25/2012 Name: . GRAND RESERVE APARTMENTS LTD +
Total Fees: 25.00 Address: 580 VILLAGE BLVD STE 360
Amount Paid: 25.00 WEST PALM BEACH FL 33409
Date Paid: 9/25/2012 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER AT GRAND RESERVE APTS
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect 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
�s;y�so-oo2e City of Zephyrhilis Firs Fax-8�;aao_oc2�
Permit Application
Dat=Received � -
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Phone Contact for Permit �5
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Owner's Name �� -SL��/ ,� j"5. Owner's Phone Number � C� ��
Owner's Address 1 5 �C��L��ytKl�� 1���11 STL�•J�� ��(=S ( �F){_Y1'i . ��e1� -- � —�j7v�'c'S
Fee Simple Titieholder Name Titlehoider Phone Number � ��
Fee SimpleTitl=holderAddress
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Job A 'J O`t�� �r� � ._ 40.'�.:�t�'�::s�s::v�.�,„_
ddress LLL ' ��J�KS ,L �
J Lot�
Sub Division
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� Bio-Ha_ard Waste Storage-ANNUAL � Fumioation Tent t""y'�"'�"~�-'�N�F�.£"..�
� Comm Exhaus;Kiichen Hood/Duct , � Hazardous Material(Tier 11 or RQ Facility)ANNUAL
� Controlled Bum a Hood Installation
� cmergency Generator<30 kw a LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
ny emi n� her �
Sprinkler � � ❑ p � � Recreational Bum � /
Fire Alarm � 1� �
❑ G � � C� � Sparklers /
Hood Cleaning � r �; ❑ �� � Sprinkler System Installation�•�___ ,
Hood Suppression � p ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL
Vafuation of Project
� Fuel Tanks
� Other:
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Contractor ;.�.�.°���1 .�>,:>'w�s::�'��:�::.,�:�z!.�:=.t:'��^��t�;�°.L�:��:..W.
Sianature Company
` R=gistered Y/N Fee Current Y/N
Address
License�
cLECTRICIAN
Company
Signaiure Registered Y/N Fee Current Y/N
Address � �
License�
PLUMB�R
Company
Signature Registered Y/N Fee Current Y/N (
Address
Licensz#
MECHANICAL
Company
Signature Registered Y/N Fee Current Y/N
Address
License�
OTHER
P Y f Z P�'�2 �r�Is% t2�'T�G TZaJ
Signature � ' ,`��� Com an
Registered /N Fee Current Y/N
Address a 1 L0�1 %
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Directions� ,:_•.,._.�_,� � �
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Fill out application completely "'-" "-'°- `�-�-�•� --� :-�. .._._. .�.
Owner&Contractor sign back o`aoplication,notarized(Or,copy of signed contract with owner)
f�over$250Q a Notice o:`Commencemen;is required(Mechanical work over W5000)
Suopiy two(2)sets of drewings with applicable documentaiion
Aliow 1 C-1�days for r=view after submittal date Parcei f-obtained from Property Tax Noti-e(http./;app;aiser.pascogo�.com)
NOTICE OF DEED RESTRICTIONS The undersig�n d �he undersigned a's umes espons b i�y ior�ompl ance w th�ny
which may be more restrictive than County regulati
appiicable deed restrictions
UNLICENS�D CONTRACTORS AND bONe RA e'J� be Ecen sOedsf Bac'co dance th s ate and Socal�guiationrs cIllrthe
contractors to underta4ce work, they may q I for the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation
�nder state lav�. If the owner or intended contractor are uncBUaa'ngs�nspection Div s'on r�Li lens ngtSect on ap�7-847-
intended work, they are advised to contact the Pasco County
� f + � ion for which they will be responsible. If you, as the owner sign as the
8009 Furthermore, if the owner has hired �{ontractor or cantractors, he is advised to have the contractor(s) sign
poRions of the "contractor Blcck o. �his appli
contractor, that may be an indication that he is not properly licensed and is not entitled io permitting privileges in asco
County �CI�7 i3, Flaricla Sta.;�tes,-as.arnend°�)• !f val�.:3t!^!1 0�14'nrk IS �2,500 00 0; more, I
(;�jNSTF�UC.11UiV LtE1�I LH�I1I �v�dN`' �f �h2 °�lorida Construction Lien La�n�—!-'omeowner s
certify that (, the applicant; have been provideo with a cuPY
Protection Guide" prepared by the Florida Department of A�gri{�etabove des�ribed document and prom�sean�good fa th to
other than the "owner", I certify that I have obtained a copy
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFtDAVIT I certify thai a�ble laws r egu'ati gtconstrPict otn zon ng uand land
that ail work will be done in compiiance with all app
development. Hpp�ication is hereoy made�to °o�to issuancle of a perm and�that Ialltwork will beaperformed'to
that no work or installation has commence p and City codes, zoning regulations, and land
meet standards of all laws regulating construction, CountYthat I understand that the regulations of other
development regulations in the jurisdiction. I also certify
government agencies may app�y 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 FOR THE OWNER, I promise in 9 e°stand thatna�separate permit may be req g d for�electri al norkFl.
construction. I und licatio
this afiidavit prior to commencing � �r other installations not specifically included in the app
plumbing, signs, wei{s, poois, air co�ditioning, ga�,
shall issuance of a permit prevent the Building Official from thereafter
ermit issued shail be construed to be a license t�orproceed with the work and not as authority to violate, cance , a er, or
P rovisions of the technical codes, n
set aside any p codes Every permit issued shalf become invafi
requiring a correction of errors in plans, construction or violations of any
u
nless the work authorized by such permit is commenced�w�honths aftenthe t meethetwor4cas commenced Anhexte s oe
the permit is suspended or abandoned for a period or six (
rrfa be requested, in writing, from the Building Ofricialnet a90)r oa secutive day s, the job isoc ns dered aa�a donedst
Y
justifiable cause for the extension. If work ceases for Y
WAR
NING TO OWNER: YOUR FAILURc TO RECORD R,�j�F YOU 1NTOEND TO O TAIN F NANCINGTCOt�lSOULR
pqY=NG TWICE FOR lMPROVcMENT�TO YOI�R PROP
WfTH YOUR LENt'�cR OR AN F►TTORN�Y BEFf?P.E P.ECORQlNG YOUR NOTICE OF C�MMENCEMENT.
rLORIDA JURAT(F.S. 117 03)
CONTRACTOR
OWN�R OR AGENT Subscribed and swom to(or affirmed)before me this
Subscribed and sworn to(or affirmed)before me this by
by Who is%are personally known to me or has2sade tifi tlatioed
Who is'— /a�e Personally known to me or has/have produced
as idenHfication.
Notary?ublic
Notar,�?ublic �
Commission No
Commission No —
Name of Notary ryPed,P�inted or stamped
Name ot Notary rype0,Pnnted or stamped