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Home My WebLink About12-13513 CITY OF ZEPHYRHILLS 5335-8TH STREET - � (si3)�so-oo20 13513 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13513 Address: 7350 DAIRY RD 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-06900-0020 Improv. Cost: Date Issued: 10/05/2012 � Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/05/2012 Phone: (407 975-3000 Work Desc: FPM-ANNUAL FIRE ALARM-ZEPHYRHILLS HEALTH & REHAB . ,,� ,, v 1�`-�� ,, � t� � ,, ina Chapter 633, Florida Statutes,authorizes the City to charge and oollect user fees to pay for the coy�s of Fre prevention and protection related activides 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 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 e�3-�so-oo2o Ciry of Zephyrhills Fire Permit Application Fax-813-780-002� 3te Received ^ /D �j � L � � Phone Contact for Permit r�—"1 �J `-� �vners Name A �l e �! � � Owners Phone Number Yvner's Address ,�S� Q l/�, �(� ae Simple Titleholder Name �� Titieholder Phone Number �e Simpte Titleholder Address �b Address �b Division Lot# � Parcel# � Bio-Hazard Waste Storage-ANNUAL � � � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � � Hazardous Material(Tier 11 or RQ Facility)ANNUAL Controlled Bum a Hood InstallaUon Emergency Generator<30 kw a � LP/Natural Gas-Installation Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale ,�C Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ❑� emi � er 5prinkler p ❑ ❑ � �� ❑ Recreational Bum j r, � Fire Alarm � � �� `�� ❑ Sparklers Hood Cleaning � � � � � ❑ � ❑ Sprinkler System Instailations Hood Suppression p � � � Standpipes(Spri�kler Sys) Fire Alarm Installation � � Torch Roofing/Tar Kettle Fire Pumps � � Waste Tire Storage ANNUAL Fire Works � Flammable Application-ANNUAL a Fuel Tanks Valuation of Project [� Other: mtrector �nature �� Company SI�M tZ /,JS .1.l�>Cv_S � Registered /N Fee Current Y/N Address f'j ' p^ / eiV 1 O A nv Fl 3 � ECTRICIAN License# �nature Company Address Registered Y/N Fee Current Y/N UMBER License# nature Company Address Registered Y/N Fee Current Y/N CHANICA License# �ature Company Address Registered Y/N Fee Cument Y/N iER License# iature Company Address Registered Y/N Fee Current Y/N �tions: License# Fill out application completely. Owner 8,Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice h //a reiser.pascogov.com) � ttP� PP NOTICE OF DEED RESTRICTIONS The und ulations. The undersig ed alssumes espons bilty for compl a,nce tw th any which may be more restrictive than County reg K applicable deed restrictions. UNLICENSED CONTRACTORSeANID bON qR�►ed t�o be E enOs dSiBac'coEdance th s ate and ocale egulationsc Ifrthe contractors to undertake work, th y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor'vif at{he under state law If the ownsed to contact the Pasc�o County Buadingslnspectionl Divss on reL ce s ngtSect on ap727-847- intended work, they are adv 8009 Furthermore, if the owner h his aedlicationtfor which theyrwi I�be espo s bleeaftyouaas the ownteasign as the portions of the "contractor Block" of t pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco County. 500.00 or more, CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a of rthe aF o,rida Construct on L en L aw—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by thatFlhave bta ned a copy of'thetabove descr bed document and prompseantgood fai h to other than the"owner", I certify t deliver it to the"owner" prior to commencement. - CONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify thalcableeawsr egullatingtco stulc on� zon ng and land that all work will be done in compliance with all app� development. Application is heremymm�ced �or to ssua cIe of a per t and'that al�ltwork wi I be performed'to that no work or installation has co P meet standards of all laws reeu�u`isdict on tr ICaI Iso certifyythatdl ulnde stand that hee egulat onsaof other development regulations in th ) res onsibilit to identify what actions I government agencies may apply to the intended work, and that it is my p Y must take to be in compliance. If I am the AGENT FOR THE OWNER, t p%mise iu derstan'd that a�eparat permit may be req 9 ed for 1electrecal work this affidavit prior to commencing construc 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 ��aeSenor shall ssua'nce of a pe mitp eventthe Bu ding IOffceal from therteafter set aside any provisions of the technical co , requiring a correction of errors in plans, conssrcommencedl within si amonths of perm P sua'nce, o aif work authorized by un less t he w o r k a u t h o r i z e d b y s u c h p e r m i t the permit is suspended or abandoned Build,�erio�cial fosa per od ot to ex tceed tn nety r(90) days and will demonstrate may be requested, in writing, from the 9 justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandone . WARNING TO OWNER: YOUR FAILURE TO R PROPERTY TIF YOU INTOEND TO OBTAIN F NANC NG CO SULT PAYING TWICE FOR IMPROVEMENTS TO YOU 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 affirtned)before me this Subscribed and sworn to(or affirmed)before me this by bY Who is- /are personally known to me or has/F�ave produced Who is%are personally known to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary tyPed.Printed or stamped Name of Notary typed.Printed or stamped ,�,,.,,�„_,�._�,�...,....F..