HomeMy WebLinkAbout12-13536 CITY OF ZEPHYRHILLS
5335-8111 SIREET
(si3)�so-oozo 13�36
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13536 Address: 38130 PRETTY POND 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: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07100-0000
Improv. Cost:
Date Issued: 10/17/2012 Name: LOAN FUNDING SOLUTIONS II LLC
Total Fees: 25.00 Address: 4600 WELLS FARGO CNTR 90S 7TH ST
Amount Paid: 25.00 MINNEAPOLIS, MN 55402-3903
Date Paid: 10/17/2012 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY-THE COMMONS ON PRETTY POND
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees M pay for the costs of fire
prevention and protection related activities such as inspections, pian 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
a��-�so-oczc City of Zephyrhills Fire Fax-8;aaso-oc2�
,,, Permit Application _
Date Received � Phone Contact for Permit �
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r=ee Sim le Titleholder Name �� � � �
P Titleholder Phone Number ��
Fee SimpleTitlehold=rAddress
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� Bio-Hazard Waste Storege-ANNUAL � Fumiaation Tent
� Comm Exhaust Kiichen Hood/Duct , � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Instalfation �f_
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�mergency Generetor<30 kw � LP/Natural Gas-Installafion ( L2 ' (
� Emergency Genera'tor>30 kw � LP/Natural Gas-ANNUAL Sale L J
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �
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Sprinkier � �r' p ❑ � � Recreational Bum
Fire Alarm � ❑ O ❑ � � Sparklers
Hood Cleaning � r ❑ ❑ � � Sprinkler 5ystem Installa`Jons
Hood Suppression � ❑ u ❑ � � 5tandpipes(Sprinkler Sys)
� Fire Alartn Instailation � Torch Roofing/Tar Kettle
� rire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Applicztion-ANNUAL Vaivation of Project
� Fuel Tanks
� Other�
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Contrector Company
Signature Registered Y/N Fee Current Y/N
Address
License�
ELECTRICIAN Company
Sigrature Registered Y/N Eee Current Y/N
Address
License�
PLUMB�R Company
Signature Registered Y/N Fee Current Y/N
Address
Licensz#
MECHANICAL Company
Signature Registered Y/N 'ree Current Y/N
Addr=ss
License#
OTH�R , Company �2 � �C �T-
Signature Registered �/N � ree Current N
Address , ( �,y-� --
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Directions: _... ._.. _m :,.:,.:.,_..a.._,,... - w.._.,_.._.,�.,__._,.. _..<.�„ - _.__. ._.
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Fill out application completely
Owner&Contractor sigr back of aoplication,notarized(Or copy of signed contrect with owner)
li over S250G z Notice o`Commencemen,is required(tvlechanical work over W5000)
Supply two(2)sets of drawings with applicabl=documentation
Aliow 1 G-14 cays for rewew after submittai date Parcei�-obtained irom Property Tar.Notice(http./iappraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS The unders+gned understands that tnis permi� may.be subject to-"deed":�e�*`'ctio�s"
which may be more restrictive than County regulations The undersigned assumes responsibility for complian�e with a�y
applicabis deed restrictions
UNLICENSED CONTRACTORS AND CONTRAC i OR RESPONSIBlL(TIcS. ff the owner has hired .-a contrac or or
contractors to underfake work, they may be requirea to be licensed in accordance with sfate and local rsgufations I;;he
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 County Building Inspection Division—Licensing Sec"tion 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 Blac!<" of this appiication for which thsy 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 entitied to permitting privileges in Pasco
County. `� �� ,, a a � rl� i n
C.ONSTKUC{IVIY LICFV LHYV �ha ►�r7�3, FIoE i�a S�a���es,-a� amend�-, . If VBll,fltl..!1 Of Minrk jg �"7,500.00� or more,
ce!-tify that l: the applicant; have been provided with a �upy o� the "�lorida Construction Lien Law—Homsowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs If the appficant is someone
other than the "owner", I certify that I have obtained a copy o�the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRAC'fOR'SIOWNER'S AFFIDAVIT: I certify that all th� information in this appiication is accurate and
that ail work will be done in compfiance with all appiicabie laws regulating construciion, zoning and land
develapment. flpplication is hereby made to obtain a permit to do work and instaAation as indicated. I c�rtify
that no work or installation has commenced prior to issuance oandPCit,�tcodeshazonli g r�gullatio Ps,and eand
meet standards of all laws regulating construction, County Y
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 AGENT FOR THE OWNoR tf P tion!S I Iu derstand thatna�separate permit may be req u ed for'electrical work.
this afridavit prior to commencing lication A
plumbing, signs, welis, poois, air conditioning, gas, or other instalfations not specifically included in the app�
permit issued shall be constree echn cal codesenor shall ss aincehof a pe mit�prevent thehB i ding Ofr�ceal from thereafter
set aside any provisions of th
requiring a correction of errors in Ph nermit srcotmmencedlwithin si amonths of perm pss alnce,UOr�if wolr bauthorizedaby
unless the work authorized by suc p
the permit is suspended or ab f odm the Bui dn g'Ofi�ial'fo6a per ohd not to exc'edtn netyr(90) days andewill demotnstrate
may be requested, in writing,
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandone
WARNING TO OWNER: YOUR ���TSRO YOIRR ?ROPERTY.jiF YOtJ iNTOEND TO OBTAIN F NANCSNG, COh'SOULR
PAYiNG �"CE FO4 lMPROVCM
VUiTH YOIiR LEN�ER OR AN RTT'ORN�Y BEFflP.E aEC�RQIt�G YQUR NOTtCE OF COMMENCEMENT.
FLORIDA JURAT(F S.117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or affirmed)before me t7is
Subscribed and sworn to(or affirmed)before me this bv
�_by V1,�ho is;are personally known to me or has/have produced
Who is�are personally known to me or has/have produced as identification.
as identification.
Notary?ublic
Notary?ublic
Commission No
Conmissior,Ne
4 ed, rini°d or stamped Name of Notary rypea printeo or stamped
Name o�Notary typ P