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Home My WebLink About12-13537 CITY OF ZEPHYRHILLS 5335-8TH STREET . � �si3)�so-oo20 1 37 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13537 Address: 5353 5TH ST 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: 11-26-21-0010-09700-0070 Improv. Cost: Date Issued: 10/17/2012 Name: HUSSEY, STEPHEN E Total Fees: 25.00 Address: 5353 5TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/17/2012 Phone: Work Desc: FPM- FIRE ALARM ANNUAL-THE BROACH SCHOOL � � �. - ,` 1� - , l �� r 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 81?780-OG20 City ofZephyrhilis rire FaX-e,a-�ao-oo2i Permit Appiication - Di.`.=R=ce'bed act or P t ..> . .,. ...--. . ,. x � �, � . .�<, ,...,. t..-,�..xfs.,:..:.��T,:::•� _._. Phone Con e ..>.:��.. , _.... ..':"}'.�i""i1.In,.s_`.,."'"__" :.":.. Owner's Name L� - ' �� t'� ` ' � �♦^�Owner's'Phone Number � � � Owner's Address �31n. L � - - �--�>►�`� �- ree Simple Titieholder Name ��'�� S�L Titleholder Phone Number � � � ree Simple Titlehold=r Address _ _.._._.._. ........... «��-..�:-..,�..-...:..��u,.�..,: .:,.:� ,s�.,..er�«..;.,;,.�.;;•� -�^.. ��-:r.ac:yn.� �fi;.;�; - :c%Z'::;.r'.y- � _ -<,I' - - � - �:`s:h.eu:,uM�.i:r:i;_"s.->u;: � -. .r..��,...., .. �^._, . _ „�7 r;� .a,_. .�F��.,�,,.�, �� - ' �� . ....�. ,,;.,t:..,...et�.... 5 .;2� Job Address �J5 "rl-l-� rJ j L--�P�"f f � H �, Z- Lot€ Sub Division Parcel� � l • ��p - I —00� � — �00 ` O ., , . ............... . .� ,_...>a.• -;:, ..�:�..:�n>-�.-.�. ... � :..z.;#:, i'kt:�'dak"�SLCeaT?�'?t�'��r'.:�::�{i�4;:.�.�(J:!:kJiF=....._...hlin!5'i+.�I''sS.At,-..a,s4....i.s .....al....>1�,.:......1�_.......�u..i.ea.., F.� �. ... ._, .':��Y:�.,..,a.-..,. .,. .,.»...-w..�.-�.3.,..�...-��..,..v..o-...�........3.t..,. ._.,..w[.u:.vM:z t'�f5ti.. � Bio-Hazard Waste 5torege-ANNUAL � Fumiaation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ r=acility)ANNUAL � Controlled 8um � Hood tnstallation � cmergency Generetor<30 kw a LP/Natural Gas-fnstallation � Emergency Genere'tor>30 kw � LP/IVatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL rry emi ni ner Sprinkler � ❑ ❑ � � � RecreaUonai Bum � �3S 3-� Fire Alarm `� O O �--� � Sparklers Hood Cleaning � u � ❑ � � Spnnkier System Ins.allations Hood Suppression � G ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Ftammable Application-ANNUAL �_--� Valuation of Project � Fuei Tanks � Other• _... __.._, .:,,:. , v..-�...w.,.,.. .. ........ :.:.......:..... _.,� .,:> :..r ::�.,- p.,��,,- :_ �__.��._�. ... �.,._....,._ ._,�.. ._._..... - ._::,. .�. .� . . .:. .. . ,..r..,.�.f ::,,,,t.,.. r.a:. .,..<, ....:�-" .. i"' ..�.i.._,wi.'r.'!'t7s;��x.,...._."'�'.;'...-_..._37;�.,_.wn.�..,'�.�.�,'�u�`-.i*1�` ^s�.�'z�v,ye`+t��r�s::�' "�'le5 .: i. . . � .i.;.�?a �L_.3:n,��l __. i ... ..•�:.;>:;,.,;s ..,�._',`�:":x'.(�'s'.w:5�u�K.. _ Contractor Company Signature Registered Y J N ree Current Y/N Address License# ELECTRICIAN Company Sigraiure 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� OTH�P. . Company — � "� l ; Signature 'L�-- Ragistered I N Fee Current /N Address ' cr" D License� .Cj� � -� � ' ,_.u,.....,,,...,. ,.., , . . �, „� � >.�.. ... . , _ . ..__ .�_.�....�_ ., w.. _... .,...__._....___.. ,.,.,._ �._._ .,., -..-,:..,,_:: .,.._....�.._.......--.:. .,...__.�_.,. .. ._, .. .. ..... _ _. __ . ...- - - - .: _ -,. .. _,:, _. _ .:..�.. .::,. , w .. . Directions: Fill out aoplication completely Owner&Contrector sign back o`aoplication,notarized(Or copy of signed contract with owner} f�over�2500,a Notice o`Commencement is required(Mechanicai work over W SODO) Suoply two(2)s=ts of drawings with appiicable documenta'tion Allo��1C-'1�days for review after su6mittai date Parcel�-ob,ained irom Property Tax Notice(nttp:/fapprais=r.p2scoaov.com) NOTIGE OF DEED RESTRICTIONS. The undersigned understands that this permi� may be subject to "deed":restrictions' which may be more restrictive than County regulations The.undersigned assumes respo�sibifity for compliance v,+ith any applicable deed restrictions UNLICENSED CONTRACTORS AND CONTRAC i OR RESPONSIBILITIES: If the owner has hired .-a-contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regu}ations Ir the contractor is not licersed as required by faw, both the owner.and contractor may be cited for a misdemeanor vioiation 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 contacf the Pasco Counry Building 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 porfions of the "contractor Block" of this appfication 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 licensed and is not entitled to permitting privileges in Pasco County. COIV�JTR�JC.1 iUIV LICIV LHVJ �V�i�iNiCC7"�3, Flari�a Statutes,.as amend�e!). !f val�ati�n ef�vork is $2,500.00 or more I ce�tify that I, the applicant, have been provided with a coNy o� t�e "�lorida Cons±ruction !ien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agricult!are and Consumer Affairs. if the applicant is so��ecne other than the "owner", i certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVtT I certify that ail the information in this application is accurate and that ail work will be done in compliance wifh all applicable laws regufating construction, zoning and land development. Appiication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instaliation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land 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 OWNER, i promise in good faith to inform the owner of the permitting conditions set io�th in this affidavit prior to commencing construction I understand that a separate permit may be required for electrical work. plumbing, signs, welis, poofs, air conditioning, ga�, or other instalfations not specifically included in the appiication A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ofricial from thereafter requiring a correction of errors in plans, construction or violations of any codes Every psrmit issued shall become invafid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six {6) months after the time the work is commenced An extension may be requested, in �vriting, from the Building Ofricial r'or a period not to exceed ninety (90) days and will demons:rate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURc TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOl1R PAYIN^v TWICE FOR lMPROVcMENTS?'O YOl1R ?FZaPERTY. IF YOU INTEND TO OE�TAIP! FINANCING, COhSUL i W(TH YOUR LENDcR OR AN�TTORNEY BEF�JRE P.ECORDlNG YOUR NOTIGE OF COMMENCEMENT. FLORIDA JURAT(r S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or afirmed)before me this by bY Who isiare personally known to me or has/have produced Who is/are personally known to me or has/have produced as identifica6on. as identiiication. �aublic Notary Pubiic Notar} . Commission No Commission No Name of Notary typed,printed or s:amped Name ot Notary ryped, printed or stamped JdfAlwakr Ce�ia Stnco Cfti13FI+JNANQALO�CRat �UIi�I1 CHISF �qUMS qalna Q1Vi8IDN DIitFiC'POTt %aith M�CArtl� 8A�fYl�l�OG[tAiV!M�1NAG�R �IAR�A D1�1't1R1�NT U�FINANC•IAI,S�RVlC�S 1}�[SZON OF Sl'ATg i�M�tIiAL x00�wnt Ci41pe�3keet•'Jhilofuo�,ue,ltlotida32399.0.�42 7b1.RS0�413-3b1A T+ax,8S0-d10-2467 �---�_«-.--_,-.... r�per�'lxe Protc�fion,�nc. P 4 Box 900� Largo�'L��'771 u��i11fJIt��e�fu CL+'RTIFZCAT� OI�COM�'L��`T�NC:Y THIS C1�RTF1�3S THAT: CZ�ItISTO�'Ir4?R70I�NSpN 9270-119tt�Avez�ueNarth Larga 33%7� BUSINBSS ORGAI�CZ,A►'FION;Pi�er�'us Protection,7nc. Coutractor I in��lud�s the execukian of conhacts requiring the abitity,e�pe��ience,kaowledge,science,and sldll to intelligeao►tty layout,fnbrice�,mstEill,i�peat,alter,i�epsir,or seswice aIl ty}�ses of�n�Protection Spstiems,ecxcluding i�re-$ngi»eet�d SysUam.9. Issue Da�e: 07101I2pX2 '�'Y��- 07 Class: 10 CouniY: Pmellas Licanseli'srmitNumbcr; 45]523-OQOI�l�9�I9 C �,I , . ��,,�� _ � ,.�� -�,� L+xpiraiion Date; p6l30�'ZOl4 ..,-.�...... � �-S b o Z�g�7o �-t z -c3 �� . - Z. o `� �� 3b/v y�-Z3 -t3 Chici Fit��enc3ai Off'ui r �j Z.7- S�'/- s 31 � i•az