HomeMy WebLinkAbout12-13549 CiTY OF ZEPHYRHILLS
5335-8TH STREET
` (si3)�so-oozo 13549
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13549 Address: 38410 6TH 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:
Improv. Cost:
Date Issued: 10/19/2012 Name: ZEPHYRHILLS FIRE DEPT.
Total Fees: 25.00 Address: 38410 6TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/19/2012 Phone:
Work Desc: FPM- SUPPRESSION SEMI- FIRE STATION #2-FEE WAIVED CITY
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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 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
813-780-0020 City of Zephyrhills Fire �
/ �5�� Fax-813-780-0021
Permit Application (
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Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL � � ���
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Sprinkler O O ❑ � � Recreational Bum
Fire Alarm � ❑ ❑ p � � Sparklers
Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations
Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps a Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL
� Valuation of Project
Fuel Tanks
Q Other:
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Registered Y/N Fee Current Y/N
Address ti �� � �N� D:��
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:LECTRICIAN
ignature
Company
Registered Y/N Fee Current Y/N
Address
License#
LUMBER
ignature Company
Registered Y/N Fee Current Y/N
Address
License#
ECHANICAL
gnature Company .
Registered Y/N Fee Current Y/N
Address
License#
fHER
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Registered Y/N Fee Current Y/N
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�ections:
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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 htt //a
( p: ppraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS. The und ulations. The undersigned a'ssumes spons b Ibty for compl a'nce tw th any
which may be more restrictive than County reg
applicable deed restrictions.
UNLICENSED CONTRACTORSeAmD b�N q�`ed o beEcePOsedSIBaLI�T,oIEa nce th ate a d ocaeegulationsc Ifrthe
contractors to undertake work, t y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorl��fo�tthe
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
intended work, they are advised to cont hi edea conactor torBcont acto s�he'�s advi ed to1 ave he cotntractor(s)s�gn
8009. Furthermore, if the owner has
portions of the "contractor Block" ofn that hell sanfot p�ope ly licen ed'land s no en'bt ed t yperm ttingepr v 1 gesgn Pasco
contractor, that may be an indicatio
County.
500.00 or more,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, ofrthe aF orida Construct on L en Law—Homeowner's
certify that I, t he app licant, have been provided with a copy
Protection Guide" prepared by hat I'have bta ned a copy of Ithetabove d scr bed document nd promPse n tgood a th to
o t h e r t h a n t h e "o w n e r", I c e rt f y
deliver it to the"owner" prior to commencement. Iication is accurate and
C O N T R A C T O R'S I OWNER'S AFFIDAVIT: I certify that atl the information in this app�
that all work will be done in comp�iance with all applicable laws regu la ting c o n s t r u c t i o n, z o n i n g a n d land
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation 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 t 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 forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
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 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 Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
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 writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR
PAYING TWICE FOR �MR AN ATTORNEYOBEFORE RECORDING YOUR NOTICE OF COMMENC MENT.' CONSULT
WITH YOUR LEN�ER•
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this
Subscribed and swom to(or affirtned)before me this by
bY Who is/are personally known to me or has/have produced
Who islare personally known to me or haslhave produced as identification.
as identiflcation.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary ryped.printed or stamped Name of Notary typed,printed or stamped