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Home My WebLink About12-13550 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 13550 � � ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13550 Address: 6907 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: 02-26-21-0010-01000-0000 Improv. Cost: Date Issued: 10/19/2012 Name: CITY OF ZEPHYRHILLS Total Fees: 25.00 Address: 6907 DAIRY RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/19/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI- FIRE STATION 1- FEE WAIVED CITY , lV� � ,��t .-( � �U . � � ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect 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$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 a�3-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application )ate Received fl ;Z Phone Contact for Pertnit �/� �""q� � 6 �.�e.�.��.�N�,:.�.:.,.N,.� _ . ._ ��._. �� }.:.-�.m��,,�<.�,�..,...,_ T�vner's Name �� p � �� L ~ Yl- Owner's Phone Number �� Jgj� pp c/� hvner'sAddress � �j c�� r 2d ee Simple Titleholder Name Titleholder Phone Number C� � �� ee Simple Titleholder Address —�� R_ � „�,,,p z,�: . ,� ��. , . ,,�,�.. �4�.,... ��,._ iob Address s� �� Lot# iub Division Parcel# � m�� _.:6:,�,• .. .. =�.�.a��.��*�,-_<- . �.-a�:�n��r �, v�c:=. a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw a LP/Naturel Gas-ANNUAL Sale � � ��,� � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � ❑ r y emi � er ❑ Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL aValuation of Project Fuel Tanks Q Other: ._� .._ . ._ -- •a:v,�;��$"�na� .. _ - �Star . .__ ^'S .a: _.=*�r.s-.�c�:�,tla�'�s,r�.^�[ ;ontractor — s8ud€a tignature �----� �.1��-'." " � Company —r jtiG Y` Ls� �r�� Registered Y/N Fee Current Y/N Address C� /„� '� �� r � � f��G j License# iLECTRICIAN ignature Company Registered Y/N Fee Current Y/N Address License# LUMBER ignature Company Registered Y/N Fee Current Y/N Address License# ECHANICAL ignature Company Registered Y/N Fee Current Y/N Address License# THER gnature Company Registered Y/N Fee Current Y/N Address License# rections: Fill out application completely Owner 8 Contractor sign back of application,notarized(Or,copy o(signed contract with ovmer) If over$2500,a Notice ot 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. T nt re u ations. The undersig ed als umes spons b Ibry for compl ance tw th any which may be more restrictive than Cou y 9 applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvifoat�he 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 contact the Pasco County 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 portions of the "contractor Block" of this application 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. If valuation of work is$2,500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a of he aF o,rida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to defiver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this applicatio zon ng uand land that all work will be done in compliance with all applicable laws regulating construction, 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 I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identffy 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 IN YOUR PAYING TWICENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT WITH Y�UR LE FLORIDA JURAT(F.S. 117 03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are ersonall known to me or has/have produced Who islare personally known to me or haslhave produced p y as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary ryped,printed or stamped Name of Notary typed,printed or stamped _,_..��_.__.,_.,_,_.N.,�._...,„»«�..�..,«_�,.•,.M�_