The URL can be used to link to this page

Home My WebLink About12-13650 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis)�so-oozo 13650 ANNUAL FIRE PROTECTION MAINTENANCE i Permit Number: 13650 Address: 6851 WIRE RD 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: 02-26-21-0010-01200-0000 Improv. Cost: Date Issued: 11/29/2012 Name: ELKS LODGE Total Fees: 25.00 Address: 6851 WIRE RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/29/2012 Phone: (813)782-4604 Work Desc: FPM- FIRE SPRINKLER ANNUAL - ELKS LODGE a �� l _ �� l , � . ina Chapter 633, Fiorida Statutes,authorizes the City to charge and collect user fees to pay for the wsts 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 shali 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 a��-�ao-oo2o City of Zephyrhills�Fire Fax-813-780.0021 �- •.:. Permit Appiication - Date Received Phone Contact for Pertnit 7 L 7 t I S d 4-O i Owners Name Z�'-p K Y�Ft�t-4S �=�K L �-��•�i '� 2 l 3 1 Owner's Phone Number �t 3 7 8 2 46 a 4 Ownet'sAddress L a�� W+2�= I�°r+a, Znp..y4H��ci,I'� 33S 39 Fee Simple Titleholder Name Titleholder Phone Number � � �� Fee Simple Titleholder Address JobAddress ,m�'�yl VW�Q�'_Rm~�, ��KyRL«cCS�I"L 335'i� Lot# � Sub Division Parcel� � Bio-HazardYWaste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or i2Q Facility)ANNUAL � Controlfed Bum � Hood Installa6on � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale /� � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ��l9 �y emi �n er �� /-, Sprinkler � ❑ L� �D � � Recreational Bum J Fire Alartn � rJ ❑ ❑ C� � Sparklers ,r. ^�. Hood Cleaning � O ❑ ❑ � a Sprinkler System Installations �� ` Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Insiallation � Torch Roofingffar Kettle Fire Pumps � �Naste Tire Storege ANNUAL Fire Works Flammable Application-ANNUAL �--� Valuation of Project Fuef Tanks Q Other: Contractor �/ v Company wSG ,L•�s ,tc..—�o..� S^;,�ta.cwS LLG Signature Q`� � ~ Registered Y/N Fee Current Y/N Address �� a:j�«- t..-� �%�s: L�s a� o "� 3 3 7�o License# �23 8�.7 6 c�a�Z o o t ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Currerrt Y/N Address License# MECHANICAL Company Signature Registe�d Y/N Fee Current Y!N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# ..�,-.;--. ��>...._ _ �_.�..___.._ ... _�_.__.__ -_ _�.- - -� � - - - - -- - __._. _.. _ - - - - - Directions: Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement ls required(Macha�ipl work over$5Q00) Supply 1wo(2)sets of drawings with applicable documerita6on Allow'10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to-"deed°:re�.rictio► s" which may be more restrictive than Coun#y regulations. The undersigned assumes responsibility for complian�ce with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired -a cantractor 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 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 Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po�tions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,.as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner� prio�to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and 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 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 taks 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 spec�cally 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) mon#hs 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 fo�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 RESU�T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIAI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 persorrally known to me or hasJhave produced Who islare personally known to me or has/have produced as identifiqtion. as identifiqtion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped