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HomeMy WebLinkAbout12-13668 CITY OF ZEPHYRHILLS - . 5335-8TH STREET 66$ (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13668 Address: 5316 11TH ST Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcei Number: 11-26-21-0100-17100-0100 Improv. Cost: Date Issued: 12/05/2012 Name: SAINT JOSEPH CATHOLIC CHURCH Total Fees: 25.00 Address: 5316 11 TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/05/2012 Phone: (813)782-2813 Work Desc: FPM- FIRE ALARM ANNUAL- ST JOSEPH CATHOLIC CHURCH 5. _, ���.-- L -� 1 z- ��� � �� � 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 IZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 s��-�so-c3b2o City ofZephyrhills'Fi�- Fax-813-780-002i Permit Application Date Received - ������r��� � Owners Name ����r �"'"""'—"' Owners Address � Up w � Fee Simple Titleholder Name � SJ� � - � �Titleholder Phone Number �� �� � Fee Simple"Iitletwide�Address Job Addtess 5 � � Lot# � 5ub Division - Part�l# a Bio-Hazard Waste Stotage-ANNUAL Q F�m�igafion Tent � Camm Exhausi Kitchen Hood/Duct � �b����R�r 11 or RQ Faciiity)ANNUAL � Cortbvlled Bum � FI°°cl lnsfatlation � Emergency Generator<30 kw � LP/IJahnal Gas-Ir�sfallatian (—j Emerge�y Generatar>30 kw � LPMahaal Gss-AMNUAL Sale ��� Fre ProtecBon MaiMenance-ANNUAI. � Piat�s of Assembly-ANNUAL �—� r L�]��].Ll� ���' Sprinider � D O ❑ � Rec�atiorel Bum // j � / Fire AtaRn � D ❑ J1� �� 5pa�rs '� � Hood Cleaning O D ❑ � � SPn�B�Sy54�n�n��°�' Nood 5up�xession � 0 � D L� � ���5P►��SYS) � Fire A►arm Ir�llatbn � Tor�h Ftoaiing�far Kettle �� 3� �re Pumps Q Waste Tire Storage ANNUAL Fre Works Flammable Appticatiorr ANNUAL. Vaivafion of Project FuetTanks Q Other. � ConVactor ��Y s�gnature ' Reyis�ed Y/N Pee current Y/N Address � _ Llcense# �����`� compeny Russell _Electrical Eonst Signature FtegisUered Y/N Fee Current Y/N Address j , ucense# PLUMBER �y signature Regwerod Y/N Fea cunenc Y/N Address License# _ MECHANICAL COm��Y Signature 'Regi�ed Y/N Fee CuRerrt Y/N Address �icense# OTHER �m��y signaWre Registered Y/N Fee Current Y/N Address License# _ plreciions: Fiit�t application caf�letety. Ownst&Conq�aetor sign back af app(ication.notar¢ed(Or.copy of signed corrtract with owner) . �E owr S250D.a Notice af Commencement is required.(Madiardcal work over S50U�) � Supp1Y two(2)ssfs af drawings with applicable documer�ation . ANow 10-'14 daYs for revi�v after sutxnittal date. Paraef#-obtained frorn RnPg►lY Tax Notice(htfG��PPraiser•W'�'A9ov.com) 'IdOTICE OF:DEED RES'I'R�CT�pidg; 't'fie.undersigned undersfands that this permit maybe-subject:to-°de�d';rs�r;c��ons" which may be more restrictive than Courrty regulations. The:undersigned assumes responsibitity=for:�ompliars�e�with any applicable deed restricqons. �UNLICENSED �CON7'RqCTORS ANID-CON7RACTpR RESP.ONStBILI'T1E$: tf-the owner has •hired�:a°contractor or �°ntr��tors'to undertaice work, they may be required-to be licensed in acxordance y�th s�te and loca!-rngulations. if the contracfior is not iicensed as required by law, both the owner�nd contractor may be cited-for a misderneanor violafion under state Iaw, tF�the owner or ir�tended cor�tractor are unoertain.as�to what �icensing•requiremenfs may�pp�y for the Intended work, they are advised to corrtact the•Pasco Courrty BuUding inspecfion Divisian—Licsnsing Section.at 727-8q.7_ 8009. Furihermore, if the owner has hjred=a contrac�or or contractors, he is advised to have the corrtractor(s) sign portions ofi the "corYtractor Btock' of this appfication�for which-they wil� be responsibie. tf you, as�the owner�sign as the cor�'actor, that may be an iruiicafion that he is not properly ficertsed and is not enfitled�to�permitti�g PrivJ�9ges in Pasco Counfy. CQNSTRUCTION.LiEN.LAW(Chapter713, Flori�S�,,a�s:amended�: If��uatian of work is�2;�00.00 or more, f certify that l, -the applicant, have been provided with a copy of�the `F(orida Construction Lien Lav►�—Homeowner's Protection Guide' prepared by•the �lorida Departrnerrt of qgricutture and Consumer qf�airs, tf the appiicant is�someone °��r tha�the°owne�', I certify that i have obtained a copy of the above described document and promise in good fiaith to deEiver i�ta the"owne�'prior fio commenc:emertt. ' C�NTRACTOR'S/OWNER'S-A�IDAVfT: I certiry that ait the information in this appliqtion is acc�cate and that all work will be done in comp{ia�ce w�h ail appiic�ble laws regulating construc�on, zoning and land developmerrt, qppiication is hereby made to obtain a permit to do work and instaliation as indicated. t cerfify that no worlc or instailation has commenced prior to issuance of a permit and�that all work wi�1 be perto�ed to meet standards of all laws regu�ating �strt�c�on, �u�j, and City codes, zoning regulations, and tand developmerrt reguiations in the jurisdicti�on. I atso certify that � understand that the regufations of other - govemmerrt agencies may appiy to the irrtended work, and that it is my responsibility to idenfify w►�at actions I must take�to be in compliance. tf i am the AGENT FORTHE OWNER, 1 promise in good iaith to��the owner of the permftti�g condfions set forth in this affidavit prior to commencing constructian, t understand that a separate permit ma be plumbing, signs, wdls, pools, air condiiti�oning, gas, or other instaitations not s Y required for electrical work, permi�issued shal!-be construed to be a ticense to �fi��y induded in the app{ication. A set aside an �°�����and not as authority to viotate, cancel, alter, or y provisions pf the technica! �des, nor shali issuance af a pecmit praverrt the guitding Officiat from thereafter requiring a correction of errors in plans, consfrt�dion or violations of arry codes. Every perrnit issued sha(1 hecome invatid unless the work authorfz� by suc� permit is cbmme�ced wrth�n sa morrths of permit pssuance, or if work authorized by the permit is suspended or ahandoned fnr a period of six(6) rnonths after the time the wark is commenced. An extension �Y � requested, in wrfting, from the Building O�ciai for a perio�J not to exceed ninety (90) days and wi11 demonstrate jusfifiabie cause for the extension. ff work c�ases fw�inet�,�gp���s��da�t�job is considered abandoned. WARNING 70 �WNER: YOUR FAILURE TO itECORp A�Wp't7CE'p�'COMMENCEMENT M�►Y RESULT IN�YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'IY; 1F YOU tNTEND TO OBTAIN FINANCING, C�NSUlT Y R N R B CORDI G YDUR NOTICE OF OM NCE Fl-ORIDA JURAT(F.S.1 i7.03) �WNER OR AGBdT ����/'��-d,.� _ � � 6� Subscribed and swom t�(or a�rmed)before me th's Subscxibed and swom b or �r•R. by �a�med)betore me this VVho is/are !�2°5-/a bY...��5 Sa f ( ��� as ideatii�tion.� Who istare p�imown tio me or has/have pr�iuc:ed 1^�Or,cl _J�v;,,. 5 • v.. cr aS id9n�iCaiiorl. � ��ry p� ' � Not-ary Public CommEssion No. n"�, �- U�✓ Nlo. � � nn� Name of Ncrtary fYP�d:P�ad or sfamped Narne of�►Y 1YPed,Prirrted or stamped , ,�E�� '� `�� :, ��OMIff�g B°�°°°�NoY'►'�'�11kn