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Home My WebLink About12-13686 " ' CITY OF ZEPHYRHILLS ,�'. 5335-8TH SIREET f°'� (si3)�ao-oozo 1�$6 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13686 Address: 4330 20TH ST 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: 13-26-21-0070-07400-0000 Improv. Cost: Date Issued: 12/07/2012 Name: ZEPHYRHILLS CORP. Total Fees: 25.00 Address: 777 W. PUTNAM AVE Amount Paid: 25.00 GREENWICH, CT 068305091 Date Paid: 12/07/2012 Phone: Work Desc: FPM-SUPPRESSION SEMI- ZEPHYRHILLS WATER 5. ,�� 2 ��_ �2-- � 1 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 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 s�sasaoozo City ofZephyrhills'Fir:e�- _. Fax-slsasaoo2� Permit Application Date Re�eived — --( - Phone Contact for Pertnit � n�; . ...�.,�.��;,� Ovmers Name w �� Owners Phone Number � � � Owner's Address �� Q e� Fee SimpleTitleholder Name Titleholder Phone Num6er � C� � Fee Simple Titleholder Address L_.�_1 Job Address �� Lot# Sub Division Paroel# �:�.� � BiaHazard Waste 5torage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facflity)ANNUAL Controlled Bum � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Instaliation Q Emergency Ge�eretor>30 kw � �P/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � �� y emi �n er � 5pnnkler � ❑ ❑ ❑ � � Recreational Bum � I Fire Alartn � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ p p 5prinkler5ystem Instaltations Hood Suppression � ❑ �� ❑ � Standpipes(Sprinkler Sys) � Fire Aiarm Installation � Toroh Roofing/Tar Kettle n Fire Pumps � Waste Tire 5torage ANNUAL � Fire Works � Flammable Application-ANNUAL r Valuation of Project � Fuel Tanks Q Other: a ofw"�i: Contractor Company �'(� 5ignature Ragistered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company 5ignature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registe2d Y/N Fee Current Y/N Address . ,., License# Directians: � Fill out application completely. Owner&Contractor sign back of appfication,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'I D-'14 days for review after submittal date. Paroel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) �NOTICE OF'DEED RESTRICTIONS: "fhe.undersigned understands that this permit may.be�subjecttto-"deed":restrictions" which may be more restrictive than County regulations. The.undersigned.assumes responsibility for:compliarrce��nritt� any _appiicable deed restrictions. UNLICENSED CONTRi4CTORS AND CONTRACTOR RESP.ONSIBILITIES: (f�the owner has �hired°a}contract�r �or � contractors�to undertake work, they may be required�to be licensed in accordance with state and local-regulations. !f the contractor is not licensed as required by law, both the owner:and contractor may be cited-For a�misdemeanor violation under state law. ff�the owner or intended contractor are uncsrtain.as�to what ficensing�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 por�ions of the "contractor Block" of this appfication�for which they will be responsible. Ifi you, as�the owner�sign a� the contractor> that may be an indication�that he is not properly licensed and is not entitled'to permitting.privileges in Pasco County. CONSTRUCTION.LIEN LAW(Chapter713, Fforida Statutes,-as:amended): If vafuation of work is $2;500.00 or more, I certify that I, -the appficant, have been provided with a copy of the "Fforida Construction .Lien Law—Homeowner's Protection Guide" prepared by�the Florida Department of Agriculture and Consumer Affairs. If the app(icant 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 deliver it to the"owner" prior to commencement. CONTRACT�R'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 devefopment. Appfication is hereby made to obtain a permit to do work and installation as indicated. I c�rtify that no work or installation has commenced prior to issuance of a permit and�that all work will be psrformed to meet standards of all laws regufating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of ather govemment agencies may applyto the intended work, and that it is my responsibility to identify what acfions I must take to be in compliance. ff I am the AGENT F�R?HE OWNER, I promise in good faith to inform the owner of the permitting condi�ions 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 Buifding Official from thsreaiter requiring a coITection of errors in plans, construction or violations of any codes. Every permit issued shall become irnrafid 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 sxceed ninety (90) days and will demonstrate just�abls cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNIMGTO OWNER: YOUR FAILURE TO RECORD A'NOTICE'OF'CDMMENCEMENT MAY RESULT IN YUUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDTO OBTAIN FINANCING, CONSULTi WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NdTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER�R AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)befiore me this by by Who islare personalfy known to me or has/have produced Who is/are personalfy known to me or has/have produced as identification. as idenfification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed;prirrted or stamped Name of Notary typed,printed or stamped