HomeMy WebLinkAbout12-13722 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 13722
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 13722 Address: 38422 VALLEY OAKS CR
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: GRAND RESERVE
Est. Value: Parcei Number: 35-25-21-0010-09200-0000
Improv. Cost: fi>;; �
Date Issued: 12/19/2012 Name: GRAND RESERVE APARTMENTS LTD
Total Fees: 25.00 Address: 580 VILLAGE BLVD STE 360
Amount Paid: 25.00 WEST PALM BEACH FL 33409
Date Paid: 12/19/2012 Phone:
Work Desc: FPM- SPRINKLER SEMI - GRAND RESERVE APARTMENT
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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 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
`81�-780-OG20 City of Zephyrhills Fire Fax-813-780-0C21
Permit Appiication
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Owner's Address �� 'Y��� - �/(> ' �(��' J� M L/aC/-1 � �j i�Q g
ree Simolz Titieholder Name Titleholder Phone Number �� ��
Fee Simpie i itl=holder Address
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Lot€
Sub Division 35-�5 �
Parcel� < � - .� bZ> OG�d
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� Bio-Hazard Waste Storage-ANNUAL � Fumiaation Tent . .� ^
� Comm Exhaust Kitchen HoodlDuct , � Hazardous Material(Tier II or R�1 Facility)ANNUAL
� Controlled Bum � Hood insta�ia'tion
� cmergency Generetor<30 kw a LPiNatural Gas-Installafion
� Emergency G=nere'tor>30 kw � LP/Natural Gas-ANNUAL 5ale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �
tny emi ni ner Jj%! 2 � 2
Sprinkler �� lJ
� � °� ❑ � Recreaiional Bum ! �
Fire Alarm 0 ❑ ❑ Sparklers
Hood Cleanmg � r, ❑ ❑ C� � Sprinkler System instaila6ons
Hood Suppression � ❑ ❑ ❑ �� � Standpipes(Sprinkler Sys}
� Fire Atarm installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Appiication-ANNUAL Vaivation of Project
Fuel Tanks
� Other:
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Contractor � "' '
Company
Signature Registsred Y/N Fe�Current Y/I�
Address
License# ��
�LECTRICIAN Company
Sigrature Registered Y/N Fee Current Y/N
Address License� �—
PLUlviBER
Company �—
Signature Registered Y/N Fee Current Y/N
Address
License�
M�CHANICAL Company
Signature Registered � Y/N � Fee�Current Y/N
Address License# —�
OTH�R Com an
Signatur= � '��� �,� �`, P Y p� L�,e - c- 2 CtiTC C 7 r,yv �',v�
Registered � �„/N Fee Current /N �
Address � L
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Directions' "' � " -
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Fill out application completely � 3/ � -��a o U�2 v� 3
Owner&Contractor sign back o`application,notanzed(pr co �p
py of signed contract with owner)
I�over�2500,a Notice o`Commencement�s required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Aliow 10-14 days ror review after submittal date. Parcel�-obtained from Pro ert Tax Noti�e htt //a
P Y � F� PP'aser.Pascoaov.com)
NQTICE OF DEED RESTRIGTIONS The fed ulatgons� T ae u de�rsigned a,ssumes�espons b f�y for.compl a'nce wch�a y
which may be more restrictive than County g
applicable deed restrictions
IT the
UNLICENSED CONTRACTORheAN1D bONeq Aed oRbe EcePOse SiBac'coEdance th s ate a d localeegulationac or o�
contractors to undertake work, y Y
I for iha
contractor is not licensed as required �ed cont�ractornare uncertatl as to what iicen�sengtrequ�emen'ts may app yio a ion
under staie law 1f the owner or inte
intended work, they are advised to contact thea contractor OfBCO�f8e torsP he'�s advis d ta f havent�he cont actor(s) s g�
8009. Fu rt herm o r e, i f t h e o w n e r h a s h i r e d
poRions of the "contractor Blcck" of th� at hell s�nlot p�operfy licensed I�a bd is not ent btled to ypermitting epr v leges�n Pasco
contractor, that may be an indication th
County ,,. �--7;3 �I�rida Sta.utes, ag.amend6�; If v�1:12ti�!� of!�./erk is $2,500 00 or more I
CCjf�S f 1{UC:I fU1V Li.:�i i-HYV t�€�ap�C` , �f �;� `�;Iorida Gonstrucfion Lien Law—Nom°flwn°���
ce�tify that I, the appiicant, have been provided with a cupy
Protection Guide" prepared by the Florida Department of Agriculture and Consumer F�ffairs. if the applicant is so�eone
other than the "owner", I certify that I have obtained a copy o�the above described document and promise in good laith to
deliver it to the "owrer" prior to commencemert.
CONTRACTOR'S10WNER'S AFFIDAVtT: ! certify thai alble laws r egullatingtconstruct otn, zon ng uand land
that all work will be done in compiiance with all app�
development. Iapplication is hereby made to obtain a permit ta do work and instaltation as indicated. I cert�Ty
that no work or installation has commenced prior to issuance °andPCim�tcodeshazonli g regulla o Ps,rfand land
meet standards of all laws regu{ating construction, Countythat I understand that the regulations of other
development regulations in the jurisdiction. I also certify
government agencies may appty to the intended work, and that it is my responsibility to identify what actions !
must take to be in compliance.
If i am the AGENT FO�THE OWNER, i promise �understandhthatna�separate permit may be req g ed for lelectrical Rork�.
this affidavit prior to commencing construct�on. � er other instaliations not specifically included in the applicati
plumbing> signs, wells, pools, air conditioning, ga�,
permit issued shall be construed to be a licensenor shale ss a'ncehof a permitlprevent thehBui di�g Ofi ceal from thereafter
set aside any provisions of the technical code ,
requiring a correction of errors in plans, constructionenced�within si amonths of perm t pssuatnce,UOr�if wo'r bauthorized by
unless the work authorized by such permit is comm
da s and will demons:rate
the permit is suspended or abandoned for apn r�0�°ia�I Tor�a per ohd nottohexc'eedtn netyr(gp�co ymenced. An ex ension
may be requested, in writing, from the Buil g
justifiable cause for the extension. If work ceases for ninety (90) consecufive days, the job is considered abandone YOUR
WARNING TO OWNER: YOUR FAILGRE TO�`R�EP�QpE TM��F YOU iNTE D TO OE�TAI nFI�NANC NG,�COhSULTi
?AYIivG T1N�CE `CR lMPROVEME�T�TO Y
VN{TH YOIiR LcN�cR OR AN F.TTORNEY BEF�P.E .°.ECG�F�fltl�G YQUR NOTICE OF C�MMENCEMENT.
FLORIDA JURAT(r=S.117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or affirmed)before me this
Subscribed and sworn to(or affirmed)before me this bY
by Whc is/are perso^ally known to me er has/nave produced
Who isjare personaliy known to me or has/have produced
as identificafion.
as identification.
Notary Public
Notary Pubiic
Commission No
Commissior Ne '
Name of Notary tyPed�P��nted or stamped
Name oi Notary rypeo,printeci ar starnped