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Home My WebLink About13-13899 �- - CITY OF ZEPHYRHILLS % 5335-8TH STREET (813)780-0020 13899 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13899 Address: 6151 12TH ST 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: 02-26-21-0080-00200-0020 Improv. Cost: Date Issued: 2/26/2013 Name: FIRST CHURCH OF NAZARENE Total Fees: 25.00 Address: 6151 12TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/19/2013 Phone: Work Desc: FPM-ANNUAL HOOD CLEANING FOR 1ST CHURCH OF THE NAZARENE 5. �' �� -� °r� 1 � 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 A7TORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' ,� PERMTT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received """ ^� .� ,-�,.,,.Y�LL;,� Phone Contact for Pertnit �,:.�:.��, ,_.. _:au..� .. _.o �,�_..-��, „�._�:..,_.:,,�..., ,. ,�, Ow�er's Name r�c � � � � Owner's Phone Number Owner's Address ��1 ,�nn e� q� �� (f� i ry C� F( 3 j 1 Fee Simple Titleholder Name ` �� Titleholde hone Nurr,ther Fee Simple Titleholder Address "°'� � `` � �;>.,�,;.., �"' ,�'`�ra.;��:,�ss°�-°�mr��.�'�?c�>�<�s�a�a�a�:�;_,z :��, _ _ � � _l � .�.:�� ..�-��.,,��..� � Job Address � � .LOt�# Sub Division Paroel# � A� P . ,v� :ui.,->...,�.'i:' ...bL'Y%: ,�6-aY-. . � -.__,» '�Na.e:- A.`Nt�t+'ti, t_�... .. " -:_.k' .s.... : :; .,0..� . j-F � 5X�`pc..a.,•.�yy1:•1a . �. .. f: 'e:+� y'"'.N'mR,'ti-'��.a Bio-Hazard Waste Storage-ANNUAL � � Fumigation Tent �' Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or Facility) ��Uq� � Controlied Burn Hood Installation aEmergency Generator<30 kw a �_ � LP/Natural Gas-Installation Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �� aFire Protection Maintenance-ANNUAL � �� ' Places of Assembly-ANNUAL "1� ❑ � Y emi � er _ �, Sprinkler ❑ ❑ ❑ � � Recreational Bum . jti� � � /�r� .. Fire Alarm � � � � � � Sparklers � �� .� Hood Cleaning 0 � y� � � � C� � Sprinkler System Installations C �i. Hood Suppression ❑ � ❑ - O �f" , � � Standpipes(Sprinkler Sys) 1 �� i � Fire Alarm Installation � Torch Roofing/Tar Kettle j � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � � Flammable Application-ANNUAL � a Valuationbf-Pro]'ect � Fuel Tanks Q Other: �, .,�.��:. .,.:� ..a..A . �-�,�s.:�:.�u�,_. . .. .�:�x . � _ ,,tYa�.�,>.�_�.��:�.. . Contractor /f ° ..m�,,� 5ignature /' Company , n Registered Y/N Fee Curr t Y/N Address =LECTRICIAN License# iignature Company Registered Y/N Fee Current Y/N Address 'LUMBER License# �ignature Company Registered Y/N Fee Current Y/N Address 1ECHANICAL License# ignature Company Registered Y/N Fee Current Y/N Address License# THER gnature Company Registered Y/N Fee Current Y/N Address rections License# Fill out application completely Owner&Contractor sig�back of application,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 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt //a ( p: ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS. The undersigned The undersigned aIS umes spons bilty for compl ance tw th any which may be more restrictive than County regulations. applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRAea�to eE enOsed iBac'coEdance th s ate and ocaeegulation sC Ifrthe contractors to undertake work, they may be req contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif�lat{he under state law. If the owner or intended �°e Pasco County BuadingSlnspectionf D vss onreL cens ngtSection ap 27-847- intended work, they are advised to contact t 8009. Furthermore, if the owner has hired a contfortwhich theyrwi I�be espons blee�lftyouaas the ownea sign as he portions of the "contractor Block" of this application contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privile9 0 or mo e I County. If vatuation of work is $2,500.0 CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a ofrthe aF o)rida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy licant is someone Protection Guide" p�epared by the Florida Department of A�gf'thetabove d scr bed document and prompse in good faith to other than the"owner", I certify that I have obtained a copy deliver it to the"owner" prior to commencement. _ CONTRACTOR'SlOWNER'S AFFIDAVIe�with all applicable eaws r egul atingtconst uo on� zon ng and land that all work will be done in complianc development. Application is hereby made to oo�ao ssuanc'e of a perm and Ithat lal�ltwork wil abe performedlto that no work or instatlation has commenced p meet standards of all laws regulating constr ictalso certifyythatdl u'nde stand that heeregulat onsaof°tns I development regulations in the jurisdiction res onsibilit to identify what actio government agencies may apply to the intended work, and that it is my p Y 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 pbe req u ed for lelectr c I work this affidavit prior to commencin g c o n s t r u c t i o n. I u nderstand that a separate permit may l i c a t i on. A p l u m b i n g, s i g n s, wells, pools, air conditioce se to p ocee d w i t h t h e t w o r k a n d n o t alscau�thorty t�o violate ecancel, alter, or permi t issue d s h a l l b e c o n s t r u e d t o b e a set aside any provisions of the technical codes, nor shall issuance o f a per m i t p r e v e n t t herm t issued shall become inval d requiring a correction of errors in plans, construction or violations of any codes. Every p unless the work authorized by such permit is comme s X d�mhonths after the time thetworkas commenced Anhexte s oe the permit is suspended or abandoned for a period of ( ) may be requested, in writing, from the Building Offi(�ninet a90)rconsecutive days, the job is�cons dered bIa donedst justifiable cause for the extension If work ceases fo y� WARNING TO OWNER: YOUR FAILURE TO RECORPE�T�F YOU NTOEND TO BTAIN F NANCING CONSULT PAYING TW�CE F O R I M P R O V E M E N T S T O Y O U R P R O WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO T I C E O F C O M M E N C E M E N T. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or affirtned)before me this by by Who is— �a p nally known to me or has/have produced Who isjare personally known to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped