HomeMy WebLinkAbout13-13945 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13945
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13945 Address: 5034 18TH 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: 11-26-21-0010-21500-0260
Improv. Cost:
Date Issued: 3/18/2013 Name: LIL STAR LEARNING CENTER
Total Fees: 25.00 Address: 5034 18TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2013 Phone:
Work Desc: FPM-ANNUAL FIRE ALARM FOR LIL STARS LEARNING CENTER (SECURITY ALARMS)
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A inal
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 pertormed 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
" �813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Pertnit
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Owner's Name "� �l� ��� O�y (
� � � ✓ �' er's Phone Number
Owner's Address ,��'' S ✓��Q
Fee Simple Titleholder Name Titleholder Phone Number �� C� C�
Fee Simple Titleholder Address
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Job Address —
Lot#
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)„pdQhIUAL
� Controlled Bum � Hood Installation r''�
� Emergency Generator<30 kw a LP/Natural Gas-Installation �,1� •
a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � �� � .-�``
aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
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Sprinkler ❑ ❑ ❑ � � Recreational Bum V (�
Fire Alarm �` O ❑ �C� � Sparklers �� ���
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Gi' ,
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle ��
� Fire Pumps � Waste Tire Storage ANNUAL � i/���
� Fire Works `y
� Flammable Application-ANNUAL Valuation of.PrOl�@Ct
� Fuel Tanks ' (�
Q Other: , -�
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Contractor Company
Signature Registered Y/N Fee Curr = Y/N
Address
License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER
Company
5ignature Registered Y/N Fee Current Y/N
Address
License#
UECHANICAL
Company
3ignature Registered Y/N Fee CuRent Y/N
Address
License#
�THER
Company
iignature Registered Y/N Fee CuRent Y/N
Address
License#
)irections:
Fill out application completely
Owner 8 Contractor sign 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(http://appraiser.pascogov.com)
NOTICE OF DEED RESTRICTION Count re ulat ons. The undersig ed als umes responsiuilbty for compl ance w'th any
which may be more restrictive than y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or 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 in ontact the Pasco County Bu IdingSlnspection D v s onreL ce s ngtS cfion ap727-847-
intended work, they are advised to
8009. Furthermore, if the ow k�of this aedlicationtfortwh ch theyrwi I�be espo s bleelftyouaas the ownea sign asSthe
portions of the "contractor Bloc PP
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting priviteges in Pasco
County.
CONSTRUCTION LIEN LAW have pbeen 13 ov!ded wsh a tcopy of rthe aF o)rida Constr cti n L en L aw00H meowner's
certify that I, the applicant, P licant is someone
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the app'
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.
- CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify tha'cableeawsr egul atingtconstulcton� zon ng and land
that all work will be done in compliance with all app'
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 take 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 eleclica on�rA
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app�
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 ndon d forf alS er d of six (6) mhonths after he time thetwo kas comme ced An exte sion
the permit is suspended or aba P
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned
WARNING TO OWNER: YOU�ENITS TO YOUR PROPERTY TIF YOU NTE D TO OBTA NAF NANCING CONSULT
PAYING TWICE FOR IMPROVE
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 affirrned)before me this
Subscribed and swom to(or affirmed)before me this bY
bY Who is/are personally known to me or has/have produced
Who islare personally known to me or has/have produced as identification.
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
rinted or stam ed Name of Notary typed,printed or stamped
Name of Notary typed,p p