HomeMy WebLinkAbout13-13996 CITY OF ZEPHYRHILLS �
5335-8TH STREET
(s13)�so-oozo 13�6
ANNUAL FIRE PROTECTION MAINTENANCE '
Permit Number: 13996 Address: 38333 COTTONWOOD PL.
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: DRIFTWOOD
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 3/20/2013 Name: DRIFTWOOD CONDO ASSOC-CLUBHOU E
Total Fees: 25.00 Address: 38333 COTTONWOOD PL.
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2013 Phone:
Work Desc: FPM- SUPPRESSION SEMI- DRIFTWOOD CONDO
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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
Permit Application
Date Received _ _ Phone Contact for Pertnit � ! L
I �� b"�"""�a"�`--ri� - �.�..,.�„�J� � ��
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Owners Name i �t.c.J(i d 3 3� � "'L3wn �� � ��
s Phone Number
Owners Address
Fee Simple Titleholder Name Titleholder Phone Number C� I I �
Fee Simple TiUeholder Address L --�
�� _ ---`�sc-_.Facc�as:�-.� .�"*'�-r.::�,.
Job Address �
Lot#
Sub Drvision Parcel#
� . _ _._.�r�,--.�..�-„�.-K......_.,_.v �----- -�a�:d...�,:�"r'- a���.�;�.:��'csc�.�:zdz�L
� Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct a Hazartious Material(Tier II or RQ Facility)ANNUAL
aControlled Bum a Hood Installation
aEmergency Generator<30 kw a LP/Natural Gas-Installation
a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
aFire Protection Maintenance-ANNUAL � Places of Assembiy-ANNUAL
❑ TrTy emi � er
Sprtnkler ❑ ❑ p � � Recreational Bum '�/ 3���
� � �
Fire Alarm ❑ ❑ ❑ Spariclers
Hood Cleanmg � p p p �� a Sp�nkler System Installations
Hood Suppression �� ❑ � p � � Standpipes(Spnnkler Sys)
aFire Alarm Installation � Torch RoofinglTar Kettle ,
� Fire Pumps � Waste Tire Storage ANNUAL
aFire Works
� Flammable Application-ANNUAL Valuation of Project
aFuel Tanks
Q Other:
s�_ ���. -- -- .�.��•� --.� ��°�.�� �. �.-
Contractor �-
Company � � - �. /-�.-F��� {��/� �-'1
!`�^�-p��7 �
Sig�ature Registered Y/�1 Fee Current Y/(�
Address y7�( �"iG �c��r (4- -'
T ( License# � �y���l �o�r����
ELECTRICIAN
Company ,
Signature Registered Y/N Fee Current Y/(�)
Address �
License#
PLUMBER Company �
Signature Registered Y/(v Fee Current �'/N
Address
License#
MECHANICAL
Company
Signature Registered Y/N Fee Current �'/N
Address
License#
OTHER �
Company
Signature Registered Y/N Fee Current �'/N
Address
License#
Directions: - - ---
FII out application completely.
Ow�er&Contractor sign back of application,notarized(Ot,copy of signed contract with owner)
tf over$2500,a Notice of Commencement is required(Mechanical worlc over$5000)
Supply two(2)sets of drawings with appficable documentation
Allow 10-14 days for review after submittal date Parcei#-obtained from Pro Tax Notice h !/a
� Pe�Y ( ttp' ppraiser.pascogov.com)
NOTI�� OF DEED RESTRICTION Count u egulations -fhe undersigned a'ssPumest esponsib Ibty for:�ompliance�w th�ny
�n�hich may be more restrictive than Y
applicable deed restrictions
UNLd�ENSED CONTRACTORheAmD bONeq Aed to be E en�s dsi Bac'co da�ce th s ate and locale egulationsc Ifrthe
contrac,tors to undertake wo , Y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemyanPop yiolation
under state law If the owner or intended {�e Pasco Counfy Bu Idingslnspection Div s on reL cens ngtS ction at 727 847-
intended work, they are advised to contact
8009 Furthermore, if the owner has hiredlicationtfor which�thetrwil�be espo s blee�lftyouaas the ownteasign asStge
portions of the "contractor Block" of this app'
Y
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry. Florida Statutes,.as amended) If valuation of work is $2;500.00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713,_ of the "Florida Construction Lien Law—Homeowner's
cert'rfy that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Florida Department of Aof thetabove d scr bed docum'ent and promPseantgood fa th to
other than the"owner°, I certify that I have obtained a copy
deliver it to the"owner°prior to commencement.
_ CONTRACTOR'S/OWNER'S A�Fm��ance�witheal applicablelaws r egul ati gtconstrpct on� zon ng uand land
that all work will be done in p
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certi y
that no work or installation ha e�Ul tinen constructionS County�andPCityltcodeshazonli g regula o Psrfand eand
meet standards of all laws g . 9
development regulations i a thi tort e'in'tended workcand tha at is my�respon�s bility t eide gt fy twhat act otns f
� government agencies may pp Y
must take to be in compliance.
If I am the AGENT FOR THE OWNER, �ucti nIS I'u derstand that a�separate permit may bemequ ed for�electrical work,
this affidavit prior to commencing constr
plumbing, signs, wells, pools, air co e a'I cen�se t Sp oceedewith the work and not as authoriry t�o�violatee appelaa'Iter, or
permit issued shall be construed to b
set aside any provisions of the technical codes, nor shall issuance of a permit prevent therm t iss ed shall become inval d
requiring a correction of errors in p�ans, construction or violations of any codes. Every p
unless the work authorized by such p.ermiaiseo d of six 6) fmhonths after�the timPe the'tworkasC ommenced. Anhext nsion
the permit is suspended or abandoned fo p
may be requested, in writing, from th,eork'cela eso oclninety(90)r onsecutive days the job isOco�ns dered bal donedstrate
. justifiable cause for the extension. If ni
WARNING TO OWNER: YOUR FAILURE YOUR PROPERTY��F YOU INT�ENDENO OBTA NnFI�ANCSNGTCONSOULT
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN TT RNEY BEFORE RECORDING YOUR NOTICE OF MENCEMENT.
FLORIDA JURAT(F.S 117.0�,1 - � ,
�1 CONTRACTOR
OWNER OR AGENT� Subscribed and swom to( affirmed)before me this
Subscribed and swom to(or a ed)before me his bY
by Who is-%are personally known to me or has/have produced
Who is! ra e personally known to me or has/have produced as idenffication.
as identlfication.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,printed or stamped
Name of Notary 1yPed,printed or stamped