The URL can be used to link to this page

Home My WebLink About13-14099 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 14099 ANNUAL FIRE PROTECTION MAINTENANCE � Permit Number: 14099 Address: 38250 A AVE 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: 14-26-21-0010-01300-0010 Improv. Cost: Date Issued: 4/19/2013 Name: ZEPHYR HAVEN NURSING HOME Total Fees: 25.00 Address: 38250 A AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/19/2013 Phone: (407)975-3000 Work Desc: FPM- SUPPRESSION SEMI-ZEPHYRHAVEN �('1S� v� / � r?� l � / � � 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 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 AITORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." --� � , � 1 �,��rt„ � '� ' `�i�� PERMIT OFFICE 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 Rec:e?bed ^^ ^ Phone Contact for Permit (3 L�7�i . _ - .:..�:.�.�:w�. �� Owners Name C��i f �te�� Owners Phone Number Owners Address � �� Fee Simple Titleholder Name Titleholder Phone Number C� �� Fee Simple TiUeholder Address � 3 � - ��..��.�.�:,�� Job Address �� Lot# Sub Division rcur��. Parcel# � �r ..-_ c'�+.'1.�5' �e��cir.t�..c�� . Bio-Hazard Waste Storage-ANNUAL a � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Matenal(Tier II or RQ Faciliry)qNNUAL � Controlled Bum a Hood Installa6on aEmergency Generator<30 kw a LP/Natural Gas-Installation a Emergency Generator>30 kw � �P/Natural Gas-AN►JUAL Saie aFire Protection Maintenance-ANNUAL a � � _`O�� Places of Assembly-ANNUqL �L ❑ r7y emi �n er a Sprinkler ❑ ❑ ❑ RecreaGonal Bum Fire Alarm � ❑ ❑ p � � Spariclers Hood Cieaning � ❑ ❑ p �� Sprinkler System Installations Hood Suppression �j� .t p � � (�-I � a .1 L_� Standpipes(Sprinkler Sys) Fire Alarm Installation a Torch RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Worlcs � Ftammable Application-ANNUAL � Valuation of Project Fuel Tanks Q Other: � ��,�,�- -- - Contractor �'-�'�"*� Signature / Company m e _ �, /�._��r�� Registered Y/N Fee Current Y/N Address y"�(^if C`�iG �-cc�r- L4- - .-T� ELECTRICIAN � License# [� �y��l�o�j�� Signature Company Registered Y/N Fee Current �'1(y Address License# PLUMBER Signature Company Registered Y/N Fee Current Y/nf Address License# � MECHANICAL Signature Company Registered Y/N Fee Current Y/N Address License# � OTHER Signature Company Registered Y/N Fee Current Y/►� Address Di�ections: License# FII out applicaGon completely Ow�er&Contractor sign back of applicatio�,notarized(Or,copy of sig�ed contract with owner) ff 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 h J/a � � ttA" ppraiser.pascogov.com) s�,E �y� ��t� r�ESTRICTIONS: The unde�signed The undersigned a1ssPumes espons b Ibry for:compl an�ce w'tth any ��U re ulations. ��r ,r' n�ay be more restricfive than County 9 appi��.able deed restrictions UNE�ICENSED CONTRACTORS AND CONTRAe�T,o be Ecen�sedSi BacicoEdance w th s ate and locale egulationrs C Ifrthe contractors to undertake work, they may be req contractor is not licensed as required by law, bot�h�o hare uncerta n as to what I censeng r qu�emen'ts may apply tfoatthe under state law If the owner or intended contra inten ded work, they are advised to contact the Pasco Coo�torBco'In�tragto sP he'�s �adv sed tofhave'nt�he contractor(s) sige 8009 Furthermore, if the owner has hired a contrac portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. Cha ter 713, Florida Statutes, as amended)� If valuation of work is $2;500.00 or more, I CONSTRUCTION LIEN LAW ( P rovided with a copy of the "Florida Construction Lien Law—Homeowner's cert'rfy that I, the applicant, have been p Protection Guide" prepared by the Florida Department of Aof thetabove d s�r bed docum'ent and prompseantgood fa th to other than the"owner", I certify that 1 have obtained a copy deliver it to the"owner"prior to commencement. that all the information in this application is accurate and CONTRACTOR'SlOWNER'S AFFIDAVIT: 1 certify that all work will be done in compliance o�tobtalin a perm t to do wo kuand g stallationtas ind cat da I�Certfy development. Application is hereby made t that no work or installation has commenced prior to issuance of a permit and that all work will be performe construction, County and City codes, zoning regulations, and land meet sfandards of all laws regulating that 1 understand that the regulations of other development regulations in the jurisdiction. I also certify 9 overnment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. ood faith to inform the owner of the permitting conditions set forth tn If I am the AGENT FOR THE OWNER, I promise in g ermit ma be required for electrical work, construction. I understand thaf a separate p y I�cation. A this affidavit pnor to commencing as, or other installations not specificafl included in the app� plumbing, signs, wells, pools, air conditioning, g or shall issuance of a permit prevent the Building Official froC�e inval'd ermit issued shall be construeci to be a license to proceed with the work and not as authoriry to violate, ca�nce , a ter, or p rovisions of the technical codes, n ermit issued shall b set aside any p requiring a correction of errors in plans, construction or violations of any codes. very p work author¢ed by such permit is commence sW�mhonths aftenthe�mpe theltworkasCcommenced. Anhextension unless the eriod of six( ) the permit is suspended or abandoned for a P Official for a period not to exceed ninety {90} days and will demonstrate may be requested, in writing, from the Building gp consecutive days,the job is considered abandoned justifiable cause for the extension. If work ceases for ninety� )OTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A N PAYING TW ICE FOR IMPROVEMENTS TO YOUR PR ECORDING YOUR NOTIC�E OFOBTAMENCEMENT.' CONSULT WITH YOUR LENDER OR AN TT RNEY BEFORE R FLORIDAJURAT(F.S 1�7'0 ' ' CONTRACTOR pWNER OR AGENT affirmed before me this Subscribed and swom to( ) Subscribed and swom to(or a ed)before me his by by Who is-/are personally known to me or hasa/Sade p��tc�ed Who is/ era personally known to ma o ae bJfeat oProduced Notary Public Notary Public Commission No. Commission No. Name of Notary tyPed,Printed or stamped Name of Notary tyPed.Printed or stamped