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Home My WebLink About13-14176 • CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 14176 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14176 Address: 7333 DAIRY RD 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: 35-25-21-0010-07400-0000 Improv. Cost: Date Issued: 5/16/2013 Name: FLORIDA CAO SEVENTH DAY Total Fees: 25.00 Address: PO BOX 2626 Amount Paid: 25.00 WINTER PARK FL 32790 Date Paid: 5/16/2013 Phone: Work Desc: FPM- SPRINKLER ANNUAL- SEVENTH DAY ADVENTIST 5. , � ��a � �,� �� / �� ,�"" �� ' � �rw �`,, � 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$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _-� � I r � � � � y y I ,�j!,,3� '�-�'.'"�- ` ',�,��--- PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 05/16/E013 8:18 A.� FAX 8136620080 UNIVERSAL � 0004/0005 8z3-780-oa2o City afZephyrhiNs'Fir.e� � Fex-sT�.�80-0021 � Permit Applicatian _ Dete Receivad � • Phone Contact for Portnit �� :.�:iX4i5�.�ACUr�w:�1'.k.^L�r"dr/`—+i.�w.a�w�ww�.u..�.a�a�weww.-»�:�.�vY:1�'�i:yL'a.�"a+l�r'r!nv�RLrna."�'.C'�i�n��+s.x�".�w�'+SL""'�.•.�' -w fW. .� OwnePs Name � Cp P ' G i7 c►� �' P ` owners Phone Number .� � � Owners Address Q � '/1 cx.rl� "� �S� Feo Simple 7ideholder Name Tltl�holder phona Number � � � Feo SimpleTtilsholde�Add ( �5,� ., a'."C�'�1'�� .�. Jvb Address .7�3 GL� � �� j� � Lot# � Sub Dlvlsion � pa�E� " ��1 '"� �'"` dd• � ' � 8 Waste Storage-ANNUAI. • � Fumlgation 7e»t � Comm Exhaust iGtchen MoodlPuct � � Hatardous Material(Tler tl or R4 Feciliry)ANNUAI. p Controtled Bum � F.lood Instatlatlon � Emergency Generator c 3Q kw Q LPI1Vatural Gas-Instal�ation � Emergency Generatory 30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protectian Mainlenance-ANNUAL � Ptaces of As9embly-ANNUAL �y mi � er `r/� Sprinkier � a a '�" � � Recreado�l Bum �� Fire Alerm � O O � � � sPadclers Hood Cleaning � o ❑ O L� � Spcinkler$ystem InstaliaGons Hood SupP��on � O fl ❑ � � Standpipes(5prinkkr Sys) aflre Afarm insbltadon �, Tor�eh RooTinglTar KetUe � Fire PumpS Q WBSte 7iro SWrage ANNUAL a �ire WorkS � Flammable,appncaaorr aNHUAL � Valuadon of PrOject � �� Fuel Tenks �] Other_ Contractor Company i � ��+'GJ 5ignatule ' Registsred N FeC GlRent Y/I� AddYCSS ,j�f f l.icense# �� / . ELECTRICIA Comparry Slgnature ' Regtstered Y/N Fee Current Y/IV Address Lieense� PLUMBER Compar�y � Slgneture Registered Y/N Fee CuReM Y/N Address LicensA� MECH�.NICAL Company Signature � Registered Y/N Fee C�arent Y/N Address • ticonse# 07FlER ' Company Signeture Registered Y/(V �ee Curreflt Y/N Address , *` •i License# •-r wrrs��i�•i e��.�r•._._,iwr . — -- - --- - +DireCNons: �•• r� . - . ,r + � mpl8fely. �Ow r 8ign beck ot appilcation,nof�NZed{Or,Wpy of sigrted eontrsct with owne�) w tF ovar tide o��4mmencement iS required.(Mechaniull work over 35000) �Supaly �o�dra1�(ngs w(th appl'�cable dxument3tl0� M�411aMi�0 1 ays fdl�fCVI`�v after sublllittel dete. Parcel�-obfei�ed from PropeRy Tax NaGce(NtlpJ/appraiser.pascog0y.com} +t��.��\ ��iti!!��,y+ , 05/16/2013 8:18 AM FAX Sia6620080 UNIVERSAL � 0005/0005 N0�'ICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions' which may be more restricctive than Cou�ty regulations. The undersigned assumes responsibility for compliance with any applicabfe deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI�.ITIES: If the ovmer has hired a contractor or contractors ta undertake work,they may be required to be licensed in accordance with state and local regulations. If the contr�ctor is not (icensed as required by law, both the owner and contractor may be cited for a misdemeanor viol2�tion under state law. If the owner or intended contractor are uncertain as to what licensing requlrements may apply for tl'ie intended work,they are advised to coritact the Pasco County Buiiding Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the `COntractor 91ock" of this application far which they will be responsible. lf you, as the owner sign �s the contractor, �'►at may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUC710N LIEN LAW(Chapter 713, Florida Ststutes,as amended): If valuation of viro�C is$2,500.00 or more, I certify that I, the applicant, ha�e been provided with a copy of the °Florida Cons#ruction Lien l.aw—l-lomeowner's Protection Guide" prepared by the �lorida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�', I ce�tify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to cammencement, - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the information in trtis application is accur8te and that all work will be done in compliance with ap applicable laws regulating construction, zoning and land development. Appfication is hereby made to abtain a permit to do work and inst�llation as indicated. I certify that no work or installation has commenced prior to issuance of a pertnit and that all woric will be perFormed to meet standards of af! laws regulating construction, County and City codes, zoning regulations, and land d�velopment regulaaons 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 whet 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 cond'ttions set forth in this aff'idavit prior to commencing construcction. i underst�nd that a separate permit may be required for electrical work, plumbing, signs, wells, pvols, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed ta be a license to proceed with the work and not as authority to violate, cance{, alter, or set aside any provisions of the technicaf codes, nor shall issuance of a permit prevent the euiiding Official from thereafter reguiring a con'ectian of errors in plans,construction or viofations of any codes. Every permit issued shall become invalid unless ihe work authorized by such permit is commertr,ed within six months of permit issuance, or if worlc authorized by the permit is suspended or abandoned for a period of six(6)mo�ths after the time the work is commenced. An extensian may be requested, in writing, from !he Building Official for a period not to exceed ninety{90) days and wi11 t[emanstrate jusC�iable cause for the extension, If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAtLURE 70 RECORD A NOTICE OF COMM�NCEMEN'i' MAY RESLlLT 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEMD TO OBT N FINANCING,GONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y d710E CQ MENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AG�NT CONTRACTQR Subsaibed and swom to(or aifirmed)befarg me this Sui�ri and swom to �irtnod) me is by ,�1�by � • Who isJare personally known m me or haslhave produced Who is/are pensOnally known to me or Maslhave p uoed as IdeMificaGon. as ident,'ficatlon. ��. � Notary Public Notary Public Commission No. Commission No. a��"�+4. r 0. �� , A � Notary PuDIiC•State of Florida Name of Notsry typed,printed or stamped rlame of Notary typed,prir�led or s � - • 2016 Commission�M EE f8eZ7y �4��°��,^8onded TnroupA Nadonal Nof�ry Assn,