HomeMy WebLinkAbout13-14243 . CITY OF ZEPHYRHILLS ,
5335-8TH STREET /
(si3)�so-oo20 14243
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14243 Address: 6900 AQUA VISTA DR
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: FORT KING COLONY
Est. Value: Parcel Number: 03-26-21-0010-01400-0000
Improv. Cost:
Date Issued: 6/03/2013 Name: FORT KING COLONY LTD
Total Fees: 50.00 Address: 580 VILLAGE BLVD STE 360
Amount Paid: 50.00 WEST PALM BEACH, FL 33409
Date Paid: 6/03/2013 Phone: (305)665-1146
Work Desc: FPM-FIRE ALARM & SPRINKLER ANNUAL - FORT KING COLONY
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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 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."
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PERMIT OFFICE '-
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s�_ �so-oc2o City of Zephyrhills Fire
Permit Application rax-�;3'so-oc2�
Dat=R=ceived � -� - -
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Titleholder Phone Number
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Bio-HazardWasteStorege-ANNUAL ��^�F;�;~A�Ni;��p��-•���::, :�� ��"'
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arumiaation Tent
Comm Exhaust Kiichen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� cmergency Generator<30 kw � � -
� _ LP/Naturel Gas-Installafion �
�mergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protecfion Maintenance-ANNUAL � � , t�
Places of Assembly-ANNUAL 'C r��/�
tny emi ni ner ❑ �i ��,
Sprinkler � � � � - 1
Recreafional Bum
Fire A�arm � �j � ,d
❑ S�° � � Sparklers
Hood Cleaning G u u �
Sprinkler Syst2m Installatiors
Hood Suppression � p C � �� �
aStandpipes(Sprinkler Sys)
Fire Alarm fnstallation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Sto2ge ANNUAL
� Fire Works
� Flammable Appiication-ANNUAL
� Valuation of Project
ruel Tanks
Q Other:
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Signature Company
Registered Y/N Fee Current Y/N
Addr=ss
License# �-- �
ELECTRICIAN
Sigr,aiure Company
Registered Y/N Fee Current Y/N
Address
License�
PLUMB=R
Signature Company
Registered Y/N Fee Current Y/N I
Addr=ss
Licensz� �
MECHANICAL
Signature Company
Registered Y/N Fee Current Y/N
Address
License# r--
OTHcP, �
Signature � Company =j�L2
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Address C� �,l _ , tered /N Fee Cu , /(�J
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Fill out applicafion completely :.' .-- ,. _.s.�,._, .� _�.._ ... _�_.......__. ;��;;�..,.:,,, �:.�•.
Owner&Contractor sign back ot aoplication,notanzed Or,co ��6�� C � `+�
I�over�2500 z Notice o`Commencement is reqwred(Mechan calfwork ov e�W�r000)�th owner)
Supply two(2)sets of drawing_=with applicable documenta[ion
Aliow 1 C-14 days for r�view after submirai date Parcel�-obtained from Property Tax Notioe(http://appraiser.pasoogov.com)
^ED RCS i RIC i��tvS The undersigned understands tr�at this p°rmi� may b? subject to "deed"Testric`ions"
NOTIGE OF DC
a be more restrictive than County regulations. The undersigned assumes responsibifity for comP��acont actoa or
wnich m y
applicable deed restrictions
be re uired to be licensed in accordance with statQ for a,m s�demelan�or violauon
UNLICENSED CONTRACTORS AND CONTq AC i OR RESPONSIBILtTIES: If tne o ener has ire
contractors to un d e r:a l c e w o r k, t h e y m y I TQf i l le
contractor is not licer,sed as required by law, both the owner an d c o n t r a c t o r m a y e c
co County Building Inspection Division—Licensing Section at 727-u47-
� nder state lav� lf the owner or intended contrastor are uncertain as to what iicensing requirem�en�S contraP or(s) sign
�
intended work, they are advised to contact the a
�° f +his aR fication for which they will be responsible. j�Y�����{ng p�v legesgin Pasco
8009 Furthermore, ir" the owner has hired a contractor or contractors, he is advised to av., e
poRions of the "contra.,tar Block o, P
contractor that may be an indication that he is not properly iicensed and is not entitle p
County ••.�---.Cr7�3, F6�rida Statutes,.a� ar:er.d°�%: !f valu?tien of�^�nfk IS ��,500-�0 or more I
�Qj�S 1�UC:!ICJIV LtCi` 't-H'vv ���1QN`- u; �;�E "rlorida Construction Lien Lafi�an is som2one
Certif�� that I, the aap��cant; have been provided with a ��PY
Protection Guide" prepared by the Florida Department af Aof�thetabove des�r bed documlent and prom�se in good iaith to
other than the "owner", I certify thai I have obtained a copy �i�a�ion is accurate and
deliver it to the "owner" prior to commencemert.
- 'n com liance with all applicable laws regulating construciion, zoning and land
CONTRACTOR'SfOWNER IS AFFIDRV{T I certify that a{I the information in this app
that all work wifl be done P made to obtain a permit to da work and installation as incficated. I �°��T'.�
development. Application ;s hereby
Counry and City codes, zoning regulations, and�f�a�e
hat no work or installation has commenced prioctionssuance of a permit and that all work will be peso�rme o
t ,
meet standards of all laws regulating constru that 1 unders:and that the regulation
I to the intended work, and that it is my responsibility to identify what actions I
development regulations in the jurisdiction. I also certi
government agencies may app y
must take to be in compliance. the owner of the permitting conditions set forth ir,
construction I understand that a separate permit may be required for electrical work.
I; I am the AGENT FOR TNE OV�INtR, � promise in good iaith to in�o�m lication A
this afiidavit prior to commencing a�, or other i^stallations not specifically included in the app
plumbing> signs, welis, pools, a�r ccnditioning, g
nce of a permit prevent the Building Official from the invaf d
shall be construed to be a license to proceed aith the work and not as authority to violate, canceri,n a er, or
permit issued ermit issued shalf beco
set aside any provisions of the technical codes, nor shail issu codes Every p
requiring a correction of errors in plans, construction or violations of any
horized by such permit is commenced within sixa er�the time the{workas commenced Anhext n�sion
unless the work aut months gp �a s and will demons:rate
the permit is suspended or abandoned for a periood�oiali To6a period not to exceed ninety ( ) Y
rray be requested, in �vriting, from the Building
justifiable cau
se for the extension. If work ceases for ninety (90) consecutive days, the job is considered��aLT IN YOUR
P QPERTY. IF YOU iN�END TO OE,TAIN�INFMC��T ' CONSl1L i
WARNI
NG TO OWNER: YOUR FAILURc TO R�CO�RD A NOfICE OF COMMENC�MENT MAY M
PAYiPiv TV'J�CE Fu^R lMPROV�R�lEl�T��O Y��-R
W►T
H YOUe'Z LcN�cR OR Ay ATTOR"!EY BEF�RE REC�JRL�lNG YOUR NOTICE QF COMM�N
FLOR�DA JURAT(F.S 117 03) CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or affirmed}before me this —
Subscribed and sworn to(or affirmed)before me this
bv
bY roduced Whc is onaf�Y k�ou'n to me or ha 2Sa�e P fi atio n
Who is�ersonally known to ma°dentification.
Notery Public
Notary?ublic
Commission No
Commisslon Nc
Name or Notary ryPeO� P��nteci or starnped
Name of Notary tYPed,P�inted or s:amped