HomeMy WebLinkAbout13-14326 . �—,
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 14326
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14326 Address: 37411 EILAND BLVD
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: 03-26-21-0010-05300-0000
Improv. Cost:
Date Issued: 7/01/2013 Name: KOENIG WEST WINDS LLC
Total Fees: 25.00 Address: 37411 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS FL 33542
Date Paid: 7/01/2013 Phone: (813)783-8100
Work Desc: FPM-SEMI HOOD SUPPRESSION FOR WEST WINDS PRIME �LC
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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 RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICER�`'
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 Ciiy of Zephyrhills Fire Fax-a;saso-oc2i
Permit Application
Dat=R=ceived _I'� � f _ Phone Contact for Permit � �� �
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Owner's Name '� 1� � � �
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Owner's Address (I �'v R LE�✓ A Lrn `t-��l g-3 ' 11J���
ree Simpie Titieholder Name Titlehoider Phone Number � � �
r==Simole i itl=hold=r Address
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Sub Division Parcel€ �� .� _� OD
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� Bio-Hazard Waste Storage-ANNUAL � Fumioation Tent "—'-
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� Comm Exhaust Kiichen HoodlDuct , � Hazardous Material(Tier II or racility)ANNUAL
� Controlled Bum � Hood Installation
� cmergency Generator<30 kw � LPlNatural Gas-Installafi n /[f�� �j
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� Emergency G=nerator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNU
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Sprinkler � ❑ ❑ p � � RecreaUonal Bum ""
Fire Alarm � O ❑ ❑ � � Sparklers
Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ �� ❑ � � Standpipes(Sprinkier Sys)
� Fire Alarm Instaifation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storege ANNUAL
� Fire Works
� Ftammable Application-ANNUAL Valuation or"Project
� Fuei Tanks
� Other�
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Contractor Company
Signature Registered Y/N Fe=Current Y/N
Address License#
cLECTRICIAN Company
5ignaiure Registered Y/N Fee Current Y/N
Address License�
P�UN�B�R Company
Sigrature Registered Y/N Fe=Current Y/N
Address License�
McCHANICAL Company
Signature Registered Y/N Fee Current Y/N
Addr=ss License�
OTH�R �� � Company - _ i2q'-= "�N .
Signature - Registered /N ree Current Y/N
Address License�
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Directions: _ _ ,-,. ._. .., _ ..�..... . ..... ..r.�.:r :.
Fill out application completely
Owner&Contractor sign back of apolication,notarized(Or,copy of signed contract with owner)
I�over 52500,a Notice of Commencement is required(Mechanical work over W5000)
Supply two(2)sets of drawing�with applicabl=documentaiion
Aliow 1 C-14 days for revi=w after submittai dat� Parcel�-ob,ained from Property Tax.Noti�e(http://appraiser.pasoogov.com)
N�TI:,E OF DEEQ RESTRiCTtONS i he undersigned understands that this permi: may b� subject to "deed° restric+.ions'
which may be more restrictive than County regulations The undersigned assumes responsibifity for comp(iance with any
applicable deed restrictions
UNLICENSED CONTRACTORS AND CONTRAC i OR RESPONSIBIL(TIcS. 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 regula�iors IT the
cortractor is ;�ot licer.sed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state lavv. If the owner or intended contractor are uncertain as to what ficensing requiremer�ts may.apply r'or the
intended work; they are advised to contact the Pasco County Building Inspection Division—Licensing Seciion at 727-847-
8009 Furthermore, if the owner nas hired a contractor or cantractors, he is advised to have the contractor(s) sign
por'tions or the "contractor Bloci<" of :his appiicatior for which they will be responsible If you, as the owner sign as the
contractor, that may be an indication that he is not properiy ficensed and is not entitled io permitting privileges �n Pasco
County , ,.. � � � �,. ,. e.�� i�� ��
GONSTi'tL1C,i IVIV LICiV L1�'V`� 1�►�dN•cr7�3, F�����a .��atu�es,.as ames�d.... : If v�,..at.nn �;�yQrk IS �2,�00 00 or more .
ce!-tif;� that I the appiicant. have been provided with a �o�y o� t�e °�lorida Construction Lien La�n�—N�meowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applican: is scmeer�e
other than the "owner", I certify that I have obtained a copy oi the above described document and pr�mise in good faith to
deiiver it to the "owner" prior ta commencemer,t.
CONTRAC'�OR'SIOWNER'S AFFIDAV{T. I certify that al( the information in this application is accurate anG
that all work will be done in compiiance with all applicable laws regulating construction, zoning and la�d
development. Appfication is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or instaliation has commenced prior to issuance of a permit and that ali work will be performed to
meet standards of all laws regulating construction, Counry and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I uncierstand that the regulations of other
government agencies may appty 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 irform the owner of the permitting conditiors set forth in
this afridavit prior to commencing construction I understand that a separate permit may be required for electrical work:
plumbing, signs, weifs, pools, ai; conditioning, gas, oceed with the work a�d not als aui hor ty ao �violatee applel aallter, o
permit issued shail be construed to be a license to p
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 shal( become inva(id
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Ofricial for a period not to excead ninety (90) days and will demorstrate
justifiable cause for the extension. if work ceases for ninety (90) consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURc TO RECORD A NOTICE OF COMMENC�MENT MAY RESULT IN YOEJR
PAYif3G TINICE FOR !MP A�UMTtORh Y�B oOP.E f�ECORL[NG YQU'NOTICE OFOCOMM NCEMENT.' CONSUL i
Wti'r! YOIiR LEN�ER iR
FLORIDA JURAT(F S 117 03)
CONTRACTOR
OWNER OR AGEN i Subscribed and swom to(or affirmed}before me this
Subscribed and sworn to(or affirmed)before me this �y
bY VVho is nally known to me or has/have produced
Who is/are personally known to me or nas/have pr�duced as id=ntification.
as identification.
Notary Pubiic
Notary?ublic
Commission No —
Cor,imission Nc �
ed, �inted or stamped Name or Notary rypeo,Prmted or stamped
Name ci Notary ryp P•