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HomeMy WebLinkAbout13-14333 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 1�3�3 .� - ANNUAL FIRE PROTECTION MAINTENANCE '�f Permit Number: 14333 Address: 5538 GALL 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: 11-26-21-0010-05700-0250 Improv. Cost: Date Issued: 7/02/2013 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 25.00 Address: 34619 SR 54 W Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/02/2013 Phone: Work Desc: FPM- QUARTERLY HOOD CLEAN - LITTLE CEASAR 5. . � 0 �' �- � 3 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 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." '-� � � ,. �`� �. �j�� � y�;' ��.Z.�—�- a���(�W PERMIT OFFICER `' PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CAL� FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit ��..� ���.-.,�. , �,..,��.�-.:Y��:::_.��< .,K �-. �- a . � .,-,-». :-�-��;�, . Owner's Name � �• �C Ovmer's Phone Number � � � Owner's Address •Sr,3 �T q�� �� V N Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address �.��������� . �� _ Job Address r^� C Lot# � Sub Division Paroel# �.. a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation aEmergency Generator<30 kw � lP/Natural Gas-Installation aEmergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale aFire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAI � emi � er Sprinkler � ❑ ❑ ❑ � Recreational Bum � /�j� �� Fire Alarm � ❑ ❑ � � Sparklers l �t Hood Cleaning �L'� ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Toroh Roofing/Tar Kettle /Q �� / � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project aFuel Tanks Q Other: .. �:.�;,>_��w�.q,r Contractor Company � " q C cJ�� Signature � Registered Y/N Fee Cu ent Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER • Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# ,t+kwt�e;r.a�`:«C���4 , _ _ _ _ ' .. . . __.._ 'r,n:..�vc.s«n� ; �'_:�. ...� _ as . -��. _ _..,...g ;ws.:_:�a Directions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the ovimer has hired a co�itracto! or contractors to undertake work, they may be required to be licensed in accordan�e with siate�and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permi$ing privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner°, 1 certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner' prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work wilf be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations 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 what 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 conditions set forth in this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, welts, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or 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 shall become invalid 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 Official for a period not to exceed ninety (90) days and will demonstrate justifiable ca�se for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or affirtned)before me this by bY Who islare personally known to me or has/have produced Who islare personalty known to me or hasJhave produced as identification. as idenNfication. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped . IH Central Florida, LLC An independently owned and operated building company using the Inland Homes�trademark �D� � ���v November 11, 2013 ��l City ofZephyrhi7ls Attn: Plans E�miner RE: Lot O1 Block 03 - Silverado Address:36212 Shady Bhz$'Loop Please disregard/cancel previous permit request for this lot. Thank you for your he}p. Sincerely, � �� Shrae Wey IH Central Florida, LLC Acknowledged before me tivs � day of /1/��,,�e,,�., h �r , 2013. ' �. � uNOr►M.LYON Notary Public yINp LYON s�r���ORIDA � Cqnn�EE224458 F�ires 10/2/2016 IH Central Flonda, LLC 6522 Gunn Highway Tampa, Florida 33625