HomeMy WebLinkAbout13-14469 CITY OF ZEPHYRHILLS -
� � 5335-8TN STREET
(si3)�so-oozo 14469
ANNUAL FIRE PROTECTION MAINTENANCE -='��
Permit Number: 14469 Address: 38130 PRETTY POND 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: 35-25-21-0010-07100-0000
Improv. Cost:
Date Issued: 8/22/2013 Name: LOAN FUNDING SOLUTIONS II LLC
Total Fees: 25.00 Address: 4600 W ELLS FARGO CNTR 90S 7TH ST
Amount Paid: 25.00 MINNEAPOLIS, MN 55402-3903
Date Paid: 8/22/2013 Phone: (612)851-3026
Work Desc: FPM- SEMI SUPPRESSION -THE COMMON ON PRETTY POND
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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.
"WARIWING 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
a;?�so-oczo City of Zephyrhills Fire raX-a13-780-0021
Permit Appiication _
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Date Received I � _ _ Phone Contact for Permit �,_�
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Owner's Name � " A � T � .IJ._ f G Owner's Phone Number � � ��
Owner's Address � U �ELLS T � S 7 rrl / � �SN�t1C/�pbL1_5 �/(f v;j � - 9d 3
Fee 5imole Titleholder Name Titleholder Phone Number � ��
ree Simole l'itieholder Address
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Job Address , , ,I��j� I �jU Pf�'L ((TY �0%.)�M1 �� Lot4� �
Sub Division Parcel� ��`�� � / 'Q�(�CJ "
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� Bio-Ha�ard Waste Storege-ANNUAL � Fumiaation Tent
� Comm Exhaust Ki'tchen HoodlDuct , � Hazardous Material(Tier II or RC2 Facility)ANNUAL
� Controlled Bum � Hood Instailation
� Emergency Generetor<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sate
-� Fire Protection Maintenance-ANNUAL � Places of Assembiy-ANNUAL
tny emi ni ner
Sprinkier � ❑ ❑ ❑ B � Recreafional Bum l�� �
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Fire Alarm � G ❑ ❑ � � Sparklers
Hood Geaning � G G C � � Sprinkler System Ins.allations
Hood Suppression "� ❑ �y ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fir=Works
� rtammable Application-ANNUAL Valuation of Project
� Fuel Tanks
� Other
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Contractor Company
Signature Registered Y 1 N Fee Current Y/N
Address License#
ELECTRICIAN Company
5igraiure Registered Y/N Fee Current Y/N
Address License# � —�
PLUM3ER Company �—
Signature Registered Y/N Fe�e Current Y/N
Address License# �—
MECHANICAL Company
Signature Registered Y/N FE:=Current Y/N
Addr=ss License� � —�
OTHEP, • Company 1/�L/l. �-1/��` �C7,�GL/�1,t1
Signature Registered /N Fee Current Y/N
Address , �l . Cx License�
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Directions: 3 ..
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
1�over�2500,a Notice o`Commencemen,is required(Mechanica!work over W5000)
Supply two(2)sets of drewings with applicabl=documentafion
Allo��1 G-1�days for r=view after submittal date. Parcei r-ob,ained rrom Froperty Tax Noti�e(nttp./lappraise-.p2scogov.com)
NOTICE OF DEED RESTRiCTIONS The undersigned understands t�at this permi� may.b� subject±o "deed".�es`r�ctions"
which may be more restrictive than County regulations The undersigned assumes responsibifity ror cornpiian�e �vit'r� ai�y
applicable deed restrictions
UNLICENSED CONTRACTORS AND CONTRAC i OR RESPONSIBILITIES If the owner has nired -a contractor or
contractors to under�ake work, they may be required to be licensed in accordance with state and focal regulatiors I?the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violaiion
under state law If the owner or intended contractor are uncertain as to what iicensing requ�rerr�ents rr�ay.apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 7.27-u47-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
poRions of the "contractor Block" 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 properly licensed and is not entitled io permitfing privileges in Pasco
County ,� � � .. + o.� �� �
{;C1�IST�iUC!tUfV LICIV LH'Y`V t�.i�aN���7�3, Fla���a ��a.�:�es, as amsnd..�) If va1,.8t1..!1 Of inrnrk jc $?,500 �0 �r more
ce�tify that I, the applicant. have bsen provided wit�� a copy of t�e "=lorda Construction Lien Lav��—H�meowner's
Protection Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs If the applicant is somecne
other than the "owner", I certify that i have obtained a copy oi the above described document and promise in good faith to
defiver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAViT ! certify that afl the information in this application is accurate and
that all work will be done in compliance with ail applicable laws regufating construction, zoning and land
development. F;ppiication is hereby made to obtain a permit to do work and instaltation as indicated I certiry
that no work or instaliation has commenced prior to issuance of a permit and that ali work will be performed to
meet standards of a{i laws regulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other
government agencies may appfy 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 iaith to infar��� the owner of the permitting co7ditions set fe�h in
this afridavit prior to commencing construction. I understand that a separate permit may be required for electrical work.
plumbing, signs, wells, poois, air conditioning, gas, or other irstallations not specificaliy 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 shali 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 wor4: is commenced. An extension
may be requested, in writing, from the Building Ofricial r'or a period not to exceed ninety (90) days and wili demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURc TO RcCORD A NOTICE OF COMMENC�MENT MAY RESULT IN Y�UR
PF.YifVG TW�CE FOR lMPRO�l�MENTS TO YO��R PROPERTY. IF YOt1 INTEND TO OETAIN FINANCING, COtvSULS
WITH YOUR LchiD'cR �R F►fv ATTORN�Y B�FQP.E P,ECORDlNG YOU� NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 117 03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me tnis
Subscribed and sworn to(or affirmed)before me this by
by bti`ho is(are ers�naliy kno�nm to me or has/have produced
V�Jno is/are personally known to me or has/have produced F as identification.
a: identification.
�Jota�Publ+c
Noiary Publlc
Commission No —
Co�mission Nc
ed, rinted or stamped Name of Notary rypeo printed or stamped
Name of Notary ryp P