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Home My WebLink About13-14500 - CITY OF ZEPHYRHILLS � 5335-8TH STREET (si3)�so-oo20 14,�Q0 ANNUAL FIRE PROTECTION MAINTENANCE ;�" Permit Number: 14500 Address: 38422 VALLEY OAKS CR 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: GRAND RESERVE Est. Value: Parcel Number: 35-25-21-0010-09200-0000 Improv. Cost: Date Issued: 8/30/2013 Name: GRAND RESERVE APARTMENTS LTD Total Fees: 25.00 Address: 580 VILLAGE BLVD STE 360 Amount Paid: 25.00 WEST PALM BEACH FL 33409 Date Paid: 8/30/2013 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- GRAND RESERVE APT 5. � �� _ �- l� ina Chapter 633, Fbrida 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." .--� , �. i � ,. �.%�-�'-rti.- �- 'J ��f�'-� 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� :7so-oczo City of Zephyrhilis Fire Fax-8i3-�so-oc2� Permit Application - Date Receiv=d . I ` _._,+ , - ,_. �_A , _y _ " . ..^,VPhone Contact ior Permit .-,-'---��°"�"`—`-�� Owner's Name � Q�L �TS Tt� Owner's Phone Number � � � Owner's Address Y�L� '� �-. ��°�� `�`� T �� E�� l Fee Simple TiUeholder Name Titlehoider Phone Number � � � ree Simple i itlehold=r Address _ -.. , - '.Y"':f:'. efi}'tY,= .. ...� . . . .... kr t-. :!�?i_i::t.5:.�,'-., - ;t.'�in.' f')'-. - if' ';y' --_ ' Li:..�a2,.a:`�".'` _ �.r•_•c �,„i.r....��...:.: :.vw. iy.,. :' ?..,Yxti,...... Job�Ada�es5 ..., .... a a �.. ,' ,,�� ?. �ot� �� 5ub Division Parcel r -�� I - - . - - . __ ....�:_.._...�.��a:.�'+f;.._.�.�.w�;.6.»:'�..r''�ib1.u":.mk�L�±�','�:".i:fix:;..".�,�:"s�b'"��::;.....-s...-,.._.....>..�,_.«�..�xE>:.•y�:ai:.:..........rtz�,.:,>,..:..�..�„i_:t'a;:_.,a.:._,. ..,.. � ... ._, .....<�'tCCs.�_r.,�n....>.;.-,«..��a.c.,_s-'s�7�=�+,._�5�..::W.crun�. � Bio-Hazarci Waste Storege-ANNUAL � Fumiaation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Instailation � �mergency Generetor<30 kw � LP/Natural Gas-Instaliation � Emergency G<nerator>30 kw � LP/Naturai Gas-ANNUAL Safe J�%� } n Fire Protecfion Maintenance-ANNUAL � Places of Assembly-ANNUAL � �� tny emi ni her �� Sprinkler � '�- ❑ � � � Recreaiional Bum Fire Alarm � ❑ O C � � Sparklers Hood Geaning � G ❑ ❑ � � Spnnkler System installations Hood Suppression � ❑ C ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storege ANNUAL Fire Works a Flammable Appiication-ANNUAL Vatuation of Project � Fuel Tanks � othsr: __.. ...._ ,.._"._� �..:.. .. , �� .�.�..�..�..:.:.... ......>.:..,r_... ......,.�.�.... wt• - ,ni-,.. „r<,..�,.w. �tr... -p-.�- r� - � �.....�°�`"?:i.... � � _..:'.@JY...,,„. __,�.... ,,,. . . ..-, ..,-.,..,...�,....rr�.,rrc..�. �.� �=:>:-t.,.,, .., .,.... �_..�._....._. ........,_,.:..,,.:..,._,......., ...... _._.:�i.:��:4,..,....:.`��,..._.�._'.:f",_.,._:�±.�,`.t-..:��.�;.�:��,r;c. . .�'.;tirJ'�"=:u�d' �..t� ��..,r_..a...?�.,_...:S _l L ��.. s;, . -.,�<-.... s;�'�'�-3c�. -:.'. >.,ra ;p� _ �.._ ,.... . �,..a._u..,.._..._...,.._..�,...u.. �s.� �. Contractor Company Signature Registered Y/N Fee Current Y/N Addr=ss License� ELECTRICIAN Company Sigrature Registered Y l N Fee Current Y/N Address License� PLUMBER Company Signature Registered Y!N Fee Current Y/N Address Licens2� McCHANICAL Company Signat�re Registered Y/N ree Current Y/N Addr=ss License� oTH�� Company �,U�2 /'-�s�� /�i�CT1�7 - Signature Registered � /N � r=ee Current /N Address �y ��C L b -L ��7`) License� `�1 :- - •��,-�:;; �-- � , . . ,.,...�.,.�. ,, , _ .. .._. .._,x�..... ...._,. .--°- �----...._ ._�, , ., ...... ,.:�., ,�::. ..,.�:...._....:......:._..-_..,._.._......._ .>,... .. _ . . ._.. ___. _ - -- - _. _.._..._. .. Directions: -....._._ . Fili out application compieteiy Owner&Contractor sign back o`application,notarized(Or,copy of signed cont;act with owner) I�over 5250G,z Notice of Commencemen;is required(Mechanical work over$5000) Supply two(2)sets o`drawing=with appiicable documentation Allow�10-1�days for review after submittal date Parcel r-obtained from Property Tax Notice(http.l;apprais=r.pzscogov.com) NOTICE OF DEED RESTiZICTiONS. i he undersigned understands that this permi� may b� subjec; to "deed":�estricticns" which may be more restrictive than County regulations The undersigned assumes responsibility for.compliance v�ith ary applicable deed restrictions. UNUCENSED CONTRACTOr2S AND CONTRAC i OR RESPONSIBIL(TlES. If the owner has hired a contractor or contractors to undertalce work, they may be required to be licensed in accordance with state and local regufations I?the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. 1f the owner or intended contractor are uncertain as to what licensing requirerr�ents may.apply ror the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing 5eciion at 727-u47- 80Q9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign poRions of the "contractor Black" 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 ficensed and is not entitled to permitting privileges ir� Pasco County. COM1ISTRUC:I iUIV LtCIV Li"+�VV (�.haNicr713, Floricla Statutes,.as amen�+°�)' If��81u2tjnn pf�ninrk js ��,�pp np o; more I ce�tify that l, the applicant. have been provided with a cupy of t�e "�lorida Construction Lien La�n�—Homeowner's Protection Guide" prepared by the Florida Depar'tment of Agriculture and Consumer Affairs if the appficant is someon2 other than the "owner", I certify that I have obtained a copy of the above described documPnt and promise in good faith to deliver it to the "owner" prior to commencemert. - CONTRACTOR'S/OWNER'S AFF{DAViT: I certify that all the information in this applicafion is accurate anG that all work will be done in comp(iance with all applicable laws regulating construction, zoning and land development. Appfication is hereby made to obiain a permit to do work and instaltation as indicaied. I certiiy that no work or instalfation has commenced prior to issuance of a permit and that ali work will be perfarmed io meet standards of all laws regulating construction, County and City codes, zoning reguiations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may appiy 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 TFiE OWNER, I promise in good iaii i to info�m the cwner of the permitting conditions se±?o�h i!? this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, 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, o� set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ofricial from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shail become invalid unless the work authorized by such permit is commenced within six montns 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 �vriting, from the Buiiding Ofricial for a period not to exceed ninety (9�) days and will demons:rate justifiable cause for the extension. If work ceases for ninety (90) consecufive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURc TO RcCORD A NOTICE OF COMM�NCEM�NT MAY RESULT IN YOl�R ?AYiNG TWICE F04 :MPP.OV�R9ENTS TO Y9llR ?RQPERTY. IF YOtJ INTEND TO OE'�TAIN FINAtdCING, CONSULS WtTH YOUR LcNDcr� OR AN �TTORNEY SEFOP,E RECORQlNG YC3UR NOTICE QF C�MMENCEMENT. FLORIDA JURAT(r.S 117 03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this bY by � V�Jho is;are personaliy known to me or has/nave pr�duced Who is'are personally known to me er has/have produced as identification. as identification. Notary?ublic . Notary Public Commission Nc Commission No_ Name of Notary typ°d, pnnted or stamped Name of Notary rypeo, printed or stamped