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Home My WebLink About13-14603 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�8o-oozo 14603 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14603 Address: 7350 DAIRY 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: 35-25-21-0010-06900-0020 Improv. Cost: Date Issued: 10/04/2013 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/04/2013 Phone: (407)975-3000 Work Desc: FPM-ANNUAL FIRE ALARM FOR ZEPHYRHILLS HEALTH & REHAB 5. � / �' .��C' " � � .. , 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 a the Fire Department's Fire Marshal or required permits or opening up for commercial activi without an a pProval of inspection shall be charged double permit fee h' pproved final 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." _- , � �i L) �` �. rT� .Z...t-.,� ` V S ( }�}� PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICE CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780 02o City of Zephyrhiils Fire Fax-813-780-0021 Permit Application ate Received � � � � � Phone Cantact for Pertnit wner's Name `�S (� l � � � Owners Phone Number �� vmers Address !� S p �� h S ^ y� :e Simple Titleholder Name � �� Titleholder Phone Number 3e Simple Titleholder Address �b Address �� Lot# �b Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Fumigatlon Tent � Comm Exhaust Kitchen Hood/Duct Hazardous Material � (Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30�,y � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL le � Fire Protection Maintenance-ANNUAL � Places of Assembly-A UAL t � f�1F7ry emi � � j�� Sprinkler p ❑ ❑ � � Recreational Bum `��j --� Fire Alarm ❑ ❑ ❑ � � Sparklers Hood Cleaning � p � � ❑ ❑ Sprinkler System Insta ' Hood Suppression � ❑ ❑ C� � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar KetUe � Fire Pumps Q Waste Tire Storage ANNUAL � Fire Works � Flammable ApplicaGon-ANNUAI � Valuation of Project Fuel Tanks Q Other. mtractor � ' � gnature �� Company - S �e Registered Y/N Fee current Y/N Address License# _ECTRICIAN gnature Company Registered Y/N Fee Current Y/N Address License# -� _UMBER gnature Company Registered Y/N Fee Current Y/N Address License# � =CHANICA �nature Company Registered Y/N Fee Current Y/N Address License# �� fHER 3nature Company Registered Y/N Fee current Y/N Address rections: License# Fill out application completely. Owner&Contractor sign back of appiication,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 appifcable documentation Allow 10.14 days for review after submittal date. Parcel#-obtained from Property Tax NoGce(http://appraiser.pascogov.com) NOTICE OF DEED RESTRI�eTtON County r gulat9ons The undetlsig ed alssumes espons b Ity for compl a'nce wth any which may be more rest applicable deed restrictions UN�,�CENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemyan�op yiolation under state law If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 app�ication 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 permitting privileges in Pasco County. CONSTRUCTION LIEN LAW �Chapter 713, Florida Statutes, as amended): tf valuation of work is $2,500.00 or more, 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", I 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'SIOWNER'S AFFIDAVIT� 1 certify that_all the information in this application is accurate and that all work will be done in compliance with all appli�able 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 issu�nce of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning re�qulations, and land development regulations in the jurisdiction I also ce(tify that I understand thatr�tk�� regul�tions of other government agencies may apply to the intended work, ahd that it is my responsib+Ffity 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 infprm the owner of ttre permitting conditions set forth in this affidavit prior to commencing construction. I understand that a!separate perrr�it`may be required for eleol cat on�r A plumbing, signs, wells, pools, air conditioning, gas, or other installations not s cifically included in the ap{�� permit issued shall be construed to be a license to proceed with th� work an ot as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a per it prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of. any,�odes Every permit issued shall become invalid unless the work authorized by such permit is commenced within six �onths of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) montFi�after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a perjdd not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(9Q'f consecutive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECOR A NO'TICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TH►�LENDERIOR ANVATTORNEY BEFORP ECORDI�'G YOUR NOTICE O COMMENCEMENT.' CONSULT WITH YOUR FLORIDA JURAT(F S 117.03) ' OWNER OR AGENT CONTR/ICTOR Subscribed and sworn to(or affirmed)before me this , Subscribed and sworn to(or affirmed)before me this by bY Who is/are personally known to me or has/have pro, ced Who is/8re personally known to me or has/ha�ventfication as identificationt� Notary Public Notary Public Commission No. Com"mission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped