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Home My WebLink About13-14616 , CITY OF ZEPHYRHILLS 5335-8TH STREET (s13)�so-oo20 146 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14616 Address: 38901 COUNTY RD 54 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: 02-26-21-0000-03800-0011 Improv. Cost: Date Issued: 10/09/2013 Name: UKUMBAK APARTMENTS INC Total Fees: 25.00 Address: 600 BEACH DR Amount Paid: 25.00 ST PETERSBURG 33701 Date Paid: 10/09/2013 Phone: Work Desc: FPM- SUPPRESSION ANNUAL - SWEET BAY V� � ✓ �� . 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." �� .� �. 1 �� 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��-�so-oo2o City of Zephyrhills Fire Fax-a��-�so-oo2� ' Permit Application ate Received �� Phone Contect for Pertnit 3 5 2 7 3 2 5 3 2 6 wners Name UKUMBAK APT IN C/O BRUCE SADLER pwners Phone Number � � � wner's Address 6 0 0 BEACH DR NE ST PETERSBURG FL 3 3 7 O l �e Simple TitlehoEder Name Np' TiUeholder Phone Number � � � 3e Simple Tideholder Addrass 389c21 CR 54 ��G,� �P � � �b Address Lot# .ibDivision Parcel# 02-26-21-0000-03800-0011 � Bio-Hazard Waste Storage-ANNUAL � FumigaUon TeM � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL aControlled Bum � Hood Installation N� a Emergency Generator<30 kw � LP/Natural Gas-InslallaGon \ a Emeryency Generator>30 kw � LPlNatural Gas-ANNUAL Sala .rl� � Fire Protectbn MaiMenance-ANNUAL � Places of Assembly-ANNUAL ' U � emi � er Sprinkler � ❑ L7 ❑ � � Recreational Bum Fire Alarm � ❑ ❑ O � � Sperklers Hood Geaning � O ❑ ❑ � � Sprinkler System InstallaUons Hood Suppression � Q � ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle Fire Pumps � Waate Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL � Valuation of Project Fuel Tanks Q Other. mtractor Company AMERICAN FIRE & SAFETY SUPPLY gnature Registered Y/N Fee Cument Y/N Address 953 NE OSCEOLA AVE STE 100 OCALA FL License# 06461500021985 .ECTRICIAN NA Company gnature � Registered Y/N Fee Cument Y/N Address ��# _UMBER NA Company o"e�� Registered Y/N Fee curremt Y/N Address License# =CHANIC Company 3nature NA Registered Y/N Fee Cument Y 1 N Address Licanse# fHER NA Comparry 3nature Regtstered Y/N Fee Currer� Y/N Address License# rections: � Fill out application completely. Owner 8 CoMractor sign back of applicadon,notarized(Or,copy oi sipned contract with ovmer) Ef over$2500,a Notice of Commencement is roquirod(Mechanical work over 35000) Supply two(2)sets of drowings with applicable documentation Allow 10-14 days tor review afler submirial date. Parcel#-obteined from Property Tax Notice(httpJ/appraiser.pascogov.com) c 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 RESPONSIBtLITIES: 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 faw, 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 permitting 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 appiicant is someone other than the"owne�', 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'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 will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I afso certify thaf 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 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, alte�, 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 O�cial for a period not to exceed ninety (90) days and will demonstrate justifiabte cause 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 NO OMMENCEMENT. FIORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR 31r Subscribed and swom to(or affirmed)before me this b cri ed a�d swom (or a ed)befor me this — ( Cx{ � bY �bY V C�r-�I Who is/are personally known to me or has/have produced Who is/aFS personally knovm to me as identification. as i�entification. , C `3�c.l.t�'� �CX'�(,�0. �~�1�5��(� ✓�Cn'1 Notary Public � �/ �Y�l�� Notary Public Commisslon No. mmission No. ��3�v � �;i�i r�y. ��LI�(1�1 C�`�-'�--� Name of tVotary typed,printed or stamped Name of Notary typed,printed or stamped �a�r�� Diane H Schmidtke �� 'a� My Comm.#EE830881 Expites Oct.22,2018 ��'� Notary Public,State of Ftorida c