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Home My WebLink About13-14706 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 14706 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14706 Address: 5353 5TH ST 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: 11-26-21-0010-09700-0070 Improv. Cost: Date Issued: 11/08/2013 Name: HUSSEY, STEPHEN E Total Fees: 25.00 Address: 5353 5TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/08/2013 Phone: Work Desc: FPM-ANNUAL FIRE ALARM FOR THE BROACH SCHOOL G ,�r' I �� - � 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .- , .� � � �C t�l�= ,; t L.�"`.,,-�, ��'. PERMIT OFFICER `�- PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 ' s�saso-oczo Ci'ry of Zephyrhilis Fire Fax-8�aaso-oczi � Permi:Applicafion - Dat=R=ceiv�d � I _ _ PhoneFContactz or Permit �-Q_�--� - —. _..:.� . ., . ,- ... .... _„_.;.m-......A_,...: .....�.�..,.._... . _ . .�. ... _.. ._. . �. __ Owner's Name {-��i ' ►-,-, �/U sJ Pc / Owner's Phon=Number, � � � Owner'sAddress ��= �- LL _ � • � C Fee Simple Titleholder tJame Titieholder Phone Number � � ree Simple"fitleholderAddress .,.,,,o;,..y,�... . . .::..... ........,..,..,, - .. _ _.y�,...,y..rf. . `s. -. .l. . '�n, �i�_y_ .�u;x;;sfq�:;'v'-iFi:�. - •�i:� _ "_ ;!�':'r � - � i.'L:+.�"k.SG�'y$SVCB;:lza�2'- ' Job Address~. f. . �` (J� '_ I!H - � Lot t � Sub Division Parcel,= ��— `�� -^ �� •� �) ..�.: ._. ..,....�,,.,�,.. .�:,_...Y.,,:�. .,: �,x s , _ ..�..,,... ,,.�. ..r� ,.,.�.....,._�.»a.��lr�<r:a:",c�.n,_......��..F�>di�..: .>��1_ ...- .._. . . ��_�.. :_.�... .,. �:1..-, ,�.ar,.-:.��a-..,H_....�5�...».�.,..a.C..i:Si>::...,�.>..,>�,ii.::'e�e�avdt�ii"..J'.�3rt`o.��$�;�3.`..�..t.;:�„�� ..... . . _ _ .. , . ....��. ,,...,� ,..�_..,_,,., ,,.:�: �.._ ..;,, . . . . . . - ..�. ;..,,:.. .:.. .,,....s::�- . ..;. -. ... ... ........e:.,........,.,. ..�.-_.�:a�...,,� .__ � Bio-Hazard Waste Storege-ANNUAL � Fumiaation Tent a Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ"racilitvl,,At�lN11AL � Controlled Bum � Hood tnstallation r''�� `� � cmergency Generator<30 kw a LP1Natural Gas-Installafion � Emergency G=neraior>30 kw � LP/Natural Gas-ANNUA aie ��J�� (/ Fire Protection Maintenance-ANNUAL � Places of Assembly-AN UAL tny emi ni ner Sprinkler � ❑ ❑ � � Recreational Bum Fire Alarm � ❑ G '�- � � Sparklers Hood Cleaning � u ❑ ❑ � � Spnnkler Systam installations '� Hood Suppression � G ❑ ❑ � � Standpipes(Sprinkier Sys) � Fire Alartn installation � Torch RoofinglTar Kettle a Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL �_ —� Valuation of Project � Fuei Tanks � Other• .. ,._ _... _..., ....,...... : . :,�,. ,_E.. ..,:.. , 7 .*rv_�s^ �x. C,..,r rm�..i",.i , .;a..r�c.�.��;v 3 '::aS — ,:l;•_ ,•:Y_"a �Y,`; �E•:nC. 'qI.�3� �ra�.�' _..w... .t. ,.�: a. . .. " d . v'-.,� �:..,_i'�x!'c:._,_�--'_�..->�''S".�:-l:;s,��..:,.x:..3k-":"E'a:`.->....:...�.":`:_,a5...7i;nY?Ji!'�:�ntit.°."f£"'"d:lL�.., .:l:r:.i.,2. ., ._- ':,..:'�s"�..,d�:s:�.:.2�,..2t:..,,.�..x...e..�,.,,a.�r:!•ec.:_>..::..-,.:<.tz:u:�;.!v:z_�.Sa,._.,..�:_::. �� z:_.<_..;..:... .,,_8�"5i`w.:s:et:�:P�:..�_.,.... "?��1•., Contrector Company Signature Registered Y/N Fee Current Y/N Address License# cL�CTRICIAN Company Sigraiure Registered Y/N Fee Current Y/N Address License� PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# McCHANIGAL Company Signature Registered _ Y/N r=ee Curren! Y/N ( Address License� OTH�R � �y Company �=p�� =T�� 1�i�a i�„[r�o.U, S�U c , Signature ��1 JV„ \1� /L-�y Registered /N Fee Current Y/N Address , � , �L �3�'7 `7 License# C7� � c ,.:..,., ....,... ,.. � y -:: ...�:,,,,:._...�_......,._-.,,: _..�..._.. . . _, _. ,:_.. ,.-- - , _. ..,_�,.,,_...wW:a._.,k.�._._._.._.,�. _.._. ._ . ., _ _ ...._ _. �.__... _. _ ..�_._. _.. ... ..,.-- - ._ ., ._. .. : .... . . ,. . ... _ Dvections: Fiil out application completely Owner&Cont;actor sign back or apolication,notarized(Or,copy of signed contract with owner) f�over�2500,a Notice o`Commencemen,is required(Mechanical work over W5000) Supply two(2)sets of drawings with applicable documentation Allow 1 C-14 days for r=vrew after submittal date Parcei r-ob,ained from Property Tar.Noti�e(nttp:/iappraiser.pascoao�.com) NOTICE OF QEED RESTRICTtONS. The undersigned understands t"at this permi� may b� subject to "deed"Testrictions" which may be more restrictive than County regulations. �The undersigned assumes responsibiii'ty for compiiance v��ih any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRAC i OR RESPONSIBlLITIES� If fhe owner has hirec4:a contracior or contractors to undertake work, they may be required to be ficensed in accordance with state and local reguiatiors I?the contractor is not licer.sed as required by taw, both the owner.and contractor may be cited for a misdemeanor vioiation under state la�nr If the owner or intended contractor are uncertain as to what iicensing requirerr�ents may.apply for the intended work, they are advised to contact the Pasco County Suilding 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 Blocf<" of this app(ication for which they wiil 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 entitfed to permitting privileges ir� Pascc County. � COiVSTRuC i iuiv LicN �KVV (Ci�iaN�c�7�3, ��ari�a Sta.utes, a� a::�end°�;' !f val:l�tinr� pT tininrk Ig $?,5p0 nn or more I certity that I, the appiicant; nave been provided wit`r� a copy of the "�lorida Constr�ction !ien Lav��—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 thai I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencemen;. CONTRACTOR'SIOWIdER'S AFFIDAVtT• ! certi"ry that all the inTOrmaiion in this application is accurate anG that all work will be done in compliance with ali applicable laws regulating construction, zoning and land development. Appiication is hereby made to obtain a permit to da work and instaltation as indicaied. I c��tify that no work or ins"tallation has commenced prior to issuance of a permit and that ali work will bs performed to meet standards of ali laws regulating construction, County and City codes, zoning regufations, and iand 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 ( must take to be in compliance. If i am the AGENT FOR THE OWNER, I promise in good Taith to infor�� the own�r of the permitting conditions se±ferth in this afiidavit 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 specificall_y included in the application A permit issued shall be construsd to be a license to proceed with the work and not as authority to violate, cancei, 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 shail 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 (fi) months after fhe time the worl: is commenced. An extension ��ay be requested, in writing, from the Building Ofticial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90)consecuiive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURc TO RECORD A NOTICc OF COMM�NCEMENT MAY RESULT IN YOUR PAY�NG TW10E FOR lMPROVEMEl�TS?'O YOUR ?R�PERTY. IF YOU INTcND TO OBTAIN FINANCING, CO►�SUL i W(TH YOUR LcNDEr2 QR Aiv ATTORRlEY BEFG'P.E RECC�RnlNG Y�UR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F S 117.G3) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me tnis py by NJho is/are personally known to me or nas/have produced Who is/are persnnally knoNm to me er ha 2Sa�Q PT°ation�. as identificafion. Notan+Public _Notary?ublic Cor�mission Nc Commission No --- PJame of Notary typ°d, printed or stamped Name oi Notary ryped, printed or stanipad