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Home My WebLink About13-14810 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 14810 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14810 Address: 38710 5TH AVE Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17100-0010 lmprov. Cost: Date Issued: 12/11/2013 Name: ST JOSEPH CATHOLIC CHURCH Total Fees: 25.00 Address: 38710 5TH AV Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/11/2013 Phone: Work Desc: FPM-FIRE ALARM SEMI - ST JOSEPH CATHOLIC CHURCH } s • - 5.11 , ,,. . °Q- /til° 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." PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 ' 813-i8o-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone contact tor Permit EMI I 31, I 140'53 ' Owners Name 1 St '00t)ph s Ca fimi f'c_ cliardi I Olirier's Phone Number [1E3 11111 cif =1 Owner's Address I Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I I . . Job Address IIIVIZWAL th A0e Lot# Sub Division .il 6 Parcel# . : El Bio-Hazard Waste Storage-ANNUAL ED Fumigation Tent ElComm Exhaust ICedien Hood/Duct ED Hazardous Material(Tier II or RQ Facility)ANNUAL EDControlled Bum ED Hood Installation E3Emergency Generator<30 kw R LP/Natural Gas-Instigation EDEmergency Generator>30 kw LP/Natund Gas-ANNUAL Sale ED Fre Protection Maintenance-ANNUAL El Places of Assembly-ANNUAL RE 11 BEI LtiL. 1 Sprintder Li 0 0 0 RRecreationalBurn Fire Alann Et 0 0 'at I I Sparlders i Hood Cleaning 0 0 0 R Sprinkler System Mitigations Hood Suppression El 0 0 0 Standpipes(0Prielder Sys) EDFire Alarm installation [ J Torch RoofingITar Kettle Fire Pumps ED Waste The Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks ED Other . . Contractor , .. . Company •L121111111111. ectri • wearizarzon Signature -N'--2,-1 ,--23:, _. - -----,-- — ------ _. Registered Y/N Fee current YIN Address 111111115/M1110=1111111EMETINECIIIIMINIINIIII License* rT7770F517"--1 ELECTRICIAN Company Registered Y/N I Fee Current I YIN I I Address License# I PLUMBER Company I Signature Registered YIN 1 Fee Current I YIN Address I License tt MECHANICAL Company I Signature Registered YIN .I Fee Current I YIN I Address License S OTHER Company I Signature Registered YIN J Fee Current I YIN I Address License# Directions: FM out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with wrier) if over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel ft-obtained from Property Tax Notice(http://appraiser.pascogov.com) 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 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 misdemeanor under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply y 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 County. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If 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—Horneoumter'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. n is accurate and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application 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 that the regulations of other 'development regulations in the jurisdiction. I also certify that I understand loif to identify what actions I government agencies may apply to the intended work,and that it is my respons ity 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 be conditions electrical forth in this affidavit prior to commencing construction. I understand that a separate permit included in the implicaalon. A plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically d di in violate, cancel, alter, A or permit issued shall be construed to be a license to proceed with the work and authority thog Official from thereafter set aside any provisions of the technical codes, nor shall issuance of a permit prevent sing shall become invalid a correction of errors in plans,construction or violations of any codes. Every permit 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 commenced.d d. demonstrate may be requested, in writing, from the Building Official for a period not to exceed ninety( ) days justifiable 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 ATTORNEY BEFORE RECORDING CONSULT YOU INTEND TO OBTAIN FINANCING, WITH YOUR LENDER YOUR NOTICE COMMENCEMENT. FLORIDA JURAT(F.S.117.03) 11,D ,�„_;! c�c, t - cam.. ,;y---.._.:--- u scribe z-:. ."- —ice— and swim to b pie this Subscribed esld to or before me this �. 13 f by e,r A - YS 4.- •s�C.t_ T�by K[Y rt Ku i� has/have produced Who israre,1-- a9Y ki1CWn to me ort1aSIh8Ne produced 77/are, as identification.as Kleallicalion. .� � elx.. .mr-Ilimel77 4� Notary Public _ - •. Public _ �u�- .. - =Pr t iY >ssionon No. • �J•nni..c2- r r•R0.Cat0/ Name of Notary typed,pitted or stamped Name of Notary typed,printed or stamped ai :°'e' JENNIFER FODDER i i.;;" am, '` MY COMMISSION#EE 145629 q: , .T EXPIRES:November 13,2015 i 4.2 Bonded Thru Notary Public Underw hers 111��