HomeMy WebLinkAbout14-14930 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
' �si3)�so-oo20 14930
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14930 Address: 7838 GALL BLVD
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: 35-25-21-0010-00700-0000
Improv. Cost:
Date Issued: 1/30/2014 Name: PRIMERICA GROUP ONE
Total Fees: 50.00 Address: 3629 MADACA LN
Amount Paid: 50.00 TAMPA FL 33618
Date Paid: 1/30/2014 Phone: (813)933-0629
Work Desc: FPM- SPRINKLER & SUPRESSION SEMI-PUBLIX
I I 5 .00
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I A A inal
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
MART28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING EAK No. B(3-780-0021 P.001
813-7$�U20 City ofzephyfiflleFtrie� •. • Fax-a+a.�so.ao2t ��
permit Applicetion -=- '
Date Ftecaived ' ' .. • . •,- .PhonB Con�tacHo�Pertnit
Ownec'e Name • Ownar�Phone Number � � �
Ownera Addresa � � g� � ��
FeesimPleTlUBholderName � ' ' ' ' • ' lltleholderPhoneN�mbar �� � �
Kee�mpleTldehaldc�Addra:a ' ' ' � �
� ' �. . • • �Lot#
Job Addtess ' ' .
Sub Divislon Patoel# '
• Q Blo-Hazard Waete StoraBe—ANNUAL • .� ��� �� FumlpaUon7ent • . . • , .
. L�., Comm Exhaust FGichen Hoodlouct: .' �� Ha�rdous Metedal�er II or RQ�eclllry)ANNUAL ,
�� Controtled Hum � � Ftnccl(nstalletlon .
� �mergency Ganerator<30 kw • . _ � LPINatu�el Gas-Inetallatlon
�Emergency Generator>3�kw , � t.PMalural Gas-ANNUpL 5elo :
FlreProtec6onMa(ntanence=ANNUAL. � PlacesvfAssemblY-A�INUAL
. � P l=J�' em� �� . � • .
S dnkler '• ❑ ReoreaUonal Hum ; • . .
• ' Fre Alarm �❑. ❑ [7'. O '� � SPwklaw : .• . • `�,_�►�.[,�� (�
Hood Clasning d� ❑ D � � sPrinWerSyslem InstellaGons : . !�/-��"� " ��
Hood Suppresslon . � p � ❑ �� , � Stendpfpes(Spdnklersys) � "�a �-��� �v,
• � Fre Nartn Irietatteuon . . � ToM.tt Roofingffa�Ketlle; . . 1 �(y f 4 1 I ��I (�
� Flre Pumpr ' ' ' ' • ' • � Wec►a 71ta Stocage ANNUAL . � � � v, �
� Firo Wotke • . • • . : •
_ Flemmabie AppfimUon-ANNUAL • • • � - • Valuetion�f PCOject . _
Fuel Tanks , �� �� �
. [�: Other: • '. ' ' ' '
--- tn� �e�
contractor %�.� �y�_, � ' � ' Company ' .
Stgnawre ' Re�ictered (Y Fee Cur►Bnt Y N •
Address __Lipense#�.
�GEGTRICIAN ' � . ' � � CompanY '
Signatutt ' • Reg(s[e(ed• Y/N_ Fee CurtenG_ _,Y/N
Addreae � �cense# ' ' �
PIUMeER Campany �
Sign�lure � � � Reelatered Y/N Fee Cartant Y/N
Addross ' Llcenae#• • •
MECNANICAG Company � _�
SiBnature Rtgisle�ed Y/N Fae currcnt Y/N
� Address ' . •Liceqee#. �
OTHF-f2 ' � ' • Compeny .
signature � Regielered - Y/N Fes Curtent Y/N
� Addises ' • ' � � Llcenesi�
t�LiilatM1'� i '1ka i iGi -'tm7949�°ahlhtE �i i - 1T''S�Y.� '
�IfOC�lOf1^u: •
. FlII out applice6on complately. '
Owner&Caniractor eiga 6aok of applicetion,nola�ized(or,copy oFeignad contractwtth otimer) , . .
� If ove�S25D0,a Notice of Commance�nant le required.(Mechenical Woi1c over$6000) • • •
suppiy two(2)ee�of drawinge wilh appllcable docu�nentaQon . � � .
AlIoW10-14dByeforravlowa�lereubmiQaldale. Perceli�-oblalnedlramPmpertyTaXl�loUce(hI1pJ/epptaiear.pasCOgov.wm)
� w- .
MAR/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002
, �NOTfCE OF:DE�D'RESTF�ICTION�:'Che.underslgned und'e�stands•that fhis permit may•be•subJecElfo-°de�d"Resirictlons"��•
which may be more resfricUve than County�regulations. ':t'he:undersisned.assumes Tesponsibility:for�omp(Iara�ce�uvith any.' .
applloabla deed resirlotlons. ; ' ' � '
�UNUCENSED�CONTRACrORS•AND�CONTRACTfJR�RE5P9NSIg1L1TlES: If�the ownar has•hired-:a�contractor�or•��• �
contraofors�to�undertake work;they may be reqtairad-to be licensed(n accordancewifh state_and looahregulations. Ifthe
contraGtor Is not liaensed as required by law, both the owner�nd•cafltractor may be cited'fot.a'misdemeanor vlolation
.under st�te law. If`the oWner or(ntended•cantracfor are uncertein�as to What liceilsing'requirefiellts may�pp(y for lhe
. intended work,they ar.e advised-to contact the•Pasc�County Bulid(ne�nspection Dtvision--l.ioensing 5ection.at 727-847-
8009. Fu�hermore, ff the owner has hired.a contracfor or'can�'actors, he Is advised'to•have'the conftactor(s) sign
• portions of the°contractor 8lock"of this appllcation�for vuhiah�they wlll be responsible. tf you, a's•the owner•sign�as lhe
contract4r, that may be an indtcation'�haf he is r�ot properly liaer�sed and Is not enfiiled�to�permiEti�g.ptivlleges i� Pasco
Oounty • � '
CoNSTRUC'iION•�.IEN•LAW(Chapter 7�13,•Fforida Statufes,,as.amanded): lf valuation of work Is'$2;800.00 or more,I
certify'fhat (. 'the applicant, have .been provided wlth a copy af'the °Florida Consfruation.L.ie�• Law—Homeowner's
Protection Gulde" prepared by•the Florlda Depar.tment of Agriculture and Consumer AfFairs. 1f the applicant is•someone
other than the'"owner°, I certify thaE i have obtained a cc�py of t��above described docurnent and premtse in good faith to
deliver it to the"awner"prior to comrnencemenE. • ' • �
_ ' CONT�ZAGTOR'S/OWN�R'•S•AF�1DAVfT:.I�certlfy that all the information in�thls applicaElon is•accurate and
fhat alI work wil��be�d6ne In cvmpllance with all applioable laws regulating construation,•zoning and land
development. Applicadon Is hereby made to•obtain a permit to do work and installation as Indicafed_ 1 eerCify
• thaf ho Work or installaflon has commenced prior Co issuanee of a per•mit and•that all work wNl be performed to
rneef standards of alf laws regulattng construation, Cpunty and Cify codes..zontng regulatlons, and land
development 1'egulatiohs In the jurisdiction. t also certf(y fhaf I undecstahd that'the 1'egulatlons of other
.government agencies�nay apply to the intended wotk,and that it is my responslb(Ilty to identlfy what actlons I . •
mustfake�to be In compllance., ' � ' ' '
ff 1 am the ACEN'C'FoR'I'HE OWHER, I promise fti good faith to Inform fhe owner of the permitting condifions set forth in
this affidavit priar fo commencing construcdon. •I understand fhat a separate�perrnit may be required for electrical work,
plumbing; signs, wells, pools; air condiGon(ng, gas,.or oiber lnstallattons not specific�lly Included in the application..A �
permlt issued shall be canstrued to be a itcense to proceed with�the work�and not as auEhoriry to vlolate,cancei,alfer,or.
set aside any provisions of the technical�codes, nor shalf issuance of a permit prevent the�uilding.Officiai from ihereafter .
requiring a cotrection of errors in plans,construcfion or viola8ons of any codes. Every permit lssued shail become inv.alid
. unless the work authorized by such permit is commenced wlihin s(x months of permi�Issuance, or tf work a�thorized by
fhe permit(s suspended or abandoned far a period of sIX•(6)months aiter the tlme the work Is commenced, An extension .
may t�e reyuested� in wrlting,from thB Building official for a period not to exceed ntnetyr(90) days and will demonstrate-�
Justifiable cause for ttie extenslon. lf wark ceases for nirieiy(so)consecutive days,the)ob is cohsldered abendoned.
'WARTlING TO OWNER: 'YDUR �AIL'URE"TO•RECORD A'NL�TIC�'OF;COMM�HCEIVI�NT M;4Y'R�SULT 1N'Y[!UR '" '
PAYIN�TWiC�FOR IMPR01f�MENTS'TO YOUR PROp�RTY. IP YOU INTENDTO OBTAlN�INANCING,CONSULT
�WITH UR LE ER O ' N ATT RNEY EFORE RECO ING OUR NO ICE OF COMMENC�N(ENT. '
FLORIDAJURAT(F.5.147.03) � ^ . '• • : � , .
' OWN�RORAGENT Cf- CptJiRAC70R 7a�^-� � .
f and swom ai�rmed ef�re me this . •i�aL����O����S ed�e(�o�re m�4� ,
Y '
o ls/aPe ana own fo ticle or haslhave produCed VYho islare p onallvlC to me or�insAlave prodticed
• • as Identification. , _, ',�.�,� .as idenUflCaUon.,
/� , �'iv�-- • Notary Public Notary Pu6�ic , •
Co mtesldn No. �T Commis5lon v�
. ' . .
Name of Noiary(yped;printed o�stamped , • • Name'of Noiary aped,printed or stempad . •
• MI�ZIIEIGH VANCE �
MITZI LEIGH VANCE � aor�av �OMMISSION p FP 49081
���0 �XPIRES October 9,'2017
Nor�av COMMISSION q Ff 49081 STATEOF
aueuc EXPIRES October 9,2017 FLOr►IDA RU BN UR NCE COM ANV
STA7E OF
FLOR�D� Rlf BNSURANCE COMPANY �