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Home My WebLink About14-15035 CITY OF ZEPHYRHILLS - 5335-8111 SIREET ~'"� ' (sis)�so-oo20 1,5035 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 15035 Address: 6251 FORT KING 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: 03-26-21-0010-09500-0000 Improv. Cost: Date Issued: 3/04/2014 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 25.00 Address: 6251 FORT KING RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/04/2014 Phone: (813)782-8865 Work Desc: FPM- SUPPRESSION SEMI -ALLIANCE CHURCH OF ZH-FEE WAIVED �05�� ,, � � � � ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect 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." _.� �, , ' i. ' ��,j�.1.,-�,� �,f ` pr.2D>��'� PERMIT OFFICE " PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 SUNCOAST FIRE SAFETY Personalized Professional Service P.O. BOX 1290, NEW PORT RICHEY, FL 34656 OFFICE: (727)842-1714 Email:sales _suncoastfiresafetv.com TOLL FREE : (800)227-6801 Lic.#66945900012005 FAX: (727)842-6934 February 25,2014 City of Zephyrhills 6907 Dairy rd Zephyrhills, fl 33542 Re : ALLIANCE CHURCH OF ZEPHYRHILLS Attn. Fire Marshal This is a request to have the permit fees for Alliance Church of Zephyrhills located at , 6251 FORT KING RD,ZEPHYRHILLS, FL 33542 waived. Sincerely, �cott �troutC �, �. ,�,_b C� �� P�G Scott Stroud 1 813-780-OC20 City of Zephyrhills Fire Fax-813-780-0021 Permit Application D3t8-F��G@ett�l Phone Contad for Pertnit 7 7 � d� Owner's Name n ei C,rl Ze �t �1 S Owners Phone Number � � � o�rs�adr� �a 5� Y-�- �Y1 � . � j� �=L 3 3 5 2— Fee Simpie Titleholder Name Titleholder Phone Number C� � � Fee Simple Titleholder Address Job Address Lot# � Sub Division Parcel# • a BiaHazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL . � Controll�d Bum � Hood Installation � Emergency Generator<30 kw � LPMatural Gas-Installation � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Saie � Fire Proteetion iviaintenance-ANNUAL � Pfaces of Assembly-AN�IUAL �y emi � er Sprinkler � ❑ ❑ ❑ � � Recreational Bum Fire Alarm � ❑ O ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ �f ❑ � � Standpipes(Sprinkler Sys) � Fire Alartn Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works ..,., � Flammable Application-ANNUAL ° Valuation of Project � Fuel Tanks • , � Other: Contractor , Company �� Yt. �t. G Signature �� ' Registered Y/N Fee Current Y/N Address L! � 1 t,t) t 3 5'L �icense# "0 Os � �� ELECTRICIAN _ . Company Signature � Registered Y/N Fee Current Y/N � Address License# PLUMBER • Company Signature � Registered Y/N Fee Current Y/N ��.� Address License# MECHANICAL Company -1 Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature ' Registered Y/N Fee Current Y/N Address License# 2 �Directions: Fill out appliption completely. Owner&Contractor sign back of appliqtion,notarized(Or,copy of signed conVact with owner) ' If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcet#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" wliich may be more restrictive than County regulations. The undersigned assumes respDnsibility for compliance with any applicable deed restrictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state ar�d local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vicflation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(.$) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contracter, 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 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'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 an� 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 also certify that I understand that the regulations of other government agencies may apply to the intended work, and that ft 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 fo�th 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, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit preve�rk the Building Official from thereafter requiring a correction of errors in plans, constr�action or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commen�ed within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6J months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandongd. 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 LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) � OWNER OR AGENT CQNTRACTOR_� - � Subscribed and swom to(or affirmed)before me this Subscribed a d swom or affqned before me t�iis by .��l�by �e�1'1" . Bu.G Who islare personally known to me or has/have produced Who is/are personally k own,_ n��or has/have produced as identification. • as identificatior.. � Notary Public �.GC�Ci�-� Notary Public Commission No. Com ' sion No. �� J � �0�J ' �1U. C C�1a v�� Name of Notary typed,printed or stamped Name of Notary ped,printed or stamped . . M � �ty Pub1b S1�of Florda , . �• ��E�b631s5 � � EzPkes�2It4fZo16 a