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Home My WebLink About14-15330 CITY OF ZEPHYRHILLS , -_ 5335-8TH STREET � ^ �sis)�so-oo20 15331J ANNUAL FIRE PROTECTION MAINTENANCE �- PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15330 Address: 7910 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: OWNER INFORMATION Date Issued: 5/29/2014 Name: PRIMERICA GROUP ONE Total Fees: 25.00 Address: 3629 MADACA LANE Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 5/29/2014 Phone: (813)933-0629 Work Desc: FPM QUARTERLY SPRINKLER STAPLES CONTRACTOR S APPLICATION FEES INTE NATIONAL FIRE PRO ECTION IN FIRE PERMIT FEES 25.00 � .( � ,� �� ,� ,,,�t� � �� Ins ections Re uired FIRE ACCEPTANCE Final 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 FINANCINf;, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _-.� �, �J��-�-e�- �' �` ��I PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Re�eiveo�" � � Phone Contact for Permit ,��y� �M��__.d�_-_._�___ _�.�.,�._�..______��_ ---- ....,_�_,.�.�_..��_ ,�.��._.._._--- - �._...�_.v ....__. Owner's Name � � �� Owner's Phone Number � � � Owner's Address 1�v � 1.� l � � Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address ��_.—r__.._.�� -- -- - - - - - .._.�____� Job Address o a Lot# � Sub Division Parcel# G"�.:=r.�.,_,_._....�..�...eaa..._��_...:,..,..,.w.�.d._..,_._._ _:_::.-.......<.....J.�.�.....____..o...�.�..., --"---,n..._.,.�d.�..._.�._�_v...a.._.W d..-__�_..---,..._....�..�...»__>._..._...�� - � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL y mi �n t er ,^� ��l/ Sprinkler ❑ ❑ � Recreational Burn � Fire Alarm � ❑ ❑ ❑ � � Sparklers �,S Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks QOther: �.-a_,._:i...y..____.,,.�._.._:__�.._ _,_.ua.:._ - -.,._�.. - __. �.�._....�...�„�..a.�.._ _-___._r_.,a.__..�_. --- - - . �.�,- -__:. Contractor f!-,vt `Y�vt.� 'f"�-e- GV�— Company Signature Registered Y/ Fee Current Y/N Address License# 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 Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# r---- �---- -- - ______._�_____..�._.__,_- -- - _._�_._�,-----.---__.._ .._ . _ _a.._--_____-�_�_.�_ ___._._ __� _,___ .----_..�_.,,_ _---- __a�.,_._.__.____._-, Directions: -• ---_�._.__ _. �__,.,._a_ Fill out application completely. i Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract 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. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) PIOTICE OF DEED RESTRICTIOPdS• 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 _ appficable deed restrictions. , ' � - UMLICEP�SED COPITR�4CTORS AMD COP�TR�4CTOR RESPOft�SIBILITIES: 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 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"contraotor 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 Counry. TRAtdSPORTATIORI IAflPACT/UTILITBES BAfVP/RCT AFdD RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be idenCrfied at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a°certificate of occupancy"or final power release. If the project does not involve a certificate of occupanoy or final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTIOM LIER�LA�PII(Chapter 793,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 oertify 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. COPETRACTOR'SIO�IREEF2'S AFFIDA!/IT: I certffy 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 also certify that I understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies inciude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Vlletland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - 5outhwest Florida Water 11�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Heaith & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviaiion Authoriry-Runwrays. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone°V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be subm(tted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone°A" in connection with a permitted building using stem wall construction,i certify that fill will be used only to fiil the area within the stem wall. - If flll material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. if use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR T�CE O!RltdEit, 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 wrork and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig 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 permlt Issuance,or'rf work authorized by the permit is suspended or abandoned for a period of six(6)months after the iime 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,th�job is considered abandoned. lMARPdIIdG TO OWPdER: VOUR FAILURE TO RECORD A P&OTICE OF CORfIiWE1dCERfiENT flflAY RESULT Itd YOUR PAYItdG YlfllICE FOR IMPPZOVENVEiVTS TO YOUR PROPERTY. IF YOU INTEPID TO OBTAIM FIId�,NCIMG,COV�SULT WITH YOUR LEi�DER OR AN/4TTOR�dEY BEFORE RECORDIRIG Y041R PdOT6CE OF COMAflEPdCEAfIEIdT. FLORIDA JURAT(F:S.117.03) OdIRdER OR AGEPIT COPdTRACTOR Subscribed and swom lo(or affirmed)before me this Subscrlbed and swom to(or aftirmed)be(ore me this by bY YVho Islare personally knotm to me or has/have produced NVho Is/are personally known lo me or haslhave produced as identlfication. as Iden'hficatian. Notary Public Notary Public Cammission No. Commisslon No. Name of Notary typed,printed or stamped � Name of Notary typed,printed or stamped �