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Home My WebLink About14-15392 �' , ' CITY OF ZEPHYRHILLS f` 5335-8TH STREET ,� (sis)�so-oozo 15 2 ANNUAL FIRE PROTECTION MAINTENANCE `;"�,�;�°�.��.�PERMIT'INFORMATION �"' tt` ``µLOCATION�INFQRMATION.� � �' '� �� Permit Number: 15392 Address: 4330 20TH ST Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0070-07400-0000 � ,�..;�;_,>�...,.....0 -- - -- - - Improv. Cost: � :., WNE°R�INF:ORMA�TI:ON�,�-a�� -�� ;�,y�� Date Issued: 6/16/2014 ,Name:� ZEPHYRHILLS CORP. Total Fees: 25.00 Address: 777 W. PUTNAM AVE Amount Paid: 25.00 GREENWICH, CT 068305091 Date Paid: 6/16/2014 Phone: Work Desc: FPM-SPRINKLER ANNUAL-ZEPHYRHILLS WATER �;:'`.<��.CO;NTRACTOR $ � ''� � APPLICATION FEE$ - ` � 'i £�'f�=: 3.�F INTERNATIONAL FIRE PRO ECTION IN FIRE PERMIT FEES 25.00 , , �. <�� ,,� u U / � ` � ��_, ,,, .�:,�y . . .. _ . , .. ;I�ns ections Re uired , :�. . . .- -;�,, .__ ,�;..�q,�,.;�e�� Y-,z 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." r �')S�-;1-�,, �. 1 )�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 Received Phone Contact for Permit � � � r.--�-�..�_�.______i_..__v...._._.. �__�__..__._��__r��______-�w - __.._�.-��..�. �_ _._.__---�-=------____.�.�__..._..�-.,�._..a.._..__-_...-._.�r.__�,.. Owner's Name �� n.� � S 14 ✓`� � Owner's Phone Number � � � Owner's Address 'CT�� 't�- s�F- -, Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address �:d��--w�=:.�� - - - ----- - - - - - - -- - - - - -- - - - - ,._ -�.., Job Address Lot# � Sub Division Parcel# ��,�� _�..._.�__.._��._.�....e�_._._.._,_�,..____-.._. __...a..��__._:--__...,�._ � _..�v.�....�._v_�...�.v.-�-��_,_..._�_ _�..._��a�e.,__._� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � 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-AIdNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � t y emi �n t er /�� Sprinkler ,�❑ ❑ � � Recreational Bum S Fire Alartn � ❑ ❑ ❑ � � Sparklers � Hood Cleanin ❑ ❑ ❑ in I m In Ila i � g � � � Spr k er Syste sta t ons / q � � l Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANIdUAL � Fire Works � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q Other: �.��__._.._.__�.._ - �___m�___. -- — - -.�.r____..�_.._--�--�..J_._.��__._�-�__.- - --=____�-._.._��: ..___��..._�.�. - Contractor � � Company �� r4- �DK s4 ,�a2.e � r� Signature � Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature r 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# G-T- °- --- ---- ---- - -- --- -- ..___�__;�__...._.._.... ._____s_._�_z..�_,___ __-- . ' --_"'�-- ._,_----•-.--_:_-------�__�_.._...a__,.-- --• -- --_..ea_..-_____z. Directions: - � --° ---°�-- ------•-_w.__ _____�.._�_ Fill out application completely. 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) iVOTICE OF DEED RESTRICTIO�S: The undersigned understands that this permit may be subject to"deed"restrictions" � which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any � app(icable deed restrictions. �" UNLICENSED COMTR�4CTORS AIdD COMTRACTOR 12ESPOMSIBILITIES: 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"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 Pasco County TRAP�SPORTMTIOtd IAflPI�CTIUTILITIES IAflPACT AIdD RESOURCE RECO!/ERY 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 identified 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 occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. COfdSTRUCTIOtd LIEfd LA1M(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 certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"priar to commencement. , COMYftACTOR'SIOIAINER'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 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 regufations, 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 include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - 5outhwest Florida Water tJlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Arm Cor s of En ineers-Seawalls,Docks,Navigable Waterways. Y P 9 - Department of Health & Rehabllitative Seroices/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:� - Use of fill is not allowed in Flood Zone"V°unless expressly permltted. - If the fiil 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 wlth a permitted building using stem wall constn�ction,I certity that fill vufll be used only to Till the area withln 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 TFOE OWPIER,I promise in good faith to inform the ovuner of the permitting conditions set forth fn this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, alr conditioning, gas, or other Installations not specifically induded 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 prevent the Buildirig Official ftom thereafter requiring a correction of errors In plans,construction or violations of any codes. Every permit issued shall become invalid uniess 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 is commenced. An extension may be requested, in writing,from the Building Official far 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 abandoned. VdARP11P�G TO OMIV�ER: YOUR FAILURE TO RECORD A PBOTICE OF COR�NiEFdCEMENT flAAY RESULT IN YOUR PAYING TWICE FOR IfIflPROVEWOEMTS YO YOUR PROPERTY. IF YOU IfdTEtdD TO OBTAIN4 FItdANCIMG,COIdSULT VNITH VOUR LEMDER OR�.Pd ATTORMEY BEFORE RECORDING YOUR IdOTICE OF COAARAEPICEAAEPlT. FLORIDA JURAT(F:S.117.D3) OWPdER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)betore me this Subsaibed end swom to(or afflrmed)before me this by y Who Islare personaliy known lo me or has/have produced Who Is/are personally known to me or haslhave produced as identlficaBon. as IdenHficatlon. Notary Public Notary Public Commission No. Commisslon No. Name of Notary typed,pdnted or stamped � Name of Notary typed,printed or stamped �