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Home My WebLink About14-15523 ,�. CITY OF Z PHYRHILLS � � _; 5335-8 H STREET �� ' (813)7 0-0020 15 23 ANNUAL FIRE PROTE TION MAINTENANCE r ' ��PERMIT INFORMATION � LOCATION INFORMATION � � � �Permit Number: 15523 Address: 38220 HENRY DR 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: 02-26-21-0080-OOA00-0122 Improv. Cost: OWNER INFORMATION � � � ` ' Date Issued: 7/25/201.4 Name: HCRA PROPERTIES I LLC P Total Fees: 55.00 Address: 333 N SUMMIT ST Amount Paid: 55.00 TOLEDO OH 43604 Date Paid: 7/25/2014 Phone: (813)788-7114 Work Desc: ANNUAL FIRE PROTECTION MAIN ENANCE CONTRACTOR S APPLICATION FEES ' EVEREADY FIRE&SECURI Y EQ IPME FIRE PERMIT FEES 25.00 CONTRACTOR CERTIFICATE � 30.00 / I�� Ins ection 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 i spections, plan review,administrative fees,and other costs related to e aforementioned. Complete Plans, Specifications and Fee Must Accompany Ap lication. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or pening up for commercial activity without an approved final inspection shall be charged double permit fee per day of peration or a minimum of$100.00, whichever is greater. All work shall be performed in accord nce with City Codes and Ordinances. "WARNING TO OWNER: YOUR AILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT." ..-� �l�'-t-t:- �' �� )�;,� � PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RE CUE DEPT- 813-780-0041 813-780-0020 City of Ze hyrhills Fire Fax-813-780-0021 Permit pplication Date Recerved Phone Contact for Permit V C��C��J_l� ��:°.:.v,.«�_�w_ �_.�. .�.a��-�.:�.;-_��-�°.��.:��.�-- .r..w__...�,�-��__--.r-=.�-.�,.� _ �____._ Owner's Name _.r1-Y�.�CL.PI-�J n p�� N 2! L l- Owners Phone Number 'b �?j � 7 I� Owner's Address ��-ZC� (�� Fee Simple Tilleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address L.._:`...,...��......��.__. .T,.,=��c�...�,_ _..�__,...Y,.,w.,...� -- - _ ..�._..-�,-M_� ' -_� Job Address, �� Z-ZQ ��1- �JL- Lot# n� Sub Division Parcel# �..._�.�.-..�.,,.,___�.__,_.� - �...�..`�.�_°...��--�.�.._......_.wM.�..,�,,.�-adti�-�.. ,._.....M,-�_.�..�.,.�.....�-�.....W,_..�......,�.,..__.._-.,._.—.,..�,:.o..�.-e.:��,�,_..�..�...,�_...�....3....._�__._.,� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � 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 r y emi � t er Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � Sparklers Hood Cleaning � ❑ ❑ ❑ � Sprinkler System Installations Hood Suppression � ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Q Other: .�_ _ _�� ...V. _......._a..�.._....�.v,_.._._...�. ..:�.w,..� -_ .- - v...�,�,...,.�.�,.._wa..�..� ...:...�.,`.,,....�.�___�___.--� Contractor ; � � Company ��=��4��( �lf�-C= Signature Registered Y/N 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,_.__ .._.._._. ,..,�=- -�_....._.._..��._.__�._..M._.�- - w�.�_..�..�.�__.___....._..__s�.a_._..__..__� Directions: Fill out application completely Owner 8 Contractor sign back of application,notarized(Or,copy of si ned contract with owner) If over$2500,a Notice of Commencement is required(Mechanical wo k over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parc I#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) ii NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" ;� which may be more resfrictive than Gaun#y reguEations. The undersigned assumes responsibility for campl'rance with any +�� applicable deed restrictlons. � ,� UNLICENSED CONTRACTORS AND CONTR�4CTOR RESPONSIBIUTI�S: If the owner has hired a contractor or ' ':� contractors to undertake work,fhey may be required to 6e i3censed In accordsnce wlth state and iocal regulaflons. If the cantracfor is not licensed as required by law, both fhe owner and contractor may be cited for a misdemeanor vialation under state law. If the ow�er or intended contractor are uncertaln as to what licensing requirements may apply for the � intended wark,they are advised to contact the Pasco Caunty BuGlding lnspect(on Dfvis3on--Licensing Sec#ion at 727-847- 8009. Furthermore, tf the owner has hired a contractor or contractors, he is advised to have the contractor(sj sign portions of the"contractor Block' aP this applicatian for which they will be responsible. If you, as the owner slgn as the oantractar,that may be an'sndication thaE he ts not properly#icensed and!s noE entifled to permitting privlleges in Pasca Caunty. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands that Transportation lmpaot Fees and Recourse Recovery Pees may appiy to the canstructtan af new 6u9(dings,change of use in existing buildings, or expansion of existing buildings, as spec�ed in Pasco Counfy Ordinanee number 89-07 and ' 90-Q7,as amended. The undersfgned alsa understands,that such fees,as may be due,will be fdentified at the time of permitting. it is further understood that T�ansportatEon tmpact Faes and f2esource Recavery Fees must be paid prior to receiving a'certificete of occupancy"or fina3 power reiease. !f the project does no#invoive a certificate of occttpancy or final power release, the fees must be pafd prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact � fees are due,they must be paid prlor to permit issuance in accordance with applfcable Pasco County ordinances. CONSTRUCTIOT!�1EN LAW(Chapter 713,F[orlda Statutes,as amended): tf valua#ian of wark is$2,500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Canstruction Lien Law--Homeowner's Pratection Guide"prepared by the Florida pepartment of Agriculkure and Consumer Affairs. If the applicant fs someone i ather fhan the°owner",1 certify that I have abtained a capy of the above described doc�menf and promtse in good faith to deliver it to the"owner"priar to commencement. COPITRACTOR'SlOWNER"S AFF![IAVIT: I ce�tlfy that al!the infarmation in this applicatian fs accurate and that all work wili'be done In camplianee with ati applicable laws regutating construc#iQn,zoning and land devetapment. Appiicatiot�is hereby made to obtain a permit to do work and installallon as lndicated. I certify that no work or installation has commenced prior to issuance of a Qennit and that al!work will be performed to meet standards of all laws regulating • consfruction, Counfy and Cify codes, zontng regulafsons, and land devetopment regulat€ons in the jurisdic#9on. 1 al"so certify that I Unde�skand that the regulations of ottier govemment agencies may apply to the intended work, and that it is I my responsibility to identffy what acktons I must take to be In compiiance. Such agencies Include but are not Iimited to: _ - Departmenf of Env�ronmental Profection-Gypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/WastewaterTreatment. ' - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering I Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - bepartment of Health $� Rehabilitative Services/Enviranmental Heallh Unit-Wells, Wasteweter Treatment, Septic Tanlcs. - US Environmentaf Protectton Agency-Asbestos abatemenf. - Federal Aviation Authority-Runways. t understand thaf the fallowing restrictians apply to the use af fiit;� - Use of flli is nat allowed in Fiood Zone"V"untess expressly permitted. - If the flll material is to be used in Finod Zone "A", (t is understoad that a drainage plan addressing a °compensating volume"wi11 be submitted at time of permitting which is prepared by a profsssionai�agineer licensed by ifie Sfate of Fforida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall constnsction,1 ce�tlfy that fill wiN be used oniy to fiii fhe area withfn the stem wai(. - If fi11 material is ta be used in any area, 1 certiiy tha# use nf such fiii wili not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for vialating the conditions of fhe buitding permit Issued under the attached,permit application,�for lots {ess than ane(1} acre whfch are elevated by flil,an engineered drainage plan ls required, If I am the AGENT FOR THE OWfdER,I promise in good faith to inform the owner of the permitting condikions set forth in this affldavEt prior to cammencfing construction. f understand that a separate permit may be required for etectrical work, plumbing, signs,wetls, paols, air conditioning, gas, or other tnstatlations nat spec�ically inctuded in the appiication. A permlt issued shail be construed to be a license ta proceed with the work and not as authority to violate,cancel,elter, or set aside any provisions af the technical codes,nor shatl issuance of a permft prevent the Buildirig Official ftom tbereafter requiring a correction of errors in pians,construefian or violations of any cadss. Every permlt issued shall became invaiid unless the work authorized by such permit is comme�ced within six months of permit fssuance,or'rf work authorized by the permit Is suspended or abandoned for a period of six(6)months after the Rime the work is commenced. An extension may be requested, in writing,from the Suifding Offrciai for a perlod nat to exceed nine#y{94)days and wili demanstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,th�}ob is considered abandoned. WARN9NG TO OWNER: YOUR FAtLURE TO R�CORp A FtOl'ICE OF COtVtMEP1GEMENT�VIAY gtEStILT SN YOiJR PAYING TWICE FOR IRAPROVEMENTS TD Y�UR PROPERTY. IF YOU INTEND 70 OBTAIN FINANCENG,CQNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLt7RtDA JURAF{F:S.11 T.03} OVdNER OR AGENT GONTRAG70R Subscribed and swom to(or aRirsned)beEore me thls Sudsaibed end swnm to(or aflirmed)before me this by �Y Who islare personalry known to me or has/have produced Who is/are personat(y known to me or hasfiave produced as identlfiqtlon. as IdenBficaGon. Notary Publlc Notary Public Cammission No. Commissian t1o. Name of Natary typed,prtnted flr stamped � Name of Notary lyped,printed or stamped