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Home My WebLink About14-15872 �P r ;. CITY OF ZEPHYRHILLS � `� �rr�'` 5335-8TH STREET (si3)�so-oozo 1 58 2 s FIRE WORKS PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15872 Address: 4241 SKYDIVE LN Permit Type: FIRE WORKS ZEPHYRHILLS, FL. Class of Work: FIRE WORKS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 18-26-22-0010-08600-0000 Improv. Cost: OWNER INFORMATION Date Issued: 12/23/2014 Name: CITY OF ZEPHYHRILLS Total Fees: 500.00 Address: 4241 SKYDIVE LANE Amount Paid: 500.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/23/2014 Phone: Y'13 - �q8 - 6Q�{ Work Desc: TEMP SPECIAL FIREWORKS EVENT ON DEC 31, 2014 -JAN 1, 2015 (MIDNIGHT) CONTRACTOR S APPLICATION FEES O OWNER FIRE PERMIT FEES 500.00 I I �� f�� L ' � Z - � I -� `'� - ' �J�� Ins ections Re uired - � FIRE RKS SITE INSPECTION 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. "FIREWORKS" per Section 791.01, Florida Statutes are considered as any combustible or explosive composition or substance or combination of substances or,except as hereinafter provided,any article prepared for the purpose of producing visible or audible effect by combustion,explosion,deflagration,or detonation. _--` `^ �� ,� 5�.� "�P PLI cA i 10�! �1, 1�.,,.:,-�, _c- `�!l';�`''r;��''� , CONTRACTOR SIGNATURE PERMIT OFFICER '�' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-790-0020 City of Zephyrhills Fire Fax-813-780-0021 �o.. Permit Application 6, Date Received -•� PhoneLC�ontact for�Permit __�� .:x�:;�........��:�.�...,�.a.�:_��...L,� ;...�w.t.�,._.......r;�,,:..._,=�__�_..�M:.��:..�::�•.:�rx.,m.._,.�_�._..::;:t:.,=,=F�.-�.�:�..;,.r Owner's Name V f �l �� Owner's Phone Number � � [� Owner's Address I (�� 1 rl�v� �I� z ��-�-� �� J�� Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address f i':"'_,":�"�::`e'�w:s�:±=::'.,.__...-..a�i:.�:'�-",.'..i�. '=<k'�" �.:._'>"L�.+�:.::. �'-�.-°Y"..a."_"'..:+'.�:='.==.,.---""i�".a�::,-..:.:°'�."" --- ,�-.---_..a.a.':%-� �.°"'+..-..`•—°..•_"'.�,.�`-�::-'�;:�.^��,..."°'.:i.,J Job Address �� 1 1 ��Y o�� e,� TY Lot# � � Sub Division Parcel# �� ,�,..�:A-�•r-..-._.�x�:,-.....r�:�-,-.�r:v._,,:;-�.w^..��...^-�Kr....��;-.�•��..:^,..�.-::�=..-=�c;._.,.,.� MG.,...,�....._�.,.r,d'�.-��..^�:�,`-°_^....,..�-.Pz�.^:�~�.*�:...�-..��..-;�."��.�.,.�--..�..w..�_..,.,a � 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 �n t er Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers �rJs�� Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations �, Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar KetUe � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks , � other. � �1,�?p l S �b � S EC 3 2D/ A-T VF c r� . ,_�._--;.wt�-..-__.....�,..___...� - _....,_.-u....,,�. ....w:�.:r-:.�:._<..�:�.��R:�.:;.,:-:t.�,..,�.:.��-....�.:��--�,• .a.u.V....�„�.,.,._�,-tx.-M��..:-^.�,va�•�<...e..�a,,,�...d,n�;.a~.�^.r-�.s:.._;:� Contractor � Company 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# - v�. ..�..e ......-�-.:.k':i.....,..=.r.JJ..a.,:...=r.u_-�:�..:.c �-..1...i.e..'-_'F.:�...-._.:.6�._.._.,:_-.-'.�ur....;.i:+::ir-.w.!Y_.-.��....-__.-..�-.....=.F��=.w..�y.+ ....-�..ua..-_�...Y'....�r.i._..>;.�s_�.\_-.�....-.—.� �Directions: Fiil 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) NOTICE OF DEED RESTRICTIONS: 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 �• � � applicable deed restrictlans. b UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a conhactor 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 conMactors, he is advised to have the �ontractor(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 entitied to permitting privileges in Pasco County. . TRANSPORTATION IMPACTNTILITIES IMPACT AND 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 specffied 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 TransportaUon Impact Fees and Resource Recovery Fees must be paid prior to receiving a'certificate of occupancy°orfinal power release. If the project.does not involve a cert�cate of occupancy or final power release,the fees must be paid prior to permit issuance. FurtheRnore, if Pasco County Water/Sewer Impact fees are due,they must be pald prior to permit issuance In accardance with applicable Pasco County ordinances. 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'SIOWNER'S AFFIDAVIT: I cerlify 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 InstallaUon as indicated. I cerl'rfy that no work or installatton 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 ottier govemment agencies may apply to the intended work,and that it is my responslbility to identify what actions I must take to be in compliance. Such agencfes include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, WeUand Areas a�d Environmentally Sensitnre Lands,WatedWastewater Treatment. ' - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental ProtecUon Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fili:� - Use of flll is not allowed in Flood Zone'V°unless expressly pertnitted. - - If the flll materlal is ta be used iri Flood Zone 'A", it is understood that a drainage plan addressing a ' , 'compensating volume"will be submitted at time of pem►itting which is prepared by a professional engineer licensed by the State of Florida. - If ihe flll material is to be used in Flood Zone°A° in connection with a permifled building using stem wall construction,I certify that fill will be used only to fill the area within the stem wali. - If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent ' I properties. If use af fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building pertnit Issued under the attached permit application,for lots less than one(1) acre which are elevated by ftll,an engineered drainage plan is required. if I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set farth in this aifidavft 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 specHically 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 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 permit fssuance,or H 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 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. I 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) � OWNER OR AGENT CONTRACTOR Subsalbed and svuom to(or atNrtned)befo2 me this Subsulbed end swom to(or aflirtned)before me this �, by VYho lslare parsonalty known to me or haslhave produced Who tslare personally Imown to me or haslhave produeed as identlficatlon. as Identlfiration. Notary Pubiic Nohary Pu61ic Commisslon No. Commisslon No. Name of Notary typed,printed or stamped Name oi Nohary typed,printed or shamped