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Home My WebLink About15-15936 CI OF ZEPHYRHILLS • -�'^ 5335-8TH STREET (sis)�so-oozo 159 6 ANNUAL FIRE ROTECTION MAINTENANCE PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15936 A��itJ( Address: 5444 4TH ST Permit Type: FIRE PROTECTION AINTE ANC ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS � Est. Value: Parcel Number: 11-26-21-0010-06300-0110 Improv. Cost: OWNER INFORMATION Date Issued: 1/22/2015 Name: CHURCH OF CHRIST Total Fees: 50.00 Address: 5444 4TH ST , Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/22/2015 Phone: Work Desc: PLACE OF ASSEMBLY- CH RCH OF CHRIST- EXP 1/2016 CONTRACTOR S APPLICATION FEES ER FIRE PERMIT FE S 50.00 � - Z � -- � S �� In ections Re uired F RE A CEPTANCE Final Chapter 633, Florida Statutes,authorizes t e City to charge and collect user fees to pay for the costs of fire prevention and protection related activities uch as inspections, plan review,administrative fees,and other costs re ated to the aforementioned. Complete Plans, Specifications and Fee Must Acco pany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required ermits or opening up for commercial activity without an approved final inspection shall be charged double permit fee p r day of operation or a minimum of$100.00, whichever is greater. All work shall be performe in accordance with City Codes and Ordinances. "WARNING TO OWNER: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT I 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 OMMENCEMENT." PERMIT OFFIC PERMIT EXPIRES IN 0 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSP CTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 ��i ; t�+13-780-0020 ity of Zephyrhills Fire Fax-813-780-0021 Z. - =� Permit Application �� r , Date Received y 1 — 2 Z— 1 5 Phone Contact for Permit ��2, �6� 7,� i �k:,x:-x,. ...,;e=�r,\=ir.�..��x.:l..�.;+3;�.,,.-.a-�_..»..,,.,.,......._.,..�..:.e:;:�.r.:..-:...--7:�;.[-:,...r ��:.�.,L,.....-w•rn..^.r•-:.i:..�t��s!;:rr»",,.:.�m;c�'3.:3x-.'�_:.4r:J?-:c:.a.��_s.�we..��+�.��_� ,.-�,...rza:� Owner's Name C.kv t�c.� � c��,5-�-- Owner's Phone Number � � � Owner's Address � �L S'}S�o� Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address 1 t_.�..Y _t,K..�..,.�:'•�"-i�,..__._ - - - °.".�„'�.w.._-°n^-:�''°__:a._ ..e::&'•-�...�:,.�•.°:^'.�7y...~;....::.:':-�"'�.,r�--;:°s-==.».a:a=,:�:...,^T�.s�a�-_.^'S..w..`��a�r�r•,....".'"` »mc,a.:- -�,.-x<..r;�:��°�;.a-°-,-".`�.:�7 �ob Aad�ess 5r�� ' ps'f'�� ' �ot# � Sub Division Parcel# f:°'�%�-`ro.""�.�;=�.s=�.�w.%^�.',:"':�-"::°...:y.ti:.�.-.,_3,T�F.'a� .,'.;'.:�6;;n;-F="-'-.�^' :"�-'� ,�`C-.^:s..,..-..�t a__, ,c �-'-!� _�.;_.-, y".-`"`. --- _ . _ . .: ,..- . ..- c.. . 'ih,:,. ._�%A'�"�_°"'__e�>.i.M'�°"sae.':�':.:':'.:.�^7=.-r`�.^ ..'°�°.,.�_�-:+..�•�,..a-^� � Bio-Ha7ard 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 Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkter Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammabieApplication-ANPIUAL Valuation of Project � Fuel Tanks Q other: �_,u,.o....-.-C':.4:��':'G°:we.,......ti:.�.:,�Y`.'.'.-..:......-,-...-......".,z,._z«-�:.^+".t'a_«......,�. �.�::'€:""'�.7'��..:..�.�.3..-w,'�ac';:�..:�,'C.��_°1'.`..�.::.,_a""'°,.,;^...,,..4....�,=,...•s_eR,"p'�.�-.-a,'-"�"tic°xr...:..:z2'6.�:,��•.....'°"..,._^.�,'�'b:-.,a:..."^^`"`�-.xx.e..�"'i....�-....�._�,_,�-Y;�7 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 CuRent 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# J._ .�.i.e^�.:t-.�s....�. _-. . '.�.:��._.4=:_.�..�'-:.�+^:eL:'iCSt;`»z ,...._,.f:..a ...:.n_,_:......'.x.«.1:Y>� '-we.�.'i...�...P.�.-..=.i��2�..w...i...-.. .v. .e.� :z.r .4 ,......-v-.. YWV1.-..=+M.�++.•a7=-..... ;.Iw_.�...�,,....�a., s�.s- :T. . .. -i°f.o..�.:- .....:. , .,....�. .,. ...�,-..... .. i-" ' . . � .- _ . - - a e ._n. Directions: � Fill out application completely. Owner 8 Contractor sign back of application,notarize (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 docu entation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) �• NOTICE OF DEED RESTRICTIONS: The undersigned understands that 4his permit may be subject to"deed"restrictions" �°j�� which may be more resVictive than County regulations. The undersigned assumes responsibllity for compliance with any '�."'� -> applicable deed restrictlons. � UNLICENSED CONTRACTORS AP1D CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accardance with state and looal 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 Ilcensed and is not entiUed to permitting privileges in Pasco Caunty. TRANSPORTATION IMPACT/UTILITIES 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 spec�ed 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 fdentified at the time of permitting. It is further understood thal Transportation Impact Fees and Resource Recovery Fees must be paid prior to recefving 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. Furthertnore, ff Pasco County WateNSewer Impact fees are due,they must be paid prior to permit issuance in accordance with appifcable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florlda 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 Florlda Department of Agriculture and Consumer Affairs. If the applicant is someone other than the°owner",I certify that I have abtained 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 certify that all the information in this applfcation is accurate and that all work will be done in compflance with all appHcable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installatlon as indicated. I ceriify 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 regula6ons, and land development regulatlons in the jurisdiction. I also certify that I understand that the regulaiions of attier govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compiiance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. - Sauthwest Florida Water Management Dlstrict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department af Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protectlon Agency-Asbestos abatement. - Federal Aviafion 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 permitted. - If the flll material is to be used In Flood Zane "A", it is understood that a drainage plan addressing a °compensating volume"wiil be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If ihe fill material is to be used in Flood Zone 'A° in connection with a permitted building using stem wail construction,I certify that fill will be used only to fill the area within the stem wali. - If Tili material is to be used in any area, I certlfy that use of such fill will not adversely affect adjacent praperties. If use of flll is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building pertnit issued under the attached permft application,for lots less than one(1) acre which are elevated by flll,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 forth in this aftidavit prior to commencing construclion. I understand that a separete permit may be required for electrical work, plumbing, signs,wells, pools, afr conditioning, gas, or other installations not specitically 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 arry provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official irom thereafter requiring a correction of errors in plans,conshuction or violations of any codes. Every permit Issued shall become invalid unless ihe work authorized by such permit is commenced within six months of permit fssuance,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 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. 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 BEFO E RECORDING YOU NOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.1 7.03) _. f OWNER OR AGENT CONTRACTOR Su6sul6ed and swom to(o a(flrmed)befor me thfs Subsalbed and swom to(or affirtned)before me Ihls , y�, by Who Islare personally known to me or hasmave produced Who IsJare personally Imawn to me or has/have produced asidentlficadon. asidentlfication. Notary Public _ Nohary Pubiic Commisslon No. Commisslon Na. Name of Notary typad,printed or stamped Name of Notary typed,printed or stamped