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Home My WebLink About15-16429 r � CITY OF ZEPHYRHILLS 533 -8TH STREET (s�s)�so-oozo 16 9 COMM EXHAUST HOOD/DUCT PERMIT PERMIT INFORMATION LOCATION INFORMATION . � Permit Number: 16429 Address: 5009 GALL BLVD - Permit Type: FIRE C011/IM EXH HOOD/DUCT ZEPHYRHILLS, FL. Class of Work: FIRE-COM EXH KITCHEN HOOD/ UC�iTownship: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-2088-0060 Improv. Cost: OWNER INFORMATION Date Issued: 7/08/2015 Name: PATEL CHIRAG Total Fees: 110.00 Address: 12106 STEPPINGSTONE BLVD Amount Paid: 110.00 TAMPA FL 33635-6254 Date Paid: 7/08/2015 Phone: 813-779-8000 Work Desc: LOWER 2 NOZZLES ON THE FRYERS CONTRACTOR S APPLICATION FEES ALL AMERICAN FIRE&SAF INC FIRE PERMIT FEES 50.00 F RE INSPECTION FEES 30.00 CONTRACTOR CERTIFICATE 30.00 �� r L�� ° � t'/�Cr'G(� �n l�. b?� Ins ections Re uired FIRE L GHT TEST-Final Chapter 633, Florida Statutes,authorizes the Ci ' 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 Accompan�r 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 da�of operation or a minimum of$100.00, whichever is greater. All work shall be performed in ac ordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE�ULT 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 COMME ENT." � TRACTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 � I ' NOTICE 1�F DEED"RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions° � '~�` which may be more restrictive than County regulations. The undersigned as umes responsibllity for compiiance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE : If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accor ance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contract r may be cited for a misdemeanor violatfon under state law. If the owner or intended contractor are uncertain as to w at licensing requirements may appiy for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licerising Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, h� is advised to have the contractor(s) sign portions of the"contractor Block°of this application for which they will be r sponsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is ot entided to permitting privileges in Pasco Caunty. TRANSPORTATION IMPACTfUTiLITIES IMPACT AND 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 asco 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 Re ource Recovery Fees must be paid prior to receiving a°certficate of occupancy"or final power release. If the project d es not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthe ore, ff Pasco County WaterlSewer Impact , fees are due,they must be paid prior to permit Issuance in accardance with a plicable 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 pravided with a copy of the °Flarida Construction Lien Law—Homeowner's Protection Guide°prepared by the Florida Department of Agriculture and C nsumer Affairs. If the applicant is someone other than the°owner",I certify that I have obtained a copy of the above des ribed 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 application is accurate and that all work will be done in compliance with all applicable laws regulating construction, oning 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 perfo ed to meet standards of all laws regulating construction, County and City codes, zoning regulafions, and land develo ment regulations in the jurisdiction. I also certify that I Understand fhat the regulations of otfier govemment agencies ay apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Su h agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, �tland Areas and Environmentaily Sensitive Lands,WaterlWastewater Treatment. , - - - Southwest Florida Water Management District-Weils, Cyp ess Bayheads, WeEland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Mavigable Waterway . _ - Department of Health & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the fallowing restrictions apply to the use of fill:� , - Use of fill is not ailowed in Flood Zone"V°unless expressly perm tted. - If the flll material is to be used in Flaod Zone °A", it is und rstood that a drainage plan addressing a °compensating volume"will be.submttted at time of permitting ich is prepared by a professianal engineer licensed by the State of Florida. - - If the fill material is to be used in Flood Zone °A" in connecti n with a permitted building using stem wall , - construction,I certify that flll will be used only to fill the area withi the stem wall. - - If flll material is ta be used in any area, I certify that use o such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent p perties,the owner may be cited for violating the condltions of the building pertnit issued under the attached pertnit appiication,for lots less than one(1) acre which are elevated by ftll,an engineered drainage plan is re uired. If i am the AGENT FOR THE OWNER,I promise in good faith to inform the wner 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 n}�t specffically included in the application. A permit issued shall be construed to be a license to proceed with the work arSd not as authority to violate,cancel,alter,or set aside any provisions of the technical cbdes,nor shall issuance of a pe it prevent the Buildirig Official from thereafter requiring a correction of errors in plans,construction or violations of any cod s. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six month of pertnit issuance,or'rf work authorized by the permit is suspended or abandoned for a periad of six(B)months after th time the work is commenced. An extension may 6e requested, in writing,from the Building Official for a period not to e ceed ninety(90)days and will demonstrate justffiable cause for the extension. If work ceases for nineiy(90)consecutiv days,th�job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF OMMENCEMENT MAY RESULT.IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�IOTICE OF COMMENCEMENT FLORIDA JURAT(F:S.117.03) OYYNER OR AGENT CONTRACTOR Subscribed and swom to(or afflrtned)before me this Subsalbed and bsvwm t (or aflirmed)before me this by VYho is/are personally known to me or has/have produced Who is/are personally own to me or haslhave produced as identlfipdon. as IdendBcatlon. I Nohary Public Notary Public i Commissfon No. Commission No. i Name of Notary typed,pdnted or stamped � Name of Notary typed, dnted or sfamped � � I 813-780-0020 Cify of Zephyrhills Fire Fax-813-78� I �""��`'` Permit Application �i ��L� � Date Received — ^-jJT ....__.�_a._...,...e,..�_r,�.__ _...�.._.,._.__.. .�,�__.��.�_._ e Gantact for �. , �,._.t,_ .....�.:.-v.,�._.:_�.=.«...__�..�...._:�...r_w�....„�_�_....v...--�..w._.._._,.,..,..._rn..._...,_._.,. ,,.._��.....,.,.�_. __.��_=__e__:._�_....___._ra..:.....,._�i._._..�_.<_�_._.....,..�..,�.,.,.,..,ti._... _r�_<..._..u. Phon Permit �t'� Owne�s Name �!C� C �C3 Et,RJ�� t�e Owners Phane Number.� C7� . , .- `7� _ N �itX'.7� Owners Address ,. Q�.7 � � � �� Fee Simple Titlehalder Name Tikleholder Phone Number �� C� �� Fee Simple Titlehol@er Address -�------:.�;.__.__..__.�.,._,w_,-m„,r,�.:s-r--__m.� _ ,.___w A�...�_..__.�___ _ ,--� „�--,_----°-�--�-�- - - --�.f, �. �.�,.,..__,:,-a_,.��.n.� .,-.-�-_-- �v,....��..__..,:.�.- ;.._�.__y_.�...:� .a.., _.�s�..�_ .�.:_. _.._ �:._. ..,�.,a._,.�.: _.�W.�..,.�_.._::,�.._�,.__.�,w_. ..., �.-.,�-- _ .w:.,.� _,-i.�.-�._n..,,.eM..,.�.e.� -� . ��.,,..,... w3 Jpb Address �� Lot# Sub Divisian Parcel# ,..w__�,�,z.,,...,_..,.� ,:r-- �-.-w--,�-.,_.,��:,.......,�.,-��....�_� a-..f.,_..��_,._._<...� . � __�,_� - - - - - �..._.__,___�_.__._�.u.�__».,_„_._...�_,_...��_.�.,._.M. .._�_�.___. ,.�_. ,.:, ..__�_,v�._°-__, __�.�..�.,.�,�>,...._�_.__....�..�:+-w. _.-----._,�:._�_..... :.�,._.._ �__ •_:..s_.F� � Bia-Hazard Waste 8torage-ANNUAI. � Fumigation Tent Gamm Exhaust fCitchen HoodlDuct � Nazardous Mateeial(Tier i{or RQ Facitity}APINUA� /� � Controlled Burn Hood Installation � Emergency�enerator<3p� o �PlNatural�as-Installatiort � Emergency C�enerator>30 kw o LP/Natural Gas-ANNUAL Sale QFire Protec#ion Maintenance-ANNUAL � Places of Assembly-ANNUAL ❑ t y emi � t er ❑ Sgrinkier CI ❑ ❑ Recreational Bum � t��2 q Fire Alarm � ❑ ❑ ❑ � � $parklers Haod Cleaning � ❑ ❑ ❑ � � gpR�kler System Irtstallatians i Hoad Suppression � � ❑ ❑ � � Standpipes{Sprinkler Sys) � Fire Aiarm insta(tation � Tarch RoafingiTar Keftle � Ffre Pumps � Waste Tire Storage ANNUAL � FlammableApplication-ANNUAL �i�� Valuation of Project Fuel Tanks Q Qther: i,o wc?�r 1��r c`�2 r.:.��_.:-.,�..�_,� _ _ .._�..._� <:�_.._.�._ .��..g e.�-_°t..�w��__U.w.,. _._.a,�._ m..�_...�.__..�.0 -- W------�=:..�-.�° �r`OtltCdCtpJ' .�� ,.,............:-�'» _v.,..-':.-�:,_..__ -...".;','�.,,.. H..,.._.,,."'.,`�±:eu 'E'"a Gompany yy��njZj�� Signature �'t'� • Registered Y/N Fee Current Y/N Address � � �� icense# ELECTRICIAN Cqmpany Signature Registered Y/11E Fee Current Y/N Address License# PLUMBER Campany Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Campany Signature Registered Y/N Fee Current Y/N Address License# OTHEi2 Company Signature Registered Y/N Fee Current Y/N Address Lice�se# ,__�._.��._„,�� ..,..�._.__�::-0.__ - _ , .., _�:�-�..w_.�...,�-....._„..;�:__-�..�.,.�:�_.: �-_�x.:...�._r,...:. _ ,. Directions: __.,. __.we_..�„�....._.,._._�__._._.._..�.__,:'K_-_e�_,..._A� ._,.._____ _._._W.:..<.w..._.._..,�..�_y��:__,....��t--._��_� Fi(I out applioation completeiy. Owner 8 Cantractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of CommeRCement is required(Mechanica(worlc aver$5000) Supply twea(2)sets of drawings with applicab(e documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascagov.com) � o r (1�� -t� i ` L r' � �.,��fi 1�r�Z�L E s c� l,� r2 F'� �G-,�S � � � � � I �,� �� { � � i \ � '� �� ; � N ,� � '� � '� . � I� � .. � ti 4� � �=`_ s�• . ;� `�� .. � � m- ;*� � � n � �, - .� Y t� F' �� y,� r� '��,',�-, t.�f .�^� � \ / . � ' / I ///'''�� 'y a � � � �� Y �