HomeMy WebLinkAbout20-713 H�
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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 FIRE-000713-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/15/2020
Permit Type: Fire
PropertyNumber Street Address
5534 Gall Blvd
Owner Information Permit Information 'Contractor Information
Name: BLUE SKIES CALLING INC Permit Type:Fire
Class of Work:Places of Assembly
Address: 5534 5536 Gall Blvd Improve Cost:
ZEPHYRHILLS,FL 33542
Total Fees:
Phone: (504)491-4366
Amount Paid: o .
Date Paid: /r�+
Project Description
Places of Assembly
Application Fees,
R ARE@ 1t IVI RRrmit Fee $50.00
Inspections Required
Final 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 Safety Inspector 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
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."
ru&
CONT R SIGNATURE PE IT OFFICE
PERMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT - 813-780-0020
i a:on City Of ZephyrhiliS PERMtTtNUMBER '
- - ',
r` 5335 Eighth Street
Zephyrhills, FL 33542 FIRE-000713-2020
Phone: (813)780-0020
Fax: (833)7$0-0021
Issue Date: 09/15/2020
Permit Type: Fire
Property Number Street Address :. .
5534 Gall Blvd
;x
a..Qwner Information Permit Information Contractor Inforination,-., . . : .
Name: BLUE SKIES CALLING INC Permit Type:Fire
Class of Work:Places of Assembly
Address: 5534 5536 Gall Blvd Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (504)491-4366 Mechanical Valuation:
Plumbing Valuation: I / 2�
Total Valuation:$0.00 "`/// a� ZO
Total Fees:$50.00
Amount Paid:$50.00
Date Paid:10/5/2020 10:03:56AM
Project:Description
FRIED PENGUIN BAR
Application F&s11' ,
Places of Assembly Permit Fee $50.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances.NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Fire Fax-818-780-0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name f`'. e- Owners Phone Number
Owners Address c! t"t c
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address /
Job Address 3-a 3 �'J !PJ Lot#
Sub Division .cls.: �' Ps
rcei
o Bw-Hazard Waste Storage-ANNUAL o` Fumigation Tent
Comm Exhaust Kitchen Hood%Duct Hazardous Material(Tier II or RO Facility)ANNUAL
Controlled Bum Hood rInstallation
0 Emergency Generator<30 kw LP/Natural Gas-Installatior
Emergency Generator>34 kw RiNaiural Gas-ANNUAL tale
Fire Protection Maintenance;. Places of Assembly-ANNUAL
dtrlue-r-ifil® O er
Sprinkler F-I ❑ ❑ ❑ Q Recreational Bum I v
Fire Alarm ❑ ❑. ❑ Sparklers
Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys)
flre•Alann installation Q Torch RbotinglTar KetOe
❑ Fire Pumps Waste Tre'Storage ANNUAL
RFlammable Application-ANNUAL Valuation of Project
Fuel Tanks
0 Other:
Contractor j Company
Signature �� Registered Y/N Fee Current sY/N
Address License#
ELECTRICIANF Company
Signature Registered Y/Iij Fee current Y'/N
Address License#
PLUMBER Company
Signature Registered I Y/N Fee Current
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y I N
Address License#
OTHER Company
Signature Registered I Y/N Fee Current Y/N
Address License#
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Directions:
Fill out application completely.
Owner&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$50001)
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 udeed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance,with ar-,y
applicable deed restrictions.
UN"A.applicable CONTRACTO
RS RESPONSIBILITIES: If the owner hag hired a-contractor or
ED C.0 RS AND CONTRACTOR(
iiih contractors,to undertake work,they may be required to be licensed in accordance with state And local-regulations. the
co 'act 411- uIr6dF.b both d .de'nsed 66 required. d contractor may be cited for a misdemeanor ephor violation
or is no q law, m
1h the owner an
under state law. If the,owner or intended contractor are uncertain as to what licensing'requirerrien-ts may apply for the
intended work,they are advised to contact the,Paicd County Building Inspection Division—Licensing Section At-7.27-847-
... i I a contractor
or contractors,
have thecontractors)"8000—Furtheftnorei if the`owner has hired or , he is �6d' to sign
p-prtions of the -contractor Block" of this 4pplidation'foir which they Will he tespbrisible.','If yp d is the owner si n as the
.., theg
6*rcictor, that may be an indication that he is not properly licensed and is not ii�rliiiled to permitting privileges in Pasco
CONSTRUCTION LIEN LAW.(Chapter 713,Florlda-Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify d with a 66PY �'F 16'iridi Construction-Li' Liws--�Homoow-ner's
i.,y that-,1, the applicant, have. been pro�ido . h en
Protection duide° proparid'by the Vlddda D604tmoht Of Agriculture and Consumer Affairs. If the applicant is someone
e
other than the"owner", I.certify.that fhive 6pjilned a copy Of the above described document anpromige in gooA.fafth to
deliver it to tlie'u&ner"prior to comm-en-cern O i t.
CON-�t"CtOR1616WNtR'S*AF'f'iDAVIT: .1 certify that all the information in this application I"
cation is accurate and
that all work will be done in coinpliah6e With all applicable laws regulating coris'triuc'666," zoning and land
development. Application is hereby madeAd obtain a permit to do work and installation at indicated. :1 certify
that no work or installation has coi m. men66d':prior to issuance of a permit.and that.-all work will be performed to
'liating and"City codes, zoning regulations, and-lind
meet standards of all laws regulating y
devplopnierit regulations in the jurisdiction. I also certify that I Underitand that the regulations of other
government agendi.e.s may 'I ' the intended
tended Work,,and that it is my."responsibility
app yto y to iftitify what actions I
must take to be in compliance.
If I am the AGENT FOR THE'. , I promiseIHn, ood faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commending construction.n. I understand that a separate permit may be required for -electrical work,
plumbing, signs, wells, pools, air con, itionin"l., gas; o.r. other installations not specifically included in the 'application. A
-d h permit issued shall be construed, be Ike' se to pr66ee itcancel,"' Iter, or
. � _1 .. proceed with the work and not as authority y to violate, -, .a
set aside any provisions of the te61h6i6ild6des' i nor shall issuance of a permit prevent.the Building Official from thereafter
requiring a c6trebtloh-of eftors'in pliInsi construction or violations of any codes. Ev'e'.r-�yp'er�'m�i't��is-tued.i"h"ail-bedothe invalid
unless the work authorized by such permit is com
menced withih six months of permit issuance, 44 work aUthbilzed by
the permit is suspended or abandoned for a,period of six(6)months after the time the work is commenced. Arlextension
icial:fibir a"may,bejequestdd, in writing, from the Building Ofr period not to exceed ninety(90)-days and willdemonstrate
justifiable cause for the extension. If work ceages-for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT,MAY RESULT IN YOUR
-ICE 00 RIMPKQVIEMENTS;TO YOUR PROPERTY. OU INTEND TO
PAYING TWICE Y 710'i FINANCING,CONSULT
WITH YOUR.LENDER OR ANAT' T'GRNEY SkOORE.RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.111.03)
OWNER OR AGENT- CONTRACTOR
SUbscdbtd and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who IsWa personally known to me or hisiliave produced Who Islare,personally known tome has/have phiddbikl
as ldenfification. as Identification.
Notary Public -----Notary,Public
Commission No Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped