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Home My WebLink About07-7238 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7238 Permit Number: 7238 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5518 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: , Lot(s}: Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-05700-0250 11/26/2007 25.00 25.00 11/26/2007 FPM-HOOD CLEAN-QTRL Y Phone: CCf'lhp~ 1\.("3DI07 l~ FIRE LIGHT TEST-Final FIRE SYSTEM ACCEPTANCE Fina 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT 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." /~~ CONTRACT SIGNATURE P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date Received -- Owner's Name Owner's Address City of.Zephyrhills Fire Permit Application Phone Contact for Permit Fax-813-78o-0021 /&/3 11~4tjIJq3SI rL 33570 II -HOR. II 'POTOf1:/t C f1;1/?1( Owner's Phone Number ~(j~KIN ~L I Titleholder Phone Number I II Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address Sub Division ;, 'IT Im'm r ~itiII , ~f'lil~$$lmml~~~~"":.')'.""'.m.,,~ lW/J I ~~;~ "'I I - =- 7tJM/LY e:,-RJ LL s -s'-f8 I GfJLL Parcel # t Uti I AII\lt:.U ""~UIVI I""~UI""t:.~ I Y I AA I\lU II,-t:) ~Ii t:'l :fI"ll'iTii'lm~;~~~ - ffn m "VI ~_~~~,~~~t.i'~1iS:~~'olI~"..,.d';~~"l- Bio-Hazard Waste Storage - ANNUAL D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL o o o o o o D D D D D D ~-?l'~ 7 mint ~,,~., 11m,. t Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression .~ Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks J Other: ICOHPL:crr EXltffU t:;T SY5TE-f/} I Valuation of Project C t:-:etJ IJ IN C; IMII- -'!JIOa , Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered fiilimr IlHf);.,=--,......~ ii~t Fee Current Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALj Signature . Address I Y/N Y/N Y/N Y/N Fee Current Y/N Fee Current Y/N ~/7 I I I "._~_,= "='''.'~_a.,l t j""",,";,u""0:-:a.'>;-';-"'''''''''''' .,..;t-tll:)$'~H~"i:;.fiif'l::w.';c;""""""", I ";;';:j"-~~~m~~l~ Y/N Fee Current Y/N OTHER Signature I~ l"""""'"" Addr~;;,J,,,., Directions: Y/N Y/N Fee Current License # I .ll~~..1 ..Y. ~.=;;,~'i>i;""';..o:;;;';;;;';';..;"""""':l'-:''''''''''''O:;:.<''~''''''";;;,;;,:",."..;,;"',......, =,,,,,.-<;>X.;>.--.'.,;.~~.'m 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 $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. __."'_...a.__..__....-~-----..~-"'...-.~..............,.-. ..--..---...-- . p HNOT,ICE.OF-',DEED"RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed" restrictions" -which may he more restrictive .than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. ' 'UNLICENSED CONTRACTORS AND ,CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with 'state and localregtllations. 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 licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION'LlE'N'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'( 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'S/OWNER'S AFFIDAVIT: I certify that aU the information in this application is accurate and ,. ,'that. all ,work . will be-done in, compliance. with.. all..applicable-Iaws ,regulatiRg..construction,...zoniFlg..and..land....m... 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 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 other government agencies may apply to the intended work, and that it is my responsibility to. i~entify what actions I must.take to be in compliance. 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 affidavit prior ,.to commencing construction. I understand that a separate permit may be required for, electricalwork, plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically. included in the application, A permit:issuedsnall:be construed to be a license to proceed with the work and not as authority to violate, cancel. alter, or setaside any provisions of the technical codes. nor shall issuance of a permit prevent the Building Official from thereafter ,requiring,acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid ,unl~ss"iije:work;authorizedby such permit is commenced within six months.of permit. issuance, or if work authorized by . ttie:perrntt.js"susperided or abandoned for a period of six (6) months after the time the work is commenced. An extension ma~rbe requested, .tn writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate , j#~~ble cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. . ' ' WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL. T IN YOUR PAYING TWICE FOR IMPROVENiENT~ ~~ yQLJ~..~~.ge!=~!Y~}~)'~'!!t1:rE;NP..IP,9~J~lf;I.glt.lANCJNG, CONSULT wmiI :y.OlUR~L:EtalDSR-"(!)R,,AN_A+rORN,~ISEP0RE-RECCJRD1NG.YOtJK'yroTlCE OF COMMENCEMENT. i~\~~'!1'l'l!",j"-.__.__...___...__ _ ..._.._..._..u_n_n_n_mn_mPJ..-n79Ymm.::r.;. - - - -- ":OWNERDRAGENT . . CONTRACTO ~ Sub~cribed a~d sworn to {or affirmed) before me this Sub~cribed and sworn to (or affirmed) bete me this . by i\ 1'2(,10-; by Lf.\r..,i\D ~.. ~a.-~ Who is/are personally known to me or has/have produced Whp is/are personally known to me or has/have produ~d . as identification. ~ ~..,,)a... L.J.. l!. as Identification. Notary Public ~1.Cl......_ ~~!l~u~: Notary Public Commission No. .commission No. ,:o~~(f~ Karen L. Miller ::~ "0: . -.. : - Name of Notary typed. ~ .... ~__. October 29, 2010 ,w.~ Ilondod TIOI' Fltn '1"""'0, 1M. 1004II-7018 Name of Notary typed, printed or stamped INVOICE NO. . 02 9 3 8 2 INVOICE BILL TO SERVICE PERFORMt - STOP F/fM/L'r G~/LL ADDRE~.s-~ GriLL EL I/O CITY, STATE. ZIP Z-EP-HvRHILLS rL 33S4Z ADDRESS ~fIl'Lial'14. CITY, STATE. ZIP CO'WJ{J&k e)<IvaUhI- aMcI kocI ~/k~ &-... NC8745 ~--- -._-~ Permit 7252 NEVER ISSUED NOT IN SYSTEM 11-30-07