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HomeMy WebLinkAbout07-7275 .CITYOF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE \;i.l .~...; p 7275 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7275 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 38300 11TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-06600-0011 133.75 25.00 25.00 12/07/2007 Phone: FPM-HOOD CLEANING - SCHEDULED 12/19 ~pl.Rhd) ~ r<8J~ 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." ~ P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEcnON CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marsha. Office - 813-780-0041 Date Received City of.Zephyrhills Fire Permit Application Phone Contact for Permit 813-780-0020 Owner's Name j 13A-!-!JIJ-/{t1- I.J dll-lJlN~e?;Jjll-- v 5 t!'}CJC' II r;..t! JI/ L Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address Fax-813-780-0021 II Owner's Phone Number I J Titleholder Phone Number II Parcel # WT ~"'IiF'~"Ii~~~!'l!''''''-t... -r 1Iil --i'JIiili fllfTTI 1 rrr'\~-fr "'"" D D D D D D Other: I Contractor ... ~J:.3~ Signature ~ ~ C-c:::. Address I f' /~ 1- /3<< /l UVtn '- f< /) . ELECTRICIAN Signature I Address I Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks D D D D D D D D D D D D Job Address 13~?OO I I\-fYl Aue- Lot# I (UbJAII'IIl:U r-KUIVI t"'KUt"'t:KJ Y IAA I'IIUlll.l:) TT ~~='ZU .-.......'lI";;t;T~if - 'C~ ~ J ~,I&QM. Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation S~d- (~\~ LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Company Registered License # Company Registered License # Company Registered License # Company Registered License # Company Registered License # ~~,,- Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project WfW" 1~ v<'il ~_,ii""'W'''"''''''' I>.'~ Sub Division ~"",..=:tll!~~ ~... -- - ;Jl_IIi\"".~1 "rnw- D BiD-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood/Duct D Controlled Bum D Emergency Generator < 30 kw D Emergency Generator> 30 kw D Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression gj ~Bir:r;m ... PLUMBER Signature Address I MECHANICALI Signature . Address I OTHER Signature Address I ~ ;".;,.,...~ Directions: ...""",,.;,;'u.....-.......,,, ,....'.. -",..;."",="';_~,..,,,,,,, "~""'_'~''''_~'Jijj'''':'_.''''~''''''''''''''''' -~.' ~ ~"".~"""~ :11 I(cry[p~ Qy Q'~-Lb Y I N Fee Current Y I N I I Y IN Fee Current Y/N Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current ..! _h_'''''''''''",__."."'._. .,~.._..._..,,"_".""""".~-.==.L"'"o_ 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. ...----..--.....-......-....-....-..-...-...- ...-.... ..-..... " . .NOT,ICE~QFaEED;RESTRICTIONS: The undersignedunderstandsthatthis permit m~ybe subject to ~deed'" restrictions" .Whic.hmaybe.more ~es.trictive than County regulations. The.undersignedassumes Tesponslbillty'for compliance with any appllcabledeedrestriciJ(ilns. . . . . . . UNLICENSED CONTRACTORS AND .CONTRAC'f;OR RESPONSIBIL:.:mES: If the owner has hired a contractor or contractors. to und.ertake work, they may be required to be licensed in accordance with 'stateand local regLIlations. If the contractor IS -not licensed as required by law, both the owner and contractor may be .cited fora ..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 Pasc~ .County Building Inspection Division-Licensing Section at 727-847- 800~. .Further,!,ore,if the own;r has. hired.a ~ontractor .orcontra~tors, he is advised to have the contractor(s) sign porllons.ofthe contractor Block OUhlS 'appllcation for which they wllLbe responsible. If you, as the owner sign as the contractor, that may be an .indication that he is not properly Iicensed.and is not entitled to permitting privileges in Pasco County . CONSTRUCTION.UEN'LAW (Chapter713, Florida statutes, as amended): If valuation of work is $2,500.00 or more;" certify that I, the applicant, have been provided with a copy of the. "Florida Construction Lien Law--Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than' the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to .commencement. . . CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application .is accurate and ... __.. .., "that. all.work . will. be <lone in. compliance..with.,all..applicable..laws .regl:llatiAg.,cOAstruction,-..zoning.:and..land........._- development. Applic~tion is hereby made to obtain a permit to do work and installation as indicated. I certify that no work. or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and .Iand developm~nt regulations in. the jurisdiction. I also certify .that I understand that the regUlations of other government agencies may apply to the intended work, and that it is my responsibility to. i~entify what actions I must,take to be in compliance. . If I .am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth:in this affidavit prior ~o. comf:l1E!ncli:lg construction. I understand that a separate permit may be required for. electrical work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not specifically. included in the application. A ~rmit":is$Ued .S:h~II:p~ construed to be a .\icense to proceed with the work and not as authority to violate, cancel, alter, or setaside aniprOvisions of the technical codes, nor shall issuance of a permit prevent the Building .Official from thereafter . requirirng.a:.correction of errors in pl~ns, construction or violations o! any codes. Eve'r permit issued shall become invalid . ,i.inl~ssi:tie:jiVorK.;autnl;)rized'.bY such 'permitiscommen~ed Within SIX month~ o.f permltlssm~nce, or if work authorized by .. -tlie;peiJiifi..issu~p~rid~d or abandoned for.a period ~ SIX (6) mo~ths after the time th~ work IS commenced: An extension may"~ requested, tn .writing, from the BUlldmg Officla~ .for a penod not t~ exceed mn~ty ~90) .da~s and.wllI demonstrate , j~le cause for the extension. ff woll< ceases for nmely (90) conseculiVe days. the Job IS consIdered abandoned. WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR _ROVEMENTS T.() YPII~~!~91!Ef1.!X,.IF :!eIl!~.;!P.BN1\IJ!I,gINAt<lCING. CONSULT WI+hI :v..owR4bBIlIIDER"'(!)RJ.\.NA:Q'_NS\~)se~RE- ~:y.o~.t~,.'WTlCE OF COMMENCEMENT. :::':~:!:r~":':.":._.:-_....-~.--c:OfiiRAcro"~~' ,"' . ..... ..' .. .... .", s_ and sworn lD{or_ ......methls s_ and~sf\IDned b ..me'" . ~. ~. Wh~ is/are personally knoWn to me or has/have produced Who is/are personally to me or h . rodu::e . ~-Nomy~:~:j~~vj~9{1~ -~p- .Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped .......... . Bobbie Swetland :.~.:':I" r~:. M'( CoMM1SS.\otH. 00268763 EX~RES . ;', : ~ febrUary 22. 2008 :':"',. . . .' is,: \lONDED T"RlJ TllOV f~1N INSUR~CE, INC '::'"r;-,'" ~_._,_....~""_....._~_",,,,"",",;~~,,-,""_<O~~"-'-~ -",,"'- . - . GREASE CUTTERS 4107 BURWELL ROAD WEBSTER, FLORIDA 33597 352-206-1997 Company: Four Bears (63 C~Lj ~-\C\I;L\,"\ Address: 38300 11th Ave. ~ City, State, Zip: Zephyrhills, FI. 33540 Customer No. 0013 Frequency: 12 Weeks HOOD CLEANING: Fans: 1 Backsplash: 1 Hoods: I Filters: 3 Shafts: 1 FILTER TYPES: Quantity:-L Material: Galvanized FILTER SIZES: 15x15 15x20 15x26 20x15 20x20 3 20x26 26x15 26x20 26x26 ImSTAlJiRANT CLEANING: Floors: Bathrooms: Game Machines: Wood paneling & Trim: Bars & Counter Tops: Tables & Chairs: Windows & Mirrors: Stainless Steal: Sidewalks: Amount: $125.00 Sales Tax:$ 8.75 Total:$133.75 COMMENTS: DATE OF CONTRACT: 20 December 2000