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Home My WebLink About08-7424 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7424 Permit Number: 7424 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: 5506 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-05700-0256 1/25/2008 25.00 25.00 1/25/2008 Phone: FPM-KFC - HOOD CLEAN - WILL CLEAN WK OF FEB 4TH Name: PHIL MO .INC Address: 1108 W BRANDON BLVD BRANDON FL 33511 c~ - \~t3 2-1\"~(D<6 I~ 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 INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 I City of Zephyrhills Fire Permit ~pplication I : Phone Contact for Permit >5 3 I [3 L :3 117 9 d- 1 J 35D0l 1 tv G-IfIJ P,lvr/ ,1-ZePhtffh't1/5, FL 3l{.;1q( I I Titleholder Phone Number I II I 8": 3-.780-0020 Date Received Fax-813-780-0021 -tf1cflV' I Owner's Phone Number Owner's NamEl I~(_ Owner's Address i 55 n c" , I Df)()J. '6,. a.AtJ.J;~JH~p Fee Simple Titleholder Name ';mI Fee Simple Titleholder Address I II Job Address 55Cl.o /'J 6-IH I 6 / vd! ~e Phtj r h; /}-St r7 3,/-d t/ q I Lot# I Parcel# . ~~~~:~L~~L~~gfJr?u~Il;:)D2S~J Sub Division Bic-Hazard Waste Storage - ANNUAL D D D D D D D D D D D D D D D ~ 8Jertj S~. D D D D Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation D Fire Pumps D Fire Works D Flammable Application- ANNUAL D Fuel Tanks D Other: I Contractor 1 .~ ~ Signature ~ MOre.. PO ,Jr;, ~- c<~pq Fla ELECTRICIANI Signature . Address I Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project ! Company Registered 3Slf gJ License # I Company Registered I License # I Company Registered I License # U Company Registered I License # I Company Registered License # PLUMBER Signature Address I MECHANICALI Signature Address I OTHER Signature Address Y I N I Fee Current Y/N Y I N I Fee Current Y/N Y I N I Fee Current Y/N . Y I N I Fee Current Y/N Y I N I Fee Current Y/N Directions: Fill out application completely. I Owner & Contractor sign back of application. notarized (Or. cop~ 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 I Allow 10-14 davs for review aft..r ",.hmith., ri..t.. ! ...",.. I I I I NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. I UNLICENSED CONTRACTORS AND CONTRACTOR RESIPONSIBILlTIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be Iic,nsed in accordance with state and local 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 unc~rtain 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 orl contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for whichl 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 LIEN LAW (Chapter 713, Florida Statute ,as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department O"f Agr~'CUlture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of he above described document and promise in good faith to deliver it to the "owner" prior to commencement. _ CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi that all the information in this application is accurate and that all work will be done in compliance with al applicable laws regulating construction, zoning 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 t issuance of a permit and that all work will be performed to meet standards of all laws regulating constructipn, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other I government agencies may apply to the intended Work, and that it is my responsibility to identify what actions 1 , must take to be in compliance. I If I am the AGENT FOR THE OWNER, I promise in good fai~to inform the owner of the permitting conditions set forth in this affidavi,t 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 not specifically included in the application. A permit issued shall be construed to be a license to proceed ith the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issu, nce of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violatihns of any codes. Every permit issued shall become invalid unless the \Nork authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or' abandoned for a period of six (6) rhonths 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, the job is considered abandoned. WARNING!TO OWNER: YOUR FAILURE TO RECORD A1NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPE~. IF YOU INTEND 'TO OBTAIN FINANCING, CONSULT WITHYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) I OWNER OR AGENT CON1RACTOR Subscribed and sworn to (or affirmed) before me this S s . ed and sworn to r affirme ) bef elJle this by ~ by {.#} ~e.. (.h' &,' ( Who is/are personally known to me or has/have produced ho i tare p'ersonall KrlOvm to me or tlas/have produced as identification. . · as identification. Notary Public Notary Public Commission No. I Name of Notary typed, printed or stamped I I , ~'i" . ''\t.' SAR8ARAL..RANNtGAN I ~ ' ..'I Notary Public, Stahl of Florida " ~ M, YCOIMI,ellpiresDec.16,2008 .,' , '. No, DO 369747 .l'~l~