HomeMy WebLinkAbout08-7432
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Ci ,-;
7432
Permit Number: 7432
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: 6606 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1/28/2008
25.00
25.00
1/28/2008 Phone:
FPM-HOOD CLEANING-SEMI ANNUAL-SONNY'S BBQ
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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 ATIORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
~
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
JAN/24/2008/THU 10:57 AM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
P. 003
'313-780-0020
City OfZ~phYrhlUs Fir~', .' .
.' :Permlt V\pplication .
,Phone Conta~ for Permit .
Fax-81~78o.-0021
Owners Name
SA-I ;r,fl
oWner's Phone Number
7~?117;C .l".1/t?3
Date'Received
'.n m~holder ~one NlDnber"L . II I ] ,
'1111';1 '11 -'. :~!
Lilt)- :J~ # H' yJ!..,h' / .?L. 5.F L.. . .Lot# ,I
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ParcEll # : 'lV~1 A1NI::~ rKVM r'KU I::K r y I ~ 1'l.Y_' 1t;1::)
Owner'l> Address
A fJf?/!~o.s:A' ~.o ~ ~.k?A'.i:7..J . :;:,P~/,J?s . F'-'. .3 ~ e~
Fee, Slmp~ Tltleho~der Name
Fee Simple Titleholder Addr~sl>
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Job Address .
~&a'~",
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Sub Division,
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Cpntl'olle~ Bum 'D" Hood Instaitatlon '
Emergency Generator < 30kW . D . LP/Natural Ga~-lnst8I1atlon .
Eme~ncy Ge~e1'8ior> 30kW ','D .L~/NBturaIGas-~NNUAL Sale.. .
Fire Protection Maintenance - ANNUAL 0 '. Places of ASG~mbly~ANNU.iu.
'Sprinkler ' [j, ' 0 Recreational8l1m,',
Fire Alarm 0 . , 'i:::J Sparklers .' .
. ~~suppresllio'n '~~~t :'D SprinklerSystem'lnstallations
, D, Fire A1ann Installation 0 : Sta~dpip'es (SprinklerSys)
D Flre Pumps' , D Torch Roofing
,0 Fire Works . 0 Waste Tire Storage ANNUAL
. d Fla~mable Application.: ANNUAL.
o Fuel Tanks r
~ Other:. e:x... 1-11'1 k.5.r
ml 'lrl. :1
. "0"'. Compan~
_ Regi5tered .
! ], Llcense# "
J]" ~pany
, , ' '. " . . Regietllred'
o ' Ueen5$ #
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..0' ". .,.' q01:rlpany
_ ' Regiaterad
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Fill oLlt application completely.' , . I . , '
Owol;lr & Contractor sign back of app~catJon. notarized (Ot. coPY 01' slgnlild contract with owner)
If over $2500. iii NoUca of Commencement iB required (Mechanlr work over $5000) ,
Supply two (2) sets of drawings with applicable documentation .
Allow 10-14 days for review after S~bmiltal date. . . . ,
D
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123
Blo~H8Z8rd, Wa$~e Storage ~ ~,NNUAL ". .
Comm EXMUst Kitchen Hood/DU~ . ' "
F':Imlgatl.on Tent " , ' . " ,
Haza.rdo~s Material. (Tier" or RQ Facll1rY) ,AN{'lUA,L
~.Ih..
l Valu~tion of ProJeot
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Contractor
Signature
AddreS5 I
ELECTRICIAN[
Signature .
Address I
PLUMBER I
Signature '
AddrealO L '
MECHANICALI
Signature ,
Address I
~i::~re .~~ ~.
i~ . AddressL 1 .........1-'1"" -"'_.- - -' ~ ' .
Olrectiorn;;
I,' YI N 1 'Fee Current
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.I" Y IN, I . FeEl' Current .1
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Company, , 'I,
,Registered " Y /' N
L.iCl;lnae # I
'I.:.y I N ,I ' Fee Current
L.ioense# 'I J.
Company" ~..v .l)vr-sr;eM1 L--, :s-ro-"., d '-elf ;<J/-1:J'"
Registered L Y I N I Fee Current L Y I N I '
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Fee Current
JAN/24/2008/THU 10:58 AM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 004
I'
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NOTICE OF DEEDREsfRlc:nONS: The undersigned under tands that this permlt-m~;be,tsubjectto adeed" restrictions.
which may be more restrictlv8,than'County regulations. The ndersigned assumes,'rel!1ponsibility'forcompliance with any
applicable deed restrictions. '
'UNLlCeNS.ED'CONT~CTORS ,AND 'CONTRACTOR RE PONSIBILlTIES:If"the''Owner has 'hired a contractor or
contractors'to undertake work, they. may be ,reqUired. ' to bElIiC~nSed in accordance ',IVith s~te C!ndiocal reguiations. if the'
"contracto~is not Iic,ensed, as required by law., both the owne lilndcontractor.-may be cited for a ,misdemeanor violation
understatEi law. If the owner or intended contractor are un rtaln' as to .what licensing r.equirements may apply for the
intended work, they are advised to .contact the Pasco county~Ull4ing Inspection DivIsion-licensing Section at 727-S47-
.. 8009, Fu~hermore, if the ,owner 'has. hired;a ~o;'tractor or qon~actors, he is a~vised t~have ,the 'contrac~or(s) sign
portions ofithe "contractor~lock~~Hhls apph~atlonfor Whlc ~ey will be responS,lble. "I~'you. as.the,o~ner sl,!nas the
. contractor"that may be an mdlcatlont/1at he IS not properly I,censed ~nd Is not entitled to ,permitting privileges In Pasco
County. I " . ,', . " '.' " , . '..,. , .
CON5TRU~TION LIEN, LAW (Chapter 713, Florl~,a'Statute ,as amended): 'lfvaluatlon:ofwc;>rk,ls.$2,500.00 or more, I
. certlfy that; I, the appllcan,t, 'h,ave bean provided with a c py of the "Florida Construction Uen LaW...:.....HorneoWner's'
Protection GuideD prepared by the Florida Depart,ment, of. Agr culture and Consumer Affairs. If the applicant Is someone
other. than ttl,e"owner", I certify that I ,have' obtained a copy of he above described document ~nd promise in good faith to
deliver It to:the ~owner" prIor to commencement. ' . .
\ CONTRACTOR'SJOWN E~'S AFFIDAVI'T: ' '.1' cart that all the information In this application is aqcurate' and
i that all work will be done' In oompllrilnce with a applicable laws regu,l!!Itlng construal,on, zoning Bnd land
; development.. , Application ,is hereby ma~e to .o~t n a perml~ to d() work andlnstallliltion as Indicated, I certify
that no work or Installatiqn'has commenced prior 0 I~suance of a permit and that'all work will be perforrne~ to
, meet stand~rds of all laws regulatIng construct on, County and City codes, ;zoning regulations, and land
. ; development regulations ,In the jurisdictien, .1 Iso' certify that I 'unde~tand that the regulations of other
I government agendas m~y apply to ttJe intended Qrk. and that It Is my responsibility, to Identify what actions I
I must take to be In compliance, , . ' '. ,'. .
If I am the AGENT'FOR THE OWNER; (promise in gQod fai~ to Inform the owner of the, permitting conditions set forth in
this affidaVIt ,prior to oommencing construction. . I understand that a separate permit may be required (or electrical work,'
. "plurnbing~ !1igns, wells, pools. air conditioning, gas, or other installations ,not specifically includecl:ih the appli~tipn. A
. permit Issued shall be .construed. to be a license to pr!Jceed ith the work and nQt as authprity to. violate, canee.!. alter, or
set aside apy provisions of ,the. technical 'codes, nor Shal11ssu~nce of a permit prevent the Bui.lding om~iai from th~reafter
requiring a porrection of 81T,!rs in plans, construction or violaU ns of any codes, ,Every permit Issued shall become Invalid
unless the work authorized by such p~rmit is commenced wi hin ~Ix months of p~rmlt issuan.ce, ~r if Work authorized by
the permit i~ suspendedoi' abandoned for a~perioq pf six (6) onths after the time, the work is commenced, An extension
may be requested. in Writing; from, the Building Official for a~erlOd not to exceed ninety (90) days and will demonstrate
ju~tifjBble ca~se fol' the ext~nsioh. 'lf~Ork ~eases fO~ nine~ ( Q) consecutive days,' the .J?b is co~sld~r~d ab~ndo~ed.
WARNINGITO OWNER: YOUR FAILURE TO, R,ECORD,A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
, 'pAYING TWICE 'fOR'lMPROVEMENTS TO YOUR PROPE TV. 'IF YOU INTEND TO 06TAINFINANCING, CONSuLT
WI 'YOUR LENDE OR AN TIORNEY BE ORE ECORDI G YOUR NOT CE OF COMMENCEMENT.
FLORIDA JUrT (F,S. 117.03)" '. '" . ",.{t/. 'T ,';; . ~" .
OWNER OR. AGENT . ' , . CO CTOR~' ~ .
, 'Subscribed afJd swOrn to (or affirmed) before me this SI,I'!9!!b,l!d and 5WOrn to (or amrmed) beforeAme this .- .
, by " ~~ ~ by f" ..k'\r-. ""',+-l ~ _ .... 5.r"Y'\ ..+t"\
VVho I$lare personally known to me or haslt1ave prodUCed WhQ' ~re persqnal/y kno,wn to me or has/have produced
. .1 ' ' as.'ldentif\caUon. . 0a- . as IdentiliCl'.ltlon.
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, . Notal)' PUblic.
Not~ry Public
: comm;ssi~n t..
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N.oo. of NofT >Pod. ~"red" ~~od
Naill of Notary
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~31.fx....!.~, aren L. Mille. '
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:.:' i*: Commlssion # 0 .
r dober29,2010
._r.... F...., _........ 1l104e&-101.
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