HomeMy WebLinkAbout08-7444
CITY OFZEPHYRHILLS
5335 -'8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
CiTY Of' ;:::.
7444 -
Permit Number: 7444
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: 5420 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
25.00
25.00
1/30/2008 Phone:
FPM-MORRISON COUNTRY BUFFETT-SUPPRESSION
Name: COUNTRY BUFFET
Address: 5420 GALL BLVD
ZEPHYRHILLS, FL. 33542
Ce/)'V\P~ ~ K't3
2((2~OY; (2..;,10<6')
(jV-"
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 INSPECTlON
CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
City of Zephyrhills Fire
Permit Application
I
I
I
I
I 352-424-0906
II 7RR ~ I
II II
Contact Phone Nbr
Date Received
IJ&200R
Owner Phone
Owner Name I
. Mom.on', Bulfo!
Owner Address .
Fee Simple Title Holder I
5420 Gall Blvd.
Fee Simple Titleholder Address
2711
R13
I Titleholder Phone Nbr
~LV.D,
I Parcel ID
157'20
Lot Nbr.
C-4-tL
Job Address
Subdivision
B Bio-Hazard Waste Storage - ANNUAL 0
Fumigation Tent
Comm Exhaust Kitchen Hood - Duct 0
0 Hazardous Material (Tier II or RQ Facility) Annual
Controlled Bum 0
Hood Installation
0 Emergency Generator <30 KW LP - Natural Gas Installation
0 Emergency Generator> 30KW 0
D Fire Protection Maintenance - Annual 0 LP - Natural Gas Annual Sale
Sprinkler 0 0 Places of Assembly - Annual
Fire Alann ~
Hood Clean - Suppression B Recreational Bum
0 Fire alann Installation Sparklers
0 Filre Pums B Sprinkler System Installations Value of Project
0 Filre Works Standpipes ( Sprinkler System ) $ I 1
0 Fllammable Application - Annual B Torch Roofing
0 Fuel Tanks Waste Tire Storage Annual
0 ()ther: I
Company
Contractor Sign
N I Fee Current I
Registered
Address
y
License
Company
Electrician Sign.
Address
N I Fee Current I
Registered
y
License
Plumber Sign
Company
Address
N I Fee Current I
Registered
Mechanil::al
y
License
Address
Company
Other Sign
118330 Lawrence Rd. Dade City, FI
I
N I Fee Current I
Registered
Address
y
License
Directionll:
Fill out application completely. Company
Owner & Contractor sign back of application, notorize ( Or signed
Copy of contract with owner) Registered
If over $2500.00, a Notice of Commencement is required
Mechanical work of ( $5000.00 ) requires a Notice of Commencent
Supply two (2) sets of drawings with applicable documentation
Allow 10.-14 days for review after submittal date.
Security Fire Equipment, LLC
Y N I Fee Current
502552000220004
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.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or.- - ..
contractors to undertake work, they may be required to be licensed 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 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 LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the appliCant, have been provided with a copy of the "Florida Construction Lien La_Homeowners
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.
'CONTRACliOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
,that all work will be done in compliance witti all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do wOfk 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 hitnd
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 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 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 prpceed with the work and not as authority to violate. cancel, alter, or
set aside apy provisions: of the technical codes, nor shall issuance of a pennit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations 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) months after the time the work. is commenced. An extension
lTIay 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.
i
WARNING'TO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY RESULT IN YOURcPAYING 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.
FLORIDAJU~T (F.s. 117.03)A.
OWNER OR AGENT CONTRACTOR 4C::-~#H~(A---
Subscribed andb~m to (or affirmed) before me this Subscribed and ~ to (or ild) before me this
Who isfare pel'Sonally known to me or hasIt1ave produced Who IsIare personally known to me or has/have produced
as identification. as identification.
,
Commission No.
t
Notary Public
Notary PooRe
Commission No.
~lame of Notary typed, printed 'Of stamped
Name of Notary Iyped. printed or stamped