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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