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Home My WebLink About08-7443 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE 'PROTECTION MAINTENANCE ,:i,YOF ,:;.~' r-:..")::- -. 7443 - 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: 7443 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E NOT APPLICABLE 25.00 25.00 1/30/2008 FPM- DAIRY QUEEN-SUPPRESSION Name: Address: Phone: .~ C,e~h r O~ crt 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 City of Zephyrhills Fire Permit Application Date Rece:ived I Titleholder Phone Nbr II II I I I I I 1~200R Contact Phone Nbr 352-424-0906 Owner Name Owner Phone I Dairy Queen Owner Address . Fee Simple Title Holder I 37930 Medical Arts Court R13 I I 7RO I I 2R26 Fee Simpl<e Titleholder Address Job Address I S.... G.. Bh" _., Fl Lot Nbr. .37130 1Yla> 1"-fJ:L Af<T, I Parcel ID L-TI Subdivision B Bio-Hazard Waste Storage - ANNUAL D Fumigation Tent Comm Exhaust Kitchen Hood - Duct D D Hazardous Material (Tier II or RQ Facility) Annual Controlled Burn D Hood Installation D EnII~rgency Generator <30 KW LP - Natural Gas Installation D Emergency Generator> 30KW D D Fire Protection Maintenance - Annual D LP - Natural Gas Annual Sale Sprinkler D D Places of Assembly - Annual Fire Alarm D Hood Clean - Suppression ~ B Recreational Bum D Fire alarm Installation Sparlders D Flire Pums B Sprinkler System Installations Value of Project D Filre Works Standpipes ( Sprinkler System) $ I I D Flammable Application - Annual B Torch Roofmg D Fuel Tanks Waste Tire Storage Annual D Other: I Company Contractor Sign Address Registered y N I Fee Current I Electrician Sign. License Company Address Registered y N I Fee Current I Plumber Sign License Address Company Mechanical Registered y N I Fee Current I Address License Other Sign 118330 Lawrence Rd. Dade City, Fl Company Address Registered y N I Fee Current I I Directions: 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. License 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 c:ontractor, Ihat may be an indication that he is not properly liCensed and is not entitled to pennitting privileges in Pasco County. . . CONSTRUCTION LIEN .LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I c:ertify 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. ; CONTRACliOR'S/OWNER'S AFFIDAVIT: I certify that all the infonnation 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 pennit 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 perfonned to meet standards of all laws regulating construction, 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 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 pennitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate pennit 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 pr~ceed with the work and not as authority to violate, cancel, alter, or set aside any proVisions. of the technical codes, nor shaH issuance of a penn it 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 Yiork authorized by such pennit is commenced within six months of permit issuance, or if work authorized by the pennit is suspended or abandoned for a period of six (6) months 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. i WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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. FLORIDA JURAT (F.S. 117.03) ~ OWNER OR ~GENT CONTRACTOR t'l' ~ . ~-t,"/\, Subscribed andb;wom to (or affirmed) before me this Subscribed am rto (or am re me \his If\/ho is/are personally known to me or haslhave produced VVho Isfare personally known to me or has/have produced . as identificallon. as identification. Notary Public Notary PubDc , CDlDmission No. I Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed'Or stamped CITY OFZEPHYRHILLS 5335 -8TH STREET (813) 780-0020 ANNUAL FIRE 'PROTECTION MAINTENANCE '",:i i Y OF ~.:.~ 7443 - Permit Number: 7443 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 37930 MEDICAL ARTS CT ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 25.00 25.00 1/30/2008 FPM- DAIRY QUEEN-SUPPRESSION Name: DAIRY QUEEN Address: 37930 MEDICAL ARTS CT ZEPHYRHILLS, FL. 33542 Phone: 4~ Qei7ArO~ 't 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 Date Received 1~200R I Dairy Queen Owner Address Fee Simple Title Holder I 37930 Medical Arts Court Owner Name City of Zephyrhills Fire Permit Application Contact Phone Nbr Owner Phone I I I I I 352-424-0906 R13 I I 7RO I I 2R26 I Titleholder Phone Nbr II II Fee Simple Titleholder Address Job Address Lot Nbr. Subdivision I ,.... G.tl BI.., '_"I., R L-TI ,9130 1YlE1/I<:.IR ART' I Parcel ID Company Registered license Company Registered license Company Registered license Company Registered license Directions: 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. 118330 Lawrence Rd. Dade City, FI 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 Burn 0 0 Hood Installation Emergency Generator <30 KW 0 0 LP - Natural Gas Installation Emergency Generator> 30KW D Fire Protection Maintenance - Annual 0 LP - Natural Gas Annual Sale Sprinkler 0 0 Places of Assembly - Annual Fire Alarm 0 Hood Clean - Suppression [k1 E] Recreational Burn 0 Fire alarm Installation Sparklers 0 Fire Pums E] Sprinkler System Installations Value of Project 0 Fire Works Standpipes ( Sprinkler System) $1 1 0 Flammable Application - Annual E] Torch Roofing 0 Fuel Tanks Waste Tire Storage Annual 0 Other: I Contractor Sign Address Electrician Sign. Address Plumber Sign Address Mechanical Address Other Sign Address y N I Fee Current I y N I Fee Current I y N I Fee Current I y N I Fee Current I I 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 pennitting privileges in Pasco County. . CONSTRUCTION LIEN ~W (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 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 infonnation in this application is accurate and ,that all work will be done in compliance with all applicable laws regulating construction, zoning and land ,development. Application is hereby made to obtain a pennit 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 land development regulations in the jurisdiction. I also certify that I understand that the regulations of other I govemmentagencies 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 pennitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate pennit 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 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 penn it 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 penn it is commenced within six months of permit issuance, or if work authorized by the pennit is suspended or' abandoned for a period of six (6) months 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. i WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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. FLORIDAJU~T(F.S.117.03) ~ OWNER OR AGENT CONTRACTOR 6' e ~-t"/\. SubsaibOO andb;wom to (or affirmed) before me this Subsaibed an:! rto {or am re me this II\Iho is/are personally known to me Of has/have produced Who Isfare personally known to me or has/have produced . as identification. . as identifICation. Notary Public Notary Pubfic , Commission 1Ilo. I Commission No. Name of Notary typed. printed Dr stamped Name of Notary typed, printed Of stamped