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Home My WebLink About08-7524 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7524 Permit Number: Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38300 11TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-06600-0011 2/20/2008 25.00 25.00 2/20/2008 Phone: FPM-SUPPRESSION SERVICE-EL PANCHO'S- ANNUAL Name: THOMAS, CATHY A Address: 3606 AUTUMN PALM DR ZEPHYRHILLS, FL. 33542 ~oV Ylu 1,) 1/ 3 3/w 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 FI~'J~2~ Permit Application Date ReceIved - - --] ^' ~ 'J-Q ... 0 CO I -- Phori; ContKt b PennIt 1 =::.l~h~~~- ~!'fi'~~7;~~. F__~Nomo r---- _J -......- I Fee Simple iItIehoIder Addr8a . I~~ ~d/ ~v:e., ~1'~:r"fn::" o o o D D D D RecnIaIIof_ 81m D D D D D ~ 813-780-0020 Job AddresS Sub DivisIon BIo-Huard Waste Storage - ANNUAL Convn Exhaust KItchen HoodIDuct C0ntr0lIed Bum o o o o Emergency Generator < 30 Jew o EmergenCy Generator> 30 Jew ~ Protec:tIon MaInleMnC8 - ANNUAL . ~~~~ Sprtnlder 0 0 0 0 L-J AnI Alarm 0 0 0 0 [:=J Hood Cleaning 0 0 0 0 [:=J Hood Suppression .181 0 0 Xf=J Fire AJann Instalatlon ~ o FirePurnps FireWorks Flammable AppIIca1Ion- ANNUAL Fuel Tanks Other: Contractor Signature Address ELECTRICIA Signature Address I PLUMBER I Signature Address I MECHANICALI Signature Address I OTHER I Signature Address I Directions: (1//61/-1 Fax-813-78()'oo21 ~ i'l *~5~ II I i I ~.l I Lot# -I FumIg8IIon Tent . Hazardous MatertaI (TIer II or RQ Facility) ANNUAL Hood Insldatlon LPJNatanI Gas-InstdatIon LPINatlnI Gaa-ANNUAL s.Ie PIIIces d AsMmbIy-ANNUAL Sperlders Sprinkler System JnsbIIIaIIona Standpipes (Sprinkler Sys) Torch RooftngITar K8tIIe Waste TIre S1Drage ANNUAL I Valuation of Project Company RegIstered ~/ucense # rz~ Company Registered Ucense # Company Registered Ucense # Y/N I FeeCurrent I Y/N I I Company Registered Ucense # Y/N I FeeCurrent I Y/N I I Y/N'I FeeCurrent I Y/N I J Company Registered License # Fill out application completely. Owner & Contractor sign back of application. notarized (Or. copy of signed contract with owner) If over 52500. a Notice of Commencement Ia required (MecMnlcal wortc over 55000) Supply two {2} sets of drawings with appliCllble documentation Allow 10-14 days for review after submittal d.... Parcel # - obtained from Property Tax NolIce (htlp:l/appraiser.pacogov.com) - --~iii - - ;U:~a~ , ,.., _. . -:...'" : :.'"j),.C.~rll-",;. . . .. . ~ry~'J"'::fIr.~ ._":i.. : ----;;'~r'.:.- ---_:-~.J-:,... 'NOTICE OF:DEED RESTRICTlONS!mI1he~dersigned understands that this permit may;be:sub~eEid~!J'estrictior(S. which may be morerestrictive'than700iir11Jn-egulations. The,undersigned assumes responsibili~~mpliaRCe'.with any -applicable deed restrictions. . UNUCENSED -CONTRACTORSbQm -;CONTRACTOR -RESPONSIBILmES: - -If 1heowner tJaE._.hit~ .a .wntractor -Of - contractors 10 undertake work, they may be required -to be licensed In accordance with state and .Iocal-regulatlons. 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 .requlrements may:apply for the intended work. they are advised to contact1he-Pasco County BuDding Inspection Divlslon-Ucenslng Section_at 727-847- 8009. Furthermore, If the owner has hlred.a contractor or contractors, he is advised to have 1hecontractor(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 1hat he is not properly licensed and is not entitJed-to permitting privileges in Pasco County. CONSTRUCTION UEN LAW (Chapter713,1=lorlda 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-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. CONTRACTOR'S/OWNER'SAFFIDAVIT: I certify that all the information 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 permit 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 _ 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 A"GENT 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 proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a pennlt 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 work authorized by such pennit 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 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 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. =.::::s. 11M3) CONTRACTllR~(or ' Subscribed and sworn to (or affinned) before me this ~~_r:: ~ VVho Is/are ~JIy known to me or haslhave produced ~ ~ ~1Iy .~ or has1have prOduced as identification. . as Identilicatlon. Notary Public ~ Notary Public Commission No. Name of Notary typed, printed or s1amped Name of Notary typed, printed or s1amped ~<"'v, FRANCIS G. SPERLAZZA )u,/~ MY COMMISSION # D0347356 "J.~"T EXPIRES: November 26. 2008 1-8~3~OTARY fl. Notary Discount Assoc. Co.