HomeMy WebLinkAbout08-7526
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7526
Permit Number: 7526
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: 5841 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2/20/2008
25.00
25.00
2/20/2008 Phone:
FPM-SUPPRESSION SERVICE- MARl DONUT SHOP-ANNUAL
Name: MARl'S DONUT SHOP
Address: 5841 GALL BLVD
ZEPHYRHILLS, FL. 33542
(it1J(' '1----00
3/
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
zj1.752ip
Sub Division
Fee Simple TItleh0Ider Name
Fee Simple i1lIehoIder Addren I
I ~'fr/ &1#(, &?L:J//J V~fi7''fJ~
L-.I
D
D
D
D
D
D RecntatIonaI Bum
B
D
D
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City of Zephyrhills Fi~')t'z:,
Pennlt Application
Fax-813-780-0021
813-780-0020
Date ReceIved
~ Conl8c:t for PennIt
Owner's Name
Owner's Addntss
.-:
Job Address
I Lot#
01
D
D
D
D Emergency Gener8lDr < 30 kw
o Emergency GeneralDr > 30 kw
~ Are ProtectIon MaIntenance - ANNUAL
SprtrifJerD ~ ~~ 0
FIre Alann 0 0 0 0 C:=J
~ ~ ~ xB
BkHi8zard Waste 5tDnIge - ANNUAL
Comm ExhlIust KItchen HoodIDuct
Controlled Bum
Fumigation Tent
~rdous MIIIIlMI (TIer II or RQ Facility) ANNUAL
Hood InstaIIdon
LPINlII1nI Gu-InstaIIlIIIo
LPINlII1nI Gu-ANNUAL s.Je
PIlIces of Ass<<nbIy-ANNUAL
Hood Cleaning
.
Hood SuppressIon
SpIII'IcIers
Sprinlder System InstlIIIations
Standpipes (Sprinkler Sys)
T arch RoafIngITlII' KetlIe
Waste TinI S1Drage ANNUAL
Contractor
Signature
D FIre AIann InstaII8lIon
Rre Pumps
Are Works
8..........__
E3 Fuel TlII'lks
D other. I
I~~
~ Valuation of Project
Company
Registered
I
II.F~{J~
Y I N Fee Current Y I
I
Llcerme #
ELECTRICIA
Signature Y/N I Fee Current I Y/N I
Address I Ucense # I
PLUMBER I Company
Signature Registered Y/N , Fee Current I Y/N I
Address I License # I
MECHANICAlI Company
Signature Registered Y/N I Fee Current I Y/N I
Address I License # I
OTHER I Company
Signature Registered Y/N'I Fee Current I Y/N I
Address I J License # C J
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or. copy of signed contract with owner)
If over $2500, a Noliee of Commencement is nlqUired (Mechanical wort over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiseropascogov.com)
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'NOTICE OF:DEEDRESTRICTlONS1t:i~1 ;~ndersigned understands that this -permit may ;be:subj~~eEid~:restrictions'
which may be more restrictive 'than700i.rtl1Y'tregulations. The ,undersigned assumes responsibilityjf@Jjg:impliaace'.with any
.applicable deed restrictions. . . .
UNUCENSED .CONTRACTORS':A"ND'"'iCDNTRACTOR 'RESPONSIBILmES: . 'If 1heowner -ha:>_.I.il.qd .i:II -oontractor -or .
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 10r .a 'mlsdemeanor 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 contact1he.Pasco County BuDding Inspection Divlslon-Licenslng Section.at 727-847-
8009. Furthermore, if the owner has hired.a contractor or contractors, he is advised to have 1hecontractor(s) sign
portions of the .contractor Block" of this application for which 1hey 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 'permittingprivileges in Pasco
County.
CONSTRUCnONUEN LAW (Chapter713,;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'SAFFIDA VIT: 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 permit 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 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
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 'NOnCE 'OFCOMMENCEMENT 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 AGENT OJL-KCl^~-lJ~., '-JM (~
Subsalbed and swom to (or affirmed) before me this swom to (or affirmed) before ~
by
Who is/are personally known to me or haSlhave produced re IIy known to me or haslhave produced
as identification. . as Identllicatlon.
Notary Public
~
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
r~, FRANCIS G. SPERLAZZA t
~~ MY COMMISSION # 00347356
<l).~Q~ EXPIRES; November 26. 2008
) -g~~3';:;OTAJ' y ,I. Nol8/y DiI<OUllI __ Co.