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HomeMy WebLinkAbout08-7548 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7548 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: 7548 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Book: 25.00 25.00 2/26/2008 Phone: FPM-HOOD CLEAN - CHATTERBOX CAFE ~>\Oj 3/f 1- rJ B ~/ '{j/ 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, adminisb"ative 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 OFZEPHYRHILLS 5335 - 8TH STREET (813) 78D-0020 ANNUAL F1RE :PROTECTlONMAINTENANCE 7548 Permit Number: 7548 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: 25.00 Amount Paid: 25.00 Date Paid: 2/26/2008 Phone: Work Desc: FPM-HOOD CLEAN - CHATTERBOX CAFE Address: 5014 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel 'Number:11-26~21-001 0-20700-00AO Name: CHATTERBOX CAFE Address: 5014 GALL BLVD ZEPHYRHILLS, FL. 33542 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 813-780-0020 Date, Re~ived Owner's Name Owner's Address City of Zephyrhills Fire. Permit V\ppfication W/l. I I !LA S,2.L 0 HoP.. Vf)-TH /230Jt Pm-O Hrl C f1:A-RJ4. I I ICHATTeRBOX CAr-I: I Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address Sub Division I PL Owner's Phone Number 'Ru~ KIN Ig/3 FL I I Titleholder Phone Number pO/if G~LL ! I Parcel # . II "I BLV/). I Lot# (Utll AINt:.U I-KUM t-'KUt-'t:.K I Y I AX. NU 11L;t:.) D D D D D D D D D D D D D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Recreational Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL Bio-Hazard Waste Storage - ANNUAL . Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Other: lcoMPLE-1 C I cXffIHIST AA/LJ Fuel Tanks I~~ Contractor Signature Address I ELECTRICIANj Signature Address I PLUMBER Signature Address I MECHANICALI Signature . Address I OTHER Signature I Address ! I Company Registered , I License # I I Company Registered License # Company Registered License # Company Registered License # Company Registered License # I Valuation of Project HdOLJ CL54A/IA/(; ~~t/f~:~rren~r~t',ffS I Y / N I Fee Current Y / N I I Y / N I Fee Current Y / N I I Y I N I Fee Current Y I N I I Y I N I Fee Current Y I N I Directions: Fill out application completely. Owner & Contractor sign back of application. notarized (Or. copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation : Allow 10-14 days for review after submittal date. , _ NOTICE OF DEED RESTRICTIONS: The undersigned underktands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The Jndersigned assumes responsibility for compliance with any applicable deed restrictions. I I/o' _n UNLICENSED CONTRACTORS AND CONTRACTOR RE~PONSIBILlTIES: If the owner has hired a contractor ,or contractors to undertake work, they may be required to be Iic~nsed 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 unc~rtain 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 orl contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for whic~ they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly lI,censed and is not entitled to permitting privileges in Pasco County. ' CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute!f' as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a cqpy 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 It he above described document and promise in good faith to deliver it to the "owner" prior to commencement. I CONTRACTOR'S/OWNER'S AFFIDAVIT: 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 obta:in 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 constructi~>n, 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 fait~ to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand I that a separate permit may be required for electrical work, plumbing, ~igns, 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 issu~nce of a permit prevent the Building Official from thereafter I requiring a ~orrection 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. WARNING1TO OWNER: YOUR FAILURE TO RECORD Ai 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) , I CONTRACTOR subsCribed and sworn to (or affinned) before me this by Who is/are personally known to me or has/have produced I as identification. I OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced asidentificalion, Notary Public Notary Public Commission No. I Commission No, NamE:1 of Notary typed, printed or stamped ] Name of NotafY typed, printed or stamped ~._,_..._.._______"._,_,..,._..,,~____.._....___'_~""""^"'''_'~~'.~___'.0