HomeMy WebLinkAbout08-7525
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7525
Permit Number: 7525
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: 5610 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0255
2/20/2008
25.00
25.00
2/20/2008 Phone:
FPM-SUPPRESSION SERVICE-BURGER KING-ANNUAL
Name: BURGER KING
Address: 5610 GALL BLVD
ZEPHYRHILLS, FL. 33542
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s- 2A-00
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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
813-780-0020
Sub Division
D
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Contractor
Signature
Address
Signature
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address I .
Directions:
it 1625
Fax-813-78D-0021
City of Zephyrhills :Firec'x':,:,
Pennit Application
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o Fumigation Tent
o Hazardous Material (Tier II or RQ Facility) ANNUAL
o Hood Installation
o
o
o Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
o Torch RoofingfTar Kettle
o 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
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Hood Suppression 0 o.x c:::::J
Fire Alarm Installatio
Sprinkler
Fire Alarm
Hoo~ Cleaning
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
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pate Received ] -j,- '!! ~ ~Q Pho~e Contact for Permit J
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Fee Slm". _" Na_ I I TIIIohoIdw Pho~...z I
FeeSI__'Ad~
Job Address I ~ GALL-
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LPlNatural Gas-Installation
LPlNatural Gas-ANNUAL Sale
Valuation of Project
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Y/N
Fee Current
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Y IN I
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i
License #
Company
Registered
License #
Y IN' Fee Current
Company
Registered
License #
Y I N I Fee Current
Y/N
Company
Registered
License #
Y/N
Y IN' Fee Current
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RII 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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
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'NOTICE OF :DEEDRESTRICTlONSilIillle~dersigned understands that this permit may .be:subj~eEicl(:restrictions"
which may be more'restrictive.than1'Qo~gulations. The ,undersigned assumes responsibillty~fQPmpliaPC8,with any
.applicable deed restrictions. ,. . '
'UNUCENSED :CONTRACTORS~"ND ;CONTRACTOR :RESPONSIBlUTlES: - -If 1heowner"ha;)_,I.b..qd ,a .contractor "Or -
contractors 10 undertake work, they may be required 10 be licensed in accordance with state and .Iocal're.gulatlons. 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. .lfthe owner or Intended 'contractor are uncertaln.as'to what Iicenslng'requlrements may :apply for the
intended work, they are advised to contact1hePasco County BuDding Inspection DMsIon-Llcenslng 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. of1hls application 'for which 1hey wll be responsible. If you, as 1he owner'sign as the
contractor, that may be an Indication 1hathe Is not properly licensed and Is notenUtled'topermlttlng ,privileges in Pasco
County.
CONSTRUCTION UEN 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 Law-Homeowner's
Protection Guide. prepared by 'the Rorida 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 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 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 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 '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 AGENT
Subscribed and sworn to (or atrlrmed) before me this
by
\Nho lsIare personally known to me or haslhave produced
as identification.
Notary Public
~~~
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
;."".~ FRANCIS G, SPERLAZZA
~.. MY COMMISSION # D0347356
").~~ EXPIRES: November 26. 2008
1~:3~OTARY Fl. NotlUY Discount Assoc. Co.