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Home My WebLink About08-7746 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7746 ermlt Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: 4/14/2008 Total Fees: 25.00 Amount Paid: 25.00 Date Paid: 4/14/2008 Phone: Work Desc: FPM-SUPPRESSION SEMI ANNUAL-ARBYS 7746 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 7446 GALL LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: SYBEA,INC.(ARBY'S) Address: 7446 GALL BLVD ZEPHYRHILLS, FL. 33542 ~{\JJ r~/ 15/08 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 PERMn EXPIRES IN 30 DAYS wnHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date Iieceived~ Owner's Name Owner's Address City of Zephyr hills Fire Permit Application --f- ~1V~ Fax-813-780-0021 Owner's Phone Number II Phone Contact for Pennit 7Lfij!e, I I I Titleholder Phone Number I II Fee Simple Titleholder Name Fee Simple Titleholder Address I J II 7 L/L/ & ~ II Glued. I t Uti I AII"t:U rKUIVI t"KUt"t:K I T I AA NU 11L.t:) v I Lot# Job Address Sub Division 'I: T -EI D D D D [2f D D D D D D Contractor Signature Address ELECTRiCIAN Signature Address I PLUMBER I I Parcel # i"'V"1WI B FUJlligi:fliUII T..111 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 Brc-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw . Fire Protection Maintenance - AUU~~ . se"vu Sprinkler D Fire Alann D Hood Clean/Suppression [::] Fire Alann Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Valuation of Project Other: Company Registered .s, rr\ J J.e-IC' (',...,. & ra ~ i-'l Y I N Fee Current I Y I N License # Company Registered License # Y/N Fee Current I Y I N Signature Address I MECHANIC4 Signature ' Address I Company Registered License # Y I N Fee Current Y I N I I Y / N I Fee Current Y / N I I Y I N Fee Current Y I N I L .~. '.-~ ...,...~~= ~ "~',='-~~~"__"W~' _'~ Company Registered License # OTHER Signature Address I Directions: Company Registered License # .....,;;,"','"""'...-A . .~~=. =<-=... Fill out application completely, Owner & COntractor sigh 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, -_.."'_..-_..__....-_....--~..._..~_....- ..-........-...- ... ,NOTtICE.QFDEED.RESTRICTIONS: The undersigned understands ,that this .permit maybe subject to ~deed" r~stricticJ'ns" -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 .citedfor a ,misdemeanor violation under state law. Ifthe owner or intende~ contractor are uncertain as to what licensing 'requirements may apply for the intended work, they are advised to contact the Pasc~ ,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 permitting privileges in Pasco County . CONSTRUCTION 'LIEN 'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'1 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 information in this application is accurate and " --that' all ,work .will be tione in' compliance..with..al\-.applicable,-Iaws ,regI:JlatiRg"coRstructiOR-i"zoRiRg..and--laRd--.-- --.... 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 lam the AGENT fOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior.~ocorill:nencii1g construction. I understand that a separate permit may be required for,electricalwork, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not specifically. included in the application. A ~rmitisSL!E!dsticall:b.~ construed to be a 'license to proceed with the work and not as aLitho.rIty to violate, cancel, alter, or setaside' any'provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter ,requiring,aC01Tection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . ,unle~i;'ihe:~ol-k'authprized'by such permit is commenced within six months of permit issuance, or if work authorized by . ,tfie;:pei1iUt.Jssui>~rided or abandoned for a period of six (6) months after the time the work is commenced. An extension ma'y;be requested. tn writing, from the Building Official ,for a period not t~ exceed nin~ty (90) days and will demonstrate , j~~~le c~use for the extension. If work ceases for ninety (90) consecutIVe days, the job is considered abandoned. WARNiNG 1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING1W!CE FOR IMPRO~NiENTS -W:~ Y~~RJ~~gp.E~!.Y.:~f.,l,mYJ~:rr=.HP..IQ,gp;r~lt1IcE.INANCJNG., CONSULT WR=tiI ~4L-E R"'(\)R,AN~ ' N~ISERl"R&~iNG'Y.OUK,y(c)TlCE OF. MMENCEMENT. i -~:H~~::'.. '~l1;rn03."j!.~ " ' : . '. 'H ... ,'d. ""."dH_HUH.'.' _.... '1.-.'.~' "l' .....1..: ..... .."". ......,.. ..... .~. . ,oWNER OR AGENT Subscribed and sworn to {or affi before me this , ~ Who is/are personally known to me or haS/have produced . as Identification. CONTRACTOR Subscribed and sworn to (or ffirmed) before me this by Who Is/are personally known to me or haslhave produced as Identification. Notary Public Notary Public ,Commission No, Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped