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Home My WebLink About08-7814 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7814 Permit Number: 7814 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: 6855 GA L BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-01600-0020 4/30/2008 25.00 25.00 4/30/2008 FPM-HOOD CLEAN- Name: L N CORRAL Address: 6855 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: 813783-8969 - GOLDEN CORRAL -CLEANED 3/15/08 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEcnON CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 City of Zephyrhi/ls Fire Permit Application Date Recei~ed I I Phone Contact for pennltll J Mf~~~.,...s$_~rtWiI~B;~'~'1$~~~~m~~~~~;!iJ . 1}l~io~~..._'~"- Owner's Name TERRY ANDERSON / ANDERSON PRESSU~E cm.Ji!tA;lffl~ Number I 813 II 813-780-0020 Owner's Address ~ 1Bt~ Fax-813-780-0021 II I '''''...'''<ti.........,'',..:ilioo:;v'''~~,.-; 884 I 15208 I I "1 I I 5104 M[JRRAY HILL DR.TAMPA,FL.33615 I Titleholder Phone Number Fee Simple Titleholder Name Fee Simple Titleholder Address II Job Address Z&r'_~~~~"",~""""'~T;m~A!v.~~~~mm~*~Jim ~,:>dk~~~Y.ar~Jll!~~;~~~arg~14"mi$] Sub Division GOWEN CORRAL 6855 I Lot# GALL BLVD. ,ZF.PHYRHTT.T,S, FT, iil)b?-?57h I Parcel # I ~~~~~-~ ~~ii~llmm'-~Mli. ",--..>o:lf"~""" D [XX] D D D D D D D D o D ~"""""""'I'lIIII.' Contrrc~r., ~. L-...." Signature L Address I ELECTRICIANI Signature , Address I PLUMBER Signature Address I MECHANICALI Signature , Address I OTHER Signature l~wia!~~l"'_'~'._I" Directions: ~I&llfi v Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct 3/i f I cC Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler Fire Alann D D o Hood Clean/Suppression Fire Alann Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: I -,~~ ~llll!~l...~m,':mil-.l~"" D D D D D D D D D D D D (Uti I AINl=U I-KUM t-'KUt-'l=K I Y I AX NU 11l,;t:) - -- r "'~:K ?"I'~"""",,..a."~-g:J;f'MM~~: Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project 1m!' Tf.)[ I! iJ I .ll...~~, I .. .... --h -,'" -,~ ~-, J .,-,r,.,,\1 )...'.... ~ 'r~ " I I I I I I I I ... . ., , ~ ,-e~\-..~ '. ": :'. .. , "':~M"""''i:!'i':ill~'''''''-'''''''-''"'''''''''~ "",,;.'t1\~"""'^n:&"""'" ~w' ~'nI:lH!t! f_. .... .~,,~ Company Registered License # Company Registered License # Company Registered License # Company Registered License # Y/N Fee Current Y/N Y/N Fee Current Y/N Y/N Fee Current Y/N Y I N I Fee Current Y/N Y IN I Fee Current Y/N I lI~r'ii~~_'';''<F'''''lrr~''~ 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. NOTI~E OF "DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 cited for a misdemeanor 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 contact the Pasco County Building Inspection Division-Licensing Soction 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 (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 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 done in compliance with all appficaole 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 performeq 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 I government agencies may apply to the intended work, and that it is my responsibility to identify what actions I 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 )Nork authorized by such permit is commenced within six months of permit issuance, or if work 'authorized by the permit i~ 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 BEFORERECO DING YOUR N TICE OF COMMENCEMENT. ., FLORIDA JU~T (F.S. 117.03) W~,~ r- t? e' ~"v!~ ,7'gt1 / OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. r Commission No. Name of Notary typed, printed or stamped I Name of Notary typed, printed or stamped ~.'