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Home My WebLink About08-7980 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7980 Permit Number: 7980 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 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-01600-0020 6/19/2008 Name: OLDEN C R L 25.00 Address: 6855 GALL BLVD 25,00 ZEPHYRHILLS, FL. 33542 6/19/2008 Phone: 813 783-8969 FPM-HOOD CLEAN-QTRL Y-GOLDEN CORRAL-FOR JUNE/2008 ~' Jc ,--1 {\ 3/U~ 1/ 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." -.... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 '813-780-0020 Date Received Owner's Name Owner's Address City of Zephyrhills Fire Penn it Application , Phone Contact for Pennlt TERRY ANDERSON / ANDERSON PRESST$~ Number 5104 MURRAY HIlL DR. TAMPA. FL. 33615 I Titleholder Phone Number Fax-813-780-0021 JJ 11884 LJ I /5208 813 II II Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address 1 Lot# Sub Division GOLDEN CORRAL 6855 GALL BLVD. ,ZF.PHYRHTT.T.S, FT. ii~L..7-757h I Parcel # I (Uts I AINcU I-KUM I"KUt"t:K I Y I AJf. NU II!,,;!:) o [XK] o D o o o o o o o o Bio-Hazard Waste Storage - ANNU~I fJt!! J I( Comm ExhSust KItchen HoodIDuCl -;:O!2- Controlled Bum -r vwt/ ~ Emergency Generator < 30 kw Emergency Generator> 30 kw Flre Protection Maintenance - ANNUAL Sprin~er r::J Fire Alann r::J Hood Clean/Suppression r::J Fire Alann Installation Fire Pumps Fire Works Flammable Application- ANNUAL D Fumigation Tent o Hazardous Material (Tier" or RQ Facility) ANNUAL D Hood Installation D LPlNatural Gas-Installation D LP/Natural Gas-ANNUAL Sale o Places of Assembly-ANNUAL o Recreational Bum o Spar1ders D Sprinkler System Installations o Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL Fuel Tanks Other: I Valuation of Project Co~~r. f"" . "",. "~.," .... - -r.' ...'\ ", I Company ~... ' "'.... . I I Signature Registered Y/N Fee Cummt Y/N - }'.~ ..,.... 4i... Address I ~. ., I I License # ELECTRICIANI I Company Signature Registered Y/N I Fee Current Y/N I Address I I License # I PLUMBER I Company Signature Registered Y/N I Fee Current Y/N I Address I I License # I MECHANICAlI I Company Signature Registered Y/N I Fee Cummt Y/N , Address I ".:~l,' I License # I . OTHER I I Company Signature Registered Y/N Fee Current Y/N I Address tt-, I License # ,I Directions: ~ ni~' ~. . ~r 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 wfth applicable documentation NOTICE 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 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 (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: 1 certify that all the information in this application is accurate and that all work will be done in compliance with all appHcali1e 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 perform~ 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 : 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, I 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 (OO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (OO) consecutive days, the job is considered abandoned. WARNING1TO 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 RECO ING YOUR N nCE OF COMMENCEMENT. ., FlORJDA JURAT (F.S, 117,03) ....w~,~./../~{,IIJff- I t:'e'}f;vf~ 7~"1 OWNER OR AGENT CONTRACTOR~%:-,.;,/~ ~ Subscribed and sworn to (or afflnned) before me this Subscribed amf. (or afftJrned) before me this ~ ~ Who is/are personally known to me or haslhave produced Who Is/are personally known to me or haslhave produced as identification, as Identification. Notary Public Notary Public Commission No. I Commission No. Name of Notary typed, printed or stamped I Name of Notary typed, printed or stamped ...-