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Home My WebLink About08-8100 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8100 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: 8100 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 5130 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-07000-0012 7/25/2008 50.00 50.00 7/25/2008 Phone: FPM-SEMI ANNUAL-HOOD CLEAN& SUPPRESSION-LUPTONS Name: LUPTON Address: 5130 GALL BLVD ZEPHYRHILLS, FL. 33542 (\\~~ V ct~t/ 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 INSPEcnON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 . ,JUL/,007/WED 01: 23 PM t\ \~\},~YB~Ro-OO20 \'1~,t--~1i " Date Received ' ] lR ~'- - :,1 ; FAX No, 813-780-0021 . 0 db City ofZephyrflills'Flr,s,. ". ~ O( Permit Application P, 001 ZEPHYRHILLS BUILDING Fax-813-76(J.{)021 ;w _~'Jl Sub Divislon 'Phorre Contactior Pe.mlt ONner'sName Owner's AddresS F'EIe Simple Titleholder Name Fee Simple TItleholder Addre$$ Job Address ~ . Parcel # Sprinkler D , "D D D D FIre P~olection Maintenance - ANNUAl. ' 0 ".D~'~~Cj 'D R~UorralBum Dp []IJc:J'O ~ 0 '~ci'L:]' D ,[S1 0 . r/ D. c::J,' 0 D C]. l '7t1~~ I Fumigation Tent. ~rdoui; Materi8J (Tier II or RQ facility) ANNUAL Hood InstiIUaOon l.p/Natuflll Ga~""lallanon l-P/Natwal Gaa-AN~UAL sale, Plaeea. ofAssembly-ANNUAL . o o o D B .. ' Blo-HaDrdWaste Storage ..ANNUAL I ',:' . Comm ,Exhaust KItchel'! Hood/Duct ConlroUed Bum . . Em",rIiency Ge"",rator < so kW Emergency Gene",wr> ao kw '. . Hood Cleaning HoOd 5uppres5lon Rre Alarm Installation I"lre ,Pumps Fire Wor\(l; Flam~ble Appllr.atlol}o AtmuAi,.' FIleI Tanks Other: .. I Sparlders Sprinkler S~'lnWillatlcifl$ ;;:tandplpes '(Spa1nkler ~) Torch RoolingJTar Kettle ,Wal!te 11re Stor,lge ANNUAL Fire Alan:n Valuation of Project Contractor Company Signature ; Reglster9d Addrelllil ~[L~cElf!~.#_.. ELECTRICIANI :J CoMp;;lnY. Slgnatul'e . FWglstered .Address I ~. ucense# pLUMBER I ., 1 Company Signature Fl.8glsterad Address L -:J License # ~ECHANICALl ;] , Company SIgnature Registered AddresS I ' ~ 'LicElnse 1/; OTHER I i Company Signature , ; Regl;,tsred Address __ l.icense # tireetlona: - ~ J I Y I NT Fee CufTBl'll ~ ~ Fee Current I Y/N I ~ LY/NJ J ~ Fee Current .ih - ,'" IT Fill out applicat10n c:ompletely, . OW""r & ContrBctor sign back 01 application, n~ (Or, copy of slgl'leld contraot with owner) If over $2500, a Notice 01 Co~nc8fl1lM\t I, requlred .(Mechanlcal work over $5(00) . supply two (2) seb; of drawings with appncabl& docuJTl8ntatlon . . . Allow 10-14 days for review after ,...bmntal date. " Parcel # - obtained from PropBl1y Tel{ Notice (htlpJ/appra\ller.par;cogov.com) JUL/18/2007/WED 01 :23 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 p, 002 i , 'NOTICE OF:OEED 'RESTRICTlONS: The ,undersigned understands.that this permit may .be:subjectito'.desd~1ies1rletlons""' .which may be'm'ore restrictive than County'regulations. The'.undersigned .assumes, responsibiiltY Jar~mpliarroew,rjth any, ..applicable deed restrictions. " , . UNLiCeNSED ~CONTRACTORS AND 'CONTRACTOR ,RESRONSIBILlTIES: If' the owner has 'hired-:a "!contractof"iJr -. - contractors 10 und~rtake work, they may bereql:Jlred .to be licensed in accordance With state and 10caIT~gulatlons. If the . contractor is not licensed as required by Jaw, 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 Tequlrements may :apply for the intended work, they are advised 'to contact the:Pasco County Building Inspection Dlvlsion-licensing Section;at 127-847- 8009. Furthermore, if the owner has hired.a contraetor or .contractors, he is advised .to .have "the oontractor(s} sign portions of the .contractor Block" of this applleation "for whlch1hey will be responsible. If you, as .the owner 'sign as the contractor. that may be an indication that he is not property Iicens~ and Is not entitled-to 'Permitting .privileges in .pasco County, CONSTRUCTION .LleN .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-Homeowners 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.AFFIDAVlT: ,I certify that all the information in this application'ls accurate and that all work will be done in compliance with all applicable laws regulating construction. zoning and land development. Application.ls hereby mad.e to obtain a permit to do work and installation as indicated. I certify that no work or installation hascommenc8d 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. .zonlng regulations, and land development regulations in tlw 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 compll~nce: " If I am the AGENT 'FOR THE OWNER, I promise IIi gpod faith to inform the owner of the permitting conditions set forth in this affidavit prior.to commencing construction. .1 understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools,'alr 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 aft~r the time the work Is com",enced. 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 (eo) consecutive days, the job is considered' abandoned. OWNER OR AGENT Subscribecl and swom to (or affirmed) before me this by , . Who is/are personally known to me or haslhave produced as iden1lflcaUon. CONTRACTO Subscribed and swom to (Dr affinne'd) before me this by Who is/are personally Icnown to ma or has/have produced . as Id'"tlfication. Notary Public Notary Public ' commission No. Commission No. Name of Notary~. prlnted or stlIrnped Name of NOtary typed; printed or stamped -=1.+::: 20 07 G3:29p L.uptcn's Catering p 1 !"'I-l"'t: tll SERVICE CONTRACT Fire Systems Inc. ".O.BOX ofIf741 .sT. PE1"ERSBVRG. FL. J3UJ.!74/ 717-"7- IZIS DATE, DECEMBER 26.2007 FIRE SYSTEMS AND EXHAUST HOOD CLEANJNG Sl:RVlCE TO LUPTONS'S 5130 GALL BLVD. L=tJMYRHILlS. Fl. 33542 813-71;;.1511 L SIIoL.ES?ERSON JnR ~ ....."..t"T T1:ftN.S g 011: PATI!: K~N l.UPTON'S 30 :lAYS ~lY i D~~~ I SfMlANl"IUAL CLEANING ANO SERVICE MAINTENANCE OF EXHAU5: I MOOD AND FiRE sYS'tfMA..ONG WITH CERTIFICATION AND DECALS PER NFPA fiRE COOE 5TANOAROS I fire EQuipment servtce : Exhausr Hnntl s,,$tem and I";rv S~stem c[earll"S ,;crv;cc Semi.annual ser;.iCI!' <;ootrilct for work [l5t~ and performed ", accOrdClnce with de3criPtlon. Sign ~low to acc:t>r>r. r"i~ agreement. Contract t~1'l'n for 1 )'ll'ar from date of this ~!lreemeMt. ( Recharges and emergency service additional charses I UNf1" PRlCE LiNE TOTAL 7"5.00 included lnctooeo SALES TAX !- 52.15 Authorized by Date sig.ned : 12/26/07 /~ --- ~- r--CL/Z.'1.~7 ~Aff-~<~,j FIRf3 PR..f7V17NTION SpeCIALIST TOTAl $ 797.15 -"'1 . 1_ (<7,z.b/u7 I -.-J THA.NK YOU FOR YOUR BUSINESS!