HomeMy WebLinkAbout08-8195
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8195
ermit Number: 8195
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: 5506 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0256
8/13/2008
25.00
25.00
8/13/2008 Phone:
FPM-HOOD CLEANING QUARTERLY FOR KFC-SCHEDULED FOR 8/20/08
Name: HIL MO .INC
Address: 1108 W BRANDON BLVD
BRANDON FL 33511
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENTI"
"--'
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
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F.." Slm~le TilIeholder Addreu
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ZEPHYRHILLS BUILDING
FAX r~o, 813-730-0021
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City of Zephyrhills'IFIr'e': ...'
. Permit Application
Fax-813.760.0021
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aio.Ha~ard W8St~ Storage ..ANNUAL
Comm Exhaust Kitl;hen HoodlDlAc;:t
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CDntrolled Bum
Emergency Generator <; SO kw '
Em'ergenl;Y G,nenttor;. 30 kw
Fire ProtectIon Malnw"anc~~. ANg'~ ~
Sprinkler . 0 [J 0
FIre Alllfln ) Cl 0 Cl
Hood CleanIng J( 0 Cl
Hood SUPPl'ell$lon '0 D 0
Fire AI"TTl Installation
Fire "'limps
Fir& ~oric:,
Flammable Application- ANJIlUAl
FUIllI Tanks
Other:
D FumllJatl~n Tent
D HaZ'lIrQaU8 Material (Tier 11 or RQ Fal;l/Ity) ANNUAL
D Hood ,tnetallatlon
~ lPlNatura' Gu-lnstallalion
LP/Watunll GlID-AHNUAL Sale.
. Piece. of AS"~bIY-A~NUAI.
~ Rlcn!lalla,.1 Bum
, Sparkle'"
. SprfnklerSYSI~m In,Iell.tIons
Standpipe. (Sprinkler Sye)
'8 Toreh Rooling/l'.r Keltle
. WaIte Tire Storage ANNUAL
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Fill out application completely.
Owner & ConnctOl' ,Ign bIl(lk of .ppUcatlon. notarill:lId (Or, copY of signed contnact with own.r)
I' over $2:100, , Notle. of Ccmmenc:em.nt I. reqlJlred,{Meoh.m04ll wol'k ovtr $600D)
Supply twQ (Z) setl of drawing. with apphoable dooumentBfiol1 '
Allow 10-14 days for nwi8W after submittal date. Pareel"". obtained from Property Tax Notice (htlp:l/appralser.pa'oogov,tlotn)
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ZEPHYR~ILLS ~JILDING
FAX No. 813-780-0021
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'NOTICE OF:OSEO'RESTRICTlONS: The undersigned understands ,that this permit may.be!811bjeetfto'"de.e:d~'tTestriction$'''
which may be more restrictive than CountYTegulalions. ihe~undersigned.assumes responslbillty:for:comp!isr:lc6'with any,
,elpplicable deed restrictions. .
'UNLICENSED :CONTRACTORS ,AND "CONTRACTOR RESPQNSIBILoITIES: If the owner has 'hlred'~a 'contractor or
contractors to undertake work. they may be required 'to be licensed in ,accordanoe with state and local'regulations. If the
'contractor Is not licensed as required by law, both the owner :and 'contraotor may be oited 'for a :mlsdemeanor vioiatior,
under state law. If the. owner or Intended contracton1re uncertain ,as .to what Iioenslng'requirements may 18pply for the
Intended work, they are advised.to contact the.pasco County Building Inspeotlon Division-LicensinG Sectlon,at "2.7~847-
8009. Furthermore, if the owner has hired ,8 contractor or contractors, he Is advised 'to have 'the contractor(s) sign
portions of the Hcontractor Block" of this application'for whlch"they will be responSible. If you, as 'the owner 'sign 'as the
contractor, that may be an indication 'that he Is not properly licensed end Is not entitled 'to 'permitting ,privileges in 'Pasco
County. .
CONSTRUCTION .L.tEN .LAW (Chapteri13. 'Florlda Statutes, ,at :amended): If valuation of work is '$2:500.00 or more. I
certify that I, .the' applicant, halle been provided with. a copy of ' the "Florida Construction .Lien Law-Homeowner's
Protection Guide", prepared ,by.the Florida.Department 9f Agrioulture and, Consumer Affairs. If the $ppllcant Is 'someone
other than the Aownerft, I certify that I have obtained a' oopy bfthe above descrfbl!Jd dooument and promise in good faith,to
deliver It to the "owner" prior to commencement. " '
CONTRACTOR'SJOWNER'S,AFFIDAVJT: I oertlfy.that all thelnformatlon In this applicatiorl'l~ accurate and
'that all work will be done In eompllance WIth all applicable lews regulEtting construotion, %oning and land
development. Application Is hereby made to o,btain a permit to do work and lJ:lstallatlon as Indicated. I certIfy
that no work or installation has.commenoed prior to Issuance,of e permit and' that all work will be performed to
meet standards of all laws'reguhitlng construction, County and City codes. .zoning regulations, and land
development regulations in tije Jurisdiction.. I also certify that I understand that the regulations of other
" government agenoies may apply to the Intended work. and that it is my responsibility to identify what actions I
must'take to be In compliance" '
Ii lnm'the AGENT'FORiHE OWNER. I promise ili good faith to Inform the owner of the permitting conditions set'forth In
thlg affidavit prior'to oommencing construction. : ,I understand that a separate permit may be required ~or electrical work,
pllJlnbing. signs. wells,' pools, air conditioning, gas, .or other Installations not lpeolfiQslly Included In the appllca~ion. A
permii issued shall be oonstrued to be a license to proceed with the work and not as authority to violate, canoel, alter, or
sat aside any provisions of the technical codes. nor shilll$suanee of a permit prevent the Building Offjolal 'from thereafter
requiring a currectlon of errors In plans. oonstruc:tlon or violatioos of any codes. Every permit Issued shall become Ihvalid
unless the work authorized by such permit is col'l1menced within sIX months of permit Issuanoe. or If work authorized by'
th~ permIt is suspended or abandoned for a period of six (8) months after the time the work Is commenced. .An extension
rnl'3}' be requested. in writing. from the Building Official for a 'perlod not to exceed ninety (90) days and will demonstrate
jtlstiflable cause for the extension. .If work cea~es, for ninety (90) oonseoutive days, the Job is considered abandoned.
. . . .
WARNING TO OWNER: YOUR FAILURE TO RECORO A"NOTlce "OF 'COMMENCEMENT MI\Y.'RESULT IN YOUR "
?A YING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 08TAIN FINANCING, CONSULT
Wl.TILYQUR LENDER OR A.tlATTOflNEY BEFORI: RECORDING Y9UR NOTICE OF COMMENCEM~L ,
FLORIDA JURAT (F,S, 117.0S) : ',' .,;/' ,
OWNER OR AGENT lX CONTRACTOR L-J ~L:'~4-
$iJbscribed and sworn to.(oi affirmed) before me thi6 . Subscribed and sworn to (o~ rmed) be me this
__._..--:.-by _ . ' by
Wiw is/are personally known to me or haelhav8 produced ' Who lsJare p,rsonallY known to me or hlI6Ihave produc.o
85 Identification. _as idetltmcatlon.
..----
Notary Public
Notary Public ,
CommilJ,iDn No,
Commlealon No.
NomeOTiiiOtary typed; prtnted ur llttmped
. .'
Name of Notary tYped, printed or stamped