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CITY OF .ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8317
Permit Number: 8317
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: 6606 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-05600-0020
9/15/2008
25.00
25.00
9/15/2008 Phone:
FPM-SEMI HOOD SUPPRESSION-SONNY'S BBQ
Name: SONNY'S BAR-B-QUE
Address: 6606 GALL BLVD
ZEPHYRHILLS, FL. 33542
t[ ewI
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND/TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN AITORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date
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Owner's Name
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Owner's Addre~
Fee Simple Titleholder Name
Fee Simple Titleholder Address
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Job Address
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Sub Division
Bio-Hazard Waste Storage - ANNU.
Comm Exhaust Kitchen Hood/Due
Controlled Burn
Emergency Generator < 30 ~
Emergency Generator> 30 ~
Fire Protection Maintenance - ANNUAL
. Qtr1~ Semi Ani Other
Sprinkler
o 0
o
Fire Alarm
o 0
o
Hood Cleaning
o 0
o
Hood Suppression
o Q'" 0
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
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Address -Pc) &iJXr-$Z Y /
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ELECTRICIAN
Contractor
Signature
Owner's Phone Number g ( 3; "7 ? ~ ~ Lt;) 7;;2
Z-eP~yr [,J lIs (~{,
Titleholder Phone Numb. of J - 78").. - Lf;<. 7 2-
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Lot #
Parcel #
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installati,
LP/Natural Gas-ANNUAL S,
Places of Assembly-ANNUl'
Recreational Burn
Sparklers
Sprinkler System Installatior
Standpipes (Sprinkler Sy
Torch RoofingfTar Kettle
Waste Tire Storage ANNUA
3 J O~<:!!.. Valuation of Project
Company
Registered
Fir. e....5ysfef11.k. I.'Y\C .
(tt.,J N ~ee Current (!5P / N
.5V1 )(1~f)(901 200 Lf
License #
Company
OWNER OR AGENT
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
~ ~
Who islare personally known to me or haslhave produced Who islare personally known to me or haslhave produced
as identification. as identification.
Notary Public
Notary Public
Commission No.
No.
Commission
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Signature Registered Y/N Fee Current Y/N
Address License #
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License #
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License #
OTHER Company
Signature Registered Y/N Fee Current Y/N
Directions:
Fiil 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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
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: I certify that all the information in this application
is accurate and that all work will be done in compliance with all applicable 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 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 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 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 (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 BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)