HomeMy WebLinkAbout08-8610 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8610
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8610 Address: 7631 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 12/05/2008 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/05/2008 Phone: (479)204-1063
Work Desc: FPM-ANNUAL HOOD SUPPRESION FOR MCDONALD'S
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HERNANDO FIRE&SAFETY EQUIPMENT FIRE PERMIT FEES 25.00
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FIRE ACCEPTANCE Final
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."
a..
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
City of ZephyrhglS FIRey`T2 Fax-613-780.0021
813-780.0020 Pernilt AppllCetlOrl .
phoris Permit
Date Received ry' cd4'11 "4?22 I
fawners Phone Number E J U 1I
Owners Name -
Owners Address iWY4fiu'4
��TMNfwider Phone Number
Fee Skrpb TMletalder Name
Fee SkrpielltldwlderMb.aa
✓ Lot#�
Job Address
Parcel S
Sub Division
MRio-Hazard Waste Storage-ANNUAL Ftsrrigaton Tek
El Comm labciwcr Hood/Drxt a Hess Malarial(TNr 11 or RO Facility)ANNUAL&M El Hood i Uon
Emergency Ge srslor<30 kw a LPINatud Gas-Installation
Em«irpe,ay G.rwawr>30 kw LPR4.baal Gas.4NNUAL Sal.
Fire Prolecion MaiiMrrerc•-ANNUAL a Places of Assembly-ANNUAL
Spite Cl O O O Wamliond Bum
Fi.Akan O O o SParld«s
Hood Cber*I O O O Sptirlda Syslsm m-hoeome
Hood&ppr.e lon O O F I Strntp4 (Sprkrder8ys)
Fie AMrm butell.Uon - a Torch Roobrglfar KM%
Fie�+Ps - - Q wade Ti.Swrags ANNUAL
Fie Works Valuation of Project
Flammwbb AM*ca6on-ANNUAL
Fuel Tanks
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Sigrrattae
Lk�erw#
Address / ' *'W -
Ral54a^ed F Y/NJ Fee Cuffat I Y I N
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Address
PLUMBER Con sny
Regisw.d Y/N J Ps.Cumrt. Y/N
Signature
Lkxnas M
Address
ME Cory
Regiswed Y/N Fa.C sr.nt Y/N
Signature
Address
LUoew S
OTHER w
Signature R. IsIsr.d Y/N' Fe.Cranrt Y/N
Lwow
Address
Directions:
Fill out appYe—on Oor rrofatt.p- (pr.copy d�mW contract w th owner)
Owner&Cariracwr sign beck d application. work over$5000)
If over$2500.a Nolios of Corrmerosmant is rsquk.d(M.oher�eal
Supply two(2).sets d drawings wMh applicable do *ton Parcel -obtained from Property Tax Notice(hgpyhPPralW4» ovoomr)
Mow 10-14 days for wvisw after submittal data.
'NOTICE OF DEED RESTRICTlONWflhdarsIgn.d understands that this permit may.beau dead restrictions"
which-may be more•restrictive'than 0o0h %regulation. The.undersigned.assumes responsibility v.Dmpliarace'with any .
applicable deed restrictions.
'UNLICENSED-CONTRACTORS MID ON?RACTOR:RESPONSIB LiTlES: --if`the owner liar hJd:a ntractor-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 comactor may be cited for.a-misdemeanor violation
under state law. .If the owner or Intended-contactor 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 Sectlon.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(Chapter713,Florlda 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 tobe 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 iberae to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall Isttuanoe 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 vidthln six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of siz(8)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($0)consecutive days,the job Is considered abandoned.
WARNING TO OWNER: YOUR FALURE TO RECORD A NOTICE-OF•COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR JMPROVEMENTS TO YOUR PROPERTY. IF YOU ND TO O FINANCING,CONSULT
WITH YOUR LENDER OR AN ATrORNEY BEFORE RECORDING Y TICE QF CEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR A=NT
Subaxbed and swan to(or.Mimed)before me this r
by
Who personaly known to me or haelhays p duped to me or haslhaw
pro
as IdensUloatbn. as Identl0cabon.'214Notaiy Public Notary Public
Commission No. No.
r '
Name of Nobly typed,printed or stamped Name of Nobly typed,pfd or stanIId