HomeMy WebLinkAbout09-8697 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8697
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8697 Address: 38361 CR 54 EAST
Permit Type: FIRE PROTECTION MAINTENANC E 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: 02-26-21-001B-00000-0050
Improv. Cost: ' ,
Date Issued: 1/02/2009 Name: FOTOPOULOS, WILLIAM & FILAX, JOH
Total Fees: 25.00 Address: 38361 CR 54 EAST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/02/2009 Phone: (813)783-1623
Work Desc: FPM-ANNUAL HOOD SUPPRESSION FOR JOHN'S STEAK & SEAFOOD
HERNANDO FIRE&SAFETY EQUIPMENT FIRE PERMIT FEES 25.00
FIRE ACCEPTANCE Final
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay r th sts of i
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
813-780.0020 City of ZephyrhIls fhtde n^ Fax-813.780-0021
Permit Application - .
Date Recawd 1 I PhOiioitfoCPSflTilt
a _
Owners Nenn - -
Owners Phone Number J I I 1 1
Owners Address `` 1 '
Fee Sknple Tl letaldsr Nana Tit eholdur Phone Number
Fee SinpNllretalderAddrass
Job Address Lot
Sub Division Parcel 9
Sic-Hazard Waste Storage-ANNUAL a Frsnigatlon Tart
F1 Comm Exhaust IQt hen HoodlDuct a Hezadma Mater.(liar U or RQ FadMty)ANNUAL
0 ( p$Bum a Hood ksfaMation
0 Emergency Gensralor<30 kw [ J LPlNatural Gas-In atlon ``'•.�
ri Emergency Genaalor>30 kw LPINs4sal Gas-I)NNUAL Sal.
dire Protection Mekrlwraae-A®® Q Pte sswnbly#D (
UAL
® 7 9
Spktdw O O O Rassn Bum
Fke Abam Cl O Cl I I Sparklers
Hood Ctearaig O O O I SprkrlderSyslsm Irma- --.s
Hood Stwaasion O O k I I Slandlpas(Sps SYs)
FkaAtenn lfatall Om _ Torch RodngfTwKeYM
Ff1e Puns — • - RWad&MmSWWANNUAL
The
Flm Works
Ftenarr.bi.Appliatlon.ANNUAL I Valuation of Project
Fwd Tents
Cortwcfor 1fl .. c1— rY
S'gnaaae R.gfstered 1fN Fee.
77i
Address 4V Ilicerm 9
Repisterad I Y/N Fee Curer* I Y/N
Address $Jeer».s
PLUMBER Coy
Signakaa Registered YIN I Fee Cummt I YIN I
Address License#
ME CanY
Signature Registered Y/N I Fee Corm$ I Y/N
Address Licence 9
OTHER CnParW
Signature RegWored YIN'V/NJ Fee Cunwrt I Y/N
Address Uowre/
Diradlons:
FU out appMcatlon cã.hJy.
Owner 8 Co..bselor sign bade of applialon,eotedeed(Or.copy d signed ooneaet wlth owner)
ii over$2500,a Nolte d Commarroemwt is requked(lbdwkW work over$5000)
Supply two(2).sets of drawings with applicable docu enteion
Allow 10-14 days for review after submittal date. Pascal s-obtakred from Property Tax Notice(h tpYhppreber.paeeogov.eam)
'NOTICE OF DEED RESTRICTIONShdersigned understands that this permit maybe sug14rleaid�treatrictf0n "
which may be more restrictive han!O0t regutations. Theundersigned.assumes responsibllft ypcmplfaa ce'wlth any
applicable deed restrictions. ntrector ry
'UNLICENSED -CONTRACTORS 7CND'CD1QlR71CTOR:RESPONSIBILITIES: if the owner ha�td:ri[aQ -er"s=o
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
In Pasco
contractor, that may be an Indication that.he is not properly licensed and is not.entitied-to permitting privileges
County. If valuation of work is$2,`500.00 or more, I
CONSTRUCTION.LIEN LAW(Chapt.r713,Florida 8tatubs,as.amend•d):
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'SIOWNER'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 oonstructbn, 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 FORTHE 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 induded for the application.tricalwork,A
plumbing, signs, wells, pods, air conditioning, gas, or other Installations not specificalh/
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 shad issuance of a permit prevent the Building sued shall frombeco thee rna i r
requiring a correction of errors In plans,construction or violations of any codes. Every permit
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 sbi(6)months after the time the work commenced. An extension
will demonstrate
may be requested, In writing, from the Budding Official for a period not to exceed ninety ( ) days
and 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 JMPROVEMENTS TO YOUR PROPERTY. IF YOU D TO O N FINANCING,CONSULT
IIII YOUR LENDER OR AN ATrORNEY BEFORE RECORDING V N liCE QF O MENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER Sub{ S and swam b(or.Nimrod)before me this Subealed and sworn to(R AGENT COIITRACT0R ) me
Who blare personally bs�b me orr °! b rrr�or hasfaw produced
as as IdeMMcatlon.
NAY Pottle Notary Public
Commission No. Commission
Name of Notary typed;printed or stamped Name of Notary typed,printed or stamped
FRANCIS;.SPERLAZ A
MY COMMISSION+ 01M4$';<
5I'si�3 EXPIRES December I1.20,2
C`OF R F� rj0�pSCOu01 i.55CC -�O
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