HomeMy WebLinkAbout09-8770 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 877O
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8770 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: 02-26-21-001 B-00000-0050
Improv. Cost:
Date Issued: 1/28/2009 Name: FOTOPOULOS, WILLIAM & FILAX, JOH
Total Fees: 25.00 Address: 38361 CR 54 EAST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2009 Phone: (813)783-1623
Work Desc: FPM- SUPPRESSION SEMI-JOHN STEAK HOUSE
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
C / sS
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."
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 Zephyrhills Fire jj. n'l 7 ) Fax-813-780-0021
Permit Application
rate Received _
Phone Contact for erm►t
)wners Name C� NS s7 Owner's Phone Number IH3i3
Anvers Address 3 O S7 r!,i J /C
ee Simple Titleholder Name Titleholder Phone Number ] II o
-ee Simple Titleholder Address
ji j
ob Address Lot#
Sub Division _--�--- Parcel#
BID-Hazard Waste Storage-ANNUAL EJ Fumigation Tent
Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier It or RQ Facility)ANNUAL
Controlled Bum [ ] Hood Installation
Emergency Generator<30 kw o LP/Natural Gas-Installation
oEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL [2 Places of Assembly-ANNUAL
lfl
Sprinkler O O O [ ] Recreational Bum
Fire Alarm 0 ❑ ❑ II a Sparklers
Hood Cleaning O O O [ ] Sprinkler System Installations
Hood Suppression fZ O ❑ 1I Q Standpipes(Sprinkler Sys)
Fire Alarm Installation [ J Torch Roofinglf'ar Kettle
Fire Pumps [2 Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL --, Valuation of Project
Fuel Tanks
Q Other:
Contractor Company
Signature Registered I Y/N I Fee Current I Y/N
Address f j License#
ELECTRICI Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N f Fee Current I Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N I Fee Current I Y/!U
Address License#
OTHER Company
Signature Registered I N Fee urrent N
Address Q 6 2 Z
....a:.:.. _:�.
a.r.
Directions:
Fill 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$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/appraiser.pascogov.com)
IO ICE OF-DEEDRESTRICTIONS: The undersignedthat this permitmay-be- `CI`tedee 7•�e-.
/blot may be more restrictive than County reatlons. The undefined-assumes responsibility for compilaaa'with any
deedrestrictions.
1NLICENSED CONTRACTORS AND CONTRACTOR : If the owner has i*ed-.a- ontractor or - -
or trac tcts to undertal0e work they may be regairedlo be licensed in aocardenoe with state and locshnegul ors. If the
cMractor is not licensed as required by law, both the owner and contradar may be ciledtor a misdemeanor violation
under state law. lithe owner or kmterded-contractor are um cerfako as to what licensing requkernents may apply for the
ntsded work,they are advised to oont t the-Pasco County Building kr$pection Division—Licensing Sedlonat 727-847-
3009. Furthermore,if the-owner has hired a contractor or contractors, he is advised to have the conb-actor(s) sign
croons of the contractor Blot"of this apply onior whichlhey will be responsible_ if you, as-the owner-sign as the
anbactor,that may be an ktdicatioru that he Is not properly licensed and is not endaed-to permuting privileges in Pasco
ONSTRUCTIONLIEN LAW(Chaptsr713.-Florida Ste utes..as.amended): If valuation of work Is$2,300.00 or more, I
certify that 1, the applicant, have been provided with a copy of-the 'Florida Construction Lien s
arotection Guide prepared by-the Florida Department of Agric Aure and Consumer Affairs. If the applicant is someone
$her than the`owner",I aerti(y that I have obtained a copy of the above described document and promise in goodish to
idiver it to the`owner'prior to
CONTRA AFFIDAVIT: I certify that all the Information In this application is accurate and
that all work will be done in compliance with aN applicable taws regulall g comstrudlon, ning and land
development. Application Is hereby made to ablain a permit to do work and I - 4n as indicated. 1 certify
that no work or kslrNaflon has commenced prior to issuance of a permit and'that aN work will be performed to
meet standards of aN laws regulating conskuction. County and City codes, zoning regulations, and land
development regulations in the jixlstilclkni. I also comfy that I understand that the regulations of other
government agencies may apply to the krbanded work,and that It Is my responsibility to Identify what actions I
must We to be In compliance. -
if I am the AGENT FORTtE LIER, I ppomise in good to th to irdu m the owner of the permitting condtions set forth in
this prior-to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air cmd1lioring, gas,-or other i stalstions not spec y Included in the application. A
permit issued shah be construed to be a license to proceed with the work and not as authority to violate,cancel,aver, or
set aside any provisions of the technical codes,nor shat issuance of a permit prevent the Btidkg Oflkasl from thereafter
requ ki ng a caradion of errors in plans,conabuclon or vholalons of any codes. Every permit issued stmil become Invalid
unless the work authcriasd by such permit is con r.errced wit in sirs months of permit issuance, or if work a .dhoiimed by
the permit is suspended or bdoned for a period of six(6)rondo suer the time the work is commenced. An extension
may be requested, in writi g,from the Building Oflk al for a period not to e000eed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for rusty(90)consecutive days,the job is considered abandoned.
WARNING TO d NN113t YOUR FAN:ORE TO RECORD A NOTICE OF CNWT MAY RESULT IN YOUR
PAYING TYMCE FOR TO YOUR PROPlER1Y. IF YOU!REND TO OBTAN FINANCING,CONSULT
WITh YOUR L9ER OR AN ATTORNEY BEORE RECORDING YOUR NOTICE OF CO' 'IC' T.
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