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09-8843
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8843 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8843 Address: 5048 GALL BLVD 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: 11-26-21-0000-01400-0000 Improv. Cost: Date Issued: 2/23/2009 Name: CUMBERLAND FARMS (NAK MOM) Total Fees: 50.00 Address: 777 DEHAM ST Amount Paid: 50.00 CANTON, MASS Date Paid: 2/23/2009 Phone: Work Desc: FPM HOOD CLEAN-SEMI/SUPPRESS SEMI-HOLE N ONE-SCH 2/24/09 :": �?�:n. > .. �q s �� 'II..'� a K s Q , R:_„,�, W.>- SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00 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 813-780A020 F. 813-78000¢1 D.Os R Li Ph Conadfor!lentil 1 1 � owrr.ts Nome - O#¼16u 7 ownw's Plwn.Number s 3 / (r tcry owners Addmss _ LL Fsr SMnpie t>datrolder Nrmu Tlfeirotd-Phon'Nua*er 1 i . F..Simp1.lNdrdd.rAddias _ �. Lot# .lob Adri.es Stb l3M ion Cl Sio4 dWa Iss,on,B,-MUWA. Kn*m 1Tent Q Oa mEawX& rret101e1rerrlbadlDuct. EJ (Tier I orRC F&I )NIIML [] ci.kJai,n Hoed i, wwon Emnperr w Gs,nabr<30 kw Q LP!lwsal ordnaiYfan ri 301. U FYeAgMicBan lMiMenena�-/�M�MMt. !hoes of As..a�blyr iM D a p liaawlietai bum Fits Aims fl 0" 0 Q Hood SVpw n O Q 1 I SAe.(s ) !fir Absm MreYieAkw Tadsafry/RsTerKefis RM Pulps U WW*TUrt8io=gwA INIAL Firms Walks --- -1: l Of�1 .� Fud'aMm RcI ued Y N IFie QaarrrtI YIN' Addr..e erre. can RepWareJ N I F..Ea`en1 Addross Lionel.• Pt.tiiaER _ Rephteeed Y/ - I Fee Current AddM V Lkowm# S(Bndcae L V RofieMndviw iFM Comsat Y Addi .ui Uosai. = _V IReO NMed Fee Cwmt N Address3t> > Lkeern.# VVVIJ DHedions: FE o*1. - oompislrip. CM w&Con%wdwr.ton beep dappfoeforr.rrdsisad(tr.copy of ai0nad aonea42 wfh owner) V $3000.Nofo.of Qoarmanoernen-ism .d1Mdreded wodc or.r$0800) SN tm(2)s is ofika*p wph appf-1J-docarrerMefon AMow 10-14 dope for nrrisw afar eubmMei daw. PsreN#-obleind ilcm f'topstir This N 4. eppraieet paecoaov can) NOTICE OFU RESTRICTIONS_ The undersigned understands that this permit rnay.be b-'denai�'aeshirions* which may be more restridtve than County r+egui�ons. 7he-mK exsigned assumes espoôiMb farcomp ieece`wlth any deed ons. RNICEIr8M AND If the owner has-hkad—conknowr or :ontra Drs to uurdertaiae work they may be n wpdred'lo be licerresd in eroordsnco wmi slate and local•mgulonL If the so.Mactor.Is not licensed as record by l.w, balk the owner and cawador may be cllsd-lbr a misdemeanor violation under stele law. If the owner or blended-oontractior am unowt in as 10 Wwhot-Niometrg-reelr*sments may apply for the mended work they are advised ocIMstt the-Pasco County BiIdkng lnspedbrr Divission--ucsneirg s.c n_at 727-847- 1009. Furthermore,if the-owner has hired a conk*** or ©ontraclom he is advised to he'the ooninicior(s) sign xirtforhs of ihe'corrtraolor flock''of thie.a iawiionior wtnich-inay,wMl be hie Ifyary, as-th arner-sign as the :o*actor,that may be an kndkwtion that the is not property licensed and Is not ar ed'b plan dtt 8 privileges In Pasco .LEN LAW(Chlptar713,-Fisrlda SthWfo seas Amsnd.d If v pliort of worts Is$2,8'00.00 or mare. I certify that i, the appiaant, have been_provided aft a copy of the 'Florida Consbucfon tisn s rrolaction Guide'prepaed byihe Flo Depwtmei*of AWbjkwe and Correrener AIlllIM E the app and Is someone ,ther than the''owner,I cecg(y Shat 1 hays olfioinrld a copy of the above described doame t and promise in goodfafth to idfirer•It to the'owner"prior 10 �AFFOiA1lIT: I oertQy that ai the iWINI naforr,inais-applic llon is ercctuals and that at work wig be done in compliance with all applicable laws rep istkig anoWu rr,,zoning and land development. Appicalion is hereby made to attain a penal to do work and bnetaler kn as icy_ I certify that no work or indsiafon hew+conrreenoed prior to isluence cf a permit and•Stat all work wit be performed to meet atandatds of aN have regu eft construction, Coeanty and Cliy codes. zoning reguiallons, and land development regulaforas In the MimLilosi. I also oerti& that I uudar.$end that the repubafons of other government agencies may apply to the kgended work and that ft Is my respor y to ideni(what actions I must thrice to be In compliance. If I am the AGBIT FORTT1E OMMI�ER, I pnorrdee in good fallh to iMkin. the owner of the pemda C aorr lions set forth In this-a Ildavf prior to camuenck ootusirucYon. I understand that a separate permit may be requied for eiec6ice work, plurthlng, sI a,wels, pools, air oonrlNontng gas,-or after inghoodn s not speolicwfy trndrded In the appica Lion. A permit issued shell be coratrued t+0 be a license to proceed with the work and not as ar0itorIly 10 viers,cancel,alter, or set aside any provisions of Sue tactilca1 codes,nor at wi issuance of a penult prevent the Bring OEicU from I hereater regrtrhtg a cure tion ofem rs in plans,con*uclion or viakdons of any codes. Every perm issued sthal becalms Invalid unless the work arslhoriaad by such permit is commenced within sire mor*w of penal...bourne, or if work authorized by the permit Is suspended or abwrdorred for a period of sbc(a)months aSar the thee the work is.co a enosri...An de Ion n may be redneebed,in wIRsg,*am the Sukilrrg Oliciel for a period not to roused ninety(90)days and wti demahsuvm justifiable canuse for the soclerafon. If work ceases for u*i (90)consecc e-dsys.the Job Is coraide,ed abandoned. WARNING TO NMt YOUR FALLIRE TO RECORD A•ITICE'OF -wRrR StM.T lN YOUR PAYINGTYI[E FOR Ni 'W '- TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT RDA (FS.1t AM - OrAwfaeROR/Y�fr CONTIMC it Si Led and sworf b(ar aaiaMd)estJPS rris arse 9ulwaind aid sworn b(ar /n�d)b erors.mettis raraMi ti rrrsar AaMrsreprod and V&w kftM fiarn bm. as tdwralcaforr. MMY Ptdit NoYry ftdit Carryrriealon Oamariaion Na Name of Notary�Ypsd.Ord 7M-—u i..d Name of Norwy W , d ar