HomeMy WebLinkAbout09-8877 _ - CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8877
ANNUAL FIRE PROTECTION MAINTENANCE
3 a
Permit Number: 8877 Address: 6816 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-02400-0020
Improv. Cost:
Date Issued: 3/05/2009 Name: PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/05/2009 Phone: 813 782-5511
Work Desc: FPM-HOOD CLEANING QUARTERLY-PIN CHASER- SHC 3/11/09
COMMERICIAL SERVICES INC 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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
a.,
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
FEB/20/2007/TUE 11 : 10 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002
`813---7800020 City of.ZephyrhillsFil _., p[)11 Fax-813-780 0021 .• •:4
Permit Application -•- a�^c
--- �Phb6c Contact for Pormlt
-Date Received -'
Owners Phone Number !v 1OO
Owner's Nar /'
Owner's Address to •$ J U 7 3��'y�
Titleholder Phone Number
Fee Simple-Tilieholder Name
Fee Slmple7ltle.holdarAddrese
Job Address t
Subbivlslon t — Parcel#
Bio-Hazard Waste Storage-.ANNUAL Fumigation rent
Comm Exhaust Kitchen Hood/Duct' Hazardous Material(Ter it or RQ Facility)ANNUAL•Controlled Bum fl Hood Installation
' Emergency Generator<30 kw 0 LP/Natural Gas-Installation
Liii Emergency Generator a$0 kw i P/Natural Gas ANNUAL Sale
EIIIIIJ Fire Protection Maintenance.ANNUAL :. -Places of Assembly-
ANNUAL
ems• Sprinkler Q D D 0 Recreational Bum•
Fire Alarm fl 0 O D Spenders
Hood Cleaning ' O 0 Sprinkler System Installations
Hood suppression [• Q E7 ❑ ED standpipes(Sprinkler Sys)
0 Fire Alarm Installation Torch Rooflng/Tar Kettle .
• Fire Pumps Waste'fire Storage.ANNUAL
Fire Works
Flammable Application-ANNUAL ' Valuation of Project
0 Fuel Tanks '
other:
Contractor Company
Signature Registered /N Fee Current Y/
Address - — License#
ELECTRICIAN Company
signature L
Registered Y 6 N Fee Current Y/N
Address License#
• PLUMBER Company
SlgnaturaI_j Registered Y/N Fee Current Y/N• Address License#
MECHANICAL Company
Signature Registered .YIN Fee Current Y-/N
Address ,License#.
OTHER • •
company •
Registered Y/N ' Fie Current Y IN
Signature
Address UCenae#
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 Cornmencement 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(httpJ/appraiser.pascogov.com)
FEB/20/2007/TUE 11 : 10 AM ZEPHYRHILLS BUILDING FAX o, 813-780-0021 P, 003
1.=1N'pTloE-,O•F:DEED:RESTRICTIONS: 'The.undersigned=und nos hat-thls permit may.be-subject;to-"dedd":,restrictiP�t tr
�vvhiCh'emay'b'e more restrictive than County'regulations':`?he urrdeirs gned3assumes:responsibillty-for'comp)iance).wlth n { gr�i&
7—;applicable deed restrictions. aG:oiicaT_ ;rig i
' JJNfiIC•ENSED 4-CONTRACTORS jAND;CONTRACTOR-=RESRONSIBILiTIE•S if-the -owner has-hired'rawcontractor. f,W-
: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'maybe cited'for:a'misdemeanor,violation.
•-.under'state'law. If the owner or intended contractor:are uncertain-.as'to what licensing'requirements may.appiy'for:the-.=
intended work,'the,y are•advised-to contact the'Pasco County-Buildingslnspection-Division—Licensing Section:at 727-847-
-8009. .Eurthermore, .if the owner has hired:a contractor or-contractors, :he is'advised 'to have-the contractors) :sign
.portions of the "contractor Block" of this application for which'they.will be responsible. 'If you, as'the owner'.slgn:as.the
'econtractor,'that•may.bean indication:that-he'is'not:properly.licensed.and is not.entitled•to:permitting.privileges in-=Rasco
-County.
CONSTRUCTION_LIEN.LAW'(Chapter713,'Fiorida`Statutes,as:amended): If•valuatlon.of work is $2,500.00.or-more,:l
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/OWNERS-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 applyto 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 setforth in
this affidavit prior-to-commencing construction. -I understand'that a separate permit maybe 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 Pullding 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 7O'OWNER: ' OUR"FAILURETO`RECORD'A"N'OTICE•OF-COMMEENCEME T:MAYRESULT=IN YOUR
PAYING TWICE FOR I OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB IN FiNANCI CONSULT
WITH Y UR L NDE • N A R Y'BEFORE RECORDING YOUR NOTICE OF MM NC
FLORIDA JURAT(F.S.1 )
OWNER OR AGENT • _ CONTRACTOR
3ubscribod and sworn to(or affimted)bof:. .reme this • Subscribed and swum to(or afflr ed)be a this
by by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or hasthave produced
as identification_ • as identification. .
Notary Public Notary Public
Cofnmiasion No. • • Commission No.
'Name of Notary typed;printed or'stamped Name of Notary typed,,printed or stamped -
COMMERCIAL SERVICES,INC. 14 528
Payee: ZEPHYRHILLS
03/02/09 ********25.00
PERMIT FEE