HomeMy WebLinkAbout09-8893 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8893
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8893 Address: 5610 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0255
Improv. Cost:
Date Issued: 3/13/2009 Name: BURGER KING
Total Fees: 25.00 Address: 5610 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/06/2009 Phone:
Work Desc: FPM-SEMI HOOD SUPRESSION FOR BURGER KING
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 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
813.786-0020 City of Zephyrhlls ftAde Fax-813-780-0021
Permit Application
Dots Reatrsd f PhoiisPlroris Coorrrtact iortor Psmitt I II II
Owners Nsnre % Owrrrs Phorre Nunber
Owners Address Titlstwldsr Phorra Number 1I Ci T1
Fee Simple TMIdwhW Name
Fes S1 npl.TMdwidsr'Addmsss III
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Job Address 5( /c2
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Sub DMfiort ParCN
Bio-H Zsrd Wass Storage-ANNUAL Fumigstlon Tent
Coma Exhaust Kitchen HoodlOud Hazardous MatwW(Tier 11 or RQ Fedity)ANNUAL
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Ca*uMd sure El Hood k»fa lation /
Emwjw y Generator<30 kw LPMahsd Gas-irWaNstlon t1 /,C J�D�IG�C�
Emergency Generator>30 kw LPMstuat Gas-4NNUAL Sale
Re ProMclbrr Makwrmnce-® ® Q Pt.ctrs d Asssnrbiy,ANNUAL r
g O O O
Recreatlonal awn
Fl,.ANrm O ❑ ❑ F i Sp
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Hood CM *ig a ❑ ❑ F I $Prk S
Hood BupprwNon O 0
Fb Maim ine'M on - Torah RouIrrg/Tar K.W.
AN Pumps - . - Waits Tim Storags ANNUAL
FNe Wod� Valuation of Project
Flanrnabis Appicatlon-ANNUALj
Fuel Tait
AddrMs .. •
ELE Ciriy
Signature ._________________________________ .
Registered Y/N FerCunent Y/N
Address Ucsnse F
PLt1MBER co'P"
signature I
Registered N Fie Curtart Y
Address Licsnm
MECHAMCALI Canny
Spnatun RsvIpwed Y/N Fee Cunsnt Y/N
Address
OTHER Company
signsuse Registered Y Fw Gwent Y/N
Lbww Ir.
Fit outsppNoMba S yr d �eontrpa!with owner)
Ownai CorraMelor °Itlp on''�R" d(Or. sigr,wa+i d o $5000)M over$2500,a Novo. liar rr�trna�eeiriA 4)t+regUlNd"
Supply two(2),sets far atbrawbrrillW.d to.
it 4. srcel*•obfair»d from Property Tex Notics f htlpllsppnsimr Pa�Oo
Allow 10-14 days tv ca^)
'NOTICE OF'DEED RESTRICTION StMft lhdersigned!understands that this permit may.besutdgct asod";xrestrictions"
which may be more•restrictive'thanvOoit'rr regulations. Theundersigned.assumes responsibility,#Mpopmpliance'w th any
•applicable deed restrictions.
,UNLICENSED -CONTh ACTORS 1'ND-COI ACTOR:RESPONSIBILITIES: ••if-the owner-haL'htrvd.a. contractor'or
contractors to undertake work, they may be required to be licensed in accordance with state and.local•regulat cons. if the
contractor is not licensed as required by law, both the owner and contractor may be cited fora 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—Uc ensing 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
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(Chapter7l3,Florida 8tatutee,asamended): If valuation of work is$2;500.00 or more, I
cartfy that 1. 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•AFFIL AViT: 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
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 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 license to proceed with the work and not as authority to violate, cancel, after, or
set aside any provisions of the technical codes, nor shah Istuanoe 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 Wthin six months of permit Issuance, or if work authorized by
the permit Is suspended or abandoned for a period of six(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. ¶work ceases for ninety(00)consecutive days,the Job Is considered abandoned.
WARNING TO"OWNER: YOUR FAIL'URE TO RECORD A NOTICE'OF.-COWARISIC NT MAY RESULT IN YOUR
PAYtNC I Yu TO YQUR RRORIf. 1 ''�i: TO.. F Mli' ,CONSULT
Q1At1�IHR CNF
(orC
subr�a4bad�rcA. .. )before ins this tww I Sri
Who Dawn t o r Nisflaitl ""t�1an • a:kl.ntMhatlon
Notary f t bo Notary Public
Commission No._______________ CommMabn No.
Name I pAntsd or stamped Name of Vpi'L Pdidsd or stamped
FRANCIS SL)I �A
MY COMMISSION#DO 44112
EXPIRES Deuioa a 12,2W2
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