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08-8390
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8390 ANNUAL FIRE PROTECTION MAINTENANCE : 1 Ifr1 Permit Number: 8390 Address: 6816 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE 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: 02-26-21-0010-02400-0020 Improv. Cost: IIIfr ' Date Issued: 10/03/2008 Name: PIN CHASERS BOWLING Total Fees: 25.00 Address: 6816 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/03/2008 Phone: (813)782-5511 Work Desc: FPM-SUPPRESSION-SEMI ANNUAL-PIN CHASERS SECURITY FIRE EQUIPMENT LLC 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." 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 Zephyrti ls-FlfB- Fax-813-780-0021 Permit Application Phone Contact for Permit Date Received _ .,. ..__ . .,:..._ ._ _ - Owner's Name G owners Phone NNumber = 78 a I lTd► owners Address Fee Single Titleholder Name F RHetrolder Phone Number I Fee Simple Titleholder Address Job Address, Co LLFILL L 1 Lot# Sub Division Parcel# ❑ Blo-Hazard Waste Storage—ANNUAL ❑ Fumigation Tent ❑ Conan Exhaust K)tchen HoodlDuct ❑ Hazardous Materiel(Tier 11 ar RQ Facility)ANNUAL ❑ Controlled Bum ❑ Hood Installation ❑ Emergency Generator<30 kw ❑ LPIN IIanI Gas-iron ❑ Emergency Generaor>30 kw ❑ LPMatuml Gas-ANNUAL.Sale ❑ Fire Protection Maiarrce-ANNUAL ❑ Places of Assembly-ANNUAL ®® Sprinkler ❑ ❑ ❑ ❑ I ❑ Recreational Burn Are Alarm ❑ O O O I1 ❑ Sparklers Hood Cleankrg ❑ ❑ ❑ /❑ II ❑ Sprinkler system i aeons Hood Suppression ❑✓ ❑ r ❑ ❑ S (SprlriderSys) ❑ Fire Alarm k. laIIadion ❑ Torch Roolig/Tar KeMe Fire Pumps © Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL I I Valuation of Project Fuel Tanks ❑ Other. Contractor Signature Registered Y/N Fee Curent Y/N Address License# ELECTRIC Cprpy Si9rature Reglugered F_Y/NI Fee Curre:rt Y I N Address License# PLUMBER Signature - Registered Y/NI Fee Current YINI Address License# MECHANICALf Company Signature Registerad YINYINI Fee Covent Y/N Address I (Liicyen�se�# O -ompa-+ SCiC17I'�T� NG�L EO V J fJM Signatu a �"2 Registered N Fee _ /N I�3�Cs Ucense# bz 60 Directions: `_ - FNIout application completely. Owner&Contractor sign beck of application,notarized(Or,copy of signed earpra t with owner) If over$2500.a Notice of Commencement is required(AlecFarrieel work over$5000) Supply two(2)sots of drawings with applieabie docasnen anon Allow 10-14 days for review after subrrdtlal date. Parcel#-obtained from Property Tax Notice(htIpJ/appraisegrascogov corn) IOTICE OF DEEDRESTRICTIONS: The undersigned understands that this permit maybe-subjectW deeW. rest is ions" rhich may be more restrictive than County regulations. The.undersigned.assumes responsibility for compliance'with any ►pplicable deed restrictions. JNLICENSED CONTRACTORS AND -CONTRACTOR RESPONSIBILITES: If the owner has -hired-=a-contractor or ontractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the ontractor 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 ntended work,they are advised to contact the-Pasco County Bung Inspection Section at 727-847- ;)09. Furthermore, if the-owner has hired a contractor or contractors, he is advised to have the contractor(s) sign cordons of the contractor Block of this application-for which they will be responsible. If you. as-the owner sign as the ontractor, that may be an indication that tie is not property licensed and is not entiled'to permitting privileges in Pasco .ounty. _ of work is$2,500.00 or more, I CONSTRUCTION-LEN LAW(Chapter'713, Florida Statutes,-as-aunen ded)' ertify that 1, the applicant, have been provided with a copy of,the tmFlorida Construction Lien Law—Homeowner's 3rotection Guide" prepared by the Florida Department of Apiculture and Consumer Affairs. If the applicant is someone ,ther than the`owner", I certify that I have obtained a.copy of the above described document and promise in good faith to ieliver it to the"owner"prior to commencement CONTRACTOR'S/OWNER'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 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 I must take to be in compliance. conditions set forth in If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permits ng 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 spy included in the application. A permit issued shall be construed to be a license to proceed with the work aid not as authority to violate, cancel, after, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of emirs in plans,corms 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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY' IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATIORNEY BEORE RECORDING YOUR NOTICE OF CO1 '1CNT. FLORIDA JURAT(F.S.117.03) COHTRACIOOWNER OR AGB+IT BedRsworn b{or alarmed)before me this and sworn to(or affirmed)befits me tluis Who Islam pereor ally G~-- to me or heeAmve produced vrho idle pereoru fh►known to me or wAme produced as kkodm fin. as idees axon. Notary Pubic Notary Pubic Commission No. Commission No. Name of Notary typed.prirted or stamped Name of Notary typed,printed or stamped