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Home My WebLink About09-9501 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9501 ANNUAL FIRE PROTECTION MAINTENANCE h r a z , ;7: - 7 M* .. ', . f ,ri,4;, :: K , 77,77,-,— -' 7, -, 7:777777,:': .s , �a3. (. ('.`" OR k Ya Permit Number: 9501 Address: 5317 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: 11- 26 -21- 0010 - 13300 -0090 lmprov. Cost:; Date Issued: Name: CLOCK FAMILY RESTAURANT Total Fees: 50.00 Address: 5317 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: (813)788 -2511 �(( at Work Desc: FPM- HOOD CLEAN QUARTERLY/ SUPPRESSION SEMI- CLOCK RESTAURANT •?P; i 3 :.art #7''`. 'ag "7, - �: £ a';��'. qt. ..R €;; �M ,L :7 d ��,� i!SR 5 � . Q3i • H A TERN P' •T ■ ERVI E 1' M ` T S 50.00 C'' ♦i m , fi r•' i a: x , v.r' # a x. Wig ., ... .. .... ..... 4 4:: ... .:. > .'' € " . - A - AN inal gr 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." ot /i P T 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 ofZephyrh IsFiie- 460 1 Fax -813- 780 -0021 Permft Application ' Date Received Phone Contactior Permit I ) ...- . ] /� .+-5,'e »'t: -v.0 .. -�. -� ........ - -.. / .. � j / . Owners Name - riffi /��.%�i : i �,i I�r _ Owner's Phone Number 1 g 7 � 5 r�7, — Owner's Address 1 *oil /4 M 2' ,09 y/ .S -f4T Fee Simple Titleholder tame TNehaider Phone timber 4 i 1 1 - I Fee Sim* Ti*ehdderAddress I -.- -= - , --.- .c.3.`--'. ,'--, Y::: -_ - s-. .z•_..,. ,:Eiz - . ` > - - _5,: .nF: ,- �.;t.„ � ...I :_ .;.k, . ,_._,. ,4x - v?t:- _ _s. ..a,: = ,.:....T .... .e,; Job Address � � i i Aire _ _ G .', ..� 1 ' �o f� ii } • Sub Division I 1 Parcel * 1 D 8io -Hazerd Waste Storage - ANNUAL EJ Fumigation Tern D Comm Exhaust Klidren Hood Duct o Hazardous Material (tier 8 or RO Fealty) ANNUAL n Con4oled Barr cJ Hoer Emergency Generator < 30 kw n u al LPINN n ter, D Emergency Generator> 30 kw n LP/Naimi Gas-ANNUAL Sala ID Fire Pot:Section Mainknam e - ANNUAL D Places of P 11® , Sprit - Mar - 0 0 ❑ n Rases tonal Bon Fre Alarm H 1 1 ] Sparlders Hood Cleaning / O ❑ 1 1 L ! Sprinkler System trNalaionss Hood Suppression h►) 0 V 1 I D standpipe, (SPlillkler S) Q Fire Alarm kedaNaion = Torah RooinglTar !Canis F Fee Pumcps n waste Tie Storage ANNUAL Fire Works Returnable Applicalion- ANNUAL 1 1 Valuation of Project Fuel Tanks D Other' - 1 Contractor ,Q,, it / p� _ signature d s'A� //'w (/� usgebiledi Y 1 N 1 Fee Anent 1 Y / N 1 Address License* . I I ELECTRUCIAN fj - Company Signature / d 1 Y! N 1 Fee Current 1 Y / N, Address 1 1 Ucense I I PLUMBER Company Signature Registered I Y/ N 1 Fee Current 1 Y / N J Address I I License # I I MECHANICAL! Company Signature Regislened L___Y/ N. Fee Current 1 Y / N 1 Address I ( License * I I OTHER Company signature Regiatmed I YIN ] Fee Current 1 YIN 1 Address License* Directions: FM out application completely. Owner & Contractor sign back al appl:aeon, notarized (Or, copy of signed carirac i with owner) if over $2500, a Notice of Communoen er* is requirod.(Yadwicai work over $5000) Supply two (2) sets of drawings wily applicable documentation Allow 10-14 days for review alter submittal date. Parcel # - obtained from Property Tax Notice (hepl/appraiser peacogov con) 'NOTICE OF DEED RESTRICTIONS: The undersigned undersbuxis that this permit may be ":restrictions" which may be more restrictive than County regulations. The .assumes responsibility for: compliance any _ applicable deed restrictions. UNLICENSED CONTRACTORS AND - CONTRACTOR RES O : tf the owner has tured - - contractor or - contractors to undertake work, they may be required to be licensed in accordance with state and local If the contractor 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 intended work, they are advised'to contact the •Pasco County Buik#ing Inspection- Division—Licensing 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 Bloch" 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 property licensed and is not entiliedlo' permitting .privileges in Pasco County. CONSTRUCTION .UEN LAW (Chapter 713, Florida Sfarbutse,as aanended): If valuation of work is 62;500.00 or more, I 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 Depitment of Agriculture and Consumer Affaes. If the applicant is someone other than the 'owner', I certify that 1 have obtained a copy of the above described document and promise in good faith to deliver it to the `owner" prior to commencement ----C ►-AI AVrr: I certify that all the information. fills. application that all work will be done o compliance with aM applicable regulating cortstrucfiorr, zoning and ng and land development. Application is hereby made to obtain a perrdt to do work and installa tiara as indicated. t certify that no work or it ion has commenced prior to issuance of a permit and 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. 1 also certify that I understand that the regulations of other government agencies may apply to the intended work, and that tt is my responsibility to identify what actions 1 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 pennittkig conditions set forth in this. affidavit prior to commencing construction. t understand that a separate permit may be required for electrical work, plumbing, skins, wells, Imo, air conctitioning, gas, or other installations not specificatiy included in the app on. A permit issued shalt 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 Building Official from thereafter requiring a correction of errors in plans, cordon or violations of airy codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced **bin sic 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 Bing Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. tf work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO' RECORD A NOTICE MAY RESULT IN 'YOUR PAYING TWICE FOR IMPROVEMNN+iTS TO YOUR PROPERTY. W YOU INTEND TO OBTAIN FINANCING, CONSULT ra �L1� • A Y •, .� ~ •i_i i ��IL~ •J «• a T. FLORIDA JURAT (FS. 117.03) OWNER OR AGENT CONTRACTOR -- Subscribed and shoed arxt_ b (gr chimed) before the Ibis Who is/are personally known to me or tans/have produced VMro isfare personally known to me or has/have produced as idendlkcalion. as identilicabon. Notary Photo Notary Public Commission No. Commission No. Name of Notary typed; Printed or stamped Name of Notary typed. printed or stamped SOUTHEASTERN PROTECTION SERVICE. 0 1 City of Zephyrhills Check Number: 041752 Check Date: Aug 27, 2009 Du plicate Check Amount: $50.00 Item to be Paid - Description Discount Taken Amount Paid PERMITS 50.00