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HomeMy WebLinkAbout09-9502 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 9502 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9502 Address: 7313 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: 34- 25 -21- 0000 - 00300 -0050 Improv. Cost: iE °; =_ _ fier Date Issued: 9/01/2009 Name: TACO BELL Total Fees: 25.00 Address: 7313 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: (859)624 - 3866 Work Desc: FPM -HOOD CLEAN QUARTERLY- TACO BELL •U EA RN 'R• • ERVIC FI - - MI EES 25.00 (C 07 4e A PTAN E 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 City of Zephyrhills Woo- 4q (,) - 7,- Fax-813-780-0021 Permit Application ... Date Receive() I I Phone Contactior Permft 1 1 1 1 F .-- Owner's Name Ly, .....e. Phone Number 1 VS 1 IMP II Owner's Address . 440 4 ,/, Li ; 4 .!, A. 1 , ie . A/ - A A I ..- t 1 .. 1 r -- 1 r .-- Fee Simple Titleholder Herne I /49 1 - filleboklerPhonet Number 1 1 I - I I._____ Fee Simoie Titleholder Address frill Arlehx, 1 hid/5 0 41 , 731 , l e 4/142 1 de M r.s..( Sub Elvision Parcel If 1 ED Biro-Hazard Waste Stowage - ANNUAL r fumigation Tent I Comm Exhaust Kachort Hood(Duct ED Hazardous Material (Tier II or RQ Facility) ANNUAL ri Controlled Burn 1= Hood inetallallion ED Emergency Genenner <30 k ED LPINekral Gas-installation ED EmergenLy Generakir> 30 kw 1:=1 LP/Pa al Gas-ANNUAL Sabi ED Fire Protection Maintenance -ANNUAL D Places of _ 1 --- 1 13MI 1 il 'h Sprinkler LI 0 0 C n Recreational Burn Fee Alarm 0 0 0 1 1 10 Sp:alders Hood Chinning Pie 0 pi i ED Sprinkler System Installations Hood Suppression 0 0 0 0 1 1 0 SteridPiPes CaPrinkler SP) El Fire Alarm Installafton ED Torch FloolingfTer Kettle H Are Pumps fl Waite Tie Storage ANNUAL Fire Works Flammable Appication- ANNUAL I 1 Vakailion of Project Fuel Tanks ED Other: 1 ccsntracbx i 1 4/1146,4 gife:eW "Ael/ff-M4 Sfre S i g n a t u r e 1 1 R e g i s t a t e d Y 1 14 i Fee Current 1 Y / N I Address E:EirzgEv7;ezig4iFE5: License* 1 I BECTRICIAN Sicjnature JA/401,C, Company Registered 1 Y/N 1 Fee Current 1 Y/N 1 , Address 1 1 License ft 1 I PLUMBER Company Signature Registered I Y / N 1 Re current 1 YIN . 1 Address 1 I License * 1 1 MECHANICAL Company Signature Registered Y / N1 Fee Current 1 Y / N 1 Address 1 1 License* 1 I OTHER Company Signature Registered Y / N I Fee Curlers I Y / N Addres Licarie Directions: Alt out application completely. ' Owner & Contractor sign back of awry:Mon noted:sad (Or, copy of signed contract with owner) If over $2500. a Notice of Commencement is required (Mechanical wort over $5000) Supply two (2) sets of drawings with appicabie documentation Allow 10-14 days for review after submittal date. Parcel ft- obtained from Property Tax Norm (htipliappraiser.pascogov.com) 'NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit mavbe subiect :to which may be more restrictive than County regulations. The.undersigned. assumes responsibility for :compiiance any applicable deed restrictions. _ _ _ _ _ uisLit:GN,$ED CON AC RAC f ORS AHD - CON i KAC OR KESPu Sa ILI l its: ft me owner has - hired - a' contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local If the contract,' is •i Luc cod as required by laid, both the owner -aiaa 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 contact the•Pasco County Bung 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 Bock of this application - for which will be responsible. if you, as owner-sign as the contractor, that may be an indication that he is not properly licensed and is not entided . permitting - privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,-as-amended): If vain of work is $2;500.00 or more, I certify 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, 1 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 - -_-c- E M-I VIT -1 certify that aB theinfoonationinihis application i jabs and that all work wAI be done o compliance wlh ail applicable laws regulating cordon, 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 lion has commenced prior to issuanoe of a permit and all work will be performed to meet standards of all laws regulating construction, tion, County and City codes, .zoning regulations, and land development regulations in the jwisdiction. 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, 1 promise in good faith to tri enn 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 moons not spur included in the applcation. 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 shat issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every perm issued shall become invalid unless the work authorized by such permit is commenced within sox 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 Biding 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 NICE - OF MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FMANC1NG, CONSULT •i1;„ __, 1 •1i A • =a• c «, ;. Y• .. • M • C . FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR --- stsaibed a,a me-this- - - - -__ -_ - - -- - -- -Sum ant swam 11or armed} haloes the this Who is/are personaNy known to me or hasbave produced Who idare peboriiesy (mown to me or has/have produced as idiom. as ideroo. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped SOL THIEASTFPN PROT7.4; °9n^' S'ERV �F "' 0 4.753 City of Z_eohyrhills Check Number: 041753 Check Date: Aug 27, 2009 Duplicate Check Amount: $25.00 Item 'o be Paid - Description Discount Taken Amount Paid PERMITS 25.00