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
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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