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Home My WebLink About09-9504 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9504 ANNUAL FIRE PROTECTION MAINTENANCE ii , ;F `^ :�1 a ti77:77g7 a 'f ^��' Permit Number: 9504 Address: 5610 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 - 05700 -0255 Improv. Cost: R Q 5 x Date Issued: Name: BURG KING Total Fees: 25.00 Address: 5610 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: Work Desc: FPM- SUPPRESSION ANNUAL- BURGER KING HERNAND• - & A E • 1 `' N I' E PERMIT FE S 25.00 (aS t ■i 6._ 0 FI AC P AN 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." �! /: IOW 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 . .461 okt . 813 - 780-0020 City of Zephyrhills fI im Fax-813-780-0021 Permit Application Date Received i 1 Permit 1 I I ,NISIOMI,1 Owner's Norm, . • .. IC . & _ ;��.� I ownera Phone Number 1 1 I I owners Address 5 6/ I - - `- d - _ i 0 _ Fee Simple 'Titleholder Name l 1 Titleholder Phone Number 1 1 I I Fee SlnpNfMslwldsrAddress r I Job Address Lot Sub Division Parcel 0 A . E3 Bio•Hasard Waste Storage - AMU AL a Fumigation Tent 0 Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier 11 or RG Faddy) ANNUAL El ControNed Bum Q Hood won j. Erne/gamy Generator < 30 kw LPnr turai Gas -Ins lla ion Eby Generator > 30 kw LP/Natural Gas- 4NNUAL S.I. Fie Pry, Maintenance - ANNUAL Pisces of Assembly - ANNUAL RE ®. -T Elpridder 0 0 0 Rsae tiorai Bun Firs Aim 0 0 0 s� Hood aeerirp 0 0 0 $prUdderSystem instillations • - Hood Suppression 0 0 Standpipes (Sprinkler Sys) H FYe Ann Installation _ Torch RocSn 1Tar Kettle Pumps — - Waste Tie Stange ANNUM • Fie Woks Valuation of Project Fterrrnebis AppNcatbn- ANNUAL Wet Tanks ® e Mil MIMINIIIIMMIN.M... signatrae ® iT deleted [i x'; P I1 1 • Address / :I;f e 4 ..4` ® //.ir: :1174.•' ®. , Uosnss # : ` , ,.:�f .1! - Jr,.,. g ; ELE - . Com Signature Registered Y/ N Fee Cu ent J Y/ N I - Address License* I I PLUMBER . Company I Signeture Registered Y/ N Fie ()went Y/ N Address I License * L I SIg .hart mammal ReglsMred l Y / N 0- Fee Currant J Y / N Address 1 I Lk enee 8 I J OTHER f Cry I Signature .. Registered L Y /N•I Fee Magri t Y1N j t __________A wanes e Dodd:. . FM 0-R sopllotition `C ( 5 = of � oawaot vr owr sr) Owrrsr# cAn a No work over $5000) If over 13000. a Notice Mn met oer 1'41 • Akw 1 0 - 1 (2). a y of days f d Valk bi te ' w rest • - obtained from Property Tax Notice (hltplhpPralser.Wecopovoom) ANow 10-14 deys for etteasubrtMttsleiale. ., y' 'NOTICE OFDEEDRESTRICTIONS1flIbd.r$IQfl.d understands that this permit may beauljg aeod':xresstrictions" which may be more •rest ictive'than'Oow tpregulations. The: undersigned .assumes responsibilltyjmompliaocirwIth any applicable deed restrictions. ' 'UNLICENSED , CONTRACTORg1OCIVO TRACTOR :RESP.ONSIBZL1TIES: • lf `the owner - t1aac.hkkd .avontractor 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 fora misdemeanor violation under state law. .1f 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— Licensing Secction.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 entlted to permitting : privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.asamended): If valuation of work is 92;500.00 or more, 1 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 Department of Agriculture and Consumer Affairs. 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. 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 must take to be In compliance. if 1 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 permlt may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spectf Bally Included In the application. A permit issued shall be construed to be a license to proceed with the work and not as authority th 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, construction 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 sbi (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 juetifidlie 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 COMMENCEMENT MAY RESULT IN YOUR PAYINCPTIMOE TO YOUR PROPERTY. IF YOt,1- { ' 4 ' TO F ING, CONSULT .i -.6 rm � �5 '3 OJT si «'a -_LL‘ ),„a- ::�1 o�:lk �" . k Eery .5.117.03) 404riZ A OWNER 04 AGENT _ O .. . . .. kientMlestlon �� ristrnarelty e1► me or �r protl IMO fir krp�wri as ids. as . Notary PubNo a�� 07 l ,e / ®Ao rr V Notary Public Conirrassion No. Commission No. Name o .tom or stamped Nam of Notary Wart printed or stamped FRANCIS SP ° • MY COMMISSION 40 DD8447$2 iDD M: Omaha' 12, 2012 14004WITARY Fl.NeyryDboask Auto. C